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Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 currently on 75mg of Effexor XR and have been for the past 7 weeks. I am still anxious and have a sick stomach and cant sleep. Im also taking 0.5 of Ativan in the morning and at night. I am thinking about switching to Celexa. How should I switch over? Should I taper off of Effexor slowly? ### REPLY: Hithanks for using if u want to switch over to Elena, then first start both . 5 mg a day and Elena 10 mg a day. Then after one week, stop effector and increase dose of Elena and maintain on same dose for two weeks. If still u do not get sufficient improvement, then gradually increase the dose 10 mg every two weeks maximum up to 40 mg/day. U can also consult a psychiatrist. Thanks ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi DOctor, My sister is suffering with Rhumatiod arthritis and was in medication from past 1 month, yesterday she was down with fever with shivering and vomiting, so we took her to hospital where LFT test is done along with others tests been conducted..surprisingly all the tests shows different analysis from the month before test, Her hemoglobin decreased from 10.8 to 9.5; expecially her LFT shows SGPT-74, SGOT-72, Biluribib-1.1, Globulin-3.5 and more important Alkaline phosphate-213.Iam quiet cocerned for her, I have two queries; Is it due to the medication she is taking for arthritis? DO we need to change a Doctor?? Pls help ### REPLY: Hi.thanks for posting query at . Firstly, the liver enzymes level is NOT very concerning. Usually ALT or AST values higher than "two times the upper normal limit", is considered abnormal (in some countries, ALT or AST values of more than 100 are considered abnormal). Value of AST or ALT greater than 85 or above maybe investigated further. Secondly, it is may be due to side effect of the medication. You should notify your treating physician about the lab results. The doc may advise accordingly. Wish your sis good n sound health regards . ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: This past weekend I laid down on the floor on my stomach to do some shoulder/back exercises and stretches. When I first laid down, I felt some pain in my lower abdomen. When I put my arms above my head, palms down and lifted them off the floor using my shoulder/back muscles, I felt a hard knot in my lower abdomen press into the floor. It hurt, so I put one hand under my stomach and lifted the other arm as before. I felt a hard knot/mass in the area below my belly button, to the left. Ive had 3 C-sections and am concerned that this may be something resulting from those. ?? ### REPLY: Hello, Your description suggests that you may have had a muscle cramp as you tried to stretch your abdominal muscles during the exercise process. This can happen either due to mineral deficiency, lax abdominal wall or due to cut nerve-endings during the past surgeries. You should increase your calcium intake, apply a local analgesic, muscle relaxant spray and see a specialist for further support. Hope your query has been answered. Wish you good health. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My five year old daughter has been complaing of stomach pain for 3 days. She is 44 in and weighs 40 lbs. She has always been healthy other than having a staph infection last year and three this year. Which I did everything to prevent. She came home from school three days ago complaining and vomited later that night. Then she ate and ate. The next day she ate and played then later the pain was back. This has been the routine each day. I took her to the doctor and they did an abdominal xray that came back fine. They did a urine test and no infection was found but there was ketones. So they checked her glucose and it was 66. She has an appointment again tomorrow. Her stomach is hurting again and I am really worries. ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query your daughter have symptoms of stomach pains along with vomiting. Well the symptoms you mention in query can occur due to many reasons like food poisoning, food allergy, infection of digestive system, gas, acid reflux, stomach flu or colic. Need not worry. I would suggest you to give child proper rest. You should give her sips of water or other clear fluids, avoid solid foods for a few hours try small amounts of mild foods such as rice and do not give your child foods or . Give child probiotics. If condition doesn't get better than consult pediatrician for proper examination. Doctor may prescribe antiemetic ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 female 70 years of age. I have no children . I started menopause at 56. I weigh 100 kgs and althought I try to lose weight I have a lot of fat around my waist. My question is after I eat even a small meal I feel bloated, I have leg pains in my upper thighs (a burning sensation) I was wondering if there is a chance I have ovarian cancer. What would my doctor do to diagnose this problem. (ie an internal examination) ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Symptoms of ovarian cancer are abdominal pain and mass. You may have some other problem, but you should go for ultrasound abdomen once. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . Thanks for using . Wish you a very good health. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, my 14 year old daughter had an MRI with a contrast yesterday, she suffers from daily headaches and migranes, the found white and black spots on her brain, they said it could be a stroke, inflamation, migranes or MS. How come they cant tell what it is? Is any other test that can be done? What about a PET scan? What are the consequences of these spots on her brain?? I am going crazy, I live in Utah. The doctors did not want to do an MRI I had to get upset and I just dont understand why not? ### REPLY: Hi, Thank you for posting your query.First, I would like to reassure you that there is no need to worry about the MRI findings of your daughter. The findings of white and black spots (technically hyperintense and hypo intense lesions) are non-specific, and one specific diagnosis can not be made only on the basis of MRI findings. The MRI findings need to be correlated with symptoms and examination findings. In your daughters' context, the most likely cause could be migraines. Your neurologist would be able to sort this out. 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: Dear Doctor I am a male of 24 Years working in an IT service industry in south India. I am staying alone in a mansion at my work town. I am having a height of 163cm and Weight of about 80kg.I go everyday to play badminton or to health club for some regular excise. I have a problem of getting angry quickly if i hear a small issue against me or is done by others. I get also tensed in small issues and even for some thing change from what i did not expects. I want the result or thing done fast for some cases. I cannot control my feeling or cannot control my anger. I just fear of me bursting out to someone when i get angry or i actually feel in smashing something but i try to control doing these thing or will talk to my parents who tries to calm me down but still i become worried too much. I some time feel seriously depressed when i couldn t get some thing done or achieve some thing. Where as I see there are many people in my family and friends who just take thing very easy and is always cool. When i talk to my family on these thing they said It may be because i am having high BP. I also have problem of forgetting words while i am speaking even if i know or even some time forget what i had to ask or say when actually i am going to ask or say something to a person which i just thought and i just stand there thinking what i actually came to ask. I also get confused while i am saying some thing or get mixed up with the sentences when speaking which even confuses my friends or family. I speak loudly when I talk to someone which actually i may have started with a low Voice (I am not able to control my voice.) I also have problem or getting very less sleep. I rarely sleep more the an 5 to 6 hrs only if am really tired and even while sleeping i have lot of dreams coming which actually feels real and after getting up i feel still tired. I am try to control my anger and other problem but still end up in the same place. Can I know should I take some medication or see a doctor or change in my routine activity.Please suggest on what i can do. Thanking You in advance. ### REPLY: Dear Sarah Baby, Thank you for choosing this platform to get answer to your queries. I appreciate your ability to analyze yourself so well and being able to pinpoint the problem area. It definitely is a step towards health living when we are able to realize our difficult areas and are willing to work on them. People working in the IT industry often have emotional difficulties due to their work routine, spending more time with the machine than with people and staying away from home when on projects. Its wonderful that you spend time exercising as it's a good way to burn out ones aggressive energies literally . How long have you been having these symptoms...sleeplessness, lack of impulse control and anger issues ... Issues related to work and performance as you have mentioned as in expecting fast results and dealing with small failures or setbacks could be personality based difficulties. I suggest you meet a clinical psychologist for a thorough assessment of your situation to identify if it's resulting because of your traits or situation and if it's a diagnosable condition like a depressive disorder or anxiety disorder. You may not require medication if your assessment shows the need for lifestyle and behavior modification like anger and stress management but if there is a diagnosable condition then you may require medication which would assist you in seeking solutions to your difficulties. Please do let me know how you followed up on your case from here on...some tips:1) recognize the physical signs your body shows before you get angry like feeling tension or faster breathing and remove yourself from the situation, . .that would give you time to rethink 2) maintain good sleep hygiene as in try and sleep at the same time every day and stop watching TV or reading at least 30 min before lying on your bed.you could listen to soothing instrumental music. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hy there im 29 yrs of 55 height and 63kg i suddently had a small swell and wound in private place which lasted for 3 days. i feared and checked to skin doctor he said noting to worry. then i did a blood test Hiv and and VDRL was tested and i got VDRL-non reactive and HIV Negative. shuld i be worried ### REPLY: HI, thanks for using The most common sexually transmitted infections are chlamydia, gonorrhea, HIV, herpes, syphilis, trachomas, hepatitis. These would not normally present with swelling in the genital region, so they are unlikely the cause of the swelling. Some the infections (chlamydia and gonorrhea) may actually be silent and not present with any symptoms at all. If you wish to be completely sure there no infections present, you can screen for all of them. I hope this helps ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have a school project on the spleen . I would like to know what medicines are used to treat splenomegaly (not sure if spelled right), asplenia, thrombocytopenia , and lymphomas. I am prettysure the first two are diseases and the last two are medical problems. I really need help on this. It is due in less than a week. I have ben sick, so I need it done today. We have to turn them in in 2 days or so. Also, what system is it in? For the medical probs and diseases, will you tell me if they are med probs and diseases? If not, will you tell me some? Thanks, Student ### REPLY: Hi, it is very interesting to note this query. You have given the list of hematological problems. However, splenomegaly means enlargement of spleen, splenic means absence of spleen. Thrombocytopenia means decreased platelet count cause may be infection autoimmune disease or idiopathic even malignancy. Lymphoma is malignant disease of lymphoid tissue treatment is mainly chemotherapy and sometimes radiotherapy. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 40 yo. Male. I have been having mild (i stress mild) abdominal discomfort on my right side, but also occasionally left and lower abdomen. It is mostly on the left side but it does not have a specific spot: higher lower, sometimes could be on the back, on the front, just under the ribs, etc. and as I said sometimes is on the left side. No history of cancer in my family, but history of IBS and stress related symptoms. I have diabetes, diagnosed less than a year ago (have had tendency to it since a kid - 5.7 and 5.4 where my last A1C readings from 2 days ago and mid March, respectively; 5.7 was the reading that triggered the glucose intolerance test upon which diabetes was confirmed). Im on 250mg a day of metformin (500mg when I eat more during the weekend). I take enalapril for high blood pressure (which runs in the family). Since starting these medications I have been limiting carbs a lot, eating lots of steamed, boiled vegetables. I have never been eating a lot of meat or fish my whole life. I am a very anxious person and tend to worry about any symptoms. Before feeling this abdominal discomfort I have had symptoms of anxiety attacks (mild chest pain in no specific area, feeling of panic building up, tingling of upper body, arms, etc). Other tests and ECG were negative. The lab work performed 2 days ago showed everything is fine apart from low level of vitamin D (abdominal ECO was negative). My doctor prescribed me vitamin D supplement. Could the abdominal discomfort may be linked to diet and lack of vitamin D. Thanks (sorry for the long posting). ### REPLY: Hi. I understand your concern.I assure you nothing is wrong with you, abdominal discomfort may be due to metformin, it will improve with the time. IBS has low chance. Keep relaxed, enjoy your life. As for as your diabetes is concerned, i appreciate your dietary changes. Do regular exercise. Analapril is good enough for your hypertension. Repeat your HB1Ac after 3 months, hope it will be in normal range if you have such struck diet control. I hope I gave your answer, i will be happy to help you further. Thanks for using ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had 2 early miscarriages. I have PCOS and i was on metformine 1500mg daily. When a get know about my 6 weeks pregnancy, I decide to stop the metformine as Dr advice it inorder to allow pregnancy. Then after 4 days I start havin light bleeding.At hospital the gyne do echo and found a gestational sac. On the next day there was no bleeding and the Dr allow me home and bed rest and no new Rx. So I stop the metformine. Then 3 days later I bled wittout pain.. and in echo no sac and uterine lining thin.. What happen.. should i continue metformine. Last year was same miscarriage when I stop metformine. (Is Metformine important for PCOS patients) ### REPLY: Hi, Thanks for the query. I understand your concern. Metformin is a . Metformin supplementation (in suitable dose)throughout pregnancy to POD patients is observed to reduce possibility of abortion. Still early fetal loss is also many a time due to deficient progesterone hormone. * I would suggest discussing this with your doctor & get improvised treatment during next conception./ Try conception after complete treatment of POD. 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,For the past four month, i have been waking up every single morning with my right arm in pain or a little numb. If i try to lift it up it hurts and I have to shake it or massage it to ease the pain. Is it something serious that i need to worry about? ### REPLY: Hello dear, The symptoms as mentioned in your post can be attributed to:1. Para-spinal spasm and entrapment of nerve fibers at the Cervico-dorsal region.2. Inadequate HY . Dietary deficiencies of certain nutrients like Iron, Calcium, vitamin D, Vitamin B12, Folic acid, etc. which help in blood formation & nerve conduction.4. Peripheral neuropathy caused due to any fluctuation in blood pressure or blood sugar level. Symptomatic relief can be obtained by intake of cervicogenic agents (like Vitamin B6, Vitamin B12, Folic acid) as well as multivitamin & multimineral supplements including iron, calcium & vitamin D needs to be added in your diet. Physiotherapy & postural exercise will also be helpful. If symptoms still persist, kindly consult a Neurologist & get a complete Neurological examination done. Certain investigations like complete blood count, serum electrolyte estimation, fresh estimation of blood pressure & blood sugar levels & nerve conduction studies will be helpful to rule out any pathological cause for the symptoms.X-ray & MRI of Cervico-dorsal spine can also be carried out to detect any nerve entrapment. 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: hello sirmy self kiran .... recently i got engaged wid one of ma fren...we met for 2-3 timesnd d guy has told me dat he has got some premature ejaculation problem...nd he says like i should take dis condition as if he is on d worst stage....can u plzzz tell me...wat can b d conditions bad 4 melike can i get pregnent if i get married wid himcan v njoy totally sex married life or notreallly sir i will b very thnkfull to u....if u can guide me....thanx a lot ### REPLY: Hi, Premature ejaculation is uncontrolled ejaculation either before or shortly after sexual penetration. It happens with minimal sexual stimulation and before the person wishes. Most cases of premature ejaculation do not have a clear cause. With sexual experience and age, men often learn to delay orgasm. Premature ejaculation may occur with a new partner. It may happen only in certain sexual situations or if it has been a long time since the last ejaculation. Psychological factors such as anxiety, guilt, or depression can also cause it. In some cases, it may be related to a medical cause such as hormonal problems, injury, or a side effect of certain medicines. In many cases premature ejaculation gets better on its own over time. Treatment may not be needed. Practicing relaxation techniques or using distraction methods may help you delay ejaculation. For some men, stopping or cutting down on the use of alcohol, tobacco, or illegal . Hope I have answered your query. Let me know if I can assist you further. Take care ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son is having a hard time with staying on track in school. I not sure what is going on with him ,but I know he is slow at doing everything. He is very good in school, but he is always forgetting something. I also notice that it took a long time for him to learn how to tie his shoes. He also never would use both legs to go up or down the stairs. He is 7 now and just recently started using both feet to walk down the stairs and sometimes you still have to remind him. ### REPLY: Hello thanks for asking from for your health related queries can understand your concern. He is seven years old and has started showing symptoms like hard time in keeping track at school, forgetting things, difficulty in learning the tasks etc. These symptoms can occur due to some intellectual disability or developmental delay. I will advise you to get him evaluated by a child psychiatrist for evaluation of IQ and for treatment. If IQ comes in borderline to mild range then medicines like Paracetamol, Multivitamins etc. can help. These medicines help to improve his cognition and he would feel better. Thanks, hope this helps you. Take care ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my mom was diagnose with breast cancer a few days ago. she had a median size lump under her armpit which was swollen and hurt her , as for her breast there is a large lump which is painless but there is some swelling in her breast and you can see the compassion to the other one which is not swollen. she went to the doctor and she said that they drain some fluid from her breast and under her armpit and test it and it was proven that the cells were indeed cancer. they told her that they have to run more testes to see weather it have spread. but she will be getting more results till the 14th of this month ( November) . they did not told her what stage cancer she has or what type or strand of cancer. i am really worried because i read online about inflammatory breast cancer which is the really bad one. is that the only type of cancer that cause painless swelling in the breast with a lump and cause a painful lump under the armpit? thank you for your time and answers i appreciate it. ### REPLY: Dear, Aspiration cytology test must have been performed on your mother which showed signs of malignancy. You have to do the true cut biopsy to know more parameters. For staging they need to have more tests like bone scan, CT scan of chest and abdomen and some blood tests to finally declare what stage it is. I feel your mother must be post menopausal and things will do better once the tumor is completely removed. Results still depend on what they find after removing the tumor like lymph node status and hormonal status. Over all prognoses should be good. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have been diagnosed with Fibro Myalgia and would like to know if the condition is being taken seriously by the medical world, researched and looking for a cure. Is it a virus? I struggle to manage the condition which has proved to be life changing, I have practised Yoga for 30 years, always been an active person and now find it difficult to just get through the day. Thankyou Jane ### REPLY: It is a set of symptoms with the current listing includes things that literally everyone has. It is basically depression. People with it have every indication of depression. Anti-depressants help it. BUT this does not necessarily apply to everyone with fibromyalgia; just to most and to those who fit the current definition of it. Note that another ingredient of the diagnosis is that no sign of a real disease is present. So if there are signs of infection--it is not fibromyalgia. Treatments are mostly for depression: 1) anti-depressants, 2) nerve dampers/ anti-epileptics 3) muscle relaxants 4) counseling as if the person has depression. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my wife (57) has had edema in her legs since april. along with this, she has been feeling heat and a prickling sensation in various areas of her body in addition to the legs. she has had some pain in the legs and the tingling feeling that comes and goes. ### REPLY: Hi Thanks for posting your query. There are many causes for edema of leg. Common among them are Low protein levels in blood, Kidney failure, Liver problems, Heart failure, Problem in blood circulation to legs. I advise her to get these test and revert with reports. Serum Albumin, Creatinine, TSH. Ultrasound Abdomen pelvis, 2D ECHO. For her tinging feeling in her legs she needs to get tested for Diabetes and Serum vitamin B 12 levels. Kindly revert with reports. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Slipped on ice today and hit the back of my head, had a headache for a bit but Ibuprofen solved the pain. The problem is my neck seems to hurt. My thoughts are that when I strained to hold my head up from crashing to the ground I stretched those muscles. ### REPLY: Hi, For my patients I recommend icing it for the first 48 hrs, massaging with topical gels containing muscle relaxants 2 to 3 times per day, physiotherapy and yoga or relaxation and avoidance of any vigorous movements will be effective for your case if not I suggest CT and MRI on cervical vertebrae to exclude any kind of fissures or nerve compressions. Please consider some positive feedback if the information was helpful. Hope the above information helps you. Any further clarifications feel free to ask. Hope I have answered your query. Let me know if I can assist you further. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a bad dry cough for about 5 months May 2013 to September . Doctor could not discover the problem, I had blood tests and swabs on nose but all showed clear. I had been on 3 different antibiotics, and two different types of puffers. One being Seretide Accuhaler 500/50 which I am still on. My cough cleared up about October and I feel o.k. except I have a heavy feeling on my lungs as if I have croup, especially at night it is more noticable, it affects my voice when speaking. I have been like this since the cough cleared. Its 8 months now since I first got the cough. Any ideas. many thanks Bernie ### REPLY: Thanks for your question on . I can understand your concern. If I am your treating doctor then I would like to know about your weight and smoking habit. Smoking and obesity can cause recurrent, uncontrolled bronchitis. So if you are smoker then smoking cessation should be done as soon as possible. If you are obese then weight reduction is must. Then I would have ordered PFT (Pulmonary Function Test) and chest x-ray. PFT is needed to diagnose bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. Chest x-ray is needed to rule out infection. So consult pulmonologist there and discuss all these. First diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: doctor my son is 15 year old and i have been noticing diffused hair loss for last 6 months or so. his doctor has prescribed tablet androanagen and neutriderm spray. are these products only effective they are used lilke propecia or these can help him cure his problem permanently. ### REPLY: Hi, Without an exam, I can only give general information. I'm not sure if you are saying AN . These are quite strong hormones that are like testosterone and cause hastening through puberty. This is likely to have many side effects that are not necessarily good. The effect on hair loss is variable with testosterone. The hair around the forehead falls out but everywhere else is heavier. It is likely to cause the testes to shrink and produce long term fertility and other issues if it is an ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 met an accident and the doctors suggested to go foe the CT brain plan test.The below are the impressions of the CT brain plan report. can any one explain if there is any problem with these observations noted 1.The extracranial soft tissue swelling noted at left temporal region - post traumatic 2. Soft tissue density noted in bilateral maxillary & ethmodial aircells -? sinusitis/collection ### REPLY: Hello Brain CT scan findings are absolutely benign. There is only soft tissue swelling noted in left temporal region, it is trauma related, and it will resolve with time. You may need analgesics only. It is good that brain parenchymal are absolutely normal. There are signs of sinusitis in maxillary and ethmoid sinus. Sinusitis treatment is both conservative and surgical. Treatment can be planned after consulting ENT specialist. Get well soon. Take Care . ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I lost my husband in 2011 & it seems the Grieving process never ends.....I have Hypothyroidism & am always exhausted, but when emotional crisis hit my heart feels sore as if it will break....I assume it is nerves,but wish I could talk with a knowledgeable source....so Im 88 and old age aint for sissies, but the whole thing makes me very anxious.....I guess I just need some TLC....would like your opinion on Heartsore.....txs......laurelle T. YYYY@YYYY ### REPLY: Hi, Thanks for coming to ChatDoctorI can feel the pain you are going through since 2011Exhaustion and heart sore can be symptoms of uncontrolled hypothyroidism and complicated / unresolved griffins thing to do is to do a thyroid hormone level (T3, T4, TSH) checked, if they are not normal, then the symptoms for which you are worried about are because of hypothyroidism. Then consult an endocrinologistHypothyoridism is a risk factor for having such symptoms in response to stress (emotional crisis you are referring to)In addition, being in regular with a psychotherapist or interacting within people of your age etc. will help 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: A surgeon removed three adjacent bronchopulmonary segments from the left lung of a patient with TB. Almost half of the lung was removed, yet there was no severe bleeding, and relatively few blood veseels had to be cauterized (closed off). Why was the surgery so easy to perform? ### REPLY: Respected user, hi I evaluated your query thoroughly.*Amount of per-operative bleeding is related to - existing blood supply of the organ at the time of surgery - expertise of operator - instruments used - underlying pathology / inflammation - type of anesthesia - BP during surgery*Any of these factors say operated segments had very tiny blood supply due to blocked veins or non-functioning or use of harmonic scalpels by experts many factors contribute to relatively blood less surgery. Hope this clears your query. Thanks for using & keeping trust in our services. Wishing your patient fine speedy recovery. Regards. Bye dear 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: Having gastric trouble since 18days,USG report shows little swelling of liver ,large intestine gaseous distinction,and I am having back ache,also USG shows Kidney stones in both right and left Kidney ,pain and burning sensation in left side of stomach,please guide ### REPLY: Dear friend, thank you for your consultation. According to your USG report you have some problem in liver., so please start avoiding hot, spicy food and take easily digestible food to heal your liver. You can take medicines like sanitizing to fight excessive acid secretion in liver. If you decrease acid secretion then the gastric problem will be solved. As far as your kidney stones are concerned the treatment will be according to the location, number and size of stone. If the stones are small then without operation they can be crushed by shockwave or by medicine. But if the size is big you have to for an operation. So for that you please consult your surgeon for a complete investigation profile and treatment. 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: Im a patient diagnosed with cervical stenosis of the C4 C5 C6 C7. I have pain from my neck down to my right hand and fingers. Ive been taking anti depressant drugs , Celebrex and strong pain medications. Surgery was advised after all conservative treatments failed like therapy and epidural steroid injections. After the second MRI there was thickening of the T1 T2 T3. Is this alarming? The neurosurgeon told me the surgery will be complicated and maybe I will need another surgery after the first one. Im worried coz the pain is getting worse now and I have no schedule for my surgery yet. ### REPLY: Hi there ~I understand your concerns. I also believe that you are not on an adequate trial of antidepressants. This would mean optimizing the dose, adding adjunctive medications as well as using it for an adequate time period to get the maximum benefit from the medications. I also believe that you will find it effective to take yourself to a psychiatrist who can get you to the right doctor and also for the medications for pain. I hope this helps. Take care and have a lovely day! ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mother has autoimmune hipatis she went to the clinic today to have a livear biopsy. The doctor told her they could not do it because her blood level was too low. They said they had to figure out where the blood was going . Do you have any sway festoons ### REPLY: Hi, dear. I have gone through your question. I can understand your concern. You have anemia. You should go to search the cause of anemia. Furthermore, you should go for peripherals smear examination and ultrasound abdomen. It will give you the cause of anemia. Then you should correct your hemoglobin level first. Then go for liver biopsy 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: Hey Im 15 years old, I have an asymettrical face, I didnt have it when I was young tho, I had braces when I was 13, and I got them taken off last month (14 years old), my face looks asymettrical, my right cheekbone is more prominent than the left, and my right jaw is longer than the left, I dont understand why its like this? It looks terrible in pictures btw ### REPLY: Hi...I can understand your problem.and I am happy to see you recognize your problem.let's make it more clear. Facial asymmetry may be because of two things 1) bones 2)2 soft tissue if it's because of bone it needs correction .that's needs surgery.if its because of soft tissue.it also needs surgery (dermal graft, fat grafting etc.) but that is different from that of bone.you should consult plastic surgeon.i don't think this asymmetry is because of braces.but if it then you must go to your dentist. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I am curious as to what prompts this Sharp pain I get occasionally, seems to be coming from my heart. Im 30 yrs old, male and in decent physical condition. Could afford to lose a few pounds, Im thinking maybe my heart might be working too hard? ### REPLY: Hi I can understand that everyone have a hard earn money and some people have a need of it but dear no need to worry just went to a doctor have a simple test of ECG that clears everything till then I just start you a mix treatment stuff as if you might be gastric and cardiac cap.pantop-dsr 1oddigene syrup 2spoon Tosca.lipikind-as 1od get well soon thank you for trusting ChatDoctorregards . ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 history of kidney stones and Intercystitis. I had an ultrasound done as I was having pain on my right side an the CT showed only stones in the lower poles of my kidneys. However, the utltrasound found a stone in my right ureter . Why would the CT not see the stone? I have also been passing clumps of mucuos in the mornings. My urine is clear, and the clumps do not have an odor. Any ideas on the mucos? ### REPLY: Good Day!CT scan are more accurate and sensitive in detecting stones than an ultrasound. Although there are stone compositions that doesn't show up in a CTS Can (e.g. indicator stones). I would suggest doing an urinalysis to check for infection and determine the mucous in the urine. They might be phosphate in the urine and have no clinical significance. If you are diabetic then it might be tissue sloughing off from the ureter and kidneys. Again these are speculation and a urine sample in the laboratory is still the best. I Hope I have answered your question. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Fell on my butt Friday roller skating. I fell so hard that my brain rattled. I have no bruising, but the pain is very severe. My tailbone, both hips, it feels like I have a bladder infection. Bilateral the location where your appendix are both right and left side hurt. I am nauseous. ### REPLY: Hi ! Good afternoon. I am answering your query. If I were your treating physician, I would prescribe some anti-inflammatory . Apart from this, I would refer you to a physiotherapy department where they might give you some heating either with an infra-red device, or short-wave diathermy device, which are soothing and help in healing of the wound in muscle and bone. The second part of your history is a little perplexing on the pain in both sides of your lower abdomen and the nauseous feeling. This might call for an ultrasound abdomen to rule out any secondary abdominal pathology. A careful clinical examination of the abdomen is also a vital part of the management in your case. Therefore, in case of increase in the intensity of pain and discomfort, I would not hesitate to refer you to a general surgeon for an examination and further management. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing to clear doubts on your health problems. Wishing you an early recovery. . ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: went to the ER because of vertigo and tachhecardia doctor said it was too much caffeine. stoped drinking coffee and felt fine, headaches, but now i seem to have regular periods of fib, shortness of breath, feel shaky. people at emergency room checked me out and everthing is fine but i have low potassium. i am taking ativan now. ### REPLY: Hi welcome to . I understand your query and concern. Your symptoms are suggestive of with . Atrial fibrillation is known to cause Rapid heart rate and fluctuations in blood pressure. I advise you to have a baseline 2 dimensional echocardiography, ECG and lipid profile to assess the basic cardiac reserve of your heart. Restrict the intake of salt to less than 6g/day. Regular physical exercise in the form of brisk walk for 20 min a daily is useful. Avoid taking caffeine. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: helo sir i am i m suffering from acnes and black marks . 3 months back i used erytop clindamycin gel that time my face was clear normaly. And my friend told that use panderm+ cream for rid acnes, black marks and to britness. So i using panderm+ since 25 days but this period more acnes pimples ocurd. . Plz help me how to get my original skin back . . ### REPLY: Hi Rajesh, Self medication at times can be harmful! Using pander plus cream for acne and marks was a big mistake on your part. It has aggravated your acne problem. So kindly stop using it. Now as your acne has flared, you might need a course of oral as well as topical anti acne medicines. Once your acne subsides with therapy, you can apply topical medicines specifically meant to reduce pigmentation. You can also take Glycol or salicylic acid peels to reduce acne flares as well pigmentation spots. You need to consult a dermatologist to get your skin analyzed for starting a proper treatment schedule. Take care ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello doctor, My baby is 3.5 months old and she is passing her stools in green color from past 2 weeks. She is exclusively on breast feeding. I tried babylac, econorm with ofloxin metronidazole suspension 0.5ml for 3 days but it didn t helped. I consulted another doctor who has given zinc powder 0.5ml a day for 14 days, enterogemnia 5ml twice daily for 3 days and walamycin suspension 0.5 ml for 4-5 days. I didn t see any result even after using that for 2days as still she passes her stool in green color and watery.My baby weighs 5.2 kg approx My baby activity is normal. Now she has even severe cold.as it s been 2 weeks I am worried a lot.. Please help ### REPLY: Welcome to the ChatDoctorThe breastfed babies stools may change in color, and baby may even have an occasional green stool. Consistently green stools, however, may indicate a problem, such as imbalance in foremilk/hind milk, or sensitivity to something in moms diet, such as dairy. Green stools do not always indicate a problem. If your babies activity and weight gain is normal, it is very unlikely to have green poops due to some infection. So in my opinion there is no need for any medical treatment. Only check if he is properly breastfed and is getting hind milk properly. Whether your child has a cough, a cold, or the flu, you can try these gentle, effective, and safe home remedies:1. Have a humidifier or a cool-mist vaporizer going in your children be . 2. Saline nasal ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am currently trying to have a baby, but its seems that I cant. I did the ovulation calendar for my period and had sex the day that it said I would be fertile. I also had sex the day after my period and the week before the next one. I started this Jan. 25 and its now Feb.24. my period came on on the 21 of feb. what should I do ### REPLY: Hi there,Do not worry. Anxiety and frustration only increase your chances of failure. There are many factors involved in conceiving a healthy pregnancy, and it is not mandatory that when you follow all the necessary steps too and every thing is normal with you and your partner that you will conceive in the first cycle of trying itself. Most couple 85% conceive in the first year of trying. Only 15% face infertility problems. You should at least try for 1 year naturally before approaching a doctor for infertility or worry about it. The factors which decrease your chances of successful conception are women sage if more than 37 years, one or both partners . If you or your partner has any medical issues like hypertension, diabetes, thyroid, previous surgery (esp. abdominal) any significant illness in the past then consult doctor prior to 1 year for help, otherwise you could try to conceive or a year and then seek helps if at all unsuccessful. Do not forget to take folic acid daily while trying to conceive. Hope this helps. Regards. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Sir,I am a 32 year old man and have been married for 3 years now. My wife has undergone two IUI tests sofar but because of her hormonal imbalance the tests are failed. Kindly guide us what to do now. I live in bangalore and my number is 0000 ### REPLY: Welcome to . I have gone through your question. For hormonal imbalance you should get treatment for it first according to my advice. As hormonal imbalance will interfere in fertilization, implantation and in pregnancy also. Contraceptive pills are prescribed to regularize the cycle. So consult gynecologist and take his/her advice for it. Hope I answered your question. Would be happy to help further. Take care. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a bad cold on and off for a month, part of this was a very tickly cough which remained throughout this period. The cold and tickly cough have now gone but i often have the feeling that one side of my throat is caving in. This can happen at any time but often when beginning to talk/sing or when i turn my head suddenly. I am Female, 27yrs, very fit and in good health. ### REPLY: Hi and welcome in . I can understand your concern. Usually it is normal to have a cough in a viral situation.It's triggered by mucus . After the common cold is gone the cough is gone too. If the cough persists for a long time that's worse at night, disturbing sleep, and sometimes with wheezing and shortness of breath better to do some other tests as follows:Simple SpirometryMetacholine test if the spirometry is negativePrick test for alergyChest X sometimes in some patients the allergies appear with ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 21 years old. I have a history of asthma. I was having a wheezing sound every morning but too reluctant to use my puffer since I would have develop dry cough. I dont know if I should continue using my puffer since I aint sure if the coughing was relevant to the use of puffer. ### REPLY: Thanks for your question on . I can understand your concern. At present, you are having exacerbation of asthma. And yes, you should definitely take your inhaled treatment (puffers). Asthma is chronic allergic inflammatory disease of airways. Inhaled treatment is the best treatment and hence should be continued without interruption. At present, you should consult pulmonologist and get done PFT (Pulmonary Function Test). PFT will tell you about severity of the disease. And treatment of asthma is based on severity only. You may need additional inhaled bronchodilators. Oral treatment witChatDoctorbination of antihistamine and anti-allergic . So start regular treatment for asthma, you will definitely improve. Hope I have solved your query. Wish you good health. Thanks. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 13 month old with a temperature up to 38.8 goes down with tylonol now back down to normal today then woke up screaming uncontrollably (never cries) what could this be? she has alot of teeth esp the side big ones all came in at once a bit ago. could it be possible that its a sign of two year molers? ### 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. I DO NOT THINK THIS IS RELATED TO MOLARS. Regards - ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son had problems after 2 gold crowns were placed in his mouth abutting mercury fillings. Severe back pain , numb tingling in arms legs and head, chest pains, problems breathing insomnia and the list goes on. Brain fog was also very severe. Gold crowns were cut out and symptoms subsided almost immediately. We went ahaed and removed four large mercury fillings and the next day he had brain fog, flu like symptoms and back and chest pains and the following day we ended up in emergency as he would just fog over and could hardly speak or move when tha waves hit him. He would cry uncontrolably and he knew when it was going to happen. Cat scan was normal as was blood work but they wouldnt test blood mercury levels. Doctors say it is all a coinsidence and he has sezures but it has not reoccurred. Is this from the neuro toxin called mer ury ? ### REPLY: Hi, Thanks for asking the query, According to your clinical symptoms I suspect that you have developed toxicity to mercury, but to confirm this you need to get a blood mercury analysis done. Also visit to the Physician and get complete physical evaluation done, if present with toxicity you can start with the treatment, diuretics can be given to remove the amount of mercury from the body. Hope this helps out. 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, My wife miscarriage her pregnancy during 10th week . Fetal size was 3.3 Cm. After TORCH test found Rubella IgG Reactive 390.2 U.I/ml and Cytomegalovirus ( CMV ) IgG Reactive 54.1 U.I/ml rest are Non Reactive. After that immediately Doctor advice for Rvoc vaccination and TAB Zovirox400Mg thrice a day for 10days. She has completed all course and after Seven Month again she got Rubella Test Rubella IgG Reactive 500 U.I/ml and Cytomegalovirus (CMV) IgG Reactive 55.1 U.I/ml. Please advice can she conceive pregnancy as considering of baby. ### REPLY: Hi, Thanks for your query. I have read your query & I understand your concerns. 1) Both rubella and CMV Egg are positive. Egg indicates past infection. If IGM is negative you have no need to worry as Egg has no significance. 2) One miscarriage does not mean much of problem. Hence, no need to worry. It is not necessary that it will repeat in next pregnancy. 3) I suggest you go ahead and try for pregnancy. If you still wish to evaluate, please get APA profile done. I hope I answered your query. I will be available for any followup queries you have. . ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Age 28Height - 6.1weight- 73kg I am having fever with cough for last 8-10 days. Initially I was prescribed ciprolet DS, Solvin syrp with Vitamin B complex. After taking these medicines for 4-5 days fever was still there in the afternoon and night. Today again I have consulted doctor and after blood examination it was found I am suffering from typhoid. Doctor prescribed macpod 200 , crocin twice daily with Vitamin B complex once daily and Zytus-D thrice daily. pl comment ### REPLY: HIT hanks for posting your query. There are many Antibiotics which can be given for Typhoid fever. The choice of antibiotics varies from doctor to doctor. In my experience the Typhoid Bacteria has become very strong and the chance of cure with only one Antibiotic (Mac pod) is less. If you were my patient I would have added another antibiotic like OFLOXACIN along with the prescription given to you. Hope this information was useful to you. Any clarification feel free to ask. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi dr I have acne last 5 year but I take dematologist treatment andl acne problem solve but in between sometime this problem occure and leaves a scars on skin and now a day again same acne again prevent on face and its a red spots that are inner side the skin hard type and also pain after few day its made white pimple then leave it spot on skin I m so worried about it bcoz already have scars on skin ### REPLY: Hi there, It seems like you are having Modulo cystic acne. This type of acne is usually resistant to the conventional medications and treatment. So I would say you are a candidate for Isotretenoin therapy, this is It A derivative and proven to be very helpful, but you need to go to your dermatologist because this medication is not suitable for all people, and you have to be reviewed before staring the therapy. Regarding the scars, I can understand your concerns, here again I would say there are many options, but you need to see a dermatologist to give you an option which best suits your skin and can have the maximum results, I hope you can understand my point. All the best. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was wondering what kind of symptoms from pregnancy would I have while on the birth control nexplon which is the implant. And also my doctor prescribed me antibiotics that makes the birth control stop working and plus I need to know if you can help what kind of symptoms I will have after having unprotected sex. ### REPLY: Hello dairy understand your concerned are on the weapon implant, and it is 99% effective in preventing the pregnancy. Symptoms of the pregnancy is variable. Most common symptoms is the missed period. Other variable symptoms of the pregnancy are: fatigue, dizziness, sore breast, enlargement of nipple and areola, darkening of areola, nausea, white vaginal discharge, implantation bleeding with slight cramp. You can confirm the pregnancy the earliest by the blood test, just 10 days after the unprotected sex. I think chance of the pregnancy is lesson can also go for urinary pregnancy test when your period will delay by the 8-10 daysAvoid stress, take healthy diet, . ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: question I have a large lump in my tummy right at my belly button ... not sure if its a hernia or not but my feet are also swelling daily and not going down and I feel winded having to take walks. or anything and feel as my back is killing me with agonizing pain like I could cry is this all because this could be a side effect? ### REPLY: Hi, dear. I have gone through your question. I can understand your concern. You may have umbilical hernia or inguinal hernia. Your description sounds that. You should go for examination of your swelling whether it is hernia or not. If it is hernia then go for hernia repair surgery like meshplasty. If you don't have hernia then go for fine needle aspiration cytology. Then 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: Some chest pain in the left side of chest when cough, laughing, and deep breaths, visible blood veins in chest mainly on left, spreading to shoulder, and towards neck, also on right but not as visible. Little uncomfortable moving left side (sleeping) ### REPLY: Hi thanks for contacting .... According to history you seem to be having musculoskeletal pain as pain occur while coughing, some activity and in particular posture. Avoid strenuous work ... Apply hot pads over chest ... Simple analgesic for pain can be taken. . Proper sleep posture. Avoid stress.... Avoid movement causing pain... If you have fever or cough like symptom investigate for resp causes by chest x-ray and spirometry to rule out bronchitis. 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 ve been having problems with my left knee. The massage therapist I go to says that I have pockets of swelling and I don t learn not to walk on my heel, I may end up with knee surgery. Today it really hurts to walk and now the swelling is behind my knee. What is this? Also, I do have flat feet. ### REPLY: Hello, As per your history, there is possibility of soft tissue injury in knee. Most commonly meniscus injury occurs may be associated collateral ligament injury. You may need to do MRI knee to see for any functional defect. As per your symptoms, you need to do physiotherapy and knee exercises to improve range of motion. Rest and ice fomentation along with supportive brace will help to reduce locking episode and pain. Small meniscus tear can be managed conservatively with physiotherapy with USG and TENS. Large meniscus injury can be managed by arthroscopic repair. Another possibility of patellar ligament tightness which can be evaluated clinically. 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: Ive 41 years female on Nitro patch for my heart speeding up and Opana for back pain, blood presser meds.Latley Ive experincing and high pitch sound in both ears,Vision problems, heart beating so fast at night I cant sleep day or night Ive been living off of sleeping tylenol because I feel as if Im on this rollercoster ride. When Im trying too sleep at night I can feel my heart beat in my throat. My speech is horrible when Im talking I cant get everything out. I am ADHD but I took myself off the meds years ago because of my back injury because of all the meds Im on now, I feel sweaty, clammy. Any ideas? . ### REPLY: Hello! Welcome and thank you for asking on ! I carefully passed through your question and would explain that Nitro patch is not the best medication for tachycardia (increased heart rate). Besides, it can cause low blood pressure and aggravate this clinical situation. Your symptoms could be related to anxiety. I recommend consulting with a specialist of this field to help you manage anxiety. I would also advise a close monitoring of your blood pressure and discuss with your doctor the possibility of stopping using Nitro patch (if you do not have coronary artery disease). Hope you will find this answer helpful! 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: dear sir,my 11 year old son is having abdomen pain (not confined to any specific part of abdomen) for last 10 days. local doctor has diagonised it as enteritis and adviced Ziprax (7.5 ml X 2), Metrogyl(10ml X 3) and Mucaine gel(5ml X3). His pain is still there even after 6 days of medicine. Kindly advive ### REPLY: Hi! Good evening. I am answering your query. As the history is of more than 10 days, and he already had some antibiotics for six days without any relief, in my opinion you should get him assessed by a general surgeon/pediatric surgeon in your area to have proper clinical assessment and related investigations like ultrasound to arrive at an appropriate diagnosis and management. Without a proper clinical examination, it might not be possible to opine on this problem over the net. I hope this information would help you in discussing with your family physician/treating doctor in further management of your sons' problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing to clear doubts on your health problems. I wish you an early recovery. . ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have had my thirs mirwna coil fitted in 12 years. With no problems but I had this last one fitred two weeks ago. I had rhe prevoius removed as there was slight signs of coil infection. I was put on the mini pill for 6 weeks. For the last two weeks I have had tender breasts and sore nipples, this is not normal for me ever. Only when pregnant. Is this normal. Also with all three children home pregnancy tests have always been negative. When I have been pregnant. I took a sample but it was negative. Is this normal ?. ### REPLY: Hi, Welcome to . Mirena coil is incorporated with hormones and gives long term contraception. Side effects associated with IRENA include Headache, Acne, Breast tenderness, Breakthrough bleeding, Mood changes, Weight gain, Abdominal or pelvic pain etc. Mini pill also contains progestin which also causes similar side effects. These symptoms should resolve once you stop the minipill. Thanks. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, My mother is 94 and is regularly having Nexito 10mg and Admenta 10mg as prescribed by doctors, along with other medicines for general health. She still complains of memory loss, although that is not really the case as we see, given her age. Should we consider enhancing or reducing the dosage or introducing any alternative or additional medicines please.Her doctor in a GP and we do not want her to go to a psychiatrist, as she is otherwise alright. Many thanks. ### REPLY: Thanks for query on . Memory loss in your case is due to aging problem (brain atrophy). It is called Alzheimer's disease. Go for blood homo cysteine,b12,folic acid and other routine body profile investigations to rule out the deficiency level and other underlying condition. Start therapeutic dose of b12,b6,folic acid and other supplements. Intramuscular injections of b6,b12,folic acid is advisable at regular interval. Continue other supplements and her regular medicines. Give her positive support. Talk with her regularly of surrounding happenings, news and other family talk. Keep in touch with your family physician. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I started taking Calvepen 666 yesterday. I took two tablets. I have take this medication before, most recently from the 3rd of January until the 12th for the same condition (tonsillitis). This morning I woke up with a rash covering my chest and neck and also numerious white spots on my face. I am prone to breakouts from time to time but I had at least 20/30 little white spots around my chin, and between my eyebrows. Would this be related to taking Calvepen? ### REPLY: Hi, White spots on face, neck and chest may be fungal infection called Tina tricolor most probably. Antibiotic you take does not cause white spots. However, consult the dermatologist for the perfect diagnosis and proper treatment. I would recommend you to apply antifungal like clotrimazole cream and to take ketoconazole tablet daily for few weeks. Avoid soap bath. Take treatment under observation of doctor. Hope this helps. . ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a pain in my front shoulder/armpit area, then travels through my bicep, to my forearm. It feels like it s either on the bone or in the muscle. I m not sure what caused it, but it has been around painfully for 3 months. I am a diabetic type 2 taking insulin and medicine, age 56. I wondered if that had anything to do with it or could it be a form of fibromyalgia? Should I get an x-ray, pt scan, or what? Thank you for your advice. ### REPLY: Hello, While the possibility of fibromyalgia is there, at your age with those symptoms, it is far more likely an aging problem with the discs in the neck which than pinch on the nerves that supply the arm. In my opinion, an x-ray of the neck would be a good place to start. This will show if there are any aging changes in your neck that may be responsible for the pain you are feeling. Get well soon. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mothers HB count is 6.1 . She is suffering frm oestoporosis & severe anemia.Her HB is not incresing . It was intially 4.1 . After Blood transfusion in May 2010 , it was 8. Aftewards it started dercreasing . She is taking irin & folic acid tablets , dates . Pls suggest wht should be done ? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Her hemoglobin is very low. She should go for complete blood count, peripheral smear examination. If needed go for anemia profile and ultrasound abdomen. Search the cause of anemia and take treatment accordingly. Osteoporosis is common after menopause. She should take calcium AMD it D3 supplements for osteoporosis. 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 my girlfriend is suffering from bright red rasied rashs that are in a number of areas on her body. The rash began on her face and have spread to her abdomen, back, neck, breast and chest. She is also suffering with a stiff neck, lower back pain, headache and a burning sensation on her face. She also says she feels as if both her arms are heavy and dead. Swelling has also been noticed on her face. Do you have any idea what this could be? ### REPLY: first it is necessary to know the exact age of your girlfriend. Then let me know whether she was ill due to some ailment recently. Was she hospitalized for the ailment. Are her menstrual cycles regular?is she asthmatic?does she suffer from any other skin problem?is she allergic to any artificial ornaments which females use as accessories?it is necessary to know her past medication history if she HS suffered from some ailment etc. If all these details are provided then it will be feasible to diagnose what she is exactly suffering from. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 gallbladder surgery July 24, 2015. I am 29 weeks pregnant now. I have been in a lot of pain. It is now over 3 weeks. I am still having diarrhea. However, my main issue is that I can t stand or sit up right (without a back to chair) for more than 5 minutes without my stomach contracting and getting tight and the longer I stand the more pain I am in. The only thing to take away the pain is sitting or lying down. I don t know what to do about this and it is extremely frustrating because I can t do a lot because of it. Any advice or idea what could still be going on? ### REPLY: Hi, This looks to me like so-called postcholecystectomy syn . Symptoms include systemic symptoms such as sweating and heat sense but also dyspepsia, nausea, and vomiting, flatulence, bloating, and diarrhea, Persistent pain in the upper right abdomen. Some individuals may benefit from diet modification, such as a reduced fat diet, following cholecystectomy since it may be more difficult for digestion of fatty foods. Postcholecystectomy syn ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have observed that there is a line, from just between my breasts, under my rib-cage which is painful. When I feel it, it feels hard and I can feel knots at intervals of about 2 cms. I can feel this going down upto my abdominal area. It hurts when I press is, but if not, does not cause me any discomfort. Can you give an exlanantion please? ### REPLY: HI. Thanks for your query and exact history. This is called Idiopathic Phlebo-thrombosis when there is only swelling or also called as thombo-phlebitis ID there are signs of inflammation and infection. The cause of such condition is not known as is usually self-limiting. The mainstay of the treatment is had proper HY . If required your Doctor may give you a mild analgesic and an antibiotic to ward off the complications. Never fiddle / massage this area. This will heal on its own. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my mom is pregnet and she has this really bad cough and doesnt no what to take to get red of it and then when she lays down and she is coughing all the fliuds suposed to come out her mouth go to her ear and it really hurts her please give me any information to help her out thank you ### REPLY: Thanks for your question on . I can understand your concern. Bronchitis (inflammation of airways) is common in pregnancy and cause severe coughing. So better to take her to pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. She will need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry, she will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had an issue with sores since the birth of my 1st child who is now 17. The doctors would test these sores and say that they were a bacterial infection. I had a doctor biopsy some skin from my breast because he thought the sore was skin cancer. Now finally this past year I was diagnosed with staph infection that had spread all over the place. I have been to numerous doctors because all of a sudden I started getting tingling in my mouth. They thought I was having a stroke and it turns out that within this past year I went from low blood pressure to stage 2 hypertension. I had a bad reading on my EKG that signified extreme fluttering of the atrium. Now I am breaking out more with bumps that are red not raised all over and they stay for quite some time. I also have had staph again and my blood pressure does not stay even It goes really high or really low with the metopolol. I have red lines that have appeared that look like blood is trapped by the skin surface. These lines turn brown and fade until Im going to break out again then they get darker. Please help.... ### REPLY: Thanks for posting your query to . If you have diagnosed with Staphylococcus infection what medication you have taken to treat it. As you need to take complete course of antibiotic as per your culture and sensitivity report. Untreated or incompletely treated infection will secure and posing more problem to treat. So contact to your physician for taking Antibacterial treatment completely .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: one of my coworkers is anemic was recently in the hospital due to fatigue rapid heartbeat and had been on her menstral cycle for 3 months straight. she is now out of the hospital at home but looks worse very pale white purpleish lips and by just walking a short distance she gets tired and her heart starts racing and ooh she loves eating chalk ### REPLY: Hello, THX to contact . Yes anemia can cause the symptoms in the question. Even eating chalk is very bad thing for her. If I am the treating doctor of her I advise you to start the injectable iron supplements to recover her from such an anemia. Even if possible give him one blood transfusion. Then start the injectable iron treatment. If you require any more information please contact me. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, Myself Tanvir Khan from Bangladesh. I have been suffering from IBS (irritable Bowel Syndrome) last one year.As a regular check-up for IBS, I have done an Ultransnogram this august. The report showed { hepatomegaly showing mild fatty change in liver The liver enlarge in size 147mm.Hepatic parenchyma shows brighter eco pattern all over.However, No definite focal lesion is detected. Please tell me will it harm me in a long run?} What types of medical test should i do for a regular check-up. My weight is 68 kilogram.age is 25. i am non alcoholic and non smoker person. My have done all blood test including, CBC,Creatinine,Electrolytes,Urine, All are in Range.only SGPT was higher.it was 65.Both of my Hepatitis B & C are Negative. please provide a guideline to me and diet as well. ### REPLY: Hello Tanker Khan welcome to , and thanks for choosing us. I understand your concerns. Firstly, I would say you should be cautious but don't worry too much. You have most probably got hepatitis, which is inflammation of liver cells. In the beginning it is reversible. However, I would like to know following your general health like weight, blood pressure, age would advise following to heal your liver 1 healthy and balanced diet2. Less animal proteins for 3 weeks and then continue as per your habitat know about possible disease in future you need to do following1 liver function test at least once in three months till you get normal reports. Then you can do once in six months2 immediately report to your doctor if you get pain in abdomen, fullness in abdomen, yellowish urine, yellowish skin, extreme fatigue. I hope my reply will help you. Please write to us or me for more questions. I wish you good health. Kindly rate this reply. 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. Im very concerned about my boyfriend. Evidently he had a root canal done poorly over a decade ago when he was young, and now its caused a cyst on the roof of his mouth. Hes getting the root canal redone tomorrow as well as a biopsy, but the doctor says that there is significant bone degradation in the area. Im scared. Could this be life-threatening? ### REPLY: Thanks for your query, I have gone through your query. The cyst is not life-threatening, but it has to be treated properly. Get the root canal treatment done followed bye nucleation of the cyst. Then send the biopsy to histopathological examination to rule out from other lesions like benign tumors. If there is severe bone loss we can try placing bone like material(graft) after nucleation of the cyst and support the tooth. If there is no possibility of placing the graft and if tooth is mobile then it has to be removed. Consult a good oral maxillofacial surgeon and get it done hope my answer will help you, take care. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: friday and saturday I had severe tooth pain from what apparently was a nerve dying and decomposing (ice water is the only thing that helped.) Last night the tooth pain went away but my upper lip became tender, i assumed from such a long exposure to cold water. I woke up this morning with no tooth pain, but my upper lip is swollen and continues up along the left side of my nose, i can see the swelling just below my left eyes vision ### REPLY: Hello, Thanks for writing to us. Swelling of upper lip along the left eye may be due to spread of infection into sinus spaces. I would suggest you to visit a dentist and get a detailed clinical as well as x-ray evaluation done. . Take complete course of amoxicillin as well as analgesics to relieve the underlying infection. Tooth has to be root canal treated if necessary. Hope this helps. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had chicken pox for 7dayr now. It hasnt gotten to the point where the pimples get watery and burst, releasing the watery fluid. Ive kept it contained with calamine and anti-biotics and i take a mixture of water and apple cider vinegar twice a day. When is this going to vanish and what can i do to help my skin heal quicker? ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you had chicken pox lesions since 7 days now which is mainly due to viral infection which becomes activated in body once right environment is there and poor immunity of body. You should try antiviral . You should take antiviral treatment with acyclovir as well. Topical application of calamine lotion will heal up the rashes. Well need not panic about it, chicken pox lesions don't leave scar as such until and unless you scratch them. Take antihistamine Chlorphenamine which is most effective for this. Eat green leafy vegetable sand fruits in diet. Don't scratch lesion with nail as it will cause bacterial infection there. Hope your concern has been resolved. Get Well soon. Best Wishes, ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband has begun enormous projects, failed, and convinced us that he knows what he is doing. While we have lived this nightmare, and I search for answers I cant help but think his small tic that he makes with his toungue clicking the roof of his mouth may be more than just a habit. He is particularly slow at getting anything done and becoming more belligerent as our world crumbles around us. OCD comes to mind. ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. I sincerely think this may not be related to OCD. Every human being comes with some peculiar habits when they indulge in work which requires extreme concentration or medium amount of concentration. These habits normally can be termed as mannerism. In a way the mannerism is of compulsive type, it is not related to OCD. You watch yourself, and you will find some mannerism in you also. You can post a direct question to me in this website. Include every detail as much as you can. I shall prescribe some psychotherapy techniques to control your condition. I am sure that the techniques should be a success. Hope this answers your query. Available for further clarifications. Good luck. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hay doc, i have been experiencing the pain in my front left side and back side.sometimes i feel like im getting ran out of breath for some minutes and my through t feel like i have something blocking it.when i sleep i get black out like my heart stop beating for seconds...pleas doctor i really need help on this... ### REPLY: Thanks for your question on . I can understand your situation and problem. By your history and description, possibility of either bronchitis or heart block is more. You are having cyanosis (bluish blackening of skin) and absence of beats for some time. These are symptoms of heart block. So better to consult cardiologist and get done ECG and 2d echo. If both are normal than we need to rule out bronchitis. Because your symptoms like chest pain and breathing difficulty are seen in bronchitis. So get done PFT (Pulmonary Function Test). You may need inhaled bronchodilators and inhaled corticosteroid (ICS). So better to first diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doctors!!! I a;m 26yrs old i have recent result of my sperm analysis: TIME RECEIVED: 8:00 AMTIME LIQUEFIED: 8:50AMABSTINENCE: 5 DAYSTOTAL VOLUME: 2.4mLCOLOR: PEARL WHITECONSISTENCY: SL. VISCOUSPUS CELLS: 4-6/HPFmLMOTILE UPON COLLECT: 50% -------NON MOTILE:50%AFTER 30mins: 30%-------------------------------------------:70%1hr.:10%------------------------------------------------------------:90%2hrs.: 5%-----------------------------------------------------------:95%MORPHOLOGY: NORMAL: 85%---------ABNORMAL: 15% ### REPLY: Hai, i will comment on your semen report. Liquefaction time -50 minutes (normal -within 30 minutes)- it indicates infection. TOTAL VOLUME: 2.4mL- (normally 2to 5ml)COLOR: PEARL WHITE-should be grant it is normal.CONSISTENCY: SL. VISCOUS-normalPUS CELLS: 4-6/HTML- pus cells normally not present in normal semen. Pus cells indicates infection.MOTILITY: more than 50 % of active forward progression sperm cells should be there after one hour.-normal, but in your report after one hour it is only 10%.MORPHOLOGY: NORMAL: 85%- more than 30 to 50 % is normal your report says motility abnormality in your sperm cells. Consult an infertility specialist to rule out the reason and further treatment. Thank you hope I answered your query. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my son is a freshman in college and is having a hard time focusing. he didn t have to study in high school but is having really hard time now bad grades. he finds his self not paying attention and then has no clue what has been said in class. in high school he got away with it. he called me very concerned about this and wants to see a dr. asap he is in Abilene Tx what type of dr should he see. he wants to go to one out there. He is also a Basketball player for the college. ### REPLY: It would be better to meet a behavioral therapist first instead of meeting a doctor right away. Personally I think he is still getting adapted to college and its different way of life. The new place and methods can disorient the best of us. There may also be other distractions that come with the life in college. I think a behavioral therapist would be better. The person can teach him how to adapt to the college life, and modify his routine to it best of luck . ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had my teeth cleaned recently and since then it seems like I have been batteling migraines. I have never encountered this issue before. The hygienist was extremely rough. I have my teeth cleaned every 6 months by a different dentist and NEVER have they been so rough. This was a different person. But I was just wondering if she hit a nerve or something? ### REPLY: Dear friend. Thanks for sharing your concern. Toothache can be related to post scaling problem as some decayed tooth gets exposed after scaling and starts paining. But headache or migraines cannot be related to this. I would suggest you to visit your physician in this regard. You have to properly discuss its symptoms, duration, aggravating factors and reliving factors and then get it evaluated for best results. Meanwhile, you can take painkillers. Hope this helps. Take care. Thanks. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my 16 year old daughter who is a border line anemic...9 out of a possible 13ish for anemia ,she was told?....is having fatigue ...paleness of her skin...soreness of her bones and joints...and is saying her spine hurts.....could it be possible that weed has done this to her?....and if so will smoking it...even a few hits off a joint ,or secondhand smoke from the weed be a result? ### REPLY: Anemia can cause fatigue and paleness. She should see a hematologist in order to understand the cause of the anemia. Is it because of heavy menstrual bleeding? I don't have other information concerning the complete blood count to evaluate other possible abnormalities. If she has pain in her bones and joints, besides the anemia, she should go to her physician to be evaluated properly. I don't think that weed or smoking will cause the anemia and the joint pain. However, its consumption should be discouraged. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son was hit with a rock in his brow bone. It is swollen just below his brow bone and it looks like his eyelid is droopy. His eyelid is starting to look bruised. Should I take him to the E.R. or wait til the morning and see how it is and/or take him to the doctor in the morning? ### REPLY: Hi. Well it is most likely be a soft tissue injury and swelling and bruising is an outcome of injury leading to inflammation and swelling. . . Yes, it is better to get him checked by an Emergency doctor so that the exact condition can be ruled out. He can be advised anti-inflammatory painkillers like Motrin and along with it do cool compresses over the swelling. After a clinical examination if needed an x-ray can be done to check for fracture of the brow bone if the blow was massive. 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 was in the er..had chest pains hard time breathing.. got an ekg it came back abnormal they gave me nitroglyceren oxygen they said I wasnt having a heart attack but something was worng...so I was admitted.. the next morning a nurse came in an gave me a shot of epenifren? Never had that in my life..then dr. Said I could go home.. I followd up a few days with my dr. Said all the problems I was having.. he didnt seem concernd said it was panic attack? Could a panic attack give you an abnormal ekg plus I have other health problems..and I take no meds. ### REPLY: Thanks for your question on . I can understand your concern. No, panic attacks can not cause abnormal EKG. In my opinion, you should definitely consult cardiologist and get done blood pressure monitoring, repeat EKG, 2d echo and stress test (trade mill test) because there is high possibility of heart diseases in your case. You may need cardiac supportive . Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I moved house about 2 months ago which has a large garden and I have spent at least an hour each day pruning in addition to doing some painting. The last week I have been getting pins and needles sensation in my hands which is worst in the morning after sleep, my hand can also be completely numb when waking. What is happening/what is the problem other than over working the muscles? Can I do anything to help stop or ease it other than resting hands? ### REPLY: Hello, What I understand with the symptoms is they are neuropathic in nature. Here are the two possibilities which I feel on a provisional basis. Once it could be carpal tunnel syn . Having checked by an orthopedist should provide some insights to the history in a more precise manner as it needs a physical examination. Since human hand has 3 different nerve supplying the hand muscles for different functions we need to assess that first. Also, the nerve has the role of motor and sensory functions. Out of which the numbness tingling pain is one of the function under a sensory system of the nerve. Any disturbances to the nerve may alter the functions and aggravate the symptoms. For now, I would say start basic static neck exercises which you can find online and also dipping the hand in hot water up to the mid-forearm, so the wrist is completely inside the water and perform wrist flexion and extension. Why this two exercise is because if the nerve is getting trapped in the neck region the neck exercises should help release the pressure and why hot water is to reduce the tightness over the flexor retinaculum, so the nerve trapping can get released. Hope I have answered your query. Let me know if I can assist you further. Jay In ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was recently diagnosed with Pneumonia. I had pneumonia when I was a baby but never since. I was shocked when I heard the diagnosis. The symptoms became apparent on March 28. I began taking Doxycycline Monohydrate on Monday April 3 and must take them for seven days. I am mega healthy and have not been sick in years. I can t even remember the last time I was sick. This has really knocked me out. I have zero energy and very little appetite. How does pneumonia manifest in the lung and how does bacteria get in there? How long will it be until I recover? I am really having a hard time with this. Help! ### REPLY: Respected user, HiT hanks for using .come have evaluated your query thoroughly.* Mechanism of pneumonia follows as - Susceptible pathogens in form of bacteria enters the respiratory tract via nose or throat (airborne) , settles there in respective lung tissues through alveoli and bronchi - start manifestations in form of various symptoms of bronchitis, effusion or others.* Treatment guidelines - Maintain HY . - Balanced nutritious diet. - Regular antibiotics, anti-inflammatory, decongestants as per advise by your doctor. - Regular walking, exercises (deep breathing) , YOGA. - Avoid smoking, alcohol. - Have patience, recovery time depends upon the causative organism, host response factors and type of treatment (it may take days to weeks) . Hope this clears your query. Welcome for any further assistance. Regards. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter s friend, female/16, started having muscle aches last Monday, more severe at night and in the morning, 3 days ago she started with a migraine(she gets migraines approx. 1-2x s a year, lasting only a day), her migraine is still here, her peripheral vision is gone, what she can see is spots. She had bloodwork done on Monday, all normal.... ### REPLY: Welcome to I have gone through your query and understand your concern. I think your daughter is having deficiency vitamin and trace elements. You are advised to get her vitamin B12 and vitamin D level. If found low she can take supplements of respective vitamins. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. 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: hi doc,my 2yr old daughter is asthmatic,she s finding it so difficult 2 sleep,it s about 2am our local time(nigeria)i m so worried c os she s getting really weak a d moment.doc,pls,advice me on wat 2 do so can sleep comfortably.eager 2 hear 4rm u doc. ### REPLY: Hi, If she is having significant breathing difficulty and getting weak, I strongly recommend you to take her immediately to emergency department to avoid hypoxia and further worsening. For temporary relief, give her prednisolone 20 mg and inhaled albuterol (either 2 puffs of MDI or nebulization). If inhaled one is not there, give 5ml of albuterol oral syrup. Hope I have answered your question. Let me know if I can assist you further. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I d love you to try and answer it!My 20 year old daughter has had EXTREME nausea without emesis for a week now. Sharp pain on her left side so bad that we went to the ER almost a week ago. Did the whole work up with blood tests that showed nothing elevated but gave her IV saline, morphine for the severe pain and Compazine for the nausea. By the time we left the ER she was somewhat more comfortable but not pain free and was told to follow up with her PCP (who is still her pediatrician). It s now a week later..all she has eaten is some dry toast, tried to eat a grilled cheese sandwich, and some crackers-also a little water but she cannot stand the thought of food or drink with this nausea. She doesn t have an appointment with her dr. until October 10th and doesn t know what to do until then. ANY ideas? ### REPLY: His am . I have read your message. Having read your message, 3 possibilities come to my mind.1. A severe gastritis. This comes, as you said, with extreme nausea and abdominal pain, often on the left side. Since it is a gastritis, a blood work up will be normal, and the only thing that can actually help diagnose this condition is the test of endoscopy that needs to be performed by a gastroenterologist. The scans, ultrasounds and the blood works would appear normal. In such a case, Tab Omeprazole 20 mg twice a day, should help her gradually regain her appetite. The tablet will need to be taken half hour prior to any meals.2. Gastric or Abdominal seizures. This rare entity comes with the symptoms of gastritis-nausea, vomiting, abdominal pain, and sometimes headache. The patient will not lose consciousness and will not have convulsions like the traditional seizures. However, this is a diagnosis that needs to be made after examination by a neurologist, and no treatment should be started till confirmed as the antiepileptic ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 lower left abdomen at times with pelvic pain that radiates down my legs. Ive had this for 5 months already. I saw my Gyn in August 2011 for this and he said it was an infected Iud. Took lots of antibiotics for it and nothing. So got the IUD removed. Got pregnant and had a miscartiage Dec 20,2011. And im having the pains again. It hurst more when i do alot of walking or siting. What can this be? ### REPLY: Hi ! Good afternoon. I am answering your query. With the history of infected IUD, and a miscarriage, and long term treatment for the PID (pelvic inflammatory disease), there is a possibility of your pelvic organs getting adhered either to each other or surrounding structures, and this adhesion might be responsible for the pain. Usually it is seen that in chronic PID is very difficult to eradicate completely, and the pain could radiate to the back and lower limbs. If I were your doctor, I would advise you for a urine routine and microscopic test followed by a culture and sensitivity test of both the urine and vaginal swab to be sure of the best possible antibiotic effective against the chronic infection. If you are sexually active, you have to take appropriate precautions so that you do not get or spread the infection on either side. An ultrasound of the abdomen would be helpful in such cases, and if need be a diagnostic laparoscopy might be advised by your gynecologist in case of intractable pain disturbing your routine activity. 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: hello sir, i think you can help me,so my problem is i brush my teeth three time a day but my mouth is smell still now.please kindly let mi know. thangtling tampa,fl usa ### REPLY: Hi, First it should be understood that matador is caused by many reasons like decayed teeth, poor oral hygiene, gastric problems, Sinusitis, liver disorder, diabetes, smoking, alcohol consumption, tobacco chewing. You should consult a dentist to check for any problem in your oral cavity. If the problem is due to calculus and plaque it can be removed by scaling and polishing of your teeth. Flossing of teeth and tongue cleaning using tongue scraper should be done daily. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Pea sized lump behind ear skin colored. Sore to the touch feels like a pimple. Had it for a week and it hasn t come to a head. Tonight in the shower I was finally able to pop it but the blood was dark red. Been ten minutes and it still kind of oily red. ### REPLY: Hi! Good evening. I am answering your query. Most likely this could be a post auricular lymphadenitis with pain due to some inflammation. If I were your doctor, I would advise you not to fiddle with it to avoid a super added infection. I would prescribe you with a course of broad spectrum antibiotic and an anti-inflammatory . Otherwise, I would refer you to a general surgeon for the possibility of an FNAC/excision biopsy to arrive at a definitive diagnosis for further management. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing to clear doubts on your health problems. I wish 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: Halo Doctor, iam taking siddha medicine for the past 3 months for treatment of Chocolate cysts and intra mural fibroids in my uterus. But still i havent conceived yet. My age is 30 years. I was married before 3 years. My height is 163cms and weight is 75 kgs. My husbands sperm count is 50 million. Pls help me. ### REPLY: Hi there, thanks for posting your query on this forum. Chocolate cyst & intro mural fibroid of the uterus will take time to subside, you cannot expect the results immediately. Let the doctor evaluate by your symptoms and investigations which he will advise you during the course of treatment. Have trust in your doctor & his treatment and most importantly be patient. You will definitely conceive once the body starts responding to the treatment. Remain calm & positive. Thanks & ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been having Diarrhea,fever.headache chills, body pain and abdominal pain for the last couple of days.. I have 2 questions.. are these symptoms of Food Poisoning? and is Metrogyl useful in treating Food Poisioning? ### REPLY: Hi, I am sorry for the situation you are in. Diarrhea associated with fever, chills and body pain are signs of possible viral infection of GI tract. Headache is due to:- viral infection- deny . It is a good option to treat diarrhea either from viruses or food poisoning. Your signs are not indicative for food poisoning unless they started right after eating certain food (that might have been bad). Keep in mind to keep well HY ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I got my semen analysis test, my sperm count is 2.5 million per 3 ml Doctor mentioned it as severe Oligospermia. Later he mentioned few more tests then said it is Ideopathy. Now I am under medication as belowEcozyme daily 2 tablets (chewable)MAXOZA-L powder daily 2 sachets.I am married since 2 yrs, we are planning for a baby. Whether the medications prescribed are right ? Is there anything additional that needs to be done ? ### REPLY: Hello. The first thing is to rule out pathologies that may cause oligospermiasuch as hypogonadism, varicocele and HY . It is necessary testicles exploration and measurement of hormones levels in blood(FSH, LH and testosterone). If the exploration and hormones levels are normal, the oligospermia is idiopathic, the treatment that you are taking is right and your case it is not easy to solve because your oligospermia is severe (less than a million sperm per ml). I wish you good health.(If the answer has helped you, please indicate this) ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: All I have had today was a juice I normally prepare to replace my priming breakfast but today I am not sure if I had an allergic reaction or what. But my chest got tight and throat as well. I started producing excess saliva and had to keep spitting which was causing me to gag and dry heave. After reading others analysis on similar symptoms, people are saying it s an anxiety attack or something like that. But I know I am slightly allergic to eggs and almonds which I put in my juice. Normally I don t have this reaction. What s wrong and what should I do? ### REPLY: HelloThanks for the Quertle symptoms you are having right now it is quite atypical and does not really indicate a particular diagnosis right away. I strongly recommend that you approach the ER and get the following tests done1. ECG2. Trout T and CKMB3. Absolute eosinophil count4. Complete blood count5. Chest x ray also advice you not to have food items which you are allergic to. It is sometimes life-threatening I hope I was of helpRegards ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 severe neuropathy and it is fring in my feet about every 15 seconds. No sleep no rest. I have tried everything I can come up with. Some help for a while but it comes back over and over. I have tried Gabepentin 1200 mg per day, Nervastra B complex drops taking four dropper full a day, multivitamins, Yoga, stretches, walking, ice packs, various lotions and creams including cannibas, hanging up side down daily, actuputure once per week. I am suffering terribly is there any relief? Any suggestions? ### REPLY: Hello welcome to Ask A Doctor service. I have reviewed your query and here is my advice. You are having neuropathy according to history. The cause for that should be searched. Diabetic neuropathy and vitamin B12 deficiency are common one. Serum blood sugar estimation and B12 estimation done for that. I suggest you to consult physician for neurological examination. According to cause specific treatment given. Nerve compression also should be ruled out by MRI if needed. Hope I have answered your question. Let me know if I can assist you further. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I am a 24 yr old female, for the past fre hours I have had pain in my left shoulder up to my neck, pain down my left arm, a numb left hand, and pain under my left armpit and around breast, it also has been painful when breathing out... lying down in bed is too painful so I am more comfortable sitting propped up where it is mainly the arm pain and under armpit pain, i thought it might just be muscular but could this all be IBS related? I have had not so good bowel movements today and am gassy now.... Thanks ### REPLY: Hello have read your query. There is possibility of nerve compression leading to articular arm pain. MRI spine will help in diagnosis. This may not be related to your IBS. Neurotropic medication like methylcobalamine and gabapentin can be started consulting your doctor. Physiotherapy like ultrasound will help you. I hope I have answered your questions. If you have further questions please feel free to contact us. I will be happy to answer. Take care. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, i have been having a heartbeat of 93 beats per minute. I felt like i was going to pass out earlier today, Had a severe head ache and and at one point felt like I was going to throw up. Not to mention my mouth became very dry. I ve been having a sharp pain in the left side of my chest on and off for the past week mostly when I breath. Today it was much worse I almost felt like I could not breath. ### REPLY: Hello! Thank you for asking on ! I understand your concern and would explain that a careful differential diagnosis between different disorders that can cause this clinical scenario should be done. Regarding the chest pain, the fact that it is induced by the respiratory movements, is a fact in favor of musculoskeletal pain (maybe Costco . A cardiac related cause can be excluded by this symptomatology. From the other hand tachycardia and ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 my period 3 days late and it was different at first I didnt even know I was on I didnt bleed at first just a blood clot came out. Then I had it like usual. Then the day after it ended for two days I had VERY dark brown discharge. My period looked orangeish. It has been a week since my period and I am still very emotional last night I was watching a comedy and bursted out in to tears for no reason. I have been crazy emotional. I have been making problems out of nothing. Idk whats wronge with me. A few weeks ago I got a really bad migrane and threw up. I was terribly nauseated. I know this sounds stupid but I tried that homemade bleach pregnancy test for fun and it frothed and bubbled. It bubbled at first then it frothed. My question is could I be pregnant? ### REPLY: Hi. A period can also cause hormonal fluctuations which can all result in such symptoms, although it is more likely during pregnancy. But if at all you experienced a period that lasted more than 3 days, then pregnancy has lesser chances, yet not ruled out. I recommend a home pregnancy test using an early morning urine sample, but it does seem unlikely to me so far, but you never know ma'am. Best wishes. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 11 month old has has chronic nasal congestion for 9 months with no relief from anything...antibiotics, humidifier, vapor rubs, hot steam, etc... wha can you suggest? Could it be mold in my home? Are there any natural ways to clear this congestion up? The pediatrician thinks the contant mucas is causing ear infections..HELP!!! ### REPLY: Thanks for consulting at . Chronic nasal congestion in kids commonly occurs due to infections, allergies, irritants, enlarged adenoids etc. Chronic nasal congestion causes blockage of Eustachian tube which causes ear problems. Clear watery nasal discharge, rashes, sneezing may suggest some allergic cause. Sticky, yellowish nasal discharge, post nasal . As you have already completed courses of antibiotics, I would suggest you avoid exposure to possible allergens, use nasal decongestants and oral antihistamines and arrange consultation with ENT specialist. He will do detailed clinical examination of nose, hypopharynx, throat and ear to determine the exact cause. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 about 21year old, was born iwith brain insult in 1992. Thereafter in the early age between 1 year 2/3 times fits were experienced and mazetol tab. were given for about 41/2 year. After 1 year no problem as such except experiencing poor performance in Maths. He is studying in WWW.WWWW.WW 2nd year, from last year we observe he gets severe headache in exam. period and we all get disturbed with feeling of career and his future. Please suggest steps. Adv.D.S.Ladda, Aurangabad (MS) Mob.+91-0000 ### REPLY: Hi Adv Buddha Saab.First come out of the fear of development of cancer at such an early stage, as this is very rare. Secondly get his Blood pressure measured, particularly during the attack of headache. (Now-a-days- young hypertensive patients are not uncommon). As he is getting headache in exam period only, this may be due to tensions and may not be related to the past history. I would advise such a patient to get a proper clinical check-up by a Neurophysician particularly during the episode of headache, and get MRI of the brain to rule out any organic problem. IF all the investigations and Euro opinion are negative a help may be sought from a Psychiatrist ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 30 years old lady.i have one baby.i have severe dark circles around my eyes last 10 yearsdue to studies.plz can it remove it through any surgery .i have use many creams for removel it after doctors suggestons but no effect seen.. ### REPLY: Hi, Yes there are surgery to remove dark circle around the year eye circles happen as a result of a hollowness forming underneath the lower eyelid. This hollow groove (called the naso-jugal groove) forms as a natural result of fatty tissue loss during the process of aging. Shadows fall into the groove, causing the appearance of under eye dark circles. Bags under the eyes are caused by fatty tissue visibly protruding within the lower eyelid. Once again, a shadow falls into the groove underneath the bags and the person looks tired and olderRenowned eyelid surgeon ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. I did a liver flush 3 days back. Lots of liver stone and gallstones came out :) But after that, i am having soreness in my liver/gallbladder area. Its ok when i m asleep but the pain comes back once i m awake. The pain is right side of my mid back. Sharp shoting pain at times. ### REPLY: Hi, thank you for quarry, As you mentioned you go for laparoscopic gall stone removal. Yeah during the procedure of gall bladder and stone removal the adjacent tissue and the wound area injury causing the pain due to procedure. If the patient is passing stool or flatus and bowel sounds are better than no problem this pain will become fine after some time and by the using of painkillers. Hope the answer will help you. Wish you a good health. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi there ... just wanna ask for help about my injury with my lower back when i suddenly turn my body to left something "ting" on my back and suddenlly i"ve unable to stand my left leg..it was 10 days ago when it happen, now some changes in my back that i can stand up,sit down with the help of a stick. however still something ill i feeling like touching with a pin when im sitting or walking..and my foot getting chilled and sweet is comming out while im seating. does this indication needs to go to a doctor since im working on a ship and were in the middle of the ocean on our way to the USA..hope you guys can give me advice ### REPLY: Dear friend your low back pain seems muscular-ligamental pain. You can take muscle relaxant medicine like combination of diclofenac+paracetamol+chlorzoxazon if only severe pain is there. -physiotherapy and exercise will help you a lot.-exercise for low back pain-raise your leg straight from hip joint without bending from knee after sleeping on back and then put down slowly. Same exercise for another leg and then raise both leg simultaneously. Sleep on abdomen and raise your head and chest backward. Do all these exercise 40-50 times per day by increasing slowly every day. Hope this answer will be helpful to you. For more queries please don't hesitate to ask. Get well soon dear friend . ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 20 yrs old and weigh 68 kgs, Im down with jaundice and am still to know its cause.I wanted to know how severe it is because i feel alright, nut only have a heavy feeling in my stomach. No extreme fatigue nor fever. Also i have a few dinner meets and parties in the month of august. Is it safe to drink after a month of recovery? ### REPLY: Assam album. Thank you for posting query at . Insufficient data. Cause of hepatitis / jaundice not mentioned. Alcohol should be strictly avoided if your Liver enzymes (ALT; AST) are 2 to 3 times the upper limit (means>100). it's better to let your liver enzymes return to normal, and then you may continue . However, better to avoid alcohol. Your also advice ingest green vegetables, fruits daily. Avoid junk food and cold ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: What to cure fatty liver?Hello doctor, as per my report of lever scan, the doctors impression is FATY LIVER. how it happens.? i am not using any type of alcoholic products.what type of food ihave to avoide and inc lude.? now iam using multivitamin tablets . is there any other medicines for the... ### REPLY: Hi, Thanks for posting your query. I am . K and I am pleased to assist you. The fatty liver you have is nonalcoholic fatty liver.Some common causes of nonalcoholic fatty liver are obesity, diabetes and high cholesterol. Just check which of these risk factors you have and treat it. Also get a liver function test done to see whether it is a simple fatty liver or if there is any damage to the liver. I hope that answers your question. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi..am 37 weeks 2 days..yesterday I take a Doppler scan.my placenta is located at posterior in middle segment.am worry about that...But cephalic presentation spine anterior towards left seen ...is it possible on normal delivery...when baby is turn into posterior to anterior ### REPLY: Hi there, I have understood your concern and I will suggest you the best possible treatment options. Please do not worry. Posterior placenta which is not in the lower segment of the uterus, is not a concern for pregnancy and delivery. If the placenta is present in the lower segment of the uterus, then it is cause of concern, as it may cause spontaneous bleeding. As far as your USG reports are concerned, you can undergo trial for vaginal delivery. Please fully trust in your treating doctor. Let your obstetrician have the privilege to take the best possible decision about the mode of delivery. May God bless you with a bundle of Joy. I hope this answer helps you. Thanks. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 20 years old boy.. I am taking decdan & practin tablets since I joined a Gym. I continued taking those tablets for 3 months on alternate days. and I could gain my weight upto 7-8 kgs....but during consumption of these tablets my skin color started becoming dark and looked oily also. So I quit taking those tablets. but now, after 2 months I am facing side-effects like- itching all over my body especially my fingers and legs...Plz give some advise to overcome this problem. ### REPLY: Never take these medicines to gain weight BCY of severe side effects on body.dexamethasone and cyproheptadine both increase our appetite but do have many side effects on skin, liver,kidneys and heart.It's good that u yourself stopped this. Now your itching part. U can take antihistamines but first u undergo liver function tests BCU I have seen many patients who develop jaundice after oral steroids. Immediately go to your physician. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I m an orthodontist . A patient came yesterday to my office refering systemic erythematous lupus (2 years). She is under treatment (lupus) and needs orthodontic treatment and probably will need extraction of 4 premolars to accomplish treatment goals. Are there contraindications? I ve read that Orthodontic braces might make oral ulcers more common. Could you help me? ### REPLY: Hi. Extraction can be done in Systemic Lupus erythematous (not systemic erythematous lupus), especially those who are maintaining well under treatment. It should be done in a hospital environment with an infective endocarditis prophylaxis, and increased dose of her morning steroid for that day(consult her doctor). Mentally prepare for bleeding management, if occurs. Orthodontic braces with brackets can be done, provided patient strictly maintains oral hygiene. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 29 yr old female.I have undergone a TVS recently and it was mentioned in it that on the surface of R0 there is anechoic thin walled 2.5 cms cyst .What does this mean.I am already diagonosed with pcos before and now i have gone for regular check up and after tvs ,report mentioned the above.Is it something to be worried of ...is it a paraovarian cyst or hydrosalpinx..i am worried if this might make me infertile.I am taking obimet sr 500 mg thrice a day for pcos until now. ### REPLY: His have gone through your report.don't worry it won't take you to infertile. We call cyst, when size is > or equal to 3 cm.2.5 cm cyst in right ovary is follicular cyst.it is normal follicle that is growing. Usually it ruptures and releases ovum. If you have doubts or to confirm this, review the scan after your periods. Usually it will disappear. If you are planning for pregnancy, go for follicular study and plan accordingly. Thank youregardsvasundhara ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 30yr old female asthmatic and suffer from wheeze and cough from it. I feel like Ive got something on my chest which I cant clear. Saw my Doctor last week and he said I havent got a chest infection. Last couple of days I seem to be choking quite a bit on my food, when it gets to the back of my throat ### REPLY: Thanks for your question on . I can understand your concern. Coughing and wheezing in asthmatic patient is more suggestive of worsening of underlying asthma. So better to consult pulmonologist and get done PFT (Pulmonary Function Test).PFT will tell you about severity of the disease and treatment is based on severity only. You will need long acting inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Azithromycin should also be started to prevent lung infection. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my boyfriend had a white hard stone looking thing under his tongue (salivary gland). He proceeded to squeeze it out. This left a hole which developed a clear and/or sometimes whitish discharge. The whitish discharge seemed to have a smell. He then took Zitromax (antibiotics) and the whitish discharge became clear (but still liquids coming out) for about a week but then came back. The hole is constantly open and liquids just keep coming out. How did this happen? and what can he do? unfortunately he is in Africa at the moment with little help. Please advice. ### REPLY: Thanks for your query, I have gone through your query. The white discharge and mass could be a salivary gland duct calculi with pus discharge. Since you are telling you squeezed the stone out it might have come out. Because of the antibiotic the pus discharge and infection has come down. Nothing to worry. Regarding the watery secretion, it is nothing but your normal salivary secretion from the sublingual and sub mandibular gland ducts which open near the floor of the mouth. I hope my answer will help you, take care. ### END |
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