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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: My doctor didn t tell me that my antibiotics, Tetralysal 300 for my acne stopped my pill, Cerazette from working as a contraceptive. I have heard of friends that it doesn t. Is this true? As I had unprotected sex 9 days ago as I thought it was safe. He did not cum inside me but pre-cum can still have sperm in it I think so should I get a test done? Is it too early for a home pregnancy test? I am really confused. Thanks. ### REPLY: Hi there, The effect of cigarette which is a newer progesterone only contraceptive is not much affected by tetracycline. If you have taken cigarette regularly there is very little chance that you could be pregnant. Do not worry about the same. The home pregnancy test works if done on the day of the expected next period, if done earlier it can give false negative result. If you are too anxious you could do the home pregnancy test on the next date of expected period. Do not worry, It's very unlikely that you are pregnant. Hope this helps. Regards. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m having a lot of pain when I urniate, a lot of kidney stone symptoms, but I took a urine test and I had no infections, and also took a cat scan and no kidney stones showed. I m only 18 years old. Also when I get hard I feel a pinch underneath my penis. What can this be ? ### REPLY: Hello, You don't have a stone in CT scan and urine test also normal. So kidney stone could not be possible. You should be investigated further with urine culture report to check any infective organism if present. . If this problem remains constant then you have to consult Urologist for your physical examination. Hope I have answered your query. Let me know if I can assist you further. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had an injury to my elbow including a small cut. After approximately 12 hour I developed a sharp pain and swelling to the joint. 24 hours later I still have inflammation and swelling. The elbow is warm to the touch. Now experiencing pain in other joints. Should I be worried about infection or is this just a normal reaction to the original injury ? ### REPLY: You could be developing an infection in your elbow. There is a small bursa (fluid sac to help joints move) at the tip of the elbow which can easily get infected with even minor trauma. It would be best to have it looked at and get on antibiotics if necessary. I can't say why you are having pain in other joints; this is not a typical reaction. You could be in the early stages of a viral infection. But get the elbow checked, and they can also look at your other joints and see what's happening there. 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 Doctor, I am 29 and facing no health problems. My only problem is that I am not getting hard erection. I dont smoke, no alchol, I am unmarried. I had GF in my past and I was gud on bed. But from the last 18 months or so, I am feeling the difference in my erection. I do not get excitment while watching porn as well. I feel lack of intrest in sex. Please advice as it is affecting my mind.. I will be getting married in few months... and Its a arrange marriage... Please advice if I can have good sexual life..Thanks ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. Most of the erectile dysfunction and lack of interest in sexual matters come out of anxiety and lack of knowledge. You are anxious or rather apprehensive about what might happen sexually after marriage. You are worried about your sexual performance. Such worries, rather apprehension . Nothing wrong shall happen. Have faith and confidence. Stop worrying about future. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I had some blok clots on my left leg, its constantly uncomforting. daily i am using Aspirin. recently i drove about 2700 mils long drive for 2 and half days taking little rest, from them both my legs are paining, left leg has more pain. please suggest what should i do. Regards Anji ### REPLY: Hello, As this sounds to be varicose veins issue and need a Doppler scan. Since there is the presence of the clot in the veins of the lower limbs, there will be reduced/disturbed blood supply leading to muscle insufficiency and fatigue to set in faster. Also, you . I will advise doing hot water fermentation and keep the leg elevated over a pillow by doing ankle toe movement in low intensity to improve the circulation. Using stocking is good to avoid swelling of the lower limbs in the long run. 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: I have been using Combivent for about 5 months, 3 to 4 weeks ago I started having what I thought to be sciatica. The pain in my lt. hip and thigh is quite severe at times. I have been fairly comfortable tonight until I used the inhaler a few moments ago and I almost immediately started having more pain. I decided to go on line to check side effects and saw your ad. Could this be one of those little known side effects of commonly used drugs? ### REPLY: Hi, I actually don't think it is a side effect of stopping Combined inhalation, and it is not related in any way. I think you may need some sciatica treatments, you may start with hot compresses on your back physiotherapy, massaging with topical gels, yoga is even helpful if fail you may ask your specialist for doses of medicine like anti-inflammatories, muscle relaxant, narcotics, Tricyclic antidepressants, and anti-seizure medications. Rarely you may need minor endoscopic intervention or even spinal discectomies if needed. Some lifestyle changes will be ok. 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 Drs, I read somewhere that epilim has so many side effects,, a friend of mine was feeling ill and nauseas while on epilim,if you do not have your blood levels tested regularly , 1: you can have a seizure because its to low or you can have one or one because its to high,,, But my biggest concern is the safety of our new unborn babies; spina bifida,,, our pregant girls.....should they be off this ### REPLY: Hi, Exile (Sodium Valproate) is a medication given to treat manic depression, bipolar disorders, epilepsy, etc. Its teratogenic risks have been registered & recorded in data studies & research work in many countries, it is dose dependent. It is prescribed in some countries where the government allows it to be given as a mood stabilizer & epilepsy in women of child bearing age. A recent study says that it is safe for pregnancy, though Sodium Valproate in pregnancy remains a subject of debate & further research & study. The teratogenic effects of Sodium Valproate exposure as per records in the different countries include fetal malformations, the risk of neural tube defects like spina bifida & autocephaly. You can get the details from the research study records. 