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Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Dr. I am having sharp pains on my lower left side at the base of my rib cage. I looked at the interior diagram and it would be in the descending colon area. I am 49 and have not had a colonoscopy yet an am a non Hodgkin lymphoma survivor of 13 years. Should I be concerned there? ### REPLY: Thanks for your question on . In my opinion you should get done following tests.1. Chest x-ray to rule out pleural effusion as a cause of your pain.2. Ultrasound examination of abdomen to rule out any abdominal pathology as a cause of your pain. If both are normal than no need to worry much, It might be a simple muscular pain. So take painkiller and muscle relaxant. Avoid strenuous exercise and heavy weight lifting. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i have been having stitch type pain intermittently in my left chest area just below breast. i also have continual slight numbness in my left arm. sometimes slight pressure across my chest if i get a bit stressed. can you please advise if this is all stress related or should i be concerned about the short stabbing pains? ### REPLY: Hello, Most probably a gastritis and reflux disease. Do you also have upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, these are the other symptoms and may be associated? You should avoid fatty, oily and spicy diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You can get prescribed tab Pan DSR 40 mg or omeprazole risperidone combination before breakfast once a day for 2 weeks. If not adequately relieved, then you should add SYR sacral O or genus two teaspoon three times a day for a week. Also, let me know if you have any risk factors for heart disease like age, smoking, family history obesity etc. Hope this helps you and get back if you have any doubts. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 40 and my beard is already grey. I tried all most everything available in the market, Henna, Herbal powders or even Ammonia free but everything is allergic to me. My friends, relatives and Colleagues use various cheap brands with good results but Even the costliest brands make me have Skin boils on the cheeks. I look old in my friends company. Any treatment for people like me ### REPLY: Hi, Welcome to ChatDoctorColoring with dye is very common, but it is allergy to the similar chemical dye heal or dye always do a skin allergy test if allergic donor use product it may be costly or cheap. Any allergy and infection should be treated accordingly. It is more important to have healthy skin and I would advise kindly consult a good Dermatologist to if there is any other condition like diabetes need to be ruled out., for beard a clean shave may be an option. Take up healthy lifestyle do exercise daily and healthy and balanced diet will improve skin a lot of good and do not use alcohol, take 7 hours of sound sleep. 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: my right hand nerve is paining badly specilly whn i am in sleeping position ,pain starts right from elbow/small and ringe finger has heavy numness /less sensation / gripping power is reduced /not able to right .this problem is from last one month . rekha ahuja ### REPLY: Hello, As this looks like a nerve root entrapment due to which there is radiating pain. I will advise you to strengthen the neck muscles, shoulder muscles, and triceps muscle. This nerve entrapment can be considered as ulnar neuritis. And with the strengthening of the above-mentioned muscles will help reduce the pain. Hope I have answered your query. Let me know if I can assist you further. Take care 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: Found inflammation of small intestine during colonoscomy random, short dull pain. No symptoms dr did biopsy and found Ileitis, as there are no other symptoms he decided not to treat it now. Could it be a passing thing or the beginning of something, thank you ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have ileitis It is just an inflammation of ileum. Your biopsy is also negative. So no need to worry. If needed to take antibiotics and anti-inflammatory medicine. You will be ok within short time. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . Thanks for using . Wish you a very good health. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a skin rash that started on my chest & has moved to my neck & face. It does not itch but when i bath or get in a pool the spots turn a lighter shade. I had it as a child & was told it was a skin fungus from the sun. I was wondering what the medical name for this might be and if there is a way to treat it other than with a prescription medication? ### REPLY: Hi Kristin, It could be a fungal infection of skin known as satyriasis tricolor. It is usually asymptomatic and is usually localized over chest and back. At times face, neck or arms could be involved too. To treat the same you may apply ketoconazole shampoo over the affected area for 10 minutes and then wash off. You may also apply any antifungal cream like clotrimazole, terminating etc. to treat it. As dermatology is a visual field, it is always better to get a definite diagnosis prior to starting the treatment. Hope that answers your 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: I am a 44 year old male with cirrhosis. I was diagnosed three years ago. As you can imagine I have a number of problems. Recently, I was hospitalized for a GI bleed and it was discovered that my creatinine level was 31 and potassium level was high. The reduced my fluid medication, I was taking 100 mg of spriolactone they cut it to 50 mg. They kept my Lasix the same 40 mg a day. Now my fluid retention is bad legs (calfs and thighs) and stomach are swollen. I am having a hard time bending down to tie my shoes and breathing is difficult. I may need to have stomach drained, a procedure I hate but will endure if need be. Any ideas? ### REPLY: Dear Friend, You had cirrhosis and when you had upper GI bleed, you developed a kidney involvement too. Seems to be a part of Hepato-renal syn . You have an ASCIIs, it requires diagnostic evaluation to see for any infection in fluid. You should be cautious about using spironolactone as it can cause hyperkalemia. Your increased edema can be because of your deteriorating renal functions, I hope you have a good urine output. You need to build up protein in your blood (provided you don't have luminaria), if you should never be constipated. You need to get re-evaluation of your kidney functions, and diuretic dose adjustment is required. Stay Healthy ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: The right side of my chest always feels bruised and I have been coughing up mucous with bright red streaks.I have had a hard time finishing a sentence without taking a breath for about a year, I cant cry anymore cause it hurts to breath when crying. I have been addicted to cigs since I was 13 years old and am 48 now.I really want to quit but it is soooo hard. I feel like im dying. Are these signs of cancer ? ### REPLY: Hi, Thanks for writing in. Your symptoms require you to be investigated in detail for respiratory conditions. With a strong history of cigarettes you require a chest X-ray and CT scan immediately supported by blood and sputum tests. There are many other conditions including cancer which might cause these symptoms. It might be an acute infection like pneumonia or a chronic disease like tuberculosis. It might also be a slow infection like fungal pneumonia. Cancer is also among the causes and COPD must also be thought of with findings of clinical examination. Please consult a pulmonologist. Please try to quit smoking. Please do not worry. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been having right side pain for 2 months now along with nausea, fatigue and appetite loss. The pains range from sharp and stabbing, tearing, burning and stinging, mild to severe, My temperature has gone all the way down to 94 degrees and up to a fever. Some days the pains are not so bad but constant and other days the pain is so severe and I cant stand up straight and can hardly move. The pain gets worse with deep breathing, a lot of movement, being hungry, eating, some days I do nothing unusual and the pain gets super severe. I have had an upper abdominal Ultra Sound, An upper UGI with barium and they botChatDoctore out normal. The doctor said those were to test my gallbladder but they did not find gallstones. They have not mentioned appendicitis. I am wondering what is causing the pain. Thanks ### REPLY: Hello, Thanks for the query to . Forum. This is a very peculiar history. Nausea , fatigue, loss of appetite are due to PAIN. Now the nature of pain. Pain threshold is different in different persons so at present keep it a side. As temperature goes down i.e. 94 F i.e. HYPOTHERMIA. Hypothermia obscures most of the symptoms and signs of INFECTION, notably fever and leukocytosis. Excessive, extensive cultures and repeated physical examinations are essential. As I mentioned above Infection may obscure, so we have to consider for abscess in Liver in initial phase, tuberculosis of intestine, Kidney functions (MAIN EMPHASIS over this). Once again get in U/S whole of abdomen at least from 3 (three) different centers and then consult a doctor who will match these reports and adjudge what is the disease. Once again I would advise you please get in Blood for E S R (C B C). 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 dentist referred me to see an orthodontist to get my overbite examined, but because I turned 21 they won t accept me because I have a forward health card. My mom has tried several things to try and get me in to see an orthodontist but no one is accepting me. We don t know what else to do. I am really wanting to get my overbite fixed because my jaw has been hurting constantly and it has been causing me to get headaches . Sometimes when my jaw is hurting I can t even eat because it hurts to chew. My dentist made a night guard for me because he thought maybe the reason why I was having jaw pain was because I was grinding my teeth at night but now he doesn t think that is the case because I am still having jaw pain and I still am getting headaches from it. Is there anything else that you can think of that we should try? ### REPLY: Hello there.... Deep bite when untreated would lead to many problems such as loosening of your lower front teeth, receding of your gums with relation to the lower front teeth, this would occur because of trauma from occlusion...pain in front of the ears, pain the side of your head region, pain while you eat and clicking while open and close in few... Deep bite needs to be ad . .if the vertical relation has collapsed that has to be ad ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 pinworms and tape worm or round worm I know I have pin worm and there s another kind of worm when it comes out it s about 2 1/2 inches long and slimy and green looking is there a suppository or a procedure like a colonoscopy that can be preformed I have taken several medications for it and I am losing my mind I have had hysterical crying fits and I m almost 20 years old male. I am clean I shower and change bedding constantly. Please help.. ### REPLY: Mild pin worm infection, or an infection with no symptoms, may not need treatment. If treatment is needed, your doctor may prescribe medication to all members of your household to prevent infection and reinfection. The most common prescription anti-parasite medications for pin worms are Mebendazole and Albendazole. You may have mild gastrointestinal side effects during the course of treatment, and you often need to take at least two doses to get rid of the pin worms completely. Regards and take care ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi i have butterfly quivers in my stomach area and chest. Then I. Feel tingling and down my arms and legs. My mom felt the same when she was diagnosed with pancreatic cancer. Help ### REPLY: Hi, Tingling sensation and numbness in all four limbs mostly is due to vitamin B12 deficiency. Get yourself checked for blood levels of vitamin b12. B12 is responsible to maintain nerve tissue and its deficiency due to its lack in one's diet or any other reason is responsible for this tingling sensation and numbness. If its level is low in the blood then supplements in the form of tablets like Mason, sublingual, daily for one month is needed. Hope I have answered your query. Let me know if I can assist you further. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I started getting sharp piercing pains in my left elbow about 4 hours ago and now they are happening at the same time as a sharp pain in my left chest area almost near the armpit...its consistant with muscle pain but I cant pinpoint the exact point of the pain...should i go to the ER? ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, possibility of musculoskeletal pain is more. But better to rule out heart diseases because left sided chest pain is common in cardiac diseases. So you should definitely consult ER (emergency room) and get done ECG and 2d echo. If both are normal then no need to worry about heart diseases. Your pain is mostly musculoskeletal in nature. So avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Avoid bad postures in sleep. Start painkiller and muscle relaxant . Apply warm water pad on affected areas. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was diagnosed w/ intercoastal myalgia. I had 3 cortisone injections at one visit and 7 at another. the last set was 7 days ago and the pain can subside but all day I have been nauseous and in intolerable pain. It is located under my ribcage, goes from front to back. ### REPLY: Hithank you for providing the brief history of you. As you are having intercostal myalgic and already taken the cortisone cortisone, now you need to focus on the costal breathing exercises to improve the muscle strength of the intercostal muscles. The weakness in the intercostal muscle can be due to any of the past lung pathology which needs an assessment as well. Also, in my clinical practice most cases with intercostal muscle spasm are treated with therapeutic ultrasound therapy and exercises. Majority responds 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: Greetings sir,I am 32 years. Last 5-6 days I affected by Viral fever and my blood report shows my Alanine Aminotransferase (ALT) is 92, ESR is 38 and Monocytes is 18.8. Is there any problem in my health.. Right now i am taking Levofloxacin Sandoz 500mg, Paracetamol 500mg, Xyzal (Levocetirizine 2 HCL) 5mg. Please advice how to reduce this high counting and the problems of this high counting?Thanks in advance. ### REPLY: HiT hanks for askingLooking at your reports and complaints, my opinion is 1. Raised monocyte counts is indicative of viral infection. It will settle to normal levels once your fever comes down.2. ESR increase occurs with infection/ inflammation. So it takes some time to settle.3. Increase in enzymes are also related to infective process.4. Do not bother much about the counts as they are not significant. Hope this helps ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi - my son is 5 years old, he has been having cough for last 3 weeks, yesterday went to doctors office. They have given amoxycillin as he has pain in his body/ head ache & mucus. He is feeling restless, seems he is feeling heat in his legs. He has taken the medicine twice today. ### REPLY: Hi, Amoxicillin is an antibiotic which means that the doctor has found a bacterial infection. If the child suffers from body ache and headache you can give him acetaminophen or ibuprofen syrup every 8 hours to resolve the body ache and headache. If he is having cough with phlegm then you can use a cough expectorant as Murine. You can also use a cough suppressant as Dextromethorphan. 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 this is wendy here, age 32, female, height 1.62m, weight 56kg. im an asthmaic since i was a child. 2 days ago, i feel my left side chest pain and abit swell. Today, i start to feel pain when i breathe and i have shortness of breath.. pls advise me about my condition thanks ### REPLY: Thanks for your question on . I can understand your concern. Chest pain and shortness of breath in asthmatic patient is mostly due to acute exacerbation of asthma. So we should definitely rule out acute exacerbation of asthma in your case. So 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 out lung infection because lung infection is the most common cause for worsening of asthma. PFT will tell you about severity of the disease and treatment is based on severity only. You will need inhaled bronchodilator (formoterol or albuterol) and inhaled corticosteroids (ICS) (budesonide or fluticasone). 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 baby boy is 8 weeks old & I am breastfeeding him & supplementing him w/Enfamil. He has been wanting to nurse for over an hour & still doesn t seem satified, so I started to just pump & give it through a bottle for the last 4 days. But I am unable to give him only breastmilk so he is getting about 2-3 4 oz bottles of enfamil a day. The last few nites he has been very fussy in the evening. He just doesn t appear to be comfortable or satified. This morning I noticed a small raised rash on his face. Could he have a milk allergy? And do you think I should switch to a soy based formula? ### REPLY: Baby is nursing for longer than usual. If it is going on since birth, look for latching. If baby is not latched well he will not be able to . So correct your positioning and latching. If it is just since few days it may be due to growth spurt period when his requirements suddenly exceed supply. In that case continue breastfeeding, have patience. Your breastmilk supply will adjust to baby needs. 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 will be 77 yrs old in less than 5 mos. For the past 6 wks I have had pain in the hips and low back and it got so bad for 3 days I could not walk. I thought it was fibro but it did not act the same way. I have tried heat, celebrex and aspercreme. I get swelling in right foot. I have stints at kidney and abdominal aorta. ### REPLY: Hi, thank you for providing a brief history of you. The age you mentioned and the stents you mentioned are the things to look into for any possible vascular compression in the body, which can be ruled out by simple tests. Gets assessed by a physician and possible advised diagnostic test will give a close clear picture for coming to conclusion. Doing a self-medication is never advised and if done and is not working then of course you need an expert to help you. I hope you will understand that nothing harm in meeting up a physician and take guidance. With the grace of god I wish you a good health. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I lived in bangalore from 1990 to 2008 and had accute bronchitis. I took several treatments but did not help me, several doctors suggested that it is due to polen grains in the air, which i was allegic to. In year 2009 i relocated to Delhi and I have absolutely no problem of bronchitis. Unfortunately i am transfered back to bangalore. I am feeling short of breadtChatDoctoring back to bangalore. Kindly help what care should i take here? ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, you are mostly having allergic bronchitis. Environmental allergens in Bangalore is causing you these symptoms. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system2. PUT (pulmonary function test). PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. You will improve with inhaled bronchodilator (formoterol or albuterol) and inhaled corticosteroids (ICS) (budesonide or fluticasone). Combination of antihistamine (levocetrizine or fexofenadine) and anti-allergic (montelukast) . 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: Hi, Im in need of some help, please. A few days ago I had what the doc at urgent care called tonsillitis and prescribed amoxicillin. About a day into the course, all my symptoms cleared up (fever went away, sore throat went away, etc), but my right tonsil started hurting pretty badly. Several days later Ive still got this terrible pain in my right tonsil...its a sharp, stinging pain that feels almost like my tonsil has been injured (scratched maybe?) or almost like swallowing glass. My ear is kind of bothering me, too. As I said, Ive got no other symptoms...and while I have larger tonsils anyway, the right one isnt particularly swollen and its not red. Please help! ### REPLY: Hello, Thanks for consulting , Read your query, as you have sore throat, painful tonsils this can be due to throat infection you can take medication like Azithromycin (if you are not allergic) for three days, you can take one Capsule vitamin B supplement, Do warm saline gargle two - three times a day. If your pain continues you won't get relief after taking medication then consult physician or ENT specialist for examination of throat. Hope this will help you. Wishing you good health. Regards ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: good afternoon doc , my aunt is suffering with breast cancer from 15 yrs.now admitted in YASHODA HOSPITAL HYD. the doctors told that tumour cells have spread to entire body including brain. plz will u tell us how to get admitted in this instute.is there any treatment avalable ? patient age :48 ### REPLY: Hi, dairy have gone through your question. I can understand your concern. She has breast cancer with brain metastasis and metastasis in other part of body. It is stage 4 cancer. Surgery is not useful in this stage. So treatment options are chemotherapy and radiotherapy. But it will not cure the disease. It just works as palliative therapy. Despite all treatment prognosis remains poor. Life expectancy is not good. Sorry to say but it is fact. Consult your oncologist and plan accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . Thanks for using . Wish you a very good health. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have developed this rash where every time I go out side doesn t matter what weather after being out in it for 10 min I get a rash appear on my neck and face . I go bright red and very warm my neck gets very itchy. As soon as I come back in doors It disappears after 20 mins. Yesterday was worse as ur was windy and pretty cold . Please help its driving my mad and it s very embarrassing x ### REPLY: HI, Welcome to . Based on the description given, you might b suffering from Solar Urticaria. It is a type of physical Urticaria occurs commonly due to exposure to UV rays and sometimes even visible sunlight (Photoallergens). UV radiation can be present in all kinds of weathers. It depends on the area where you reside. If you are living in an area with less ozone layer covering or an area of high altitude, then the chances of UV radiation is high. Apart from the environmental factors some people have skin sensitive to UV rays. The rash develops with in a matter of minutes and would disappear once you are indoor (it might take 10 mins too few hrs). Rash is commonly seen on exposed parts that is why you are experiencing rashes on face and neck. There are various modalities of treatments like antihistamines, desensitization, immune suppression etc., Please see a dermatologist and take his advice on the type of treatment that suits you. Wish you a healthy life 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 itchiness and odd brown discharge after using monistat 1. I had some itching and white discharge before using monistat and the day after I began using the medication the discharged turned to a frothy pink and after 3 days I was discharging what appeared to be large blood clots. Now I am 8-9 days past inserting the monistat and the itchiness is coming back. This was my first yeast infection and I had some severe itching following my gallbladder removal surgery one month ago. Any ideas on what is wrong with me? ### REPLY: Hi, Headache, vaginal or urethral burning, itching or pain, or lower abdominal cramps may occur with the use of monist at. Itching may increase in some women after insertion of monist at.Long-standing fungal infection can occur due to immunosuppression. Diabetes is an important cause of immunosuppression. Kindly check your blood sugar levels. I would suggest you to switch to oral antifungal . Take care. Hope I have answered your question. Let me know if I can assist you further. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, Good day! I just wanna ask about the symptoms that I m having right now. I m not sure if this is just a simple swell or anything else. There s a little lump that has developed on top of my left foot and I feel a slight clicking sensation which is painful and I m noticing that my nerves and veins have swollen, and the pain is worst at night when I m about to go to bed. I m not also comfortable walking or even standing due to the clicking sensation. Can you please advise me what to do or maybe tell me what is this. Thanks! Rolly M. ### REPLY: Hi! Thanks for sharing your problem of the lump like swelling on your left foot with team. After going through your description, I feel, if I were your physician and had examined this swelling, or I can visualize, this could be: 1. Degenerative bone changes leading to minor crack/fracture in the distal bones2. Tendon inflammation or tendinitis3. Gout or spur4. Soft tissue infectionTherefore, it is not really a thing for worries, but needs medical attention, an examination, x-ray and rest of the said part of your foot! 