text
stringlengths 939
12.3k
|
|---|
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: M 29 female.my right upper wisdom tooth is impacted and its tilted..it is causing alot of pain n my right cheek is swollen too. i completed an antibiotic course few days back as my mouth had limited opening.all went fine and i was feeling well.After 1 .5 weeks now , i m facing the same condition again.dentist has again advised me antibiotic course and he told to have surgery after that.is extraction the only solution left? my eyesight is already weak(-4.75).does it vl effect my eyesight? ### REPLY: Hii, I have gone through your query and the reason for your pain and swollen cheek is the infection progressing around your impacted right wisdom toothache wisdom tooth is last to erupt in the oral cavity and hence many a time due to lack of space it gets impacted and tilted within the bone. The reason of infection around it is due to improper cleaning as it is the posterior most area. The only permanent treatment for it is the surgery.also it's just a taboo that surgery may affect your eyesight. The impaction surgery is very safe, and please feel free to visit an oral and maxillofacial surgeon for the same.take care.thank you ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 26 years old, about 57 and weigh about 140 lbs. Not much to say about my medical history...I do have a weak immune system and have allergies almost always. I am allergic to lots of foods/medicines/chemicals/scents. The most major thing to mention is a knee surgery I had about 10 years ago. I live in Maui and there has been concern about dengue fever. I may have been exposed about a week ago (hiking in the rainforest/waterfall areas). I went to the doctor yesterday with some symptoms but nothing was determine. Today I have more symptoms and wont be back to the doctor till Thursday. Is increased peeing (like every hour compared to maybe once every 5-6 hrs) a symptom of dengue? And if I have dengue is there anything I can be doing NOW to help before my next doc visit to confirm what I have? ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am answering your concern. No peeing more is not the symptom of the dengue. Fever which is coming and going and severe muscle ache with bone pain while having fever is the symptoms of the dengue. But if you want to confirm the status of the dengue you can do a card test. This simple test will screen dengue from you. Once tested you can do the management accordingly. As such there is no treatment available for dengue. But you can take the fluid therapy. This can help flush the virus from the system. Checking out platelet count is also necessary. If your platelet count goes down severely you may face the hemorrhagic episode. This will be helpful in proper management. In future avoid mosquitoes bites as dengue can be spread by the mosquito bites. I will be happy to answer your further concern on bit.ly/ . Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: pain and worry i have had for 3 weeks now my shoulder and my back and my shoulder and my back all over and down my spine i have had severe pain and burning like its got hot needles in it it is tender to lay on or have anything touching it. i woke up 5 days ago with a noticeable bump on my shoulder and it was bruised all the way around the mass and white bulls eye and some of the skin was scratch. i went to the doctor and the medication hasn t worked it looks like its getting worse and spreading . ### REPLY: Hello, Thanks for your query. The symptoms that you are having are likely to be due to a nerve root compression at spine. You need to get an MRI scan of the area done and consult a neurophysician for proper diagnosis and treatment. The initial management for this problem is conservative by following means : - Bed rest - analgesics and occasional muscle relaxants - Methylcobalamine preparations which helps to alleviate your "pins & needles" sensations - Back support while sitting for longer periods I do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi.my son is 1.10yrs n when he was 2month old he suffered chest conjetion. Last winter he again had chest problem. N my winter went pathetic. Then a doctor suggest myteka sachets 4mg. He is taking myteka from 4 months.he is fine .now winter is coming again.n I m very worried. Is myteka OK? Any tips for winter please. ### REPLY: Hi...your child may be suffering from either just a viral illness during winter or episodic Wheeler triggered by winter season. Myteka helps if your child has wheezing problem. If it is just viral illness which is common during the winter, meters doesn't help much. Keep the child warm and avoid contact of child with other person suffering from cold.f you are happy with my answer kindly rate me. Regards- . ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, i was prescribed by a doctor to take butalin 2mg 2x daily for 10 days as i have colds and cough . In the night my nose get blocked. I never had asthma ever. I feel uncomfortable taking this medicine as i feel dizy, my hands are trembling to mention some of the side effects. I have taken the medicine since 4 days now. I feel better now, My nose is not blocked. shall I discontinue taking the medicine? ### REPLY: Hi, you have not mentioned from how long you this symptom, I cannot tell if you have and infection or allergy, but assuming your doctor gave you Stalin, which is given in asthma, you may be having allergy which increases at night. For allergy the treatment should be in step wise manner. First if your symptoms is for few months a year like 2-3 months then you start an antihistamine which you have to take daily at night. If your symptoms still persist then your start using steroid nasal spray, it has no side effect, and it controls the allergy very well, and you should start 2 weeks before your symptoms start. If this also does not cure you. Then get yourself tested for allergy, it is called skin prick test you will know what you are allergic to, then if possible you can avoid the allergen, or you can start treatment called immunotherapy. This is currently the best treatment available and your symptoms will easily reduce by 80-90 percent kindly visit you rent specialist he will guide you further. For asthma its better you go to pulmonologist, and he will find out if you really have asthma, in case you do have then you will have to take asthma inhalers, depending on your frequency of symptom. And for the above medicine, you take for another 2-3 days and make sure your fully fine then you can stop it. Thank you . ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My systolic jumped very high for about two weeks. My diastolic is always normal 65 - 73 but my pressure jumped to 170 to 192. My doctor told me to double up on my Ramipril 2.5. But I feel like I have the flu or is this just anxiety. I ve had eye headaches for two weeks so I thought it was sinus or flu. I feel very anxious. I m taking 1/4 mg. of xanax to calm me down. I have never taken flu shot ### REPLY: Hello, A sinus infection can raise blood pressure values. For this reason, I recommend performing a sinus X-ray study and complete blood count for infection. In the meantime, I agree with your doctor on the recommendation to raise the dose of April as long as your blood pressure values continue to be high. 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: I recently starting having back pain. It does not hurt when I sit or lay but getting up and down is very difficult. Also bending to pick up something is very difficult. I am overweight (5 3 , 170lbs). I have been trying to lose weight since 1989 and everything I have tried has caused me to gain weight. All of my blood work has been good - I am on no medication. Is there a doctor that specializes in difficulty weight lose? I am concerned that my weight is causing the back pain. What do you think? ### REPLY: Thank you for the question. Yes over weight may aggravate back pain, and it is fair to be right weight. I believe you have taken exercises, diet measures etc. You may ALO have a thyroid profile/hormone profile checked up. Do back strengthening exercises under guidance of a physiotherapist. See or tho surgeon and have x-rays?MRI of spine for cause of back pain. Take excel . For weight cause go through this website which offers good scientific methods to lose weight http://wellnessmama.com/5356/fix-your-leptin/ weight ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 can feel a small bump under my navel. It does not hurt all the times but when it does, the discomfort extend to my lower back and legs. This discomfort is more like period cramps. i feel the urge to use the lavatory as well. I have a history of menstrual problems and amoeba. Could the lump be gyno related or could it be hernia? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some soft tissue tumor like neurofibroma or dermatofibroma. Or it can be umbilical or para umbilical hernia. You should go for examination and ultrasound study. It will give you exact diagnosis. If it is hernia then hernia repair surgery is needed. If it is soft tissue tumor then biopsy should be done. It has no relation with menstrual abnormality or amoeba. Consult your doctor and plan 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: Doctor, i got my FET failed for 2 times and the doctor has been sent me for a tb test nd that i got positive result,and also she told me to wait for 42 days until the second culture report will come...iam not able to bear this tension.before the IVF was getting to b done i was done all the tests like X-ray,histroscopy etc all were normal at that time...some doctors r telling that dont worry about this u were perfect wn u did all the tests there may b some false report...so we will wait for that culture report.is this true..please tell me doctor...eagerly waiting for your reply. ### REPLY: Hey thanks for your faith in the .I have gone through your question and understood your problem. Yes TB causes blockage of Fallopian tubes. If your gynecologist diagnoses you as having genital TB based on these unreliable tests, then please do NOT start anti-TB medicines. Please insist on getting a second opinion from a physician, preferably once who is a TB specialist. Wait till culture reports. Hope I have answered your query. If you like my answers and wish me to answer in the future, bring it to my attention ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 told by my ENT doctor yesterday that, when reviewing a CT scan of my sinuses, he discovered a calcification at brain stem and skull, which he said was more than likely caused by severe trauma, which I have had. He called my PCP and told them to order another CT scan and MRI. He told me it was extremely distressing and needed to be addressed asap. What does all this mean and what is done to resolve the issue. ### REPLY: Hi, Thank you for posting your query. I would require detailed report of your MRI/CT scan to give a detailed opinion. However, at this point, I would like to point out that calcification in the brain usually denotes an old or inactive problem. This could be due to old injury or infection. In some cases, calcification could be due to metabolic or hormonal disturbances including calcium, parathormone, thyroid, etc. Please get back with the detailed MRI report for more information. Best wishes, . ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I recently had an upper respiratory infection, I think that might have cleared, but I am having severe shortness of breath, If I walk more than 10 - 15 feet I get exhausted. My muscles are so week and if there is Anything cooking or any other odors it also causes me to have a hard to breathe attack. I wake up in the night and cant breathe feels like Im suffocating. I tried an asthma inhaler and it seemed to make it worse. ### REPLY: Thanks for your question on . I can understand your concern. Possibility of post infectious bronchitis is more. It is common after viral upper respiratory tract infection. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray 3. PUT (Pulmonary Function Test). Chest x-ray is needed to rule lung infection. PFT will tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need antibiotics, inhaled bronchodilators and inhaled corticosteroid (ICS). Don't worry, you will be alright. 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: My blood platelets are 5,000. I already had 2 treatments of IVIG gammagobulin, and on 60 mg of prednisone for a month, and even tried 80 mg for a week. I am scheduled for 2 more treatments of gammagobulin on Thurs & Fri this week. Is there any vitamins or supplements that will help the low blood platelets? Barbara ### REPLY: Hi there, I can conclude that you are being treated for ITP in these ones platelets decreases because of autoimmunity I could understand your concern as you might be getting these episodes of low platelets repeatedly and IVG is very costly. I am sorry, but vitamins are really not helpful to increase platelet count in ITP. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I discovered a lump under my jaw. It is very mildly painful if pressed hard. It is moving. I have no cold or throat infection. For the past 3 months I ave noticed tat even the usual home cooked food is spicy for me when it sent for others. Is it related anything to the lump? ### REPLY: The general cause for the bleeding gums could be because of the deposits(calculus) leading to inflammation of the gingival(gums). This can lead to swollen gums, bleeding while brushing and sensitivity. This can be managed by a thorough oral prophylaxis(scaling).other causes includes, any bleeding disorders like thrombocytopenia, hemophilia and other.need to get complete hologram done and consult an Oral physician as early as possible. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 lower back pain that has gradually gotten worse over time. doing household chores, walking, going up and down stairs. I also have had muscle spasms. Saw my ob/gyn no problem there. Went to physical therapy , relieved pain for a minute. Still continue to do exercises they recommend but pain is still there. Insurance wont pay for MRI . Is there anything else I can do? ### REPLY: Hi I am . . In my opinion I recommend physiotherapy with a chiropractor, spinal straightening exercises, maintaining good sleeping and sitting postures, avoid overweight, heavy lifting, vigorous movements will be effective in most of the cases. You may use painkillers like Advil tabs when needed, hot massages with topical gels, B12 vitamin supplementation, muscle relaxants and in sometimes steroid pills or injections are prescribed for some patients. If pain persists you have to follow up with your neurosurgeon and MRI will show if you have any spinal injuries or disc herniation for proper evaluation and management. Please click and consider a 5-star rating with some positive feedback if the information was helpful. Wish you good health, Any further clarifications feel free to ask. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I m a fourteen year old girl, and I m really scared. Last night I had troubles breathing and other problems I don t know how to explain, and got all most no sleep all because if it. I woke up in the morning and I was fine. Now, it s about 10 o clock and I m having problems again. I m so tired but I m afraid to sleep. Im really scared and don t know what to do. ### REPLY: Thanks for your question on . I can understand your situation. Recurrent breathing difficulty in young patient is seen either due to asthma or anxiety. So we need to first rule out asthma. So get done chest x-ray and PFT (pulmonary function test) to rule out asthma. If both are normal then no need to worry about asthma, you are having mostly anxiety related symptoms. So avoid stress and tension. Be relax and calm. Consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution.Don't worry, you will be alright. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 name is julita. I never had this feeling before . I m a smoker and I ate Chinese food but after that I felt like I had a little panic attack which I always got. My question is I have a burning feeling in my stomach ever since I ate the Chinese food . Am I okay or should I go to the er because I m a little worried about this feeling. ### REPLY: Hi, May be the Chinese food was too spicy or something that has caused gastritis. Burning sensation in stomach may be the features of gastritis. SMOKING ITSELF CAN GIVE RISE TO GASTRITIS. You may take medicine like machine gel 2 SF 3/4 times to get relief from the burning. If the symptom persists you may take petard d 1 daily for few days.getting a check-up from physician will be helpful Hope you be all right. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: today i was eating a hamburger and saw there were little white worms in the bread! they looked like wax worms for ice fishing, but longer and skinnier, maybe 1cm long. do i need to be worried about getting sick? i had already eaten 2 bites. the worms that i saw were very much alive. ### REPLY: NO need to work dear it won't cause any harm to you but no doubt you have to keep a close with whether you feel any kind of symptoms such as pain in abdomen, abdominal cramps, loose motions & vomiting. If at all this kind of symptoms perceived you should rush to ER. Else you can have prophylactic antibiotic such as combination of amoxapine + ornidazole 2 times a day after getting proper prescription from your physician. . Try to have butter milk & curd in the foods. But as of now nothing to worry about it. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 name is shakti, i am 26yrs old. sir, i was not able to eat properly from oct,2011. I didn t feel hunger at all, if i took food forcefully then sometimes after vomitting starts. This led a huge weight loss and i searched for treatment for the same but initially, i was advised, it was gastric issue. I used to take ayurvedic medicines to cure gastric but problems increased, Then before 2months i got to know there is increasement in s bilurubin(1.5) and sgot . I was feeling severe weakness even i couldn t walk properly, too much pain on right side of stomuch,not able to eat anything and too much itchiness. first of all, i consulted with alopath doctor but even after 20days problems increased then i consulted to an ayurvedic doctor, he gave me kutki medicine capsules which i needed to take twice daily. i used to take mosambi juice also from one and half months. i could see very little improvement like now i can take some food, liver pain is less, little bit improvement from weakness. currently, my weight is reduced to 43kg. Is this improvement fine or i should do anything else? ### REPLY: Hello, Shakti.anti, You are a young lady, and should be enjoying life at your age. Sudden loss of appetite can happen due to stress or depression due to something that might have happened whether it is worker relationship or loss of someone close to you. You say there Spain on the right side of the stomach. If the pain comes after eating and followed by vomiting, problem could be an ulcer in the stomacher if you have lost considerable weight in a short time, have to think gallstones also. You need to have a sonogram of the abdomen to rule out gallstones and an upper GI X-ray series to look at the stomach. Mild elevation of liver enzyme and very little elevation of Bilirubin are not very serious. I also hope that you were not trying to lose weight and avoid eating. Wish you well. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ? Please type your query here...Hi i have son(6yrs) suffering from development delay.He can walk with support and stand a few minutes without support.Can hold and grip objects and can read/write.Is it possible to improve his condition by stem cell therapy?If u give the names of such hospitals(best) and cost of the treatment I ll be thankful ### REPLY: We can improve his condition by 1, physiotherapy 2, special training and care 3, high protein diet 4, should allow playing with other kids. We should support him emotionally also. Stem cell therapy can prevent some complications, but it is under research trails. Try to give regular physiotherapy and speech therapy. And get his eye examination every 6 months, Bros most of the development delay kids will have vision problems which they cannot express and get unnoticed by parents. Try to give omega fatty acids and multivitamin daily.use tablet. Baclofen daily to prevent joint contracture ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: can u pls tell the side effects of colicaid for 20 days old baby. I mean 2 ask weather colic aid has any side effects if given 5 times daily for 20 days old baby. sometimes he faces sever gas problem because he is 80% formula fed baby. Email YYYY@YYYY ### REPLY: Hi, There are no reports of any side effects due to this medication. However, tell the doctor if your child experiences any unpleasant effects while taking this medication. A very serious allergic reaction to this product is rare. However, seek immediate medical attention if you notice any of the following symptoms of a serious allergic reaction: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing. Hope I have answered your query. Let me know if I can assist you further. Take care. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi my 4 and ahalf month old fell off the bed onto o wooden floor 3 days ago. She stopped crying almost immediately. She did not throwup or seem excessively tired. Her pupils respond normally. She does have a really large fluid filled bump on the side of her head. I brought her to the doctor yesterday and he said that she seems ok but that it could take 2 months for the swelling to go down. at that point he would be able to feel if there is a small fracture to the skull. H e said not to worry. However i am terrified. the lump looks a bit bigger today than yesterday, diff parts of it are mushier than others. She definately feels discomfort when i touch it. What if it is a fracture? is there something i should be doing now? ### REPLY: Hi...this boggy swelling is not due to fracture of the skull. Do not worry. I appreciate your knowledge about the danger signs of a head injury. What you are feeling as the mushy swelling is soft tissue swelling in the area at the point of contact. As your doctor has said it might take 6-8 weeks to completely settle down. I reassure you that it is not a fracture. Regarding your concern that it is increasing in size it might happen like this, but eventually it will settle down. 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 mom was diagnosed with Pancreatic Cancer last February with no chance of surgery. She has been taking chemo for 3 Mondays on then 1 Monday off. Mom has lost a lot of weight (down to 112) and she is really sleeping a lot. Now in the past couple weeks she has developed a slight cough but yesterday she had a cough that sounded like it had a lot of fluid in her chest and her temp got up to 101. She says she s fine but I think she should get checked out. What do you think? ### REPLY: Thanks for your question on . In my opinion you should first get done chest x-ray to rule out chest infection and pleural effusion. Since your mother is having pancreatic cancer and on chemotherapy, chances of lung infection are high because chemotherapy makes person immunosuppressive and more prone to infection. Another possibility is malignant pleural effusion due to spread of tumor in pleurae. So better to rule out all these by chest x-ray first. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello doc,my 3yr old child ve been suffering with coughing since 3day mostly in night?i ve given him allopatChatDoctored(dextromorphen n cpm hvig cough syp)ayurvedic med(shitophladi churn with honey) but recovery is not so good.so pz suggest me proper line of Rx? Priyansh ### REPLY: Hello, Please don't get panic. I would like to suggest you pay attention to the following points : 1. Monitor temperature 4 hourly. If there is No Fever then need not worry much. 2. Give lukewarm water and vegetable soups also at regular intervals. This will sooth the throat of the baby and brings down the frequency of cough Bouts. 3. Clean nose & mouth with Luke warm water 3-4 times a day. 5. Rx, Spy. Tiflis 2.5ml BD shall be helpful. 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: i have a server burning pain from my neck down both my shoulders, i had a massive rotator cuff tear in my right shoulder which i had repaired this past october, i am now in pt but i would like to know what this burning pain is in neck and both shoulders thank you. et ### REPLY: Hello, It may be due to nerve compression at cervical level. For further assessment you may require MRI neck and nerve conduction studies after spine surgeon consultation. You may require tablet pregabalin and multivitamin after consultation. Continue physical therapy. Avoid strenuous activity. You may require surgical intervention after surgeon consultation 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 m a 58 year old male Though I was in good health till I found that I had only 51% of my kidneys working. Had more test here s the findings. Left Renal extrarenal pelvis and mildly prominent dromedary hump. right and left kidney has no adnormality as far a size. Creatinine mg/dl 1.4 Creatinine Clearance rate High 143 24 HR protein ,U normal 114 HCT % 52.0 HGB gm/dl 17.9 Igg mg/dl is low 680 I m I still at 51% I will not see the doctor for another 5 weeks and I very concerned! Thanks for any help. Bob ### REPLY: Good Day! What made you say that only 51% of your kidneys are working? The best way to determine differential kidney function is through a Glomerular Filtration Rate (GFR) done in a Nuclear Medicine Facility. Serum Creatinine is Okay. Area Clear is more than okay. CBC is also okay. Ctscan - A extrarenal pelvis means it is a normal variant and has no clinical significance. Also, the . All in all I think you are in fine shape Mr. Bob and have a nice 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: I have qualified medical entrance exam and sure to have admission for MBBS. bt I m in a tough condition. bcz recently I have got to know that during admission in medical fitness test genitals are also checked. . due to prolonged masturbation I have a deformed penis. . it is very small in flaccid condition , wrinkled and with enlarged glans penis... plz plz help me out is there any way to pass medical fitness test? ? plz help me other wise I m thinking to commit suicide. ... ### REPLY: HelloThanks for query. You have doubt about the size and length of your penis to be smaller that what you expect it to be. Please note that length and size of the penis in flaccid state has no significance at all. In flaccid state it serves as tube to pass urine out of the body. As such during physical fitness test there is no incidence anywhere in the world that a candidate has been declared unfit for having small penis. Do not worry it is your anxiety that is making you uncomfortable. Concentrate on your preparation for test, and I am sure you will go through it successfully. . ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 17 son has hand tremors that we just noticed. They are worse when extending his arms, not so bad if he is holding something. He has a great uncle who had parkinsons. Is parkinsons genetic? I will make an appointment for him tomorrow, but it seems very odd for an otherwise very healthy kid. ### REPLY: Hi, Thank you for posting your query. I have noted your sons symptoms. It is unusual to have symptoms of Parkinson's disease (PD) at a young age of 17. Also, the other features of PD such as slowness of activities and rigidity of arms/legs are not there, so, I do not think that your son has PD.PD can be genetic in about 10% of cases. Neurological examination would sort out the diagnosis. 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: Hi there! I have a painless bruise on the back of my right hand, I did not knock or bump my hand (to the best of my knowledge). The bruise began mostly redish, now it looks like a normal purplish type of bruise. It has been present for about 3 weeks. Should I be worried? I am currently taking lysinopril for blood pressure if that helps. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may one hematoma formation most likely. No need to worry. Just be relaxed. Just wait for a week. It will fade out. If it remains persistent then further investigations like platelet count and coagulation profile and others are needed. It has no relation with your lisinopril. So don't worry about that also. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I experienced an electric shock from a computer by touching an open piece of metal on the inside of the unit while it was powered on. The power supply is 500 watts and is plugged into a regular outlet. I am experiencing a headache along with vision impairment. My mom seems to think I m fine but I m in pain and just woke up from shortness of breath. I am extremely concerned and need confirmation to receive medical attention. ### REPLY: Less than 1000v injury is usually considered as low voltage injury. But might cause electrical disturbances of your heart rhythm. So get an immediate ECG and seek advice from doctor. Arrhythmias- electrical disturbance usually presents with syncope, headache and breathing difficulty. If an ECG is normal then u can relax, where in case your symptoms are transient secondary to sudden passage of electrical energy through your body. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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,Back in November I started having numbness on my right armpit and tingling. My pcp order an emg, of my right arm whicChatDoctore back negative. She then ordered an MRI of my right shoulder and neck. The neck MRI showed mild disc profusion a c5-6. The shoulder MRI showed a 70% of the depth of the tendon of the posterior fibers of the supraspinatus and anterior fibers of the infraspinatus, a type 3 downslopping acromion spur . I saw a PA today but i wasn t totally convinced with his evaluation, to begin he mentioned that the tear was of 50% then I asked about the spur he then told me that with PT the tendon can be deviated from the spur. Im totally confused. should i go for a second opinion? ### REPLY: Dear patient your shoulder MRI is suggestive of partial tear of supraspinatus and infraspinatus muscles extending up to 70 percent of tendon depth. This can progress to complete tear with minor trauma. Your acromion is type 3 meaning curved and might impinge on rotator cuff muscles resulting in pain and tear. You need to be examined by arthroscopic surgeon in details, and he can guide you for proper treatment. Sometimes partial tear needs repair to prevent progression of pain is significant and associated with weakness. Physiotherapy helps in many ways if done properly under supervision of sports physiotherapist. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Prominent bronchovascular markings r seen in both lungs, predominantly in both lower zones . Otherwise eveything in xray is normal. My husband is having fever and asthmatic cough and congestion and pain in chest while coughing. Xray was done yesterday. He is taking augmentin 625, bricarex A and duolin inhaler and recofast plus.now the fever is less but cough and pain and wheezing is still same.mucus is not coming out. Thanks. ### REPLY: Thanks for your question on . In my opinion he is having bronchitis. As symptoms like fever, cough,, congestion, chest pain on breathing etc. are seen in bronchitis. His treatment is proper. And fever is also gone which suggest treatment is working. I advise these steps for decrease congestion and easy removal of secretion. 1. Avoid smoking, if he is smoker. 2. . 3. Start chest physiotherapy and deep breathing exercise. 34 You can also start n acetyl cysteine (NAC). It is bucolic, anti-inflammatory and expectorant. So it will thin down the secretions and make it easy for expectation. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 gallbladder out last month and an umbilical hernia repaired. I did do some strenuos ab excersise this week but the soreness went away and now I have a ripping sensation right under my belly button and there is a red area that keeps appearing under my belly button about 2 inches straight down. I am also having diarehha now about 30 minutes every time I eat something. I am still able to function and I ran 3 miles today so I am thinking nothing serious but my belly just looks puffy and weird. ### REPLY: Hi. Thanks for your query and an elucidated history. You have undergone 2 surgeries-one for gall bladder removal and another for umbilical hernia repair. The burning sensation and the red area below the belly button is suggestive there is a nerve entrapment in the hematoma or a stitch or a developing scar. The redness can be due to hematoma below or a mild infection. I would advise in such a case the following:Aspirate the area, see the color, consistence of the fluid, if clear or amber color this is just a Serbia and needs no active treatment If pus like, send the material for culture and sensitivity Start on the antibiotics. And be under observation of a Doctor, do not worry, this will be fine 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: I am a 54 year old city bus driver, I started ex periencing back pain last wednesday,just a light uncomfortable pain located about the mid back or around the rib cage area, by friday the pain was so severe that i had a hard time walking & talking, the pain was taking my breath away. to better describe the pain, i experienced a lower back sprain back about 15 years or so. the pain is very similar extending all the way to the front at times, i sure would like to know what the problem is. i do have some excess weight with a pretty good bellie ### REPLY: Hi, thanks for posting your concern in the . Back pain occurs due to numerous reasons. For a midback pain, radiating to the front, any spinal pathology should be ruled out including spondylosis, PIED, tuberculosis etc. Along with that any pathology involving the liver, pancreas, kidney and lung or mediastinum or git should be ruled out. You should consult your local doctor immediately. Routine examination of blood and urine, imaging of the spine, Ultrasound scan of the abdomen, X-ray chest, amylase, lipase, liver function test may be necessary depending upon the clinical findings. For symptomatic relief from pain you can take Paracetamol tablet 500 mg SOS (at least 6 hr interval) until you visit your local doctor. Good oral HY . For any other query please write back to us. Regards. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had lower back surgery on my l5-s1 3 and a half years ago and now all the sudden I have the worse pain in my back and down my right leg but this time I cant sit or lay down but standing up is better ! I cant stand forever anyway my MRI shows:L5-s1 bulging disc/osteophyte 2.2mm,circumferential, with superimposed right posterolateral disc protrusion/extrusion extending inferiorly behind s1, 6mm cephalocaudad, 5mm anterior-posterior. 6mm mediolateral. Moderate bilateral facet hypertrophy. Moderate right and mild to moderate left foraminal stenosis. Moderate right lateral recess encroachment, mild disc narrowing with vacuum change please tell me whats going on and what I need to make me stop feeling this way ### REPLY: HelloThanks for writing to ChatDoctorYou didn't mentioned type of surgery you underwent 3 and half years ago, any your MRI findings suggest that you have age related degenerative changes of spine in form of1.osteophytes measuring 2.2 mm. Osteophytes forms due to chronic strain on annulus fibrosis.2. You have herniation of intervertebral disc at L5-S1 level, and it migrates in inferior, cephalocaudal, anteroposterior and mediolateral direction. Herniated disc is causing mild to moderate left neural foramen narrowing and in right side it is moderately encroaching .3. Bilateral facet joints are also hypertrophied.4. Vacuum changes are also related to degenerative changes.5. Intervertebral disc is also mildly narrowed. Hope you have understood the terms. 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: hi I am 24 year female jobless and this fact haunt me about my future. i gave several competitions but couldn t get through any and moreover my parents have very high hopes for me . I am aiming for a very prestigious competition of my country but these failures of mine have shattered my confidence and i am no more able to concentrate. i feel bad every second most of my time is wasted in weeping. ### REPLY: Hello thanks for asking from ChatDoctorRepeated failures, lack of job, pressure from parents etc. have resulted in persistent depression and anxiety. Your parents are pressurizing you for the competition, and they have high hopes. This has resulted in depression and anxiety. If you are crying continuously then you should consult a psychiatrist for opinion. . Please visit a psychiatrist for opinion and evaluation. Thanks ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello sir,i m dr.milan aptel . i m a dentist.i have scalp psoriyasis with acne. i have acne filled with whiye and yellow colour pus on my face chest and back most. my skin is oily. there is no family history of psoriyasis in my family except me. i have scar and a lot of dendruff prob on my scalp. i dont have hair loss problem. ### REPLY: Hello. Thanks for writing to us at You seem to have inflammatory acne, since you mention that they are pus filled. If I was the treating doctor I would have started you on Oral antibiotics for inflammatory acne. My choice of oral antibiotics would have been Azithromycin. It can be continued as pulse dosing regime for 8-12 weeks depending on the response. Topical treatment options that I use in my patients of inflammatory acne are benzoyl peroxide gel and clindamycin gel. They can be used separately at different times of the day and are also available in a combination (clindamycin 1%+benzoyl peroxide 5% gel). Scalp psoriasis presents as thick scaly patches. A coal tar+salicylic acid based shampoo is standard therapy for scalp psoriasis. Since psoriasis is a steroid responsive dermatitis, therefore, apart from the shampoo, I also ask my patients to apply topical potent steroid+salicylic acid lotion. Salicylic acid helps to loosen up scales and allow better penetration of the steroid. These are all prescription medicines (oral as well as topical), therefore, I would suggest that you seek an appointment with a dermatologist for the needfulAcne as well as psoriasis are chronic conditions and there can be recurrences, therefore the need to follow up with your dermatologist regularly. Your dermatologist will tell you more about these conditions in detail and treatment options available. 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 18 yr old son has been diagnosed with pancreatic parenchymal adnormalities were noted in the entire pacreas. Thwir are hyperechoic strands, hyperrchoic foci and lobularity. He doesn t drink or do drugs. What would vause this and who dangerous is this. What is the treatment? I desperate! ### REPLY: Hi, Thanks for writing in. Pancreatic parenchymal abnormalities need to be confirmed with blood tests including enzyme levels and liver function tests. It can happen in people who do not . This can result from underlying problem in the functioning of liver or the pancreas itself. It can also be due to fasting for long durations and not taking meals on time. Please consult a medicine specialist and get tests done to confirm diagnosis. Treatment for this condition is usually by medicines and taking proper meals on time. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 50 years old and since last friday I have this rug burn sensation on my left back shoulder. I don t know where it s coming from? The pain is still the same from day one until now. I put Aspercreme at night to numb it so I can get a better sleep. Please advise. ### REPLY: Hello, It could be due to Trapeziums. The insertion of the Trapezius muscle is around that area and spasm of the muscle may lead to such symptoms. Using hot water fermentation and doing static neck exercise should help reduce the symptoms. Also, some myofascial release for the Trapezius muscle to release spasm is required. 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: What is a pilon cyst and after surgical removal what is the possibility of it returning. Although it may be a pilon cyst what about the possibility of it being a bone growth on the scalp and is there anyway of telling in advance before an incision is made? ### REPLY: Hello, A colonial cyst is a cystic structure that develops along the tailbone (coccyx) near the cleft of the buttocks, approximately 4 cm-5 cm from the anus. These cysts usually contain hair and skin debris. Individuals with a colonial cyst may not have any symptoms at all (termed asymptomatic), whereas others may develop an infection of the cyst with associated pain and inflammation. Although some patients may experience a recurrence of colonial disease, in general, the long-term prognosis is excellent. In the rare case of squamous cell carcinoma development, the prognosis will vary according to different factors and should be discussed with your physician. Mortality (death) from colonial disease is extremely rare. There won't be any trouble and things will be fine with conservative management post surgery if already done. Also, it can not occur on the scalp maybe it will be something else. Need a general surgeon physical examination and assessment for the same. 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 have been diagnosed with clinical depression say 4years ago but due to lack of funds, nothing have been done as per treatment. None of my folks believed my need for care and companionship. My daily life has seriously worsened. Now I have acute malnutrition leading to acute deficiencies in vitamin A, B6, C and E. I could sleep all day too weak to do anything, and since I have been socially isolated from childhood, there s nobody around. I experience headaches, down to my eye balls. I also just recently noticed bad breaths and whitish tongue, my genitals scrates me, looks whitish and produces foul odour. I am 26yrs old and I have never been close to a woman to experience sex, but when I am all tensed up, I watch porn and masturbate. I don t know what frequency is okay. I feel painfully alienated from mainstream of the society. I hate that I could be awfully quiet and aloof, unnoticed and too poor to do anything about it. I don t want to die! ### REPLY: Dear serve understand your concerns went through your details. If you have been diagnosed as clinically depressed, all I can say is to get psychiatric treatment immediately. Lack of funds should not hamper your treatment. You should talk to charitable institutions working on your area regarding this. Secondly malnutrition is due to lack of proper nutritious food. This area you have to look into. Get those foods that provide you nutrition. Your doctor can help you on this. Masturbation can be done thrice a week at the max. As an interim measure, try to be with your family and friends as much as possible. Do not stay alone or do not sleep alone. Try to engage in some activities including sports. Get some sunlight. If you require more of my help in this aspect, please use this URL. http://goo.gl/yyyyyyy. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello my friend hip tossed me and my rib feels bulged out a little on my lowwer right side. It s bin about 2 weeks there isn t much pain at this point in till I lay on a hard surface then it gets a little hard to breath and there s quit the bit of pain. I ve bin able to work the whole time and be active. ### REPLY: Thanks for your question on Healthcare. I can understand your concern. You are having blunt chest trauma. And this can lead to rib fracture, pulmonary contusion, pleural effusion pneumothorax, musculoskeletal injury etc. Amongst these complications, pleural effusion and pneumothorax can cause bulging of ribs and localized pain on lying down. So in my opinion, you should definitely get done chest x-ray to rule out these complications. If chest x-ray is normal then no need to worry about lung complications. Simple musculoskeletal pain can be the cause. So apply warm water pad on affected areas. Take painkiller like ibuprofen. Avoid movements causing pain. Don't worry, you will be alright. But get done chest x-ray to rule out internal lung pathology. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 33 years old and ever since the age of ten Ive had a strange issue that couldnt be diagnosed. Every time I drank apple juice over the years my back would hurt so badly afterward that I have been afraid to even attempt it over the last ten years or so. Other things started to have he same effect about ten years ago. I also cannot drink fruit punch or eat apples. This evening I cut up a watermelon for my kids and it looked so good that I decided to have some myself and about half an hour later, here I sit in bed with excruciating back pain that does not seem to involve my stomach. It wraps around my rib cage but is most painful in my mid to upper back. I would love to figure this out as I am actually afraid of what certain foods can do to me. Any ideas would be greatly appreciated! Thanks, Jennifer L. Smith ### REPLY: IT IS FOOD ALLERGY IF YOU FIND OUT Because IT WILL BE GOOD AS ELIMINATION IS NECESSARY FOR TREATMENTS LIKELY MILK BEHAVES LIKE THIS MANY PERSONS ARE EFFECTED LIKE THIS WHEN IN INITIAL STAGES IT LOOKS THAT ONLY ONE THING REACTING AND AS TIME GOES IT SEEMS EVERYTHING IS REACTINGJUST REMOVE MILK AND DIARY FROM YOUR DIET COMPLETELY NOTHING WILL REACT AFTER 3 WK BUT IF NO RESULT GO FOR TESTS AND ELIMINATE FROM DIETS ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI i HAD ROTATOR CUFF SURGERY ON AUGUST 7TH AND i AM DOING WHAT MY DOCTOR TOLD ME TO DO AND I AM GOING TO PT, BUT MY WHOLE HAND (WRIST AND FINGERS) ARE SWOLLEN AND I EVEN HAVE A KNOT THAT HAS FORMED AT THE BASE OF MY MIDDLE FINGER WHERE IT MEETS THE HAND. i DID BREAK THE SMALL BONE IN MY WRIST WHEN I WAS IN THE 4TH GRADE. WHAT COULD BE CAUSING MY HAND, FINGERS , AND WRIST TO SWELL? ### REPLY: Dear patient swelling of the upper limb is common after arthroscopic rotator cuff surgery due to use of saline during surgery. Swelling is also due to inflammation and lymphedema. This will resolve in first 2 weeks after surgery. Little longer time may be needed if vein is inadvertently damaged during surgery. Active movement of the upper limb joints helps in early resolution of swelling. Crêpe bandage or stockinette wear helps in early reduction of swelling. Keep limb elevated all the time. If swelling persists even after one month please consult your operating 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: I have problem of breathing and have lot of cough. I take inhaler regulary. Have consulted doc but it rest for few days only. I work with a company which produces carbon black. Can you plese help or suggest something. Have reports as weel and PFT test seems okay. ### REPLY: Thanks for your question on . I can understand your concern. Since you are having work place exposure to carbon black, possibility of chemical induced bronchitis is more likely. So wear face mask at work place. Quit smoking if you are a smoker. Take regular inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Do breathing exercises, yoga and Panama. 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: Hello. Doctor, I have these pimples since my high school years and I really hate it. It lowers my self esteem and confidence. I want to get rid of these. So when I read an article about Cosmo skin (a food supplement which has L-Glutathione, Alpha Lipoic acid and Ascorbic acid ) that it is effective for their skin and it improves their pimple clearing i immediately tried it. Now, Im on my 4th week of taking this product. Is the product safe? So far, the results were good and i can really find an improvement. Now, my problem is the scars or the red spots in my face. What are the effective ways in removing these red spots? Thank you! Your response would be a great help. God bless! ### REPLY: Hi.dear belle., Thanks for choosing ., No doubt, GLUTATHIONE, LIP OIC ACID and IT C are very useful., in clearing of Acne...but it is some extent., But thee are not . .ok., Long run usage...will not give any problem., and safe.,1) Frequent washes with Triclosan soap.,2) Tab Isotretinoin...20 mg...., it is Retinoid variant., will give good result...for 2 months course...,3) topical application of Clindamycin 1%is also useful for acne.Osgood 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 m a 23 year old female. Recently I ve been having my fingers go numb or tingle along with the left arm feeling heavy or cramping. Also horrible neck stiffness and sharp pains and my whole body being sore. My period was also late and not normal. Any idea what could be going on? ### REPLY: Hi, thank you for providing the brief history of you. A Thorough neuromuscular assessment is advised followed by MRI of the cervical spine. As you have stiff neck, neck pain, numbness of hand and fingers it appears to me a more of the pinched nerve symptoms. An MRI should help understand the level of pinching well. Also, undergoing physical therapy like therapeutic ultrasound therapy and TENS therapy should help reduce the inflammation and pain. Besides exercises on later stages to improve the strength in the muscles for better stability.in my clinical practice such cases are recommended for physical therapy, and they respond well. RegardsJay In . ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello,m 30,my skin is becoming more dark immediately when i go on morining sun, my face skin gives more differentive with body skin,later consulted with Dr, but he suggest the cream neutriderm lightening cream along with cream mellagard 50 spf. still problem exist after using this. ### REPLY: Hello, Thank you for posting on . Generally, in my patients of sun tanning I would advise then to get series of microdermabrasion followed by chemical peeling. Microdermabrasion is a procedure that removes the superficial deal layers of skin, and it is done with a help of machine. Then after a week or same day itself I would carry out another procedure called chemical peeling. Chemical peeling is again a similar procedure where superficial layers of skin is removed but here the effect is more profound, and it stimulates new skin generation in much better way thus giving you more youthful and radiant skin. Several options are available in chemical peels like glycolic acid, alicyclic acid, TCA but my personal favorite is retinol peel or also known as Yellow peel. The rationale of combining this procedure is to get better and long-lasting effects. I am sure 6-8 sessions will bring out a pretty gratifying results. At home the results can be maintained with antioxidant tablets like Antonio HC once daily in morning(It can be safely taken for months together) and night application of cream containing mixture of glycolic acid, albumin and Comic acid. In morning, you can apply a good quality sunscreen with additional skin lightening ingredients (NIL TAN SPF). Use a good quality face wash like Fast face wash gel. Take plenty of fresh fruits and vegetables in your diet and indulge into regular exercise for healthy skin and body. Hope this was useful. Let me know if I can be of any more assistance. Thank you and take care, . D Dermatology ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 name is saibhargav age.19 weight75 ..i masterbeat daily twice my friends said me if you do regularly after getting 25age your dick not properly work for sex purpose you have to use tablets for participation of sex is it right??..please give me a better suggetion i am worried about that and daily twice is harmful to health??? ### REPLY: Hello, I have gone through your query and understand your concern. All these are myth. Some cultures and religions oppose masturbation or even label it as sinful. This can lead to guilt or shame about the behavior. In fact Masturbation is as healthy and normal habit. Masturbation has good effects on your body and mind. Masturbation to be a natural and harmless expression of sexuality for both men and women. It does not cause any physical injury or harm to the body, and can be performed in moderation throughout a persons' lifetime as a part of normal sexual behavior. The risk of having prostate cancer is also greatly reduced. Apart from the medical benefits, masturbation has emotional and psychological benefits. It is a good mood elevator and an excellent stress buster. It also helps improve sexual relationship with yourself as well as your partner. Hope this helps. Please write back for further queries. Wishing you good health. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been having these symptoms for the last five years. They go away for awhile then return worse or with new ones. I am weak in my arm and legs. I get blurry vision . My hands tingle and my feet . I get horrible headachesI am tired for no reason. Sometimes. Ihave muscle spasms. My balance is off. Sometimes I can t put my words togetherthecorrect way. ### REPLY: I would really like to examine you for the neurological standpoints. I think there is a strong possibility that you are developing what is known as the cervical spondylosis. It will explain many your symptoms including headache, vertigo, muscle spasm, tingling and numbness. However since I cannot examine you, I will suggest testing yourself with an MRI Cervical spine with screening of the entire spine. This may help us confirm our diagnosis. The treatment can be suggested accordingly. Please feel free to enter the report of MRI for further suggestions 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: Hello, my 7 yr. old wets the bed. And I was wondering with her bed being wet on so many times does that cause scabies to be in the bed and then will they bite her. she has had a rash for a good while now and I thought it was an allergic reaction to a detergent I was using. so i changed to a more genteler detergent but her symtoms are still around. it is on her stomach, back, neck, elbow increases, bottom, and hand areas. Please help me does she have scabies? ### REPLY: Hi, Scabies is a contagious skin disease cause by a tiny mite Scopes scabies which is invisible to naked eye. It characteristically burrows the skin causing an allergic response. It affects area of the finger webs, feet, ventral wrists, elbows, back, buttocks, and external genitals. Furthermore, it causes itching and rashes. Kindly consult a dermatologist regarding the treatment with permethrin topical solution or Ivermectin. However, it may not be scabies, it may be a bed bug biting her, so kindly wash the bedding in hot water and disinfect it and keep the bed out in the sun before using it again. Thanks ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have been taking Alphamox for the last 4days my dentist prescribed me to take it for 5 days. I have been getting really bad headaches and my jaw has been really sore. as well as feeling a little nausious. can I stop the ALphamox before completing the 5th day . thanks susy . ### REPLY: Hello, Alpha is an antibiotic and stopping it without completing 5th day dose is not a good idea. I would suggest you complete all the Alpha tablets prescribed by your dentist. Stopping it would put you vulnerable to infections which could quickly spread. It might also lead to future resistant infection which might warrant more strong antibiotic to clear your infection. 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 wife has had pain for over a year in the area where the thigh bone connects to the butt. She has had an Angiogram re circulation, veins and arteries tested, ultrasounds, physical therapy, a cortisone shot, various Alleve and Advil regimens, patches applied, creams applied and probably other remedies I don t recall just now but nothing seems to work. BTW she s Type 2 diabetic and takes blood pressure, cholesterol and sugar related (Metformin) drugs. Thoughts? Thank you. ### REPLY: Hello, Do continue to take the medications prescribed, the pain you feel around the hamstrings is due to fatigue, muscle weakness, low blood sugar, unusual weight loss or electrolyte imbalance. Since you are diabetic and on Metformin, you need to take care of your diet and have regular check-ups. Maintain healthy lifestyle and do regular exercises. 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 received a testosterone pellet at the beginning of this past Feb and have gained 10lbs since! Is this normal, will it go away, what can I do? I was under the impression I would gain lean muscle and lose weight? Does this take a few rounds to normalize? I am a female. ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am answering your concern. No, it won't go a way with its own. The increase in weight is because of the increase muscle mass caused due to testosterone. When you take the steroid it causes anabolic effect on the body. This causes more protein storage in the body. This causes resultant increase in muscle mass. Until you take the steroid your muscle mass increases. Once you with . If you are not professional body builder than I advise you should not take such steroid it can cause harm to us in long ago period.Instead, you can maintain good body structure rather than increase muscle mass. This will help you maintain good health in the future. I will be happy to answer your further concern on bit.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: I am 58 years old. I am suffering from Lumbar Spondolities for almost 4 months. As per MRI doctor told that there is a proble at L4&l5 disk, whis is the best treatment (ayurveda/ allopathic/homeopahy) for this and what type of physiotheraphy should i take. Regards, narsaiah ### REPLY: Hello, When it comes to lumbar spine degenerative disease (spondylosis) the most commonly accepted modalities range from anti-inflammatory therapy (NSAID) to exercises designed to increase muscle strength and relieve joint loading. So, physical therapy should aim to unload the vertebral joints loading and to strengthen the muscles that support the spine. Traction procedures are indicated in such cases. Hope I have answered your query. Let me know if I can assist you further. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a numbness on the ride side of my abdomen over my liver. It comes and goes when I stand for to long. I am a big guy so I have a big belly. When I lift my stomach the pain will get better. If I lean on a wall or when grocery shopping lean on the cart it feels better too. The pain is from the inside and the numbness is on the skin over where it hurts. ### REPLY: Hi! Good morning. I am answering your query. If I were your doctor, I would advise an ultrasound of the abdomen along with routine blood tests like a CBC, LFT, Blood sugar to know the status of your liver and gall bladder. Till then, I would advise you for an anti-spasmodic and a proton pump inhibitor for a symptomatic relief. Further management would depend on the reports of investigations. 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: My partner was a heavy smoker until 2 years ago when he gave up. A month ago he coughed up a small amount of bloody mucus several times so the doctor sent him for a chest xray. The results showed "a shadow" on the lungs. Could this be cancer? He has to wait 2 weeks to have the xray repeated....a very long 2 weeks! ### REPLY: Thanks for your question on . I can understand your partners situation and problem. He is having hemoptysis (blood in sputum). He is also having history of smoking. So following can cause shadow on chest x-ray in his case. 1. Pneumonia 2. Tuberculosis 3. Lung cancer. So better to consult pulmonologist and get done clinical examination of respiratory system, sputum examination for AFB (acid fast bacilli-bacteria causing tuberculosis) and CT thorax with Contrast for the diagnosis of above diseases. Hope I have solved your query. I will be happy to help you further. Wishing good health to your partner. 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: one in the girls in my softball team was batting she hit the ball and before i could catch it, it landed right on the front of my feet. on the frontal part just between the beginning of my leg and the beginning of my foot. it hurts. i can still move it though. how can i stop the small pain? ### REPLY: HI Thanks for posting your query. First you need to get an X-ray to check if you have sustained a fracture. If not then you need to wrap a crêpe bandage over your foot tightly (not very tight) and give rest to your foot for a week. You can use painkiller like Tab Zerodol-P 3 times a day for 4-5 days unless you are allergic to it. I advise you to consult an orthopedic surgeon, till then don't walk or put weight on your foot. Have a nice day. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello sir actually my dad met with accident a month back and his knee were broke after that we went to a neurologist he did well from his side, but the problem is that still my dad s wound is not healing and its been a one month please that me that what would be the reason, I am so stressed ### REPLY: Hello, As the wound is not healing please check the blood sugar levels. If the blood sugar levels are high then wound healing is delayed. This is one of the factors. The other factor can be an infection. So if he is having any infection than it must be a factor too. Have a blood routine and urine routine to check this out. Based on the reports and clinical examination the required medicine for wound healing will be considered. Hope I have answered your query. Let me know if I can assist you further. Jay In . ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 7 year old Daughter has had a high Fever since Sunday night. Her Bother just got over his fever, and her sister still has Fever which doctor confirmed was Viral. However my 7 yo is experiencing Leg Pains and cannot walk. Hospital took Urine Samples this morning and said appeared to be clear, and it is most likely Viral - but to come back Monday if things do not improve. Could it be something more sinister ? ### REPLY: Brief answer :Viral fever, dengue or chikungunyaDetailed answer:Hi, welcome to . Any viral fever can present with similar symptoms of fever, leg pain, body ache. But If symptoms persists these symptoms are more common in dengue and chikungunya fever. In my opinion, you should do CBC, NS1 Antigen test for dengue. Keep child HY . Further treatment will depend on above reports. I hope this will help you. Take care. 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 there, im a 26 year old male and i am getting sharp pains in the left hand side of my chest (the centrepoint of the pain is between my nipple and shoulder) the pain isnt constant but is sore when it happens, it started 14 hours ago and am looking for advise on what to do as i dont want to be going to A & E if it doesnt need be. thanks Stephen ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, possibility of musculoskeletal pain is more likely. So follow these steps for better symptomatic relief. 1. Apply warm water pad on affected areas of chest. 2. Take painkiller and muscle relaxant . 3. Avoid movements causing pain. Avoid sudden jerky movements of chest.4. Avoid heavyweight lifting and strenuous exercise.Don't worry, you will be alright with all these in 1-2 days. If not improving then consult doctor and get done ECG to rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have pain under my left rib cage. The best way to describe it is like a quarter moving around. I have some chest pains from time to time. I also have alot of gas and have been dizzy lately. Can you tell me what this might be. The pain is left not right. Thank you. ### REPLY: Hi Thereafter going through your query I understand your concern. I would like to tell you that Chest pain can be because of many factors like, heart disease, lung problems, of gastric reflux. Heart and lung disease depends on your age, family history or any structural abnormality. Your symptoms are due to Gastric Reflux. It's recommended for you to take over the counter antacids and stop eating spicy and junk food. Kind Regards ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Sir, I am 39 years old, get married in 2001 but due to early release problem, I am not able to satisfy my wife even for a single time. She never reach her orgasam due to continuous problem now she feel swere body ache after intercourse. In the beginning she was very fond of this thing but now hv no interest at all. This make me feel guilty every time. Pls. help me! One more thing, what I seen on internet, in case of erected panis, foreskin should rolled back and head should be un-covered but it is not like this in may case. Moreover, every time( since beginning) I hv to use condom without this first of all I feel pain at the time of insert as it put strech on my foreskin and it result early release even at the time of insert. Due to shy nature I never go to doctor except once( at that time he, without my physical examination, ask me to take paxidap tablet for some time, but it not helped me at all. ### REPLY: Hello, From the available description it appears that you are dealing with primary premature ejaculation, which is treatable disorder. You need to visit a doctor as a prescription of medication can not be made without examining the patient. I must assure you that there is good hope for you, but its results can not be achieved without consulting an expert. If you happen to stay in western Rajasthan you can visit me at Jodhpur on any day. 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 father has just been told that he has an infection on his heart valve (said he has vegatation) and that the valve is leaking . Is the only course of treatment a valve replacement? What are the survival rates for this type of surgery? My dad is 78 and has polyartirits (spelling?) and has been on chemo for 6 months due to the fact that his bone marrow not working (does not have leukemia, no cancer cells). ### REPLY: Hello, After going through your medical query I understand your concern and would like to tell you that valvular vegetation needs a long treatment starting with antibiotics after that depending on the condition of the valve as if it is leaking then your father might need to go for valve replacement. It's recommended for you to get an Echocardiography done and consult a cardiologist personally for further management. Hope I have answered your query. Let me know if I can assist you further. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am having high SGPT level 109 ? how to lower it? Reason as to why so high? In a recent medical test it is found that my SGPT is 109. I am not an alchoholic i drink 3 PEG BRANDY TWICEl IN every week. I was not taking any medicines for any ailments. I do eat food from outside as i am staying away from home. Tell me how i can lower this. 2.5 MONTHS AGO IMPLANT REMOVAL (PHILOSPLAT)SURGURY AT SHOULDER And why this has happened ### REPLY: Hi. Thanks for posting query at . Value of AST or ALT greater than 85 or above maybe investigated further. HAV, HBO, CV, Alcohol ingestion, obesity are common causes of liver disease. Rule out HBV and 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). Advice for fatty liver:- abstinence from "Alcohol" - LOW fat diet should be followed, AVOID junk food and beverages-decreased oil consumption (oily food)- NO red meat-green vegetables should be ingested daily-use lemon juice (lemonade) once in a day-reduce weight if overweight/obese-"recheck liver enzymes after 6 to 8 weeks" and/or ultrasound. Any further questions are welcomed. Hope to answer your concern. Wish you good health. Regards, . ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am 30 years old and have irregular periods. My Gnynea put me on some pills to get my periods and post which from the 2nd day of my periods on these pills called Siphene. Today i finished 7 sessions of follicular scan and the doc said that the egg has raptured. What does this mean and what my chances of getting pregnant? ### REPLY: Hi, thanks for writing. Yes, follicle has ruptured means ovulation has occurred, and you need to have intercourse in and around this time to attain pregnancy. If you don't get pregnant in this cycle, repeat the same for next 2 cycles. In the post ovulatory period take phaeton for 10 days for luteal phase support. The chance of pregnancy increases with this. Hope I have answered your query. Good day. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have mild chest pain now for a week. My body for some reason feels like I have a lot of gas but nothing comes out I felt like this for quite some time. Im scared thats it going to be a heart attack Im only 24 years old. Also my nerves in my left arm have been feeling funny too burn and itching in the whole arm. Is this all related. ### REPLY: Hello! Thank you for asking on ! Regarding your concern, I would like to explain that your symptoms seem not to be caused by any cardiac disorder. Anxiety or indigestion may be the cause of this clinical scenario. I recommend you to perform a routine blood test, kidney and liver function tests, a chest x-ray, an abdominal ultrasound to exclude other causes. Regarding your arm, I would recommend you to perform a cervical column x-ray for a possible radiculopathy and a nerve conduction study, to examine your nerves. Hope to have been helpful! Greetings! ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have been having pain in my vagina, history of bacterial infections my clitoris is sore and itchy. sore when i wipe..cwhat do i do..cani use bacterial infection medicine from a year ago or do i buy yeast infection medicine..dont have rides to the doctors ### REPLY: Hello, Welcome to , The history of sore clitoris and itching suggests me that you may be having some fungal infection. The fungus is the normal commensalism of the genitals which will be kept under control by the helpful organisms, whenever there is a change in environment the fungus gets activated and produces the symptoms. Repeated bacterial infection can also lead to fungal infection as it can reduce the immunity of the individual. For your symptoms I would suggest you follow1. Good hygiene practices by keeping the area clean and . 2. Topical Anti-fungal cream like fluconazole should be applied.3. Oral Rifleman and the recommended dose is 150 mg as a single oral dose. Thank you. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have sarc and univers. alopecia. I noticed rash covering from the nape to the center of my head. Short after the rash appeared I started having tightening in my chest at night, blocked nasal passage ( decongestants dont help) and difficulty breathing. Is this common with sarc? ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have symptoms of rash, chest tightening and discomfort in breathing which seems to be due to allergic reaction like contact dermatitis, urticaria food allergy or asthma. S you also have symptom of difficulty in breathing, it could be anaphylaxis also. I would suggest you to consult allergy specialist without any delay. Doctor may give a . You should take diet rich in multivitamins and apply renovate cream 2-3 times a day. Wear loose clothes. Avoid touching or pricking it. You should apply vitamin E Oil at night as well. 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: ok... heres the thing.couple weeks ago i got a cold sore thing on the side of my toung. my father told me to just put salt on it and it will go away. so i did... and the next day it was gone. no more pain. few days after i got the same thing on my top gums close to the teeth and lip. as soon as that was about to clear up i get another one on the inside of my lip. Is this Oral herpes??? ### REPLY: Hi. Welcome to . I have gone through your query and can understand your concerns. As per your complaint it seems more probably be due to recurring authors dermatitis causing recurring authors ulcers and can occur due to a number of causes like deficiency of iron and vitamin B12, stress, excess intake of sour foods, physical trauma, acid reflux, hormonal imbalances, diabetes etc. You should consult an oral physician and get evaluated and in case of authors ulcer he/she can advise you to take a multivitamin tablet daily. Do warm saline gargles. Do soda bi-carb gargles. Avoid spicy and sour foods. If there is pain in the ulcer you can apply a numbing gel containing Lidocaine and take Tylenol. Sucking ice pops and doing cold water rinses will help. Hope this information helps. Thanks and regards. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I get the same sharp pain but in different parts of my stomach or chest area. The only way I can really explain it is its like getting a small charge of electricity and the only way to get rid of it is to take a deep full breath. When I was a child this happened maybe once every couple of months. I am now 21 and this happenes up to 5 times a day and is now mostly right in the center of my chest. What could this be? And does it have something to do with my asthma? ### REPLY: Howell come to ChatDoctorI really appreciate your concern, if are having Asthma then such symptom could be due to this and this is because of bronchial constriction this could be more prominent if it is associated with Hyperacidity and stress, in my opinion all the three condition need to be treated properly, then you would be fine and free from the symptoms, hope this information helps, take care. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am Manu, Male, age 30 , weight 80kgs, height 170 cms...i am in to sales profession which involves more travelling...generally i am using car for transportation...one year back i had Anorectal abscess surgery...for the last 1 month i am getting back pain...what is the reason for that..Is it due to anasthesia injection which i had during surgery or due to hectic travelling....how can i come out of this pain ### REPLY: Hi many, As a traveling person in the car, you must be sitting a lot. That does not give the back a good position most of the time. Due to abnormal position and not due to anesthesia, you are having back pain. You need two things1. Proper sitting posture2. Back exercise to strengthen back muscles. Other than this, you need to reduce weight. If pain is severe, you might require an x-ray and need to meet an orthopedic surgeon. Any further queries, happy to help you again. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a 17 month old grandson who has what seemed to be a minor cold for the last 2 weeks. He threw up a couple of times in the last 2 days, (mostly bile and water), and had a temperature of slightly more than 100. He went to the pediatrician with a heartrate of about 200. He is now in the hospital where he has had bloodwork that came back normal except for a couple bands high in his wbc count. His hr is now about 140 but when he s upset it spikes to 180. Chest xray appears a normal heart and lungs, but they are saying his lungs may have borderline pneumonia? He also has presented with a rash. Any ideas? ### REPLY: Your child is suffering from the ill-effects of a lung infection which may have occurred initially as a virus, but got complicated into a bacterial one about the time he had to be put in a hospital. All the symptoms and signs and the investigation results prove that the infection is a rather serious one, so he should be on a path to recovery if the antibiotics they are using on him are working well. The rash could be part of the manifestations of the germs that gave him the infection, or it could be due to the antibiotic that is currently being given to him. 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 lower abdominal pain on the left hand side now, for a while it used to be on the right and it just shifts from time to time. This has been going on for quite some time. It is painful in that exact spot when i pee yet I dont feel any other pain other than that spot. It also hurts after I have a meal. What could this be? ### REPLY: HI. Undergone through the history carefully and repeatedly. Painful in the exact spot and hurts when you have a meal. This looks to an inflamed appendix or any other part of the intestine which is adjacent to the urinary bladder so giving both sort of pains.(this is indicated by pain increase after food is an indication of reflex gastrointestinal reflex Ultrasonography and other tests will guide for the diagnosis. You may need a surgery if a course of medical management including antibiotics. Get an opinion of a Castro 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: I fell and hit my rib right under left breast, prelim exray shows no fracture but the pain is intense and there is a popping every time I move or breathe at the point of trauma however the skin is not discoloring as in bruised. If the rib is not broke and there is no bruising what could it be ### REPLY: Welcome to I have gone through your query and understand your concern. If ribs are not broken then it can be soft tissue injury, It requires rest and analgesic such as ibuprofen for pain relief. Moreover, displaced fracture sometimes doesn't show on x-rays. But again treatment of it is rest and analgesic such as ibuprofen. Vitamin B and C help in recovery. 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: Hello doctor, I ve been experiencing pain in my ankles for the past three months and recently for past 10 days I feel pins piercing on my left foot an d cold feet,, I have been prescribed coenzyme -T and Zix-R OD I want to know is it the right medication . I am 48yrs of age ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have ankles pain. Well there can be many reasons for symptoms you mention in query like arthritis, gout, nerve damage or injury, such as sciatica, blocked blood vessels or infection in the joint. Your doctor has prescribed you right medicines, continue taking then as per prescription. If condition doesn't get well then consult doctor again for proper examination. Doctor may recommend physical therapy, prescribe muscle relaxant along with stretching exercises. For now keep your feet in hot water tub with one spoon of water. 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 one year old just started waking up with small red spots around her mouth and chin. They look more like spots that bumps, however, one every once and awhile will have the tiniest white bump in the middle that is just slightly raised. They don t seem to bother her to much, but I ve also noticed that around the same time she started getting these, she also started crying out or babbling in her sleep. I check on her when she cries out while she is sleeping, but I never find anything wrong. I m not sure if the two are related, but figured it wouldn t hurt to add that information. ### REPLY: Hi, welcome to . Small red rash or bumps near mouth region in 1-year-old child could be due to insect bite or allergic rash. Insect bite can present as rash which has itching over the rash and may develop secondary bacterial infection over it. Allergic rash due to pillow cover or bedsheets can also appear like this. In my opinion, you should give HY . 5 ml PO three times a day for 3 days and apply mupirocin cream at the site of skin lesion. Review back after 2 days with some pictures of the skin lesions. I hope this 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: I am a male, 29 years old, athletic, and in good health. For the past two years, i have been experiencing a dull pain in my chest on the left side after i have been sleeping for some time, and sometimes the pain radiates through the middle of my back. Ive checked many forums, and have yet to find out anything. Ive also had xrays with normal results. any thoughts? i do not have GERD or any sort of acid reflux. I want to look into getting an ECG, do you recommend i start there? ### REPLY: Hello! Thank you for your question on ! Regarding your concern, I would like to explain that your symptoms don't seem to be related to any cardiac disorder. The most probable cause would be a articular pain, from a thoracic disk disorder. I would recommend a careful physical examination and a thoracic spine x-ray to exclude this. I would not exclude also a musculoskeletal pain and an portal disorder. Furthermore, I recommend performing a cardiac ultrasound, which would help examine the aorta better. If all the above-mentioned tests result normal, the most probable cause would remain a musculoskeletal pain, from a wrong position during sleeping. Hope to have been of help! Best wishes, ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter has a red rash like anal ring around her anys. There was blood on her toilet paper after she wiped There was blood in the stool and it burns her just laying down. She is ANA positive but no one currently can figure out what she has She has been tested for just about everything but blood work never shows a positive lupus or other rare ones. We are off to mayo in mid July but she can go out in the sun from 10-4 she can t handle heat and has been diagnosed with pseudopheochromocytoma ? What can I do to help her she is only 5! ### REPLY: Hello Democrat the outset I can assure that you are not alone. There are several dedicated doctors who would like to help you. When we do not know what is exactly wrong with our child we need to think from 7 angles1. What is the problem?2. Why it would have come? Hereditary/ infection / allergy3. What are the tests required? Painful and painless tests. Scans. We have done several investigations. Do they need to be repeated and again4? What are the . ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i m khyati...... lives in bangalore....... i m suffering from chest congestion, i have difficulty in breathing but after nabulisation i feel little comfortable ..........but a lot of weekness....................doctors gave me tab. advent625, tab. glemontF, syp. mucolite and tab. ato z. it happen when there are clouds outside ..........do i need to take something else wat precaution should i take to avoid this thing. pls suggest. ### REPLY: Hi, Welcome to ChatDoctorAfter going through history because there is seasonal association, Bronchial asthma is possible your treatment also suggest that possibility. Another possibility is post viral acute bronchitis. You can get PFT pulmonary function test when you are not taking . A detail alley work may be done including serum IGE level and allergy testing then specific allergen can be DE sensitized or avoided. In general exposure to pollen, dust,fungus pet animal can be avoided. Increase your immunity and lung capacity by taking yoga and Panama and exercises. One can avoid sudden changes in temperatures like AC rooms and going outside. Take your inhalers as advised by doctor and take care of your diet also if overweight reduce it and avoid fermented foods and any specific food which increases your problematize care Good luck to you. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. I have a blood clot in my right lung post surgery in August 2013. I am now having severe lower back pain and my physician is suggesting that I get cortisone shots. She stated this should be safe for my blood clot because they will not fully anesthetize me during the procedure. I am nervous about getting the shots because of the blood clot. In your opinion is this a safe procedure in my situation. ### REPLY: Hello dear, thanks for your question on . I can understand your situation and problem. Yes, it is safe to take cortisone shot while having pulmonary embolism (blood clots in lung). But following things should be noted.1. You must follow your blood thinner medicines. Regular PT, INR report should be done to titrate blood thinner medicine. 2. Make sure your doctor is giving cortisone in the joint and not in the vessels. Intra-articular steroid injection is treatment of chronic joint pain. So it is safe, just make sure that it is intra-articular and not intravascular. And continue your blood thinner . ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m only 13 and I was scratching my hip when I came across a lump just below / next to my hip . There is no pain and it feels like it s moving when I press on it . When I do touch it I get a sharp pain in my stomach and then the lump hurts for about 1 minute . Please could you tell me what it is or if I should not worry . ### REPLY: Hi! Good afternoon. I am answering your query. The lump in the location stated by you could be an inguinal hernia which could go inside the abdomen on pressure and on lying down, and might come back again on increasing the intro abdominal pressure. You have to verify by your self if both your testes are in position or not. Sometimes, one of the testes might not descend normally down the scrotum, and it might be felt in the area located by you known as inguinal region. Both the above condition might give rise to pain in the abdomen on pressure. The third possibility could just be an enlarged lymph node which would also move, but might not cause pain n the abdomen/stomach. All these could be diagnosed and managed only after a personal physical examination and related investigations, and so I would advise you not to worry, but to get in touch with your family physician/ a surgeon in your area with your parents/guardian for an appropriate opinion and 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: Helloo Doctor, My mom of age 38 is diagnoised with stage 4 Stomach Cancer. And she is undergoing with the second cycle of chemotherpy. But she undergoing with lot of back and leg pain. And now doctor is thinking to start with radio therpy. Please suggest whether radio therpy is best for my mom. As she is very weak, & we are worried whether she undercome with excesisve weakness. Thanks in advance for your input. ### REPLY: Hi, Thanks for writing in. Sorry to hear about the cancer your mother is having. Cancer is a difficult condition, but she must fight till the end. Unfortunately survival for more than 2 years is rare, but please do not give up hope and continue treatment. Stage 4 stomach cancer is a difficult condition to treat, but she should be maintained on treatment to make the disease stable and prevent disease progression. It is difficult to do surgery in a patient having stage 4 cancer stomach. Chemotherapy and radiation therapy are the choices available to extend her survival and slow the disease process. With limited choices, radiation therapy might help. Please continue to give her nutritious food and also give her plenty of water and fresh juices. Giving her soft diet will be beneficial for her digestion and help her to put on weight and feel stronger. Please do not worry. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, Ive been having back pain for over a year. I cannot sleep for more than 5 hours and can only sleep on my sides. my stomach always feel bloated, I have irregular period. I skipped my period for over 2 months, then I have some kind of blood for over 3 weeks (brownish blood) and it smells ### REPLY: Hi, Thanks for your query. After going through your query I came to know that you are suffering from chronic backache. It may be due to vitamin and trace element deficiencies specially vitamin D and vitamin B 12. You need to do MRI to rule not other causes. Back exercises, neurotrophic such as mecobalamine and analgesics (DICLOFENAC 100 MG SLOW RELEASE TABLETS) give relief. Sometimes vitamin D deficiency can aggravate this so serum vitamin D test is advised if it is lower than vitamin D supplementation will be required. Avoid long continuous standing. Sit in a straight posture. Eat milk, fruits and green leafy vegetables daily. You are also having bleeding problem. You may require iron preparation as blood loss may cause iron deficiency. You also have foul smelling discharge indicating infection, so you may need antibiotics to control it after culture and sensitivity. You can discuss with your treating Doctor about it. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am a public health nurse and had a family bring their infant in to clinic for immunizations and had some concerns re. their daughters bottom left rib flares out. I assessed this myself and it does indeed flare out significantly. What is the cause for this? ### REPLY: It seems to be associated with some amount of respiratory distress, although it is hard to comment without examining physically. In case of a child, if the accessory muscles of respiration need to be active, it indicates respiratory distress which is also manifested by increase in rate of breathing. However, if it is transient, it could also be due to crying in pain where you need not worry. Please visit a pediatrician and get the child assessed depending on the situation. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 disease am I suffering if I have these symptoms: weakness and pain in muscles, diffult in concentration and urinating problems, sudden feeling of anxiety, headache, low sense of hearing, short of breathes. I m feeling discomfort earlier from last week it s quite hard to explain because my headache it s not just pain but dizziness it s just that I didn t faint. I am a female, 16 years old thx ### REPLY: Hello, Thanks for the query to . Forum. Since you don't mentioned the age and gender, important tools for any diagnosis. Anyhow according to your symptoms you may have, Anemia, get in blood examination and confirm. Tension (stress) is one of the most foremost reason of weakness, headache, anxiety, shortness of breath, difficulty in urination, so for this consult a psychiatrist and get his opinion. Dizziness may be due to tension but cerebellum (involvement) may be one reason so consult a neurologist and get his opinion. Good luck. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my mother has been diabetic for years she just started insulin shots at night. She works 8 hours a day on her feet. Since taking the shots she noticed blue/purple spots on her ankles.. it looks like a cluster of vericose veins. Her feet hurt all the time. What is causing this? ### REPLY: Dear friendvericose vein is the condition in which veins that have become enlarged and twisted. Veins have valves to prevent blood from flowing backwards. Leg muscles pump the veins to return blood to the heart against the effects of gravity. When the valves do not work (valvular incompetence), it causes blood to flow backwards and likewise enlarging and twisting the veins even more. This is the varicose vein. The related factors in the cause of varicose vein are prolonged standing, leg injury, abdominal straining etc. the blue/purple staining/spots you noticed on your mothers' ankle is due to varicose vein. Treatment of varicose vein are surgical, and non-surgical treatment includes elastic stockings, elevating the legs, and exercise and chemotherapy. So you should counsel your mother not to work on her feet as much as possible. Whenever possible elevate both legs, this will pump blood towards heart. 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: Hi I am 47 years old and have what I am now assuming is a nasal crease from having some pretty severe allergies for all of my adult life, my allergies are mostly under control but the crease is prominent now and white. I work outside and use sunscreen but still am exposed to tanning rays and while my skin darkens the line is more white than ever, not to mention I have Native American blood so it s very pronounced all year. Is there a cream that would diminish the crease? I m even open to plastic surgery procedures if that would be an option, last ditch effort kind of option. Any suggestions? ### REPLY: Hi, You need to elaborate the characteristic features of the lesion that you have on your face. Now, since you are saying that you work in the sun a lot, you are at an increased risk of certain skin malignancies. Therefore. I would suggest you to consult a plastic surgeon so that he can identify your problem as it can be something serious. So, definitely visit once, as it needs to be checked. If you could send the picture of your lesion, then that would be really helpful. Hope I have answered your query. Let me know if I can assist you further. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am a 31 yr old male and have been experiencing some tenderness and pain to the right of my navel, lately. I am unsure whether it is just a muscle pain or whether it is a digestive disorder. I have been exercising since the past 5 months (mainly cardio) to lose belly fat. I lost about 9 pounds in the first 4 months and another 4 in the past month. I have been diagnosed with gastroesophagal reflux disease for which I am taking omerprazole. I am also taking Miralax to increase water content in the colon. TSH, differential and CBC tests were done and everything seemed normal. CT scans of my stomach and a recently concluded X ray did not indicate anything serious but there appeared to be lot of stool in the colon. I am on a minimal fat vegetarian diet that is free of caffeine, acidic and spicy foods. ### REPLY: Hi. Thanks for your query. Read and understood your history and the problems. You are 31 years old male with pain on the right side of the naval, exercising for 5 months for loosing belly fat, taking Omeprazole for HERD, CT scan and X-rays normal . This indicates for a probable cause as muscular. The internal problems can be with pancreas, duodenum, transverse colon, but CT rules many of these. Get a clinical evaluation and physical examination by a General Surgeon to see if you have myalgic of the rectus muscle or a hernia in this situation for a proper diagnosis ad correct treatment. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello doc, I have a strange problem. My profession is engineering and i have to study a bit on all the strange problems to find the solutions. My problem is whenever i try to study new things that is hard to understand i get fever. While diagonising and testing the blood i am diagonised with Typhoid. However i do not remember eating/drinking in any unhealthy places. Furthermore, this has not happened once, it is occuring time to time and i can remember it and i am certain that this fever is due to studying rather than eating in unhealthy place.This feaver goes away after taking antibiotics doses.Furthermore, sometimes i find that, if i can predict this fever in its eary period it doesnot occur, ie if i find that there is mild headach or body gets warm while i study and i stop studying, this fever do not occur.Please help.I like studying. ### REPLY: Hi thanks for asking question. Typhoid is not due to study. It is transmitted through Eco oral routes you might acquire typhoid by eating unhygienic food. The stress related to study can aggravate symptoms but not direct cause of it. Here second possibility is you might suffer from chronic carrier of typhoid. Or chance of recurrent typhoid fever. So after getting over acute infection culture repeated at frequent interval. Ampicillin therapy helpful in eliminating carrier case.USG abdomen also needed to rule out gall stone. So don't worry. Keep on study and work without test AND rule out carrier case of typhoid, eat healthy hygienic Food. I hope I have solved 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: 28,5.6 inches,55 kgs.I have a family history of suicide attempts,seizures and anxiety.I have taken depression pills like zen 200mg,volprol 300,etc,mascular seizure has occured once, i get often panic anxiety attacks in severe anger in which i harm and wound myself.I have gone through a major brain operation after i shot bullet in my right side head. I remain in constant fear and considers myself quite a psychic patient.plz help with my problem of depression, confusion, poor memory, anger fits and fear. ### REPLY: HiT hanks for using In that case, you need to mood stabilizer with antidepressant. You need to take higher dose of valeryl and zen. That would help to control both mood and seizure attacks. You can also try some antidepressant like paroxetine or Escitalopram. That would help to control depressive symptoms in control. Better to discuss them with your psychiatrist. In case, you need further help, you can ask. Thanks ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my sister seems very sick. she has been vomiting and having a fever of 101 scince yesturday. she only seems to get sick during the night though. her tongue is dark red with a white spot to the side. she has red spots on her arms. What is this? Can it be yellow fever? shes always getting bit by bugs. Please help. ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query your sister has symptoms of fever and vomiting along with spots on tongue and arms which is due to compromised immunity of body and increased susceptibility of getting infected. Fever is happening just because of that. Need not worry. I would suggest you to visit general physician once and get it examined. You should take proper course of antibiotics to fight against infection. . If not taking any antibiotic start Norfloxacin for 5 to 7 days. Get culture test of urine done again after few days and start treatment accordingly. Avoid intake of outside food. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HelloI have a lack of libido and dont get erection easily. And I tend to lose it during sex. The other thing is I noticed that I started to lose sensation in my penis. This has been on going for almost a month now. Every time I get erection I feel bloated and big pressure in my stomach that I feel pressing on my abdomen making me lose the erection. I am constipated and bloated all the time. The problem started with a pain in my lower back - which I still have but its subsiding, and pain in my testicles that keeps shifting from one side to another ( I still have). I saw a urologist, he performed ultrasound on my testicles and said everything is alright. He said Its probably a pinched nerve in my back. I am taking 800 mg ibuprofen, and I have black stool. My question is: 1- Is the erection problem related to the pinched nerve in my back because I might have a Pudendal Nerve Entrapment as I read online?2- or is it because I might have gastrointestinal bleeding because of taking 800 mg ibuprofen, which I am suspecting, but no evidence except constipation, bloating , and black stool?3- or it other problems related to the prostate or kidney stones? ### REPLY: Degree understand your concerns went through your details. I think you are "thinking" too much. The three possibilities you are mentioning are far possibilities. In the first hand, you just are worried and anxious about your performance. Anxiety is showing in the stomach sensation you are mentioning. I suggest you to consult a psychologist for counseling and related therapies. You should be alright. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Available for further clarifications. Good luck. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hallo Dr. My Sister (42) was diagonised with Chronic thrombocytosis last year.She has since then been on medication and at the moment she is totaly unwell which we do not know if what she feels is from the plateletes or from the medication. I have have been checking out the treatments available and have come recently learnt about plateletpheresis. I feel it`s the only chance she has. Please advice. ### REPLY: Hi, thanks for sharing your health concerns with ! I think it is a essential thrombocytes that needs some genetic/molecular mutation test for confirmation and there is no reasonable condition for high platelet count in this condition! There are medicines/injections and the last resort could be some platelet removal! However, I would like to know her treatment history, any previous disease, bone marrow/other test reports and present/past platelet counts.... Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing her good health. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I got my nose pierced about 5 weeks ago and it was perfectly fine, producing no crusties at all, wasn t hurting, and i thought it was healed so i decided it was time to change it since i really didn t like the stud. I had my piercer change out my jewelry for a hoop i had bought at a store that sells lots of body jewelry. Two days later, I have a smallish, red bump right above my piercing with tenderness around my nostril. I don t know the material of the hoop but I am not allergic to anything but mosquitos so it can t be that. I tried a hot sea salt soaks today and it reduced the redness and tenderness but now it s forming green crusties around the piercing. So here are my two questions: 1. Is that good that i m forming green crusties after the sea salt soak since maybe it s maybe pushing the infection out or is that making it worse? 2. How long does it take for a nose piercing infection to go away with sea salt soaks? ### REPLY: Hi, No, the green discharge can imply that the infection is unfortunately worsening. There is no specific time interval that it may take for an area to heal with the soaks though it normally takes 4 to 7 days. If there is no improvement or any worsening then you may need a course of topical or oral antibiotics. While an infection is present, the foreign object or jewelry, that is the cause of the infection, may need to be removed till everything is improved. Hope I have answered your query. Let me know if I can assist you further. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a boy 6 yrs 8 months old ( 25 kgs weight).When he starts to sneeze he continues for 5 to six times with white thick nasal discharge coming out after two or three discharges.This condition is present in him for about three years.Of course, this does not mean that he sneezes frequently.But when he starts to sneeze it does not stop quickly.Three years back once when he had fever with cough and cold he started wheezing particulary after repeated coughing.So far I have seen four episodes in him with rougly eight months to one year gap between each episode.During the second and third such episodes he also complained about slight pain in the chest muscles and shortness of breath.During the first episode I took him to a pediatrician who told to my shock that he may have Asthma.He asked whether anyone in my family has it or not.My mother developed Bronchial Asthma at the age of 45+ due to over load of work and climbing of stairs and also because we used to have pet dogs and later cats in our family.She is still having the same problem.However, now netiher we have any pets in our house , nor there is any chance of vehicular pollution or cigarette smoke.I don t know how my child could get asthma.The doctor gave salbutamol to him and some antiboitics also.But I did not give the salbutamol tablets to him fearing that once it is given it may permanently damage his lungs.During the second such episode after about one year.I took him to my company hospital where the doctor suggested to give nebulizer with asthaline for 5 minutes.This time I obeyed and my son told that he felt releived .During the third time also as per the advice of our Company s doctor I gave him nebulizer for 5 minutes .Recently, he had fourth such episode after about one year gap.This time the doctor sggested nebulizer for 5 minutes at Hospital and also 2 salbutamol 2 mg tablets daily for five dyas along with Cefpodoxime 100 mg for 5 days ( 2 daily).When he was a small baby we used to keep him near to our closed wodden window as our bed was situated near the window) during sleeping after covering him with sweater and all other precautions during cold seasons.Is it that due to exposure to cold her lungs got damaged.The place where I used to work then used to get very cold during cold season.Anyway I used to keep a room heater below him also.Please confirm whether my child is asthamatic or not.Earlier to this episodes I used to give him cetrizine cough syrups on some occasions when he had cough and cold. ### REPLY: Hi, I have gone through the detailed history you have given. A possibility of asthma is more likely in his case. In my opinion, you should definitely get done PFT (Pulmonary Function Test) with reversibility testing. If there is significant reversibility then asthma is confirmed. In my opinion, he will need intranasal spray containing steroid (fluticasone) and antihistamine (elastane). Oral combination of antihistamine (levocetirizine or fexofenadine) and anti-allergic (montelukast) is also beneficial. So consult a pediatrician and discuss all these. Hope I have answered your query. Let me know if I can assist you further. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My granddaughter recently was diagnosed with membranous nephropathy. I have her in my care a lot and need help in meal planning. Mother has not given me any guidelines for sodium, or potassium levels to follow. I need some suggestions. She is also on a blood thinner, but I do not know what one. ### REPLY: Hi, there are a number of causes for membranous nephropathy (MN). Some are transient and some remain for life. Prognosis depends on what has caused it. Many viruses like Hepatitis, . Once your nephrologist finds out the cause, appropriate treatment would be started. Generally, steroids are given which will offer some cure of disease irrespective of the cause. Cut her sodium to less than 6 GMS/day to prevent edema; potassium rich foods are better avoided as there is accumulation possibility, but is generally followed by serum potassium levels. 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: Hello, I had unprotected sex on friday unfortunately, the condom i was wearing broke, then we just decided to have sex without a condom. My penis started hurting a couple days later mostly on tuesday & wednesday. My penis is pretty sensitive around the tip, & a little red, around the hole where urine comes out. I dont know if its from hard penitration, she CLAIMS she is clean of diseases, also it doesnt hurt to pee or anything. What should i do? Or be worried about? Should i get tested? ### REPLY: HelloThanks for query. You had unprotected sex few days back and have pain in tip of the penis. In view of unprotected sex and being unaware of STD status of your female partner it is safe to get basic screening test for STD and urine culture done to be rest assured of acquiring STD. Please get your routine urine test and urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to. Please take broad spectrum antibiotics like C EF exile along with urinary antiseptic like Nitrofurantoin twice daily and urine alkalizer thrice daily. Later on switch on to appropriate antibiotics as per culture report. Get the prescription of medicines from your family Physician. Ensure to . To keep your urine dilute This will help to control dysuria. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, i just had a very unusual bizzare weird 6 month live in relationship with a 56 yoear old male. He has a brother diagnozed with sczitophrenia, a nephew with aspergers. on the first meet he wanted coffee at my place, i reluctantly said yes. whilst making coffee he slyly quietly came behind me unanounced and engaged in physical sex. that made me feel overwhelmed in shock in the safety of my own home. being adult to adult i didnot feel threatend, he acted ina quiet way. Whilst living in my home i slowly noticed unusual signs and symptoms that i havent seen before in any other relationships. He was very routine oriented with waking at 5 am, shower 5.30 breakefast 5 45gym 6 am, ironing 7 am , bus to work 730, home 5 30 pm, cooking together at 6pm eating 7pm whilst he slowly introduced alchol into the equation with 4 beers and i bottle wine and with me sharing a glassor two or three. He was asleep onbthe the couch by 730 awake 830 the to bed by 9pm withonly cuddles from behind, he would cover my face withthe sheets. cuddles early morning before getting outof bed. sex only from behind very rarely in middle of night. e constANTLY spoke of previous relationships in a critisising way except with bragging about fantastic sex with previous partner, he stated that didnt work out as it was about sex and not real communicaiton or interpersonal relations. stated this time bonding without sex may be longer lasting first, then the physical component next. he was reluctanct to engage in going out to dinner, other social activities. over time, there was a bike ride once a fortnight only with his daughter , he was reluctant to do anything together just with the two of us except get a haircut or quickly in and out of the market for groceries for that nights meal. His left hand flapped about without me drawing attnetion to it as to reduce his possible embarassment. He stated he has a high IQ, but reluctantly showed evidence of that. He stated he could easy mess with my mind and that i could easily be brainwashed. He was a gunna person.he didnt contribute to utiltiy costs and avoid transport costs.He prefered me to pick him up from worki in my car using my petrol with a direct bus at the front of his work to drop off at home. i thought it was a romantic thing to do but got annoyed he took advantage of my mother type picking him up.He always go t me to pay for a bottle of wine and said pay you back later, never did, he used my face moisturizer, took care of his body well with good food and exercise at the gym. H e stated everyone thought he was 45 years old and could get any girl he wanted. but chose me as he like me and we got along good with him dominating the routine . I changed my diet wake up time and some of my social activities to include him inmy home as he state he lost all he had in bad business deal. He went from woman to woman with his charismatic stoic use of few words monotone dialogue. if any interjection, he would say hear me out, so my input would be minimal and feedback would be non existence. He had unusual theories on aliens altering our dna which caused our imperfections and short life span. he also had a tic with flapping his nose. if he notice me noticing he would reduce that behaviour. he was clumsy footed and would trip over a small obstical like a pair of shoes inthe way and reluctantly would walk down a small slope of dirt and stone ground, yet could easily ride his mountain bike down a much steeper slope. he can drive cars and motorbikes well and fast. appeared to have no fear with some things. he wouldnt go outside inthe dark to turn the hot water service back on and got quiet agitated with the hot water being off which altered his structure routine and agressively demanded that i get a plumber to fix the hot water. he wouldnt have a shower at the gym AS it wouldnt be hygenically clean enough so he went to his ex girlfriends place. this was followed withan apology. he would walk in the dark for anight walk , but eventually did with walking along the side that was well lit. he stated he hated his mother and father as he stated he was abuse as a child.in the early stage or first meet he drew attention to detail with noticing and my hands with a critical type comment. he made other criitisims to my physical appearance , the way i walked, the way i spoke, the way i kiss (like a turtle). he said he wanted to find out what made me tic. he got agitated and agressive when i asked him to turn the radiostationto quiiete relaxint music whilst trying to get to sleep. he suddenly jumped out of bed yelling he has no where to go and called me spinner. i refused to engage in dialogue and said im not talking im going tosleep. this made him feel anoyed. he finally calmed down. this made me feel frightend. Another time he was angry about catching the bus home as it was getting dark and he said there were no buses. i said i can pick himl up fromthe bus stop he said hell catch a taxi, i said no just wait. he caught the bust then went to catch ataxi to further the journey. i was in contact reassuring and trying to allay his fears and agression. i continued to calmly reasure him when i collected him in the car, he still contiunued his verabal diatribe. i suddenlty had enough of his lack of gratitude that i came half an hour away in the dark wet rainy conditions through 2 traffice accidents, so i stomped onthe brakes and yelled get out. he would so i droveoff in a calm quiet but fast driving way that scared him. i calmly yet sternly assertively said i was a rally car driver and a police officer in my attempt of believable humour to aliviate my stress. finally things calmed down over a beer. he later used this and said i have anger managermnent ssues. Every weekend he would revisit his ex girlfriend for a coffee, i was not invited. he said he was getting his mail and checking his things that he left there so he wouldnt haveto pay. then every 3 weekends he would disappear without tellingme and late rang or txted he was at mates. Later i discovered the mate was a female, his response was that there was nothinghappening,that it was a safe house. he kept saying to me are you still for the journey , ready for the challenge, push the boundaries, up the anti. he did nice things for me, made me cup of tea in bed withhheey. it felt like i was trapped in my own home like a mililtary camp witha few bonuses thrown at me and a few carrot danglers of gunna have good fun together, good life together, yes hell go to paris with me , go camping together and make some planned structure expectations and boundaries to further the relationship. he then took me and bought me a frendship ring a cheap 50 dollar ring very nice, and it was the thought to me from a second hand store. then the next weekend he got ex drunk and abused me with words like go back to your husband, no one wants utc. then that weekend he took of to his safe house as my gut feeling new he was there , so i waited for him there and drove up behind him when he went into the other womans house and i jmped out and said over and put my hand lup andt then ran off inthe car. ifelt mortifiied my whole lifes experiences cavingin ontop of me.what do think an how do you see this situation. is it a combinationof naricissm, aspergers, liar, cheater, alcholism, contrtol and co dependecy. ### REPLY: Hi there ~After reading your entire story, it seems to me like you are both in a relationship that feeds off of each other emotionally, psychologically, mentally and physically. It might not be the best relationship for your or for him, but there might be no alternatives, since you do not seem to be leaving him nor is he in the decisive phase of leaving you. The family histories do not matter here, since you only describe hi family history and not yours. A good psychologist would be able to work out your relationships and guide you through the inconsistencies that you have had to face since meeting this person. However, setting boundaries and having rules might work in you and your other halves case. Substance use should be discouraged as it just complicates matters of the mind. I hope this helps, and you also seek the expert help of a psychiatrist for medications. 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 cousin brother have been suffering with Psoriasis from childhood , and have undergone a lot of treatments in allopathy , homeopathy , naturopathy , But didnt get a relief . Can you suggest me the best hospitals of india dealing with dermatology , and also the Foreign hosptials dealing with dermatology ? ### REPLY: Hi, As you said your cousin brother suffers from psoriasis... I would like to say few things about psoriasis.... Psoriasis is a chronic relapsing and autoimmune disease. You may be having scaly plaques on various parts of the body, scaly lesions on the scalp. Exact cause is not known. Genetic tendency, autoimmunity, stress, . .etc. may be responsible for precipitation and exacerbation of psoriasis. You consult dermatologist for firm diagnosis and treatment. I usually recommend cap accretion 10 mg twice a day along with methotrexate 15 mg weekly in three decided doses 12 hourly...for psoriasis. This may be taken for long time till good response. Blood tests may be done to monitor the treatment. For itching, you may take antihistamines like levocetirizin... Avoid steroid, as there may be severe flare up after stopping it. He may apply mild steroid cream or calcitriol point on the lesions on the psoriasis lesions. He may apply moisturizer to improve the skin texture. Furthermore, he should avoid soap bath for few weeks. And he should be free of stress and worries as that might worsen psoriasis. He might get good result. I hope you got my answer. Thanks. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My LFT Test Results: deranged LFT: Bilirubin , total 9 ; Alkaline Phosphatase total 73; Alanine Aminotransferase 111 What does the report indicate ? What is the condition? ### REPLY: HelloYour findings suggests increased bilirubin and SGPT level. Increased SGPT may indicate liver injury. It may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes etc. It may be due to hepatitis in your case as bilirubin level is also raised. You may need few more investigations like routine hologram, random blood sugar, lipid profile, viral markers, urine RE/ME, ultrasound of abdomen. I suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients. It helps in regeneration of liver cells. Get well soon. Take Care . ### END |
Subsets and Splits