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: Hello, I had my 3rd baby 5 months ago and I had gestational diabetes with that pregnancy. I went to the doctors a couple of weeks ago and I took a fasting glucose check and my number was 113. My doctor didn t seem to be to concern just wants to see me in 6 months, excersice, watch what I eat. But I am very concerned thinking I should get a second opinion? Seek a different doctor? Considering I don t have history of diabetes in family, I have lost all my baby weight and extra 10 pounds, very painful for me to excercise suffer from fibromyalgia, and watch carb intake because of fibromyalgia. I m worried something maybe going on with my body and I want to prevent diabetes if I can. I just cant even handle the thought of having fibromyalgia and diabetes. I struggle very hard with fibromyalgia dealing with chronic migraines, chronic fatigue, numbness and tingling in arms, hands, legs, just constant excruciating pain in neck, shoulders, and back. ### REPLY: Thank you user for your query. Since you suffered from gestational diabetes and your fasting sugar is coming 113, hence you are a case of pre-diabetes. Chances for you to develop diabetes mellitus type-2 in later life is likely. All I can suggest you is to keep a watch on your carboy . Eat lots of green leafy vegetables, nuts, butter milk, other milk products (prepared from skimmed milk). Try not to skip your breakfast, instead take light dinner. Exercise almost 30 minutes a day for 5 days in a week. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 on Loette oral contraceptive and I am experiencing some blood spotting. Is this normal? I was using the same pill for about 6 months, when I had no spotting at all. I then stopped using the pill for a while and have started again now. This time I am experiencing the spotting. I am a 26 year old married women. Please advise. ### REPLY: HelloThanks for the query. It is a common side effect while on oral contraceptives, to have some kind of irregular spotting. Also, it is more common during the first month of pill use, and particularly, as you mentioned, when you stop the pills and resume again after a gap. So do not worry about it. Please take the pills on time, do not miss pills and see to it that you are not taking any other medications which affect the efficacy of oral contraceptive pills. Moreover, you should have regular follow up with your health care provider to rule out any other problems which cause spotting. 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: Just had a sedative filling placed in a tooth that has been sensitive (only seconds of pain, both hot and cold) for a number of weeks after an initial filling and the adjacent tooth being RC. The original filling had too high a bite and was rectified during the RC treatment of the other tooth. The sensitivity seems already to have dissipated but not even 15 minutes after leaving the surgery I was getting electric type feelings down the tooth under the area of filling, similar in sensation to biting on tinfoil. This happens when any form of suction is applied to the tooth. That can be sucking in the area of the tooth or my tongue running by it and creating a mild vacuum. Its not relieved by pain killers. Is this normal? Would a sedative filling react to the amalgam filling abutting it? ### REPLY: Thanks for using . Read your query. The signs and symptoms mentioned suggests the decay involving the pulp referred as irreversible pulpits. I would advise you to have the tooth be also treatment with root canal treatment, if the pain persists or increases after this. If the pain reduces, then wait and have the tooth filled with amalgam filling. For pain ibuprofen can be taken (if not allergic to any medicine). Hope this was useful. Thanks and regards. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I had a D and C 4 days ago and I had two polyps removed, one on the outside of my uterus and one on the inside. I still have a lot of lower abdominal pain , its like a stinging sensation. I went to my local doctor and he prescribed me antibiotics. I m really hoping this works . I am 41 and have 3 children. I had my colon removed 4 years ago due to ulcerative colitis , got a j pouch and a reversal. As you can imagine this is all I need. I play football and am so anxious to get back playing. Thank you, ali ### REPLY: Hello, Thanks for writing in. Since you have had D and C done to remove two polyps just 4 days ago, the surgical wound needs TME to heal. At the same moment you must take your antibiotics and painkillers for some time. I am sure the wound will heal fast, and you can continue playing football. As for the colectomy 4 years back, it's not of much significant in your present situation. 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: im a 13 year old male and have a lump on the center of my chest where the ribcage meets just under my breast area. i have fractured or broken one of my right ribs before but got an x-ray and it healed ok. i notice sometimes when i turn or move a certain way i will feel a slight pain one the lump. it feels like the lump is actually part of one of the ribs. what could be the cause of this??? ### REPLY: Welcome to . 1. The possibilities are bony out growth, cartilage growth, lipoma. 2. This needs to examine first and ask for an X-ray chest lateral view to concentrate on the area of lump - to see any out growth.3. If capable mass is seen over chest - then worth to have FNAC - fine needle aspiration cytology to know what cells are involving (fat cells / cartilaginous / bony and so on)4. To find out internal chest wall involvement CT computer tomography will be definitive in this case (though its radiation) we need to know if there is any growth which can be prevented earlier than in later state.5. Sugget to get the above investigations done and treatment or remedy depends on the findings. Good luck. Hope I have answered your query.Anything to ask do not hesitate. Thank you. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had tongue reduction surgery among money other things 4 weeks ago. It seems my tongue has reacted to the dissolvable stitches along it and I ve got these lumps that almost look like ulcers along my tongue. They are painful when I m trying to eat. I have dissolvable stitches where they took 7 of my teeth out and down my bottom lip (chin reduction) and up around my top lip (jaw surgery) and none of those have reacted like this. I have been washing my mouth out 3 times a day with an antibacterial mouthwash recommended by my doctor so I can t see how it might be infected. I have tried googling but nothing has come up and I don t see my doctor for 2 months. ### REPLY: Hi. Thanks for the query. Your explanation is pointing towards inflammatory reaction leading to ulceration and lumps can be due to inflamed and swollen tongue papillae. So my suggestion is to consult an Emergency Dentist and get evaluated. This is a must needed thing to check if there is Infection. As of now you can do warm saline gargles and continue antiseptic mouthwash gargles. Do cool compresses over the lumps. Take anti-inflammatory painkillers like Ibuprofen. Apply Lidocaine gel to reduce pain. 