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 wonder if u can help me,my son is 3 years old and his tongue has been suffering with pink circles of course not painful for 8 months,we got medicine but they are still there on tingue,what i the problem?and what should i do now?what problem is this? ### REPLY: Hello there, Thank you for posting your query with , First, will it be possible for you to send us pictures of the pink circled lesions that you see on your sons tongue please. I would really appreciate that. Sometimes, these lesions have a hereditary reason to them, and they usually resolve by its own. But as a parent I can understand your concern as well, From my experience I will advise you to keep an eye on them, change in color, size or shape. If you have any further queries kindly write back to us, we will be happy to answer them. Have a great day, 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 was diagnosed with soft tissue sarcoma in January. Surgery was done to remove a tumor on my upper right rib. They told me they got it all, and I return to see them every four months. My problem is that I have ran a temp of around 100 for two months. The last two weeks I have experienced strong to severe pain across my shoulder blades. It feels like my lungs hurt. My family doctor has given me antibiotics and still the fever persists. He did a chest x-ray and said it was normal. I feel like I get light-headed and could collapse. ### REPLY: Hi, Soft tissue sarcoma has got various subtypes. Treatment of soft tissue sarcoma depends on grade. High grade soft tissue sarcoma may need adjuvant radiation therapy and chemotherapy. Anyway your treating physician will guide you better. Malignancy often associated with fever, but other infective causes to be ruled out first. You should ask your doctor for testing your routine blood parameter. Type of fever should also be noted. Fever chart may be helpful. Consult your doctor. At present, it is not likely to be associated with malignancy. 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 husband, 48 years old, runs 4-6 times a week, eats healthy had malignant melanoma removed three years ago.....it hadn t spread. They mentioned doing a chest xray but never did one. Nothing else was done. He goes in twice a year for derm. checks. The past 2 weeks he s been very fatigued and going to bed very early. Not stressed! This morning he woke feeling dizzy, sweating and dry heaving. He couldn t stand up. The only thing that sorta worked was laying on his stomach. He thinks veritgo, which runs in his family, but I m wondering if it could be a reccourance of melanoma.... Thank you ### REPLY: Hi, Yes, possibility of recurrence/secondaries of melanoma can not be neglected and should be traced for earliest. Please meet his doctor and get him investigated to exclude or find the problem. After checking his general condition to be normal, an advice of an ENT specialist should be taken for getting needful treatment plan for vertigo. Take care. Hope I have answered your question. Let me know if I can assist you further. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi , my girlfriend was diagnosed with bronchiectasis 5 years ago , now is 25. We want to have a baby but i am not sure..how dificuld can be for her to be pregnant with this desease? Sometimes she has blood and takes antibiotichs..is this desease very dangerous , if we care ? I would appreciate your feedback ### REPLY: Thanks for your question on . I advise you to consult pulmonologist before planning pregnancy and get done1. HRCT thorax2. PUT (pulmonary function test). Both these investigations are needed to know about extent of the disease and functions of the lung. If only small part of lung is involved and PFT is good in terms of lung capacity and reserve than no need to worry much. She can be pregnant before fear. But if large part of lung is involved and lung functions are highly compromised than pregnancy can be dangerous. So better to consult pulmonologist and discuss in depth about these. You can also give her respiratory vaccines like pneumococcal and influenza before pregnancy to prevent future lung infections. Because respiratory infection is the most common cause for hemoptysis (blood in sputum). ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor. My son is 3yrs old and feequently suffers from runny nose and cough and chest congestion. Doctor has given Montair 4mg for 3 months. Now that medicine has been stopped and advised him Budecort 100 (one puff, two times) for 3 months. Are these medicines safe at an early age? How frequently can I give him Zyrcold syrup for runny nose? ### REPLY: Thanks for your question on . I can understand your children situation and problem. By your history and description, possibility of allergic disease is more in your sons case. He might be having allergic rhinitis and allergic bronchitis. Best treatment for this is identification of allergen and if possible complete avoidance of it. So avoid dust, pollen, chemicals etc. Continue montage and decor. These are first line treatment for allergy and no harm in giving him. These are safe for long term use also. So you can give them without fear. Recurrent viral infection with Influenza virus also trigger allergy. So give your son annual Influenza vaccination to prevent recurrent infection. Hope I have solved your query. Wishing good health to your son. Thanks. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Ive had a small whole in my upper gum on the right side ( if you push your tongue as far as possible between the gum and the lip) and ive had it for about 3 days now. Around the hole is red and swollen and it is sore to the touch and also when any liquids or food touches it it stings. What could this possibly be, should I be concerned? ### REPLY: Hello and welcome to , A hole like lesion on the gums with red and swollen margins and pain on touch is suggestive of an ulcerative lesion. Ulcer can be formed by irritation, erosion, trauma, etc. A clinical examination of the lesion is required. A tissue biopsy also needs to be done. The biopsy needs to be examined microscopically. It is important to rule out development of cancer in the lesion. Development of cancer can be determined by microscopy. Management of the lesion will be decided after examining the lesion microscopically. Thanks and take care . ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 40 years old and had a heart attack in Nov 2010 in which I went into cardiac arrest and flatlined over 5 mins. Since then they have found that I haved gastritus, ulcers and gallbladder functioning @ 24%. I previously been diagnosed with antibody difenciency and IBS. The surgeons wont touch the gallbladder or do a colonoscopy due to I have had polyps removed in the past and if they found them could not remove them now. I have 10 stints and on blood thinners. Still having chest pains and abdominal pain. Cant eat without pain. Dont know what is going on or where to go next. ### REPLY: Hi and welcome to . Thank you for your query. I am , I understand your concerns and I will try to help you as much as I can. There is no specific reason for something like this and gallbladder which is evaluated with HIDE scan may show such results even if there are no stones or polyps. The best solution would be to perform cholecystectomy, and it may relieve your pain and difficulties permanently. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. . ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I recntly found a lump in front of my right ear. It doesn t hurt but it is sore right above my ear when I press on it. It certainly feels like its gone down in size but I can t help but worry. I called the ENT and made an appointment. Should I be worried it is some sort of tumor? I m a little scared. ### REPLY: Thank you for asking . My name is . Well, every lump we see is not malignant. There are several differentials for this lump. You should visit your physician must for proper evaluation as in most of such lumps, diagnosis is via clinical examination. Once you have established the diagnosis then you can get proper treatment, but you should not get scared before even knowing the nature of this lump. Hope this may help you. Let me know if anything is not clear. 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 85, and have edema in both ankles and my doctor recommends pressure sleeves instead of stockings(too hard to get on w/severe arthritis in hands) and I have an irregular heart beat from a recent EKG. Do I wear the pressure things on legs for the rest of my life? ### REPLY: Dear patient what is the reason for ankle edema? If exact cause is known then treatment can be given accordingly. If ankle edema is due to varicose veins then lower limb stocking will help. If ankle edema is due to hypertension proper control of blood pressure will reduce edema. So you need not wear pressure sleeves all the time, but your physician can help in diagnosis of cause and hence 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: I fell off a foot stool last night and fell a pop in the back of left leg. Knee and hip do not seem injured. The soreness and swelling have traveled up my leg. Difficult to walk, though it appears better than last night. I an laying down and icing area. Should I do something also? ### REPLY: Hello dear, The symptoms as mentioned in your post can be attributed to musculoskeletal injury.X-ray of the affected leg will be helpful to rule out any fracture or other pathological causes. Symptomatic relief can be obtained by heat therapy, application of analgesic & muscle relaxant gel, intake of analgesics like Diclofenac (to be taken after food) + Pantoprazole (to be taken 30 minutes before meals). Supplements of Calcium & vitamin D can be included in diet which will help in strengthening of bones. Physiotherapy exercise will also be helpful. If symptoms still persist, kindly consult an Orthopedic for proper clinical examination. Also, maintain adequate HY . Wishing you a Good Health. Take care. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am having sharp pains beside my left shoulder blade, get worse when I move a certain way or I breathe in, this just came on suddenly. the only thing that seems to help a little is put my hand on the opposite shoulder, & i am also experiencing tingles in it. ### REPLY: Hi, I think you suffer from inflammation of the left shoulder joint or inflammations of the origin of the muscles and ligaments forming the joint and so as a result of the continuing use of the joint, resulting in compression of the bone-forming the joint on the ligaments and ms. with rising up of the arm may be extremely painful. You must get an x-ray and MRI scan to detect the defect and further investigation like ESR, and CRP. You have to take some pain relievers and anti-inflammatory with no moving the arm for at least two weeks with arm sling, and you will feel completely comfortable. Hope the above information helps you. Any further clarifications feel free to ask. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I am 34weeks pregnant and about a week ago I started getting excruciating pain at the top of my abdomen on the left hand side, the pain is in an area about 2 cms long- it feels very much like a hernia , which I have had in the past. I have been reading online about inflamed rib cartlidges, is this something common in pregnancy? The pain is so bad I cannot lay downor touch the skin within that small area ### REPLY: Hi welcome to forum. Thanks for choosing . F. You are a pregnant of 34 weeks, Last week you got pain at the top of abdomen and to the left side. It might be hernia or gastric pain, or pain of funds of uterus. I advise you to consult a surgeon for diagnosis and treatment. You may have to undergo gastrostomy, and M.R.I. for confirmation. Wishing for a quick recovery. Best regards. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had an accident 3years ago .The car pulled me back word from d left low heel. they done me graf tin my county. in my low heel.I have just done d fullknee rirplacement in England. It was a progress. But the low heel is still in pain when I walk with the crouches.Can it be the tissues?Thank you ### REPLY: Hello, As this pain is due to the past injury. As due to weight-bearing there will be a compression over the tissues leading to pain. I will advise undergoing a complete knee replacement rehabilitation program which will help the muscles of the lower limb to be stronger and avoid the additional weight over the heel. 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 fever last week but only for one day, because of stomach pain after that next week again fever come and first day temp is goes upto 101 F and second day goes upto 103 after that it low down on 3rd and now no fever,My widal test report shows to-1/80 and th-1/160 and doc give me azythromycine tab,pantop and isabgol .i have 97.4 F fever now bt sometimes pain occur in forehead and there is itching in my stomach whenever i eat spicy food and than fever also comes, so plz tell me is this serious condition of typhoid ### REPLY: HIT hanks for posting your query to . See Typhoid without fever is less likely. Presently you don't have any fever. SO I personally don't feel you are having Typhoid. You can take a paracetamol for your headache and Rabeprezole for stomach Irritation. If in case there is any fever, you should get IGM Ty phi Dot test and revert. Any clarifications or Queries feel free to ask. Happy to help you. Regards. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I fell while riding my bike, I punctured my knee, and a couple inches below my knee I had a large area of swelling. It has decreased, now it is bruising and my ankle is swollen. I can walk and have been taking ibuprofen and icing it. Its tender to touch and my toes will tingle ### REPLY: Hi, I value your concern regarding the symptoms. I have gone through your symptoms, and in my opinion you seem to be suffering from infection. I would advise you to consult an or tho doctor, and get the screening done and the tests that he orders. 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 you good health. Special note-Any medication prescribed needs to be taken after consultation with your personal doctor only. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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... ok... here it goes.... When I was 11yrs old, I had a bike accident. From 21yrs old on, I have had multiple procedures to deal with my urethra stricture. 5 yrs ago, I had surgery. From that point on, I have noticed that my perineum tends to get swelling when I get an erection. The swelling begins before the erection begins and lasts longer than the erection does. It does not usually hurt. My last procedure was in 11/13. It was a dilation. This Morning (6:30am), when I ejaculated it was v. painful... after I could not urinate, when I tried it was v. painful (tried 2xs 8am, 10am). The pain lasted a while (usually my painful urination stops when the urination stops, for some reason the pain today lasted between 30mins for the first urination and an hour 30minutes plus for the second). At 10:30am, I took a cab to the emergency room... during the ride, I noted that my perineum was still swollen and I had to hip sit and I also had to walk bow legged into the hospital. (the head of my penis was also hurting). At 12noon, I was able to urinate a little (dribble stream with pain). At 1:30pm, I again urinated but the flow was less, pain was same. I believe that perineum was still swollen but it was not on my radar. I told I would have to get a Suprapubic catheter and had decided to have the procedure the next morning. While I was waiting to get admitted, at 3pm, I urinated and my flow normal (my normal) and with pain (still my normal). I also noticed that the swelling in my perineum was also gone. I decided against the procedure. I have urinated once since being home. It was again my normal flow. Am I crazy to connect the two and any ideas on why it is swelling. I spoke with one of the urologists and he didn t seem to think they were connected. In truth, I have never brought the topic of the swelling up with any of the urologists I have worked with over the last few years because it never occurred to me. We are now talking about a urethra re-construction but if this perineum thing is contributing to my urethra problems and could be fixed with a less intrusive procedure... (and buy me some time)... that would be great... again thanks... ### REPLY: Hi. Thanks for to elucidate self-explanatory history. The perineal swelling along with the erection is suggestive that the part of the penis root has been herniating through the weakness of its covering. Secondly the other swelling you developed is suggestive of the diverticulum of the urethra, most probably developed due to stricture or the procedures blocked the out flow. I think the correction of this swelling is also a part of the next procedure. The easiest way to diagnose this is arthrography to outline the urethra. This will help plan the nest procedure 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 i have psoraisis for 27 years and beginning of this year it has flared up alot.ive also become diabetic.my legs have gotten worse, they sometimes get red an is painful. it has also started to come on my back. i need to know what i can use to reduce this flare ups and lighten the scars esp on my legs ### REPLY: Hi, You are diabetic, and you have relapses of psoriasis for last 27 years. I hope you might be taking regular and proper treatment of diabetes. Psoriasis is a chronic relapsing and autoimmune disease. Never take steroid as it might worsen diabetes as well as psoriasis. I usually recommend cap accretion 10 mg twice a day along with methotrexate 15 mg weekly in three decided doses 12 hourly. This may be taken for long time till good response. Blood tests may be done to monitor the treatment. Apply mild steroid cream or calcitriol point on the lesions. Avoid stress and worries as that might worsen psoriasis. 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: Age 60 yo female. I have terrible varicose veins and a couple of days ago, I noticed my ankle was very itchy. Today very red area and sensitive to touch, almost like a burn. Wondering what I can do or just leave it alone. This is on the outside of my ankle where I have a lot of superficial blue, purple veins. ### REPLY: Hi, I understand your concern. 1. Itchy ankle is due to non circulating blood in the lower legs as you have noticed varicose veins. 2. Anthologist to consult as soon as possible and to run Doppler ultrasound of legs blood vessels to locate the blockage and treat adequately. 3. For the moment, I advise to:- keep your legs elevated as much as you can-when sleeping, elevate you legs more than head direction to help blood move-apply heparin cream locally-take divine to shrink the blood vessels 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: One or two days before my period, my left foot burn, tingles and ache a lot to the point I can walk on it. Once my period start the pain decreases and disappear. I have also noticed some bruising on the lower left leg right above my ankle which is sore to the touch. ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have burning sensation and tingling in foot before periods. Well there can be many reasons for symptoms you mention in query like radiculopathy, cervical spondylosis, herniated disk, peripheral neuropathy, neuralgia, multiple sclerosis, vitamin B12 deficiency, hyperparathyroidism or hormonal imbalance. I would suggest you to consult gynecologist for proper examination. Doctor may order blood test along with other test to confirm the diagnosis. Doctor may give hormonal therapy or refer you to endocrinologist for thyroid problem. 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: dr, i have some problems in my anus. after consulting the doctor , he said that it is hemerhoid gr1 and he didnot gave any medicine.he said that it will reduce automatically. after 1 year now the grade moved to 2. this time i got the osil cream. is this is the right medicine for piles? ### REPLY: Hello, Let me tell you that the prescription of medicine depends on the severity of your symptoms. If you have hemorrhoids with only pain then oil cream has been correctly prescribed. But if there are other symptoms such as bleeding as you will have to specifically mention it. You should always make it a point to not strain while you defecate as straining will worsen your symptoms. You should . Furthermore, you can also get back to your doctor for further help. 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, may I answer your health queries right now ? Please type your query here... The right side of my gums and teeth hurts, right side of my glands is swollen, I cant swollow properly because of the pain im in. I have ear ache, and head ache on ride side of my head. ### REPLY: Helloo...read through your query and accordingly I must say that it can be due to viral infection since all symptoms are confined to a particular side(in your case right side)nothing to be worried be cool...I suggest you to meet an ENT surgeon or physician and get it treated.(after going to a dentist and rule out infection in the teeth or oral cavity)meantime you do salt water gargle as many times as possible...be cool and calm...viral infection(if at all present)can be treated symptomatically...happy and cool mind can combat any infection and disease in life...hope u r benefitted something from this reply.have a healthy day!!! ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 62 and I suffer from lower back pain in L4,L5,L6 region. Six months ago I was advised operation by the Neuro surgeon. However my physician has advised against operation. The pain is acute and was advised Ace-Proxyvon whenever I experience acute pain. I also use a heat pad that helps and use a Lumbar Belt. Please advise ### REPLY: Hi, thanks for using Ace Procyon is a combination analgesic medication that contains acetaminophen and diclofenac. Your options are continued medical management or surgery. The decision to have surgery or continue medication and therapy is up to you, you have final say. You should consider the pros and cons of each treatment option, it would be important to determine why you GP does not agree with the surgical option and discuss his or her concerns with the neurologist who might be able to give better insight. I hope this helps ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i underwent a cautery procedure for my syringoma.after a week, the scabs peeled off and left reddish swollen lumps. it s almost 3 weeks since the procedure was done but the reddish swollen lumps are not disappearing and it seems that they don t even shrink. are these already scars or not? will they still disappear? thank you very much. ### REPLY: Hi, Thanks for query to My virtual Clinic And welcome to services. I studied all details of your query. I understood your health concerns about reddish lump after electrocautery of the syringe. Based on facts of your query, it seems that-your syringe(Bump of sweat gland) is partially removed and would require another session of electrocautery, till it is completely removed. If you want to avoid second session of electrocautery, You have option of using wart removing lotion or cream(OTC), which you can use. The resultant wound would come to normal in 6 months time. You have option of Laser ablation of the Syringe, for which I would suggest Second opinion from Dermatologist. In this situation I would suggest taking Second Opinion from Dermatologist before planning further treatment. Hope this reply would help you in resolving this complex query and anxiety with it. This would help you to plan treatment with your Dermatologist. I would appreciate if you hit thanks and write excellent review comments to help needy visiting patients at . Welcome for any further query in this regard. Good Day!! . N.M.S. Genl- CUTS. Senior Surgical Specialist. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 hard erection. if i press the tip of my penis it is softer when it is erected. i am 44 years old. and inter course does not last more than one minute.I have a problem that i anticipate insults and turn offs from my partner as she has been doing since 14 years. What help please ### REPLY: HelloThanks for query. Based on the facts that you have posted you are facing problem of Premature Ejaculation which leads to conflict with your partner. Intercourse is an act to achieve sexual satisfaction for both male and female too what is called as Orgasm. Man gets orgasm as soon as he ejaculates while it take time for woman to get organ, and she gets it when the intercourse is prolonged for reasonable period of time. In such a situation premature ejaculation makes female partner to be unsatisfied and unhappy resulting into bitterness in relationship. The cause of Premature ejaculation is mind related and due to performance anxiety. Consulting (Both of you) a qualified Sexologist will help to resolve the issue. He may suggest modifying sex techniques like Start and Stop technique or Squeeze technique. Taking Sidewall (Viagra) will help to get sustainable hard erection to prolong the sex and will help to have enjoyable sex to both of 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 had a polyp removed 10 days ago with hysteroscopic. I am a swimming teacher . My gyno said I didn t need to miss work and could use a tampon. Did this 6 days after surgery and out came a big clot and it increased bleeding for a day. Rang gyno and he said to ignore it and put in another tampon. I did what he said two days later And this time clot double the size and I am now getting more bleeding than ever before. It s now 10 days post op.i don t want to use tampons whatever he says but am worried I could now have an infection. Can t ring him as it s now weekend. ### REPLY: Hello, Thank you for your contact to . I understand your health concern, if I am your doctor I suggest you that lampoon use is necessary in your condition. It will give pressure to the bleeding vessels and bleeding will be stopped. There is a chance of infection in you also. I advise a swab taken from the clotted blood and do Grams staining and culture sensitivity from it. If the organism is pathogenic you should start treatment according to the report, and you will be improved soon. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at . ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello I am currently 35 and a half weeks pregnant and 4 weeks ago I had a routine urine test done that came back with a trace of protein in the urine. My midwife had the test sent off to check it however it came back as nothing. I then went to the midwife again who said there was protein plus 2 in my urine and possible growth however when the sample was sent off it came back as nothing this happend for a third time however I rang up on the day of results complaining that I had symptoms of uti just to be told it had come back clear of all infections. Earlier this week I was taken to hospital with bleeding and extreme pain they did vaginal swabs and urine test I am now in excrutiating pain and have been told the swabs haven t yet come back but the urine test has come up with growth so I need to repeat it. I feel as though I am going around in circles and am still in constant pain which results in me hardly being able to walk. Until the test is repeated and I have all my results back no treatment will be given and now the weekend is approaching its going to be well into next week before something can be done. What can I do to get me through the weekend possible remedies other than taking paracetemol every four hours is there anything I can do at all and what is this likely to be could it affect my unborn baby please help. Thanks in advance ### REPLY: Hallow Dear, I indeed empathize your situation and sufferings. Urinary colic, particularly kidney pain is excruciating and very difficult to tolerate. Since, now you are under investigations, your doctors do not want to start any treatment till the diagnosis of urinary infection is confirmed. Then, may be your urine will be sent for culture and sensitivity test which will identify the causative organisms and the antibiotics to which they are sensitive. Accordingly, you will be put on antibiotics. Meanwhile, you should not suffer from the pain. Phenazopyridine (Pyridacil or Pygidium) is a specific urinary analgesic which gives relief from the urinary pain. You may take these tablets - even two tablets three times a day is OK. This medicine changes the color of the urine to red color. Please do not be concerned about this color of the urine. It is due to the color of the medicine. Also, . This may give you some relief from the urinary pain. Urinary infection, particularly during pregnancy should be taken seriously. It may lead to rise in blood pressure also. Please monitor the blood pressure. To keep the baby safe, you should maintain your blood pressure under 135/95 mm of Hg. Also, please keep a watch on the fetal movements. Please keep a written record of fetal movement count. Baby should move around 10 times in 12 hours. If you find the movements count lesser, please report to the Obstetrician ASAP. I feel this would give you some symptomatic relief. For cure, you will have to take course(s) of appropriate antibiotics. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 8 year old has had a cold now since before Christmas. No fever, just congestion, cough. Last night she told me her left ear was hurting and suddenly she was able to hear herself very loudly out of that one. This morning there is no pain just same difference in level of hearing. ### REPLY: Dear friend, The ear on that side is probably blocked from within by what is called a serous Otis media. The spelling is "serous", not "serious". It means that the ear gets inflamed with watery liquid filling up the middle ear, the reason being the earlier cold that she had. This normally resolves on its own as the cold resolves, so no treatment may be needed. However, if the problem does not subside within a week, take her to the ENT doctor. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Sir, I have lot fear and inferiority complex in my childhood, Now i am 29 year old. I am working in gulf country in good job even though i can t come out from my problem so i planned to get a advice from psychologist. Can you give a advice and tell me a concern person in coimbatore. ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. I think you do not fear but apprehensive and anxious. Apprehension is worrying about a future event. Anxiety is feeling yourself in a worrisome future event and fear. Inferiority complex is just a feeling. In fact, you are inferior to others. Understanding self should solve the problem. For fear, anxiety etc. you should consult a psychologist. I am nearby Coimbatore. In Fact, Alaska, Kerala. You can post a direct query here in this website for me. Otherwise, you can fix an appointment with me through direct query option. Hope this answers your query. Available for further clarifications. Good luck. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have an anger problem, what drug could I obtain to reduce the chance of experiencing an anger episode? I would be grateful if you could provide me with information in regards to the correct and effective drug, currently on the market? Thank you and regards, Ben Lambotte ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. I do not understand why are you searching a . Anger is an emotional outcome. There has to be reasons. The reasons are either controllable or non-controllable. If the reasons are controllable, then control the reasons. If the reasons are non-controllable, ignore the reasons. I can assure you, if you try to control anger, that becomes a problem in the future. And medicines also are not that effective. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have very dry patches appearing suddenly on my body. My knees, foot, ankle. They dont itch or hurt and are not red. Just very very dry rough patches. Should I be concerned? I live in Florida but havent been out in the sun much this summer. Thank you! ### REPLY: Hello, Thanks for the query, Probably you have developed psoriasis. Your description matches with that. Psoriasis cannot be totally cured. It can be only controlled. You can use steroid creams to control this. Please meet a dermatologist for exact diagnosis. And get the medication prescribed. Let me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.http://www.ChatDoctor .com/doctors/ . ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mom is 98 and has dementia. She is only on pain management at this point. She ralllied during hospice care and is no longer a hospice patient. We noticed this morning a worm( blackish gray) 1/2 in long curled up in half circle. Is this for real aor are we awfulizing. The urine was very thick and strong smelling. What do you think? Thanks, Brad My Email is YYYY@YYYY I apoligize, but I did not realize this was a pay sight. Im sorry to have bothered you. Brad ### REPLY: Hi there ~I understand that you saw a blackish gray 1/2 inch worm, but you do not mention where you saw it. Assuming you saw it in the fecal matter, since you mention you saw it in the morning, I think that you should have the fecal matter tested for any ova or cysts. Using albendazole twice in a period of a week will help if you detect any ova or cysts, however you need to consult a doctor for a prescription. I hope this gives you a good perspective of what needs to be done. I hope this helps. Take care and have a lovely day! ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a fluttering feeling in my upper right back and also pressure in this area. It started 2 months ago with upper abdominal pressure after eating that was relieved when I stood up or laid down. Ultrasound, blood work and scope of my stomacChatDoctore back normal. ### REPLY: Hi. Thanks for your query and an elucidated history. You have a classical history of fluttering feeling pressure in the upper abdomen after eating since two months, and this gets relieved when you stand up or lye down. This is difficult to explain in presence of normal ultrasonography, blood work and scope. The most probable causes are:You may be over-eatingYou may be Beshear is a possibility of sub-acute intestinal obstruction in the proximal part of the small intestine or rare problems like annular pancreas or so. To get the diagnosis confirmed or rules out I would advise you the following:Barium studies in the form of enterocolitis and CT scan of the abdomen. If these too are normal, you can follow the advice:Eat small frequent mealsAvoid all the foods and beverages which enhance your problems. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My friend was receiving chemo during stage 4 of breast cancer. Living with her son, they were instructed to not get pregnant. His wife found out that she was already pregnant. His mother died 6 wks before their baby was born. Living in denial, they had him tested 4 months ago & he is 3 yrs old with autism. Is this a direct result of living with a chemo patient during pregnancy? ### REPLY: The exact cause of autism is not known, but research has pointed to several factors: genetics (heredity); metabolic or neurological factors, certain types of infections, and problems occurring at birth. In your child, environmental factors may also play a role. Studies of scientists have found abnormalities in several regions of the brain, which suggest that autism results from a disruption of early brain development while still developing in the mothers' womb. Other autism theories suggest:- immune theory -antibodies that attack the brains, causing autism.- abnormalities in brain structures cause autistic behave- abnormal timing of the growth of their brains. I want to propose you 1 thing-check his blood for It B6,B12, Folic acid, homocystein. I had positive results with treatment child . ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, so Ive had braces for about 6 months now.Around my 4 back teeth I have these metal bands that wrap completely around, keeping my wire in I think. Anyways,If I touch my tongue to my back bottom tooth, even the slightest, I get a severe sharp pain. What could be wrong? ### REPLY: Hi. Welcome to . I have gone through your query and can understand your concerns. As per your complaint a sharp pain on touching the teeth when you have your braces placed is commonly due to movement of the teeth that leads to transient inflammation of the tissues during the movement of the teeth. It can initially cause severe pain during chewing even softest foods and even on touching the teeth. Gradually as the treatment will progress, and the teeth will move to the appropriate position, gradually the pain will subside. I would therefore suggest you to apply numbing gel containing Lidocaine over the gums in that area. Take anti-inflammatory painkillers like Ibuprofen. You should take semisolid and very soft foods like rice, bread etc. Hope this helps. Regards. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 30 year old male , fit and healthy , have been passing blood the pass 7 days while doing a poo , been to seen my doctor and got blood samples took which they have all came back fine . my doc said he is 99.9 % certain its nothing to worry about . has had trouble with piles in the pass , my doc felt my tummy and put his finger in my anal but every thing was normal ,,. he said its more than likely piles deeper in my rear passage. he is sending me for the camera up my back passage , but untill then i have to sit and wait , and stil passing blood ... and suggestions ???but i stil cant stop worrying about this . and has went of my food , cant sleep, snapping at my family . :(:( ### REPLY: HelloThanks for query. Blood in urine (Hematuria) is something concerned with urinary system and need to be investigated in detail to find out the source of bleeding. Consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture. 2) Ultrasound scanning of abdomen and pelvis3) Serum PSA.4) Endoscopic examination of bladder (Cystoscopy) 5) C. T Scan of Urinary system (If required). Further treatment will depend upon result of these tests and final diagnosis. . ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 constipation till 6th month of my pregnancy but as soon as I started with 7th month of pregnancy i occasionally find crampy bowel movements leading to loose stool. I am currently in 27th week of pregnancy. Is there anything seriously to worry about it. ### REPLY: Heel dear, I understand your concern. In my opinion the constipation is routinely seen in pregnancy. The cramps bowel movements might suggest infection. Take bland nutritional diet and avoid spicy and oily diet. Take good adequate fluids up to 3 liters per day to avoided . Take probiotics. If not subsiding consult doctor to rule out any infection and appropriate treatment. Best regards... ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello sir,i am suffering from head spinning and after doing x ray i was told by a doctor dat i m suffering from SPONDALITIES......what are the medicines for its cure....its in a starting stage...and also i took B12 injection after which my head spnning has stoped but head is always heavy...i had unprotected oral sex with lot of girls in the past one year or so...but i did not have sexually intercourse anytime.......can i have any STDS and is head spnning a symptom of STD....KINDLY HELP.....my id is YYYY@YYYY ### REPLY: Hi, Welcome to .com I am . Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. This condition cannot be cured by Medicines need to undergo Surgery Please consult your Neurosurgeon at the earliest Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in at http://bit.ly/ask ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have in the last few months always around bedtime started having sever chills, no fever, i shake so bad i can t even hold a cup. i have hurting mainly in my hips, its doesnt happen every night ususlly 2 or 3 times a month. the next morning i feel fine. ### REPLY: Hello, I have studied your case and I think that chills and movement around hip joint are mostly due to nervous system disorder. I would suggest you to show it to neurophysician. He may advise you to get your brain MRI. If there is sign of Parkinson then you need to start treatment for that. If there is normal MRI then you need not take any medication. I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been having problems with both my knees lately. First it was my right knee now my left hurts just as much and I noticed its getting harder for me to stand up. I have gained weight could this be the maor culprit. also when in high school I did run track and participated in the long jump high jump. Is this coming back to haunt me now? Help!!!!! ### REPLY: Hello, It could be arthritis. We have to rule out other causes like ligament injury as it can also present with similar symptoms. As a first line management analgesics like tramadol can be taken. In severe cases MRI knee may be required to get a better clinical picture. Avoid strenuous physical exercises and weights bearing also. 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 have a sore throat and a fever which started 24 hours ago. I keep getting a lump in the back of my throat and feel like there is something stuck there. Its not flu or a cold. This morning I felt a fairly large (6-7mm) yellow soft lump come out from the back of my throat, on one side, that side feels better now but the other side is still sore. It feels like there is another such lump stuck there and waiting to come out. Can you help diagnose this and recommend a treatment? Thanks ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have upper respiratory tract infection. Granular pharyngitis may lead to lumpy feeling. You should take a course of antibiotics. Azithromycin or amoxiclav can be useful. Warm saline water gargles are also useful. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have fatty liverfrom month of december.my stomach is also showing like pregnant woman.in the mid of jan i got brown discharge.after some day i got yellow mucus it was rounded,from jan to feb i started vomiting countinuosly.loose motion always irritates me with irritating bowel movements. I took all pregnancies test but results came negative. I am really depress,that really my liver not functioning or may be i m pregnant .fingercross.please help me. ### REPLY: Hello! Thanks for putting your query in . I am a Gastroenterologist. I will suggest you to get an ultrasound of the abdomen to see whether there is ascites or not and further evaluation and management according to that if it is there. Also get X-ray abdomen standing to see any obstruction of the intestinal tract which I presume to be partial in this scenario. I hope I have answered your query and this will help you. Wish you a good health ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had about 7 seizures back to back last week and left the hospital early due to not wanting to be there anymore. Cause of seizures isnt known and I dont see a neurologist for another 19 days. Ive been out of the hospital for a week but my right ear & jaw is killing me! Its the side i bit and ripped skin off my tongue. Its an 8-9 out of a 10 on pain scale. Should I go back to ER? I dont know what to do. ### REPLY: Hi, Thanks for the query need a detailed evaluation for the cause of seizures as the treatment will depend upon the cause of epilepsy. This can be done by EEG test, and MRI scan of the brain. Once the diagnosis is established, the treatment will be easy. The recent pain could be related to local injury related seizures, and you may consult a local doctor for the prescription of analgesics 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: Yes, I was on antibiotic for a bad skin infection and the I was given a Z pack for a sinus infection. Took Diafluciane for yeast infection. But not all of the rash went away. I am 67years old. The rash is in my anal area. What could this be and what should I take ? My name is carol ### REPLY: Hello Carol, Thanks for posting here your question. From what you are describing, it looks like it is a yeast infection caused by the antibiotic. The fact that Rifleman worked, even if just partially, confirms that. Sometimes using just one dose of Rifleman is not enough for yeast infections of the skin. If I was your caring doctor, I would recommend using for some days a topical cream like Fluconazole cream, ketoconazole 2% or fluconazole 1%. The topical antifungal will avoid systemic side effects and clear the area that has still the fungus. Hope this 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: I have a itchy rash on the outside of my upper right leg. It came last summer - went away after summer. And is now back after I have been in the sun and is spreading! They are faint dark patches with some streaking. It looks like a laid a curling iron down on a piece of paper really fast. Please help! Cortisone cream seems to help a tad bit but not much. ### REPLY: Hello, Welcome to It looks like you have a fungal infection from your description. We call it Tina. Apply an antifungal cream like ketoconazole 2% twice a day over the patches. Even after the rash subsides continue applying for another week so that it won't recur again. Do not apply cortisone which is a steroid. Even though it temporarily decreases itching, it allows infection to become extensive. Hope this helpedTake 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 stepdaughter returned home from her time at her moms and told us that she had worms in her stool both Monday and Tuesday night. She has received a dose of PinX but has not taken the second dose yet. Should we be concerned about my husband and I and my 3 month old son getting this? ### REPLY: **1. Since the worms consume the vitamins and nutrients in your bodies for their survival, which can lead to malnutrition, low weight and anemia, so check with her body weight, vitamin/nutritional level, hemoglobin with suitable specialist and necessary Investigations.[since age is small for medicines, thus Pediatrician will be most suited for prescription]2. Preventive measures which can be taken at home are:i. Filtered or boiled water for . ii. do not give under cooked or infected food, wash fruits and vegetables thoroughly.iii. Avoid letting him/her going/playing in infected water/soil.iv. change his diapers regularly and also make sure that any family member or close relative is not suffering from the same.PS. infected fingernails can be a source of contamination, so regular checking of under fingernails in baby as well as family members is must along with habit of washing hands before meals and after toilet and go for deforming of other family members also.5. AVOID: cucumber, long cucumber, raw fruits, potato, meat,sugar, sour foods, milk, jaggery, clarified butter for 15 days) and give walnut, PINEAPPLE, peach. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 orange discharge and have had it for a couple months now and ive been to the doctors and they keep telling me that it is an infection....and they have treated me for different infections and nothing seems to help. Im scared that something is seriously wrong! ### REPLY: Hello dear, Do not worry. You are suffering from bacterial vaginosis or trachomas vaginosisTake following advice.1. Wash your vagina with this water twice a day for two to three days with warm water2. Apply Apple cider vinegar: it has excellent antibacterial and antifungal properties3. Salt Bath-Wash your vagina with concentrated salt water whenever you feel the itch. This will give you great relief instantly and prevent further multiplication of bacteria. 4. Antibacterial/fungal talks: apply candid powder5. Keeping The Vagina . Wear Loose Clothing7. Also take antibiotic You should use following single dose treatment:1. AEE 1000 mg (AZITHROMYCIN) 2. MINI 1 G (TINIDAZOLE) 3. ZO CON 150 mg (FLUCONAZOLE) or you can take tablet metronidazole 400 mg three times a day for three avoid sex and avoid douching till you get better. Hope this may help you. Take care and stay healthy. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 SGOT level is 54,SGPT level is 75.33 ; my age is 39 ,my weight is 55 kg,height is 152 cm(5 ft),no other problem except light swelling on face.All tests like thyroid,kidney,lipid profile,cbc,urine,sugar are in normal range,only lever enzymes level increased,is swelling bcoz of that? soniya ### REPLY: Hi thanks for asking question. Facial swelling could be by heart failure like case especially right sided. Measure your blood pressure and ECG Is advisable. Second do your serum protein estimation. If hypoproteinemia is present then osmotic pressure low and edema can occur. Do your thyroid profile also to rule out possibility of hypothyroidism. Liver problem can lead swelling . But it us usually in advance stage. Cirrhosis or chronic liver disease can lead edema.USG will be helpful. If still swelling present and no cause identifiable then detail history and physical examination done to do further work up. Take care. Wish you good health. . ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Doc... My 13 month old is having a bad cough accompanied with high fever and wheeze. He has been given nebulization with beudecort twice today ,and once with levolin.How soon can I repeat levolin , as he seems still very uncomfortable . Thank you. Worried mom... ### REPLY: Your child seems to have either bronchiolitis or a viral pneumonia, the hint here is the wheeze, if your child have bronchiolitis then the bronchodilator like Revlon and inhaled steroids like budesonide will not add much but sometimes its helpful .if the child is not hypoxemic and he doesn't have shortness of breath and sever tachypnea (high respiratory rate) then you can manage him at home with these nebulizers otherwise he should be admitted .the albuterol or leveling can be repeated every 3 hours unless the child experience a rapid heart beat. If your child is not assessed by his pediatrician I recommend you take him before any further treatment for better assessment. I hope this helps ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello. :) I just went to a house with my friend. There were lots of people. This guy gave me a hug that i met (dont remember if he touched my hands). I then later got a litttle random natural itch and went to bathroom to scratch my self down there. haha it was a good close scratch. Thing is i didnt wash my hands first not thinking (not thinking)!!! Then coming out of washroom i noticed the guy i hugged had oral herpey on his lip. So the thing is i just dont recall if he had shortly touched his sore. Then possible touched my hand then me putting my hands down my pants to scratch my genitals about 40 mins later. Also i hear hes had the out break for over a week, so im not sure if it is still extremely contagious??. Do you believe there would of be any chance i could of cought it from his hands to my hands then to my genitals???? Thank you sooo much! ### REPLY: It's very unlikely the virus would be transmitted that way, although not entirely impossible. If the lesions were scabbed over, they probably weren't particularly contagious. People touch their faces many times a day, so its possible he touched the lesions but if he only gave you a hug, he probably didn't touch your hands. Even then, that type of contact from lips to hands to your hands to your genitals is not likely to pass the virus. Its direct contact you'd have to worry about-for instance, if he had given you oral sex. So you are okay and don't need to worry about this. 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: hello 1 year ago i had a heart ablation done related to ongoing svts treated w/ meds. since then the procedure has corrected the problem. well now i am on 3 antidepressants effexor 150mg, xanax 0.5mg bid, and abilify. This combonation has helped me feel great!. My other dx: SLE, Fibromyalgia, and IBS. I am 35 years old and a women. My question is should I contact my cardiologist is my new heart palpatations dont end soon? Its been infrequently and it started about 6 -7 days ago. ### REPLY: Generally ablation is effective in 95 % cases for effective long term treatment for certain type of SVT. So the common reasons of palpitation at this juncture would be 1) Subjective. As part of the spectrum of IBS and associated anxiety 2) The medications you are on can also cause palpitation, though not very often. 3) There may be a recurrence of SVT. The best way if the symptoms occur every day is to get a 24 hour holder monitoring. Based on the results we would get an idea about the morphology and would even help your doctor to decide the further plan of action. 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: Im having a lot of gas, both ends started about a week ago. Ive been takeing flax seed for about a year. Ive been having some pain in my chest along with the gas. Im also on meds for my heart.I tried a nitro, it didnt seem to do much other then put me in a daze for a min. or two. I also have much pain in joints and I need a hip joint replacement. I had trigger finger operations for all most all my fingers, had a joint taken out of my thumb, both knee replacement. I ride a bike and try to get five miles in a day for excerise, easier then walking. thank you P T ### REPLY: Respected user, hi I evaluated your query thoroughly.* This is in relation with intestinal motility disorder associated with variety of clinical conditions, chest pain may or may not be related with this.