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. I fell starting t cross the street last Thursday. Twisted my left foot and broke the shoe (they were flats) and landed hard on my right knee. Knee has some fluid on it but seems to be getting better. Foot is swollen and seems to be getting worse. It is not discolored. Hurts most on top left of foot. Is this just a bad sprain or could I have broken something? ### REPLY: Dear patient Since you have pain and swelling on left foot after twisting injury and not getting better possibility of fracture needs to be ruled out. I would advise X-ray of left foot anteroposterior and oblique views. Visit radiology center nearby you and get it. If report shows fracture you need to consult expert orthopedic surgeon nearby you and get yourself examined. If there is no fracture diagnosis is sprain and treatment is application of crêpe bandage for 3 weeks and rest and elevation. Take tab diclofenac plus serratiopeptodase combination twice a day for pain and swelling relief. All the best. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I think i might have been exposed to scabies but am not sure. I itch all the time and yes i do dry skin but i also feel pin pricks at times and i am scared because i have a partially autistic 8 year old boy who i have seen scratching. My sons father spends a couple of days with us here at the apartment and he itches to. I am scared and worried i took myself and my son to the doctor and they said my son is fine but that i could see a dermatologist but not sure if any in my area accept the insurance i have and have enough or any experience in diagnosing scabies. My question is what does early scabies look like beforeit gets bad? ### REPLY: Hi scabies is a parasitic infection caused by scopes scabei.it presents in early stage as papulovesicles over the finger web areas.groin.scrotum.maxillae and wrists and itching will be more in nighttime. As days passes on pustules may occur with severe itching.l think you're suffering only with necrosis of skin.it can be cured by attar ax 25 mg at night. Antibiotic twice daily and application of moisturizer all over body twice daily and application of mo mate ointment over the spots ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: askingi have been married for 1 year and 4 months i have trying to get pregnant only for 6 monthes as before i was using condoms im asking shall i go to doctor shall my husband go and should i stay after sex in bed and altjougj staying sperms fall ### REPLY: Hallow Dear, How long you should wait giving the fair trial for natural conception depends upon the age of the couple, which you have not mentioned. Though you are married for 1 year and 4 months, you are sincerely trying for pregnancy for last 6 months only. If you are above 25 years of age, it is the time now that you start investigating both of you. You may not carry all the investigations straight a way. Initially try to find evidence of your egg release. Though in the market home kits are available, I would advise you initially to get the evidence by ultrasonography. This will ensure whether you are ovulating or not; and if you are ovulating, it will inform you the day of your ovulation (egg release). Egg has a life of 24 hours while the sperms are active for 24 hours. Hence, a period of about one week around the day of ovulation is fertile window. Then get husbands semen examination done for the quality and quantity of the sperms. If both these investigation reports are within normal range, try to plan your intercourse at and around the day of ovulation. Lying on your back for about an hour after the intercourse is advisable. After intercourse, some amount of semen does flow out passively, it is hardly 10% to 20% of the total semen; so not an issue. To minimize this flow of semen, the penis should not be with . Let it slip out of vagina passively when it is placid. If you fail to conceive even after six months fair trial like this, get Hysterosalpingography and Laparoscopy done to find out the condition and patency of the tubes and uterus. However, if you are above 30 years of your age, get both of you investigated completely without delay. Report then to your Infertility consultant for further advice. You may ask me a Direct question on this forum with all these reports uploaded. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sometimes during the fall around the time school begins, I get congested and then get laryngitis. After that I begin getting congestion in my chest and cough up yellow to green mucus a little. I develop a small cough but none of this is terrible. I do not run a temperature. What would you suggest I take for these symptoms. ### REPLY: Hello dear, welcome to .come have evaluated your query thoroughly.* Guidelines for your current issue-Maintain HY . - Inhale vapors of boiled water added tincture Benson with blanket covered over the head for 5 minutes each 2 times a day.- Avoid exposure to cold.- Deep breathing exercises, YOGA will help tremendously.- Avoid smoking if using.- Lesson pearls for symptomatic relief.- Gargles with salted lukewarm water added peppermint oil 3 times a day. Wishing you fine recovery. 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 child is 3.5 yrs old and i have been using inhalers levolin and buetcorde for her from past 7 to 8 mths. On and off she gets chest congestion.Doctors advise me to continue using these inhalers for her. i have been using without break for more than 2 mths now. i feel worried as she should not get dependent on these inhalers. pls advise.......she is a weak child tooo.....and doesnt eat much ### REPLY: Hi Ne eta. I understand your concerns about asthma medications becoming addictive. Here are few facts about asthma that might help you. What is asthma? Asthma is a disease of airways resulting from constriction of airways leading to wheezing, coughing and breathing difficulty. Like diabetes, hypertension it is a long term disease. There is always an ongoing inflammation of airways resulting in on and off worsening of asthma attacks. Why do we need long term medications? Two types of medications are available. Reliever medications like leveling which cures an attack, preventer medications like Decor(steroids) which prevent future episodes from occurring. We take medications for diabetes, hypertension for a long period but never complaint about taking them. Since asthma is also a long term disease, preventer medications has to be taken for a long time. But good news for you is a good percentage of child . I feel worried that my child may get dependent to inhalers ? This misconception creeps in everyone's minds when they think of inhalers. For becoming addicts, medicines should reach brain. They should give a pleasurable feeling resulting in craving to have more and more. But such phenomenon doesn't happen with asthma medications. They reach only lungs, act on airways, reduce inflammation and never reach anywhere else. That is why inhaler medicines don't cause side effects like tremors, palpitation as oral medications do. Inhaler medications are perfectly safe and don't cause addiction. Hope your child outgrows asthma. Till then take preventer medications. Keep in touch with your doctor. They will increase or decrease medication dosages based on your children response. Hence regular follow up is needed. Regarding your child not gaining weight, I need your children weight and what all she takes for whole day. Have a good day. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, about a year ago I was in an accident and developed cellulitis in my calf. It took about seven months for it to go away. Well yesterday I slipped on icy stairs and fell on the cement pad. This morning I woke up to some bruising on my leg and lumps where the cellulitis used to be. Should I be worried that it is back? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have history of injury. Mostly it is simple hematoma formation. You should take anti-inflammatory plus analgesic . If you don't get benefits then consult your doctor and go for examination. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Dr. my mom is 51 year old in her menopause and she experience sever hand and feet swealing in the afternoon/evening followed by lots of pain but it resolves in the morning. Swelling is around joints mostly. Would that be an arthritis or something to do with her menopause ### REPLY: Hi, In my opinion postmenopausal osteoporosis increases the incidence of arthritis of all joints especially weight-bearing joints like knee and backbone. It may increase with age and weight if uncontrolled. For now, she may use hot massaging with topical gels, painkillers like ibuprofen 500 mg twice daily if needed, decreasing her weight and avoiding heavy lifting and vigorous movements is very effective. Using a knee support and elevation oh her swollen leg after the massages is helpful for the swelling, otherwise visit her physician for proper evaluation. Please consider a 5-star rating with some positive feedback if the information was helpful. 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: my son was diagnosed with anxiety disorder and possible PTSD. he has multiple health issues including epilepsy, global dyspraxia, hypotonia, sensory integration disorder, cognitive delays, etc. I am trying to research anti-anxiety meds - any advice? ### REPLY: His admire you for positive outlook. He has cognitive delay and neurological issues. PTSD is difficult to say in this case. It is more or less adaptation problem or generalized anxiety due to cognitive deficit. The best way is evaluation. Both psychiatry and neurological evaluation is must reach proper conclusion.If you require then anxiety can be treated with mild anxiolytic like etizolam0.25 mg as and when required.Sometimes it is look like anxiety but core problem is different which can be evaluated with consultation. Thank you. Hope for the best. Still have a query then feel free to ask. Always here to 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: Age 27, height 5"8, weight 72kg, medical history suffer from hypertension blood pressure from 4 years +, am taking amlodopine 5mg daily. My problem is in the brain i suffer from something i need help where i do things to frustrate people,if things dont go my way i take anger out by hurting them in other ways, if my parents dont listen i want to mentally make them suffer and pressure them,if my fiance doesnt do things my way i cheat behind her back, i do things to hurt her, i like to just get back at people without any reason and hurt them no matter what consequences are, i need help ### REPLY: Hello. It seems that the hypertension is not your problem in this situation. Seems to me that you have a difficulty in dealing and controlling your emotions and temper towards other people. Physiologically, intense anger, frustration and stress can at the same time elevate blood pressure. I would recommend that you seek help from a Psychiatrist so that you can be properly evaluated. Managed, and counseled regarding your condition. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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. Life insurance tests found blood in my urine: WBC 12 RBC 28 and high Creatinine 96 (UK system) Phosphate in urine was 1.48 They estimate my GFR as 58 I am 41, non smoker, otherwise healthy. Does this mean I have kidney disease or could it just be an infection? Could the test be wrong if I ate a beef with coca cola dinner 9 hours before? Also they used first morning urine and my period came 5 days later. I don t know if these things are irrelevant. :o/ ### REPLY: Thank you for using The presence of microscopic hematuria which is what you are describing may or may not indicate kidney disease. A kidney stone or any mechanical blockage within the urinary tract can cause microscopic hematuria. Since you are menstruating, this may be confounded vaginal blood admixing with the urine specimen. To exclude kidney disease you would need: Blood chemistries to assess creatinine and BUN, kidney ultrasound, clean-catch urinalysis and quantification of urinary protein excretion. Once your physician has the above data, they should be able to answer definitively if you have kidney disease or not. What you had done is take an insurance physical which basically cast a large net "fishing for abnormalities" such that if there are any, they can deny you insurance or raise your premium. It is not a diagnostic test rather a screening tool. Consumption of animal protein prior to the studies may have increased the urinary creatinine excretion but should not affect hematuria Take care and be 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 doctor ,Am usha on my 11th day right ovary follicle is showing as 12*12mm , 9*9mm,7*8mm and left ovary follicle is showing as 8*8mm,8*7mm,7*7mm and endometrium is showing as 11mm .So please check and confirm is there any problem in that my Doc told the egg is not growing properly and please confirm is there any changes to get pregnent withus readings.Awaiting your reply.Thanks inadvance. ### REPLY: Hi, Thanks for writing to . Your size of follicle on day 11 is not that satisfactory. But some ovulate later. I suggest you to continue your follicular study to know whether your follicle grow and rupture or regress. I would suggest you to start with ovulation inducing . This will help multiple follicles to mature and rupture. Thus increasing chances of pregnancy. Your endometrium growth is good so no treatment for that is needed. You will conceive soon. Be stress-free. Stress is main cause of infertility. Hope I have been helpful. 