* Your case needs thorough clinical assessment in presence of many co morbid conditions and detailed evaluations for final judgement but still with this narration I recommend certain guidelines for you - take small amounts of light diet at regular intervals - diet should be balanced containing all nutrients with less of fat content-avoid oily / spicy / non-vegetarian stuffs / beverages / junk foods-chew your food thoroughly-avoid sleeping for 2 hours after meals - avoid smoking / alcohol / abuse substance use in any form - avoid painkillers till possible, if needed always take with Proton pump inhibitor-physical activity in form of body part movements (not bike riding) is must in form of light exercises, walking till possible, YOGA at home-avoid stress / anxiety - regular sound sleep of 6-7 hours - in our clinic we recommend certain motility related molecules for gut depending upon the clinical severity & supportive data of laboratory, ultrasound findings if any Hope this clears your query. Welcome for any further assistance. Thanks for using .com & giving me an opportunity to assistRegards dear take care. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Taking oral birth control, right after I take the pill I begin to have horrible cramps worse then my normal menstrual cramps. Haven t been sexually active, did have a slip up 3 months ago though, ever since then my periods have been lighter then normal. What could be causing the extreme cramps? ### REPLY: Hi Hope this message finds u in good health. I have gone through your msg and understand your concern.it may be due to some sort of hormonal imbalances or variations in the body, though there may be other reasons as reclothing to worry about, You should eventually get back to normal. Take multi vitamin and calcium supplements Do consult a gynecologist if symptoms worsened back to me for any FOLLOW-UP QUERIES anytime. . .(MBBS, MS,MCH) ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 14 year old female that was recently diagnosed with a slight bit of pneumonia, i took the antibiotics that i was supposed to take: once a day for 6 days, i completed it. But I want to know if Im know cured, its been a week or two since I finish the tablet treatment, How can I tell that im cured? ### REPLY: Thanks for your question on . I can understand your concern. If you are not having fever, cough or chest pain after completing antibiotics, you are probably cured of pneumonia. You should also get done chest x-ray. If recent chest x-ray is showing normal results or resolving infiltration then you are cured of pneumonia. 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, my daughter is 10 and for several months has had small white bumps in the corner of her mouth, both sides. We were at her peditrician yesterday and he said to have her dentist take a look, he didnt know what it could be. Im hoping to try over the counter or home remedy before going to dentist, suggestions? ### REPLY: Hi. Thanks for the query.... As per your query white bumps at the corners of the mouth of your daughter can be most commonly due to Herpes Virus Infection causing cold sores, and it forms clusters of small fluid filled blisters. You should consult a Pediatric dentist known as Periodontist and get her evaluated and if he suspects cold sores he can confirm by getting investigations done like Viral culture and antigen antibody reaction. If herpes is confirmed antiviral oral and topical application like Acyclovir, val acyclovir, acyclovir can be advised to reduce the duration of the eruptions. If herpes is not ruled as the cause other causes like Fungal infection can be checked for. Hope this helps. Regards. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. Yesterday i began to feel that my lower right gum behind my last molar (where my wisdom tooth would be, but i had them removed 10 years ago) began to feel swollen and tender. If i opened my mouth wide, or squeeze my mouth shut tightly it hurts more, and when i chew on that side. It was smaller at first but grew and is now big enough that i can feel it against my tongue and upper gum. Nothing specific happened to it and it came very suddenly over the course of the night. I am in good health over all, brush regularly, have had very few dental problems in my life. I also have a sore thought at the moment but i dont know if that is connected at all. Any thoughts? ### REPLY: Hi, Thanks for asking the query, Swollen lump at the back of the tooth that had developed suddenly can be due to allergic reactions, trauma to the region or bacterial and viral infections. Sore throat occurs due to viral infections. I would suggest you to visit the Dentist and get the check-up done, if necessary take the X-rays for symptomatic treatment of complete mouth scaling and polishing. Take a course of antibiotics and analgesic. Apply Colonel oral ointment topically over the affected area. Maintain a good oral hygiene, take lukewarm saline and antiseptic mouthwash rinses. Hope this helps out. Regards. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Random onset of throbbing pain on the outside of my left knee, it goes away but then might suddenly return... Did squats at the gym yesterday, but felt no discomfort then... The pain is manageable, but when it occurs my knee seems weak, and almost buckled... ### REPLY: Hello, As this sounds like a ligament sprain and needs a clinical examination. Usually after any physical activity in the gym there might be a possibility of two things - one is DOES (which can occur post beginning of the exercise initially and vanishes off in 4-5 days of time) and the other is the soft tissue Injury (this occurs due to wrong physical activity at gym and needs medical examination and an x-ray or MRI based on clinical assessment). 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 Mom is suffering from recurrent fever from last seven days.She had an severe attack of UTI in 2009 which was treated with penems for a 15 day period which resulted in normal urine routine and culture test.Also around 11 yrs ago she suffered from abdominal TB, which was also successfully taken care of.Now she is suffering with this fever, so as per MPs suggestion v did the routine and culture wherein the routine showed pus cells and bacterial prescence and culture showed no growth.So the MP told to do C- reactive protein which showed 14.1 which he suggested was very high.He also suggested lower abdomen + reproductive organ MRI which my mum refused as she is scared.Unofficially he suggested that the TB may have relapsed in the urinary tract but suggested with some medications for UTI to rule out UTI and then concentrate on TB.My question is what exactly is happening to my Mom.?How do i find out if it is the UT TB? ### REPLY: Hi, welcome to the symptoms of your mother shows less likely to be a tb usually the tb of UT presents with irritation micturition and blood discharge in urine, but as your mother has a previous history of tb better to rule out by diagnosing it the better diagnostic test is to get intravenous biography done other new tests are also available ACTED and PCR, you can consult your mp about these test and get it done, 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 father drinks spirits every night and has done since i can remember. He know he has a problem. He has been getting really bad pains in the right lower back for a while now, to the point me cant bend,stand etc with out being in agony. Is there something seriously wrong? ### REPLY: Dear caring son Only direct association between . So all other causes of back pain may affect Your father. Causes may be 1. Muscle spasm 2. Degenerative disc disease 3. Instability. You need to be investigated with X-ray of lumbosacral spine anteroposterior and lateral views to rule out bony abnormalities. Also, MRI of lumbosacral spine with screening of whole spine is advised to rule out disc and nerve problems. Start tab diclofenac plus thiocolchicoside combination twice a day for pain relief. If report is abnormal need to consult expert orthopedic 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: my baby is one year old and he is passing loose stool for past 4 days... the colour and consistency of the stool is much varying.. the stool colour is sometimes greenish and sometimes brown.. he is nuasic at times and finding little hard on excreting.. pls answer me doctor ### REPLY: Welcome to the I completely understand your concerns but don't worry. Infants are prone to wide variations in color, frequency and consistency of poops. If your baby is feeding well, afebrile, active, alert and color of stool is not red, black, clay colored or persistently greenish, then there is no need for any treatment. You may give him zinc supplement such as Zirconia or And for improving protection or immunity against gastroenteritis. Also, probiotics such as enterogermina will be useful in maintaining healthy gut flora. Ensure regular feeds with plenty of fluids to keep him well HY . Hopefully this will be helpful. Take care ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, i have a red bubble type thing of blood on the tip of my foreskin, it was bruised for about 20 minutes but now is just puffy and red with no pain. Based off a quick google search it states it is a hematoma ? If its not could you please tell me what it is? if it is a hematoma is it serious and how long will it take to clear up? thanks ### REPLY: Hello, Welcome to .comparing a red bubble like lesion on foreskin with bruising, without pain, is suggestive of hematoma, which may be caused by trauma. Trauma can be caused by sexual intercourse, masturbation, physical injury. For hematoma it will take near about 5-7 days to regress spontaneously, need not be too worried about it.Also, it would be better not to involve in forceful sexual activities. 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 had an ultra sound last year because i was having sever pain in the right upper quad area....my kidney was swollen according to the ultrasound..since then, I had two urinary tract infections,still pain and some retention. my recent ultra sound dx;mild bilateral pelviectasis, can you explain this? ### REPLY: HelloThanks for query. You have repeated UTI and your ultrasound Scanning has revealed Bilateral Pelviectasis. Pelvis of the kidney is that part of the kidney where urine gets collected and accumulates for some time and gradually . The Pelviectasis is term defined to dilatation of Pelvis which is usually secondary to obstruction to flow of urine which could be due to following three reasons 1) Obstruction in ureter which could be due to stone or spam of ureter .2) Reflux of urine from bladder into ureter .3) Inflammation of ureter (Urethritis) The primary cause has to be detected by following tests 1) Intravenous Paleography 2) DTPA scan plain and with Diuretics ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir I have used Aceclorite Plus medicine for fever+body pain.But after the effect of medicine is over I have fever again.Also i suffer loose motion as a side effect of Aceclorite Plus medicine. So, sir kindly suggest proper medicine for my recovery so that i can resume my job. Thanking You. Anil Kumar ### REPLY: Hi, Aceclorite is a combination of non-steroidal anti-inflammatory . Its common side effects include heartburn, stomach ulcer, bleeding and kidney dysfunction. It is unlikely to cause loose motions. Loose motions could be due to stomach infection for which you should consult your doctor for proper assessment and treatment. Take care. Hope I have answered your question. Let me know if I can assist you further. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi I am Sophia I am dong my junior cert I feel tired all the time and angry and not my self, sick felling, day after day milled mind grans. I started think I was crap, stupide because I was feeling different to every one else and starting cutting my self I need to now what it is? I started feeling this way in 1st year please help. thanks for reading :) ### REPLY: Hello Welcome to I can understand your situation. I appreciate your effort to seek online support. As per your details, you are possibly having underlying anxiety/depression. For this consult a psychiatrist for detailed evaluation. Following treatment strategies would be helpful- 1) Antidepressants like SSRIs (Escitalopram, sertraline, paroxetine etc.) 2) Antianxiety agents like clonazepam, lorazepam, alprazolam etc3) Psychotherapy/ Counselling sessions4) Relaxation techniques like yoga, meditation, deep breathing etc. Hope it helps Good luck 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 husband has been acting different lately. he told me he is not tired of being married but he is not happy. he can not tell me why he is unhappy, he just says he does not know. could he be suffering from a mild case of depression? he had a stroke 4 years ago, could that lead to some sort of depression now? he has not been eating much lately, is distant, and has trouble sleeping good ( but he works graveyard shift). any advise would greatly be appreciated. I don t want my marriage to end over this. ### REPLY: Hi, I can understand your concern regarding your husbands symptoms. From what you have mentioned, it is quite possible that your husband is having a depressive episode. To link it with stroke is a bit difficult. Usually, post stroke depression starts within 2 years. In your husbands case, it has been 4 years. It may be possible but less likely. In any case, he would need treatment. You should seek a psychiatric consultation for him. Treatment with anti-depressant like Escitalopram will be effective. Hope this information was helpful. Best wishes. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi , My Wife is detected with cervical Lymph node TB. She has been put on R-Cinex 600 1 tab daily, Pyzina 750 mg 2 tabs daily, mycobutol 1000 1.5 tabs daily and benadon 40 1 tab daily..she is having violent shivering with fever (~ 103 degree centrigrade), joint pains etc after 1 hour of taking Pyzina 750 mg 2 tabs daily, mycobutol 1000 1.5 tabs daily and benadon 40 1 tab daily..any suggestions ? ### REPLY: Thanks for your question on . I can understand your concern. Patina is having pyrazinamide. Mycobutol is having ethambutol. Both of them can cause rise in uric acid level (hyperglycemia). This high uric acid can accumulate in joints and cause joint pain. It can also cause fever with chills. So in my opinion, she should get done uric acid level and if it is raised then she needs to take Eurostat tablet. Eurostat is having property of reduced uric acid production. So consult her doctor and discuss all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your wife. 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: Thank you. My husband has a creatinine level yesterday of 2.2. He is 72, has one kidney, no bladder, no prostate, lost 22 lymph nodes one year ago due to stage 3 bladder cancer. Is this 2.2 excessively high? He has a stoma, had a clear urine test through the stoma for cancer cells. Thank you ### REPLY: Hi, dairy have gone through your question. I can understand your concern. He has creatinine level 2.2. In routine case it is not very high. But as he has only one kidney, so he needs the treatment as early as possible. Consult your doctor and start treatment as early as possible. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using . Wish you a very good health. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: have diagonized with bronchities changes with anemia last week by my doctor. I am 31 yrs of age & single. My doctor explained me that due to improper & un heathy diet as a reason & he had suggested some medicenes & he said tis is curable, but need to take medicene for a long period say 1 yr or above. I jus wanted to clear some doubts. Will tis cause a heart attack ( severe or mild) wll tis curable will tis lead to TB Suggest me with some home remedies. Bcos i will be getting married by next june. Can i lead a healty & family lifeay I answer your health queries right now ? Please type your query here... ### REPLY: Thanks for your question on . I can understand your concern. Bronchitis and anemia are 100% curable. So no need to worry much. No need to worry about heart attack with these . Best treatment of bronchitis is inhaled bronchodilators (formoterol or albuterol). So consult pulmonologist and start formoterol or albuterol inhaler. For anemia, iron supplements (tablets) are needed. Along with medications for iron, food like bit roots, spinach, dates, carrots, apple are rich sources of iron. So take your inhaler and medicines timely along with healthy food. Don't worry, you will be alright and will be able to live healthy lifestyle. 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 daughter, 50 years old diagnosed since 20 years old. Married 20 years. How to talk with her during phases of mania, her fast talking thinking she knows all. Ive been just letting her talk. She seems to go back and forth depression and mania. I no longer contribute my ideas. Im not sure how to deal with her, even after all of these years. today she called and talked non stop for an hour and said dont you think Im better. Im tongue tied, cant say yes but dont want to upset her. Whats the best way to deal with her? She is bipolar. ### REPLY: Hello and welcome to . Thanks for your query. I understand that it must be difficult for you as a mother to see your daughter suffer multiple episodes of mania and depression. As you would know by now, these episodes can cause a lot of disruption and dysfunction in a persons' life. So, the only way of avoiding this suffering is to prevent such episodes. There are good medication available (called mood stabilizers) which can prevent such mood episodes. But it is important to take this medication regularly and be under periodic follow up in order to prevent relapses. So, I would suggest that you discuss with her husband and take her to a psychiatrist nearby for a detailed assessment and further treatment. During the episodes of mania, when she is taking a lot, sometimes, even irrelevantly, the best approach is to be neutral. But it is also equally important that you ensure her safety and have a close watch over her as such people can do rash or reckless things when they are in a manic phase. Wish you all the best. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi there, I am 28yrs old 5ft 2in weight 175lbs, I have hypo thyroid. Heart disease runs in my family, my father died at 49 because of it and so did my grandfather. I have been experiencing a lot of low BP and low heart rate, today it was 36. My dr seems to be very puzzled on what to do with me and I am starting to get worried. What do you think? ### REPLY: Hello, The very first thing is to re-evaluate your thyroid through thyroid function test. You need a further complete cardiac check up (EKG, echocardiogram, Holder monitoring). Complete blood count to rule out anemia, blood electrolytes to rule out related imbalance, check also levels of vitamin-D and calcium, altogether are required to determine the right diagnosis. After evaluating the results, you can decide about the best treatment strategy. Discuss this further with your caring doctor. All the best. Hope I have answered your query. Let me know if I can assist you further. 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 had one mifepristone tablet and then after 24 hrs had two misoprostol tablets, all orally at night after having dinner.next day periods started and now its been 6 days my lower stomach is paining too much and still now i m bleeding lightly.please tell if it is normall and for how long more this pain and bleeding will last? ### REPLY: HelloThanks for your query. After medical abortion pills, slight cramping is common for a few days. Bleeding / spotting can happen for up to a fortnight.Hence, what you are experiencing is most probably normal. You should have a follow-up visit with a gynecologist after a fortnight to check if the procedure of abortion was complete. Rarely, prolonged bleeding and cramping that is persistent might indicate that there is incomplete abortion, retained products of conception inside or a superimposed infectionTake 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: This is ,..fg. I have a serious problem. My husband Shyamsunder got a viral infection which later turned to a secondary bacterial infection and both his kidneys and liver have been affected. They have started dialysis for the kidney and put him on the ventilator. The problem is they are unable to control his liver infection. So I am sending you all the details.Can give advice on the line of treatment. ### REPLY: Thanks for posting your query to . I want to know that how did you come to know about infection .have you undergone any kind of culture and sensitivity investigation. If yes then which organism is responsible for that infection and sensitive to which antimicrobial agent. After getting above information you can easily treat infection. I am sorry to say but as your patient is on ventilator it itself increases the chances of infection and further as I am understanding he is immune status of patient is also decreased in stress condition. So you need to AKE proper prophylactic antibiotic management as per your hospital protocol along with routine culture and sensitivity from recommended site. 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 48 years old with the weight of 88 kg. I have lost 8 kg of weight in 1 month. My height is 5 feet 9 inches . I am suffering from diabetes for 1 year. For 15 days i have a severe lower back pain. I had a laboratory test of ESR 85mm/Ist hrs, Triglycerides 385mg/dl , HDL 140mg/dl ... What could be the reason for this? And what measures should i take? ### REPLY: HiT hanks for choosing , gland to answer your query. I have gone through the findings described in your case. Elevated ESR with significant weight loss of about 8 kg in one month duration are highly suggestive of a chronic infection. The possibility of Tuberculosis has to be ruled out. You are advised to visit an orthopedic surgeon to evaluate, and the possible investigations might include X-rays of the chest, lumbar spine, CBC, MRI, etc. The elevated level of Triglycerides can be managed by dietary modifications like avoidance of red meat, oily vegan and non-vegan dishes, increase intake of fruits and green leafy vegetables beside medicines such as Vibrates which are useful in reducing the high triglycerides. Hope your query has been answered. Should you need more information, kindly feel free to send your query. Wishing you best of your 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: the web part between the bottomof my teeth to were it connects to my mouth has a tiny bump barley visible but hurts so much . happen two days ago nd always notice my pinky will get numb as well if any idk if there related. but as far as gum web it hurts ### REPLY: Hello, Welcome Thanks for consulting , I have gone through your query, don't worry painful bump can be due to sinus opening present due to Periodontal problem or Periapical Abscess due to carious tooth. You should consult dentist and go for investigations IOPAxray and go for treatment, periodontal problem Go for Scaling and root planning. If periapical access go for Root canal treatment if needed. Hope this will help 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 not interested in sex i have a period maybe twice a year i dont have abnormal hair growing anywhere sex hurts im always tired sometimes have sharp pains in pelvic i sweat for no reason i am sluggish and have troiuble remembering things i am 29 married with children stay at home i am in a really good marrige and my kids are really good i dont get paranoid about stuff i dont have stress home is paid for cars are paid for i have always had problems with menstral and miscarriges and i spotted thru all my pregnancies after 32 weeks i would start dialating i have a family history of cancer i am at a weight i have never been at befor i have gained alot i sweat and im not hot while sweating should i be concerned ### REPLY: Your symptoms are quite unlikely due to cancer, although I would have preferred to know more details about the family history of cancer that you speak of, which part of the body, how many relatives, which relatives, their outcomes. Anyhow, as I said, your symptoms don't seem to be due to cancer. Rather, you seem to be suffering from abnormal functioning of the thyroid gland. I suggest you undergo a thyroid function test (it's a simple blood test done empty stomach at any lab) and if they are abnormal then they will need correction based on the abnormality. Also, that will explain all your symptoms which will then get relieved gradually with time. At the same time I would suggest you to undergo an ultrasound of the abdomen and pelvis just to be sure your reproductive organs are alright. Only after these tests can a further course of action be decided upon. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor!!I have a dark toned skin. I have visited dermatologist also for skin lightening. He prescribed me kojic acid, vitamin c, multivitamins etc. I used all this for 3-4months but could not get the results. I dont have problems like dark spots etc but have overall dark toned skin. Can you help me in lightening my skin tone??? ### REPLY: Hi IPA, Welcome and thanks for posting your query to . It seems you are quite stressed with your dark complexion. There are many methods of lightening of dark complexion up to a certain stage but you along with your dermatologist has to see the safety issues with short term or long term usage of these things. Now it is totally Up to you to what extent you want to go, even you may find some fascinating advertisements regarding fairness but again comes the side effects and actual usage. Now coming to your point directly, you can use glycolic acid and Arabic acid creams under dermatological guidance. Both glycolic acid and Arabic acid creams are present in low and high strengths, so try using low strength first and then gradually can shift over to higher strength. These are able to give results in 3- 4 months continuous and judicious use and are safe for long term use also. The next thing to tell you behind beauty is that it is not the color but the glow on the skin which actually counts. This can be achieved with good sun protection by physical barrier as umbrella and sunscreen usage 2-3 times a day half an hour before moving out. Eat a lot of fruits (all yellow and red) containing a lot of carotenoids and vitamins which can act as best sunscreen. Include green leafy vegetables and salads which will act as natural sunscreen (best for you) and . Lastly love your skin and love yourself there must be certain things which nobody can match up. Keep glowing!!! ### END |
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