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: sir my daughter 9 years old girl suffering jaundice for last 45 days ...at the begining her bilrubin rate was 2, then 10 days back it increased to 9.9.......3 days back it was 9.6..........during this peroied one doctor adviced to give B..complex syrup and one ayurvedic medicin named Liv.52 ( himalaya).............then 3 days back i consulted a gastro enterologist doctor. he advised to give omnacortil 20 mg for one week and omnacortil 15 mg for next one week........she s sffering hepatitice A.............is ther any problem with give that tablet......any hight or weight problem or any other side effect.........please advise ### REPLY: Hi thanks for your query as per discussion your child is a case of chronic active hepatitis and there is beneficial role of steroid like omnacortil (prednisolone) for decrease progression side effects of prednisolone are --swelling, rapid weight gain, feeling short of breath;severe depression, bloody or tarry stools, coughing up blood;report to your doctor if any of them occurs dose of prednisolone are given as per weight and the doses your daughter have are adequate. 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 just had a MRI of my left shoulder I am 31 years of age. Findings:Acromioclavicular joint: There is trace subacromial/subdeltoid bursal fluid Rotator Cuff: Partial thickness articular sided tear of the distal supraspinatus tendon measuring less than 50% thickness over a segment 1.2 cm mediolateral and 1.2 cm AP at the humeral head a few fibers along the bursal aspect are intact. I am in a lot of pain and am wondering if physical therapy will more than likely be my course of treatment and how bad is this tear ??? Thank you ### REPLY: Hello. Thank you for writing us here. Your report says that the bursa (a fluid filled cavity which lies near to the shoulder joint) has trace amount of fluid. The tendon of the muscle located at the upper part of your scapula bone have mild tear which is near the uppermost part of humerus. The treatment depends on the severity of the injury and in your case, it would take at least 6-8 weeks for complete recovery. You can use ice and heat therapy for pain and also use analgesics like paracetamol. The best medicine you can use is diclofenac spray/ gel. You should also see a physiotherapist and do little exercises for the recovery. And don't put a lot of weight on your shoulder as it would delay the 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: Hello Doctor,My age is 38yrs, height-168, weight-60 kg.Through, my LFT it has emerge that my SGOT-114 IU , SGPT-60 IU, S Bilirubin-1.10 mg. I have been consuming alcohol regularly. Plz advise me to bring the mention level to normal through medication and diets to be followed. ### REPLY: HelloFindings indicate mildly increased SGPT level.GOT is non-specific, and it increases in many conditions. Increased SGPT may indicate liver injury. It may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes etc. It may be related to alcohol intake in your case. You should avoid it completely. You may need few more investigations like routine hologram, random blood sugar, ultrasound of abdomen. I suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients. It helps in regeneration of liver cells. You should avoid saturated fat and go for brisk walk regularly. Get well soon. Take Care . ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my bua has some understanding problem. Her age is 55. She has mental disorder. These days she did not obey any thing. She don t want to eat, don t want to go bathroom. Most of the time she pass urine on bed. some time tool as well. My mom Life become tough these day while taking care of her. Can I give a dose of oliment 5 mg ? Just read from internet about this. ### REPLY: Degree understand your concerns went through your details. From the given symptoms, it is almost clear that your BUA is suffering from schizophrenia. She definitely needs psychiatric intervention as early as possible. Consult a psychiatrist. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 46 yrs old, poor blood circulation in my right leg, my feet turn red, blue and purple, my hands have also started turning red. I don like excessive noise, feel foggy and disorientated. Feel nausea when its almost time for a meal with headache, blurred vision at times, extremely tired could go to sleep easily, fall asleep without warning, too tired to do anything takes an effort to get moving. ### REPLY: Hello, The information you have provided is somewhat insufficient to go for diagnosis. If such a patient comes to my clinic, I would ask more questions like-for how long do you have these symptoms like fatigue, headache, changes in color of your hands and feet-Do these changes occur in cold or hot environment?- Do you feel pain or tingling sensation in your hands or are they numb?- how often does headache occur, and what incite it?- have you got diabetes or any previous heart disease?- Do you smoke?- Do you often forget things? How is your memory?- have you got any tremors recently?- Do blood tests like CBC, Lots, Rats and endoscopy for blurring of vision.- Echocardiography to know the current status of your heart. Besides poor blood circulation can occur due to prolong immobility, maybe because of your job. Hope I have satisfied you to my best. I am here to answer if you still have any queries. If you do not have any clarifications, you can close the discussion and rate the answer WISH YOU BEST OF 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 been having trouble urinating, a burning sensation when I do, and extreme back pain. I ve been using Aleve and AZO, but they just are not helping. I think I may either have a bladder or kidney infection. (I have also been nauseated and had a low-grade fever). Thank you! ### REPLY: Hi, Thanks for writing in. The symptoms of trouble urinating, burning sensation and extreme back pain can be seen in infections involving the kidneys and urinary bladder. It is important that you first get a urine routine and culture sensitivity tests done to know if there is any infection causing organism in your urine. If the fever gets worse, and you feel sudden rise in body temperature then doing a blood culture test is also required. It is also possible that there is a stone in your kidneys, ureters or urinary bladder. This can be known only after doing an ultrasound scan. Other causes of your symptoms also need to be considered and this is to be discussed with your doctors. Meanwhile, please continue to . Please do not hold urine for a long time. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: sure. my 5year old daughter has bowel issues..constipation, she has a really hard time going, she goes or tries to go daily but hurts her so much..docotor says more water and told us to use a powder you dilute in watre or juice to help..but she wont take it..she has also this fould smell when she does finally poop..any other suggestions..I do give prunes daily.Thanks sorry for the ramble ### REPLY: Hi... Thank you for consulting in . I think your kid is having habitual constipation. I have certain questions and suggestions for you. Questions:1. Did your kid pass motion or meconium on day one of life?2. Since how long is the kid constipated?3. Does the kid have any bleeding along with hard stools?4. How much milk does the kid consume per day?5. Does the kid eat fruits and vegetables (fiber diet) appropriately? You can get back with answers at the following link - www.ChatDoctor .com/doctors/ . Natural methods are the best to relieve constipation.2. Constipation is a risk factor for UTI3. Maximum milk consumption per day should not exceed 300-400ml4. Minimum 3-4 cups of fruits and vegetables to be consumed per day5. Toilet training - that is - sitting in Indian type of lavatory daily at the same time will help a lot. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Have a rotten odor from years of UTI ...allergic to sulfa, so have been taking Cipro for a long period of time. Now after only one pill or even a half of one, I will get painful mouth ulcers under my tongue and on my gums. Odor is causing me great discomfort. I take multiple showers to function and be around public.What to do? One pill kicks the odor and infection..just cant stand the side effect. ### REPLY: Thanks for your query, I have gone through your query. The ulcers could be because of the allergic or hypersensitivity reaction to the ciprofloxacin like allergic dermatitis or plasma cell gingivitis. Consult your physician and ask for a substitute . For the ulcers take topical steroids like triamcinolone acetone (0.1%) 4-5times daily for 1 week. You can also take topical anesthetic and analgesics like Anabel gel for the pain. You can rinse your mouth with mouth washes like either. Consult an oral physician to rule out other possible causes of ulcers and halitosis. I hope my answer will help you, take care. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have pain down the outer band of my left leg. it wakes me at night and shoots minor pain down my leg during the day. Do I just stretch a lot, or is it something far more serious. I am 61 years old and pretty active for a grandma of 10. Thank you. ### REPLY: Hi, This type of pain is peculiar of two conditions, L4 nerve root compression or perineal nerve compression syn . If not then it may be because of stress fractures or vitamin D deficiency. All you need to do is to get a thorough clinical examination done as the information you have provided is not enough to reach a diagnosis. 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: My 4 year client has a history of seazures but I never saw him have one until last fall when he began more physical activity. He now knocks down blocks, pushes a toy car or a ball away. Prior to this he was just a spectator. Could this increased activity be causing the frequent activity? They are facial in nature, eyes either stair straight ahead or blink, upper lit twitches, or his mouth opens and closes. These last aprox 3 seconds each. He can have 7 to 10 an hour. He takes phenobarbital, klonopin. Sees a neurologist and they are trying to figure it out. I noticed the harder he tries to think and lift arms and hands and move them, the seizures started and contenue. He doesn t have many at other times in the day. Could they really be activity induced?? Does that mean he has to quit playing???? ### REPLY: Hi, I am . I have read your question with care and understand your concerns. Let me try to help you Question : Could increase seizures in a child be related to increased physical activity? Answer : Yes. Question : Could they really be activity induced?? Answer : Yes. When there is more activity in brain, a part of it misfires and that causes seizuresQuestion : Does that mean he has to quit playing???? Answer : No. On the Other Hand, he has to take proper Medications and Continue to Play and Play more. Over a period of time, his brain will be adapted to handle his activity and the seizure threshold will be reduced 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. Let me know if I can assist you further. Take care. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am a 18 year old male and i have pain in my pubic area..it is a stiffness pain..on a scale of 1-10 it feels about 2-3.. sorta hurts when i walk and hurts more when i lift a leg...doesnt hurt to go bathroom nor does it burn....only stiffness i feel please help...... ### REPLY: Hi, will need more details. Is it on one side or in center. Does it go to the testicles or scrotum? Since when do you feel the pain and was there any injury before it started. It is difficult to advice without this information. It could be a Varicocele or a swelling of the veins of the scrotum or could be some mild trauma in which case it should subside over the next few days to a week. You can let us know the answers to the above questions by using the Ask a Specialist section of the site. Or you can ask a Direct query by accusing my Profile. 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 fart too much since I delivered my child 14 months ago and the farting still continue till now. It is embarrassing and very uncomfortable. I guess its causing my tummy to be big and my menstrual cycle has reduced from 26 days to 24 days while my menstrual flow increases from 3 days to 5 full days..... All these are just too much of a change after just a first child...... I need your expertise advice Doctor. Thank you Leah Christopher YYYY@YYYY ### REPLY: Hi LEAH CHRISTOPHER, welcome to forum. Thanks for asking a question to forum. You FERT too much, swollen abdomen, change in periods, after the first delivery 14 months back. There may not be any relationship between delivery and felting. Increased size of abdomen, and change in the periods may be due to the changes in the hormones after delivery. Size of the abdomen should be cared by your own by controlling the fatty foods. For change in periods which are in l=normal limits, if you feel necessary you can consult your cynic who will take care of big abdomen by belt and . Felting may be controlled by diet changes, avoid spices, pulses, junk foods, and oily foods. Take plenty of water and fluids. If you feel necessary you consult a physician for diagnosis and treatment. Wishing for a quick and comfortable 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 am a 15 year old male with thalassemia. I receive blood transfusions every two weeks. I am touring with my dads band in the fall and wanted to know how it could be arranged to make sure I keep to my schedule. Do we have to set it up with a hospital near the area we are staying at the time, or if I have a travelling nurse, is there a way to stockpile the blood that was donated for me? ### REPLY: Hello and welcome to , You can take blood transfusion while travelling. Before transfusion, blood grouping and cross-matching has to be done. Thus, get blood grouping and cross-matching from a blood bank. The blood can be stockpiled for maximum of 42 days in the blood bank. You can get the blood stockpiled if possible. There is no contraindication for blood donation while travelling. 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: Well I am currently 8 weeks and 2 days pregnant and I wanted to know if it is normal to be extremely tired and sleepy all the time. I have 2 boys one is going to be 7 and the other is 4 1/2 and I dont recall feeling so sleepy and tired all the time like I do now. So, is this normal? My first prenantal appointment is not until March 15. ### REPLY: Hello dear, I understand your concern. In my opinion feeling weak and tired can be one of the symptoms of pregnancy. It may not be present in all the pregnancies. The causes for weakness might be low HE or low blood sugar etc. There will be continuous supply of glucose to fetus leaving the mother hypoglycemic or low sugar. So you need to have 3 meals and 2 snacks per day.ie., have something every 2 hourly to avoid low sugars. Also take adequate fluids up to 3 liters per day. And I would like you to check HE tested to rule out anemia as it also causes similar symptoms. Nothing to worry. Follwing the diet pattern as I explained you helps in clearing the problem. So relax. Avoid stress and intercourse. Take rest about 8 hours of sleep i.e.., 1-2 hours in afternoon and 6-8 hours at night. Hope this helps. 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 ve been having this bad pain in my stomach for over a week now. I can t hardly eat. it feels like my food is still sitting in my stomach and hasn t digested. no matter how little I eat it still hurts. I have volmited a few times and it doesn t make the pain go away. I haven t really ate much at all picked at some dried fruit and a few crackers over the past few days. the hurting is just under my left rib area. just not sure if this a bad thing or not. It almost feels like my food is trying to push back up in my chest area. No indigestion or heartburn, ### REPLY: Hi ! Good morning. I am answering your query. At the outset I would advise you not to eat from outside if you do. Outside food could give rise to intestinal infections or might produce some kind of sensitivity reaction to a particular component of food examples being lactose intolerance and gluten sensitivity which are under diagnosed everywhere. Once this factor is removed, I would advise you to go for bland diet without any fat, and least spices to avoid gastric irritation. I would also prescribe you with a proton pump inhibitor, a probiotic and a prokinetic . If all these are not helpful, I would not hesitate to refer you to a gastroenterologist for a possible endoscopic evaluation of your gut. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing to clear doubts on your health problems. Wishing you an early recovery. . ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Ive had 2 blood tests in which my bilirubin counts are slightly elevated. I just had another blood test this morning and I see my doctor next week for the results. My skin, especially my back and stomach, started itching several weeks ago and I have tiny bumps all over my torso. Are these symptoms related? ### REPLY: Hi, thanks for posting your concern in the . My understanding is you may have itching if you have obstructive jaundice or conjugated hyperbilirubinemia. This is due to deposition of bile salt. However, any form of rash during jaundice should be evaluated as early as possible. They should be differentiated from purpura or telangiactasia. Furthermore, whenever an obstructive jaundice is suspected, any form of cholangitis should be evaluated for, because acute cholangitis is considered as an emergency. For the time being, you may apply calamine lotion over the rash for symptomatic relief. Please visit your doctor as early as possible. For any further query please write back. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 16 WEEKS PREGNANT, I HAVE ASTHMA , AND I HAVE A VERY DIFFICULT TIME BREATHING ALOT!. MY ASTHMA IS NOT UNDER CONTROL AND HASN T BEEN FOR A WHILE BECAUSE I DIDN T HAVE INSURANCE. I WAS ABLE TO GET IT BY ME BEING PREGNANT. BUT I WENT TO THE DOCTOR YESTERDAY CONCERNED ABOUT MY ASTHMA BECAUSE I ALWAYS FEEL LIKE I GASPING FOR AIR. THIS IS MY FIRST PREGNANCY AND I WANT TI KNOW WHAT IS SAFE FOR ME TO TAKE. MY HEARTBEAT WAS AT 120 CONTINUED TO GO UP!. AND THE DOCTOR DIDN T DO ANYTHING ABOUT IT. NO EXPLANATION. NOTHING. SO I WILL NOT BE GOING BACK THERE EVER. THIS IS MY FIRST PREGNANCY AND I WANT EVERYTHING TO GO SMOOTH. SHOULD I BE WORRIED? AND WHAT IS GOING ON? ### REPLY: HiT hanks for queryAsthma in pregnancy in about 1/3rd cases get deteriorated. To achieve control of asthma is the most important issue in pregnancy because effect of uncontrolled asthma on fetus is more deleterious than the asthma medications. As such no asthma medication is contraindicated in pregnancy. So immediately consult a pulmonologist and get optimum treatment for asthma to control it. Thank you. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 40-year-old, 159 pound, white female. I only smoked when I was a teenager occasionally and as a an adult, I would only smoke when I drank (which now I do not smoke at all). I drink occasionally on the weekends but not much. My father had a history of heart disease, emphysema and diabetes. He had his first heart attack in his mid-30s and had a triple bypass in 1983. At age 72, he passed away due to a massive heart attack he suffered as a result of the stress of having surgery to remove colon cancer. Over the past year or so I have been experiencing chest pains almost every day either at rest or after some activity. Sometimes when I am leaning over, I can get the pain in the center of my chest which can feel almost like muscle pain. Sometimes I experience the chest pains with a feeling of shortness of breath yet when I take a deep inhalation, it seems as though my breathing can be restored to normal. Sometimes with the chest pains I also experience some upper back pain across my shoulders. My neck, jaw and arms never really hurt or go numb. Oftentimes, I can feel my heart racing or feeling as though it is going to pound out of my chest. I have had numerous EKGs done all of which have come back normal. I went to the ER in February of 2009 and was admitted due to chest pains. Upon arrival at the ER, I had bloodwork done including my cardiac enzymes tested (which were all normal), an EKG done which was normal, BP (usually maintains at 112/80), pulse and heart rate were all normal. They kept me overnight so I could have a stress done. I completed that the next morning. The stress test I had was where they took pictures of my blood flow while at rest, then they shot me with some dye, then I ran on the treadmill and then more pictures were taken after that. The results were that I had a heart of a 28 year old, and I was in the top 90% of women my age. Then that afternoon, I had an endoscopy done to rule/out any gastro problems. That, too, was normal. I was seen by a cardiologist while an inpatient and he told me that everything was normal and it is very unusual of a woman my age, even with a family history, to have heart problems. It definitely was not a heart attack nor did he feel it was heart-related. Then I had an abdominal ultrasound completed outpatient which was normal as well as which was normal. I also wore a heart monitor for 30 days which allowed me to record all of my episodes. Upon review of that monitor, they told me I had sinus arrhythmia and tachycardia but there was nothing for me to do about it because it was nothing to worry about. My cholesterol is 195 and I can t remember my exact LDL or HDL but I believe the good cholesterol level was 5 points lower than it should be and the bad was good. My triglycerides were over 300 but at my last blood check they came down to a bit below 200. I am still working on lowering those. I know I do not always eat right nor do I exercise very often. I have cut back on fatty, greasy foods and am losing weight little by little. I continue to have these pains either at rest or after exerting myself. Sometimes I take Prilosec and the pain goes away. I mentally make the pain and heart pounding worse because I start to think there is something wrong with me that my PCP and the tests missed. (My PCP is my cousin who is very familiar with my family history and I truly believe he is doing everything possible to find an answer. Yet he keeps telling me that he is 99.9% sure it is NOT my heart. The only other thing he could do is a catheterization. He doesn t want to do it because there is a 1% risk that something could actually go wrong and cause me a real problem. He did say if I had the catheterization, it would completely give me a 100% answer. I actually gave myself such bad anxiety this past weekend that I actually started believing that I am dying or will die soon. These episodes and symptoms are driving me crazy! I want to hope that it is all just stress or something else. I ve been crazily reading things where they say sometimes people can sense doom or feel anxiety right before something bad like a heart attack or death happens. Please! Any help or answer you could give me to lead me in the right direction to solving my problem would be GREATLY appreciated. Janel M. ### REPLY: Hi, In my opinion we should first rule out lung related diseases for your chest pain and shortness of breath. So consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). If PFT is normal then no need to worry about lung diseases. Stress, anxiety and panic disorder can also cause similar symptoms. So consult a psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic . Don't worry, you will be alright with all these. Avoid stress and tension, be relaxed and calm. 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 doctor. I have been trying to conceive for 2 years with no luck. I am 25 years old and I was told everything was fine by my Gyn doc. I was prescribed clomid and duphaston . I started taking it on my 3rd day and not sure when to start duphaston . My cycle is 25/26 days thank u ### REPLY: Hi . You have a very good chance of conception as your age is 25 only and trying duration is less also you have periods regularly. I assume you are aware of fertile period in a menstrual cycle. Phaeton is prescribed in second half of menstrual cycle i.e. after ovulation. IF you have 26 days cycle mostly ovulation is happening around day-12 of period. You can even monitor ovulation by urine LH monitoring kits available in market. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 toe nails turned green, oozing on the tops of my toes, very painful. Socks were even green. I have soaked them today in salt water, and put some topical cream on and it seems to be working, pain has let up, letting my foot breath and keeping it elevated. ### REPLY: Hello, Welcome to ChatDoctorI am answering your query. This has to be ingrowing toenail with infection. If I was your treating doctor, I would have prescribed you as follows,1. Clean with antiseptic lotion .2.apply antibiotic cream.3.oral broad spectrum antibiotics4.anti-inflammatory analgesic. You are doing right by keeping the foot elevated. Hope you have answer to your query, if anything else you are welcome. 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: Good morning Dr. SirI am suffering from asthma since last eight years, we suffering like wheezzing, breathing problem almost a day & night, cough problem I taken regularly salbutamol, asthalin, deriphyllin tablet, but now it is not effective. Then since last six months i taken treatment from Bakson Homeopathy Hospital Homeopathy treatment, but also not satisfied, niether problem found relief.Please suggest what i do? ### REPLY: HI, thanks for using It is possible that there may be triggers that can causing your asthma attacks. Triggers may be : (1)sinusitis - this may present with post nasal . The use of topical steroid nasal sprays, anti histamines would help(2)HERD- gastroesophageal reflux can also aggravate asthma(3)environmental triggers such as dust, pollen, person need a preventer inhaler to be added to your regimen. At the moment you are only using reliever inhalers. A preventer would reduce the frequency of your asthma attacks. You need to speak to your doctor to obtain a prescription for a preventer. I hope this helps ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,I m now on Accutane and it s working great. However, a large nodule appeared on my neck under my chin around 5 weeks ago. It never came to a head and the swelling has gone down, although it s still quite purple/red and is visible. My Dermatologist gave me some Dermovate to use on the nodule to reduce the inflammation. Although after reading some of the posts online, I m a little sceptical that it s going to work and could even exacerbate the problem.Would a cortisone injection be a much better approach here? ### REPLY: Hi, Thanks for writing in. Accutane is a vitamin A derivative isotretinoin and is used for treatment of acne nodules on face. Derogate is a topical corticosteroid which is used in the treatment of skin inflammatory conditions. The derogate cream is much milder than a corticosteroid injection. Creams might cause certain exacerbation however it is not seen in every patient. Taking a cream is a safer option over the injection. Injections give a high dose and might cause side effects in other places. Please use derogate ointment and if there is any adverse event then stop and consult your doctor urgently. 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 11 year old daughter that is experiencing almost nightly headaches, stomach aches, hot/cold, leg pains that are making it difficult to fall asleep. After a while of trying to fall asleep, she gets what I feel is anxious and then gets a racing heart. We have tried over the counter pain medicine. I feel that after a while she just gets exhausted enough that she falls asleep. ### REPLY: Hi, the symptoms of headache interrupting her sleep along with leg pains and stomach pain might be a serious condition. The child will require a full neurological examination to look for focal deficit and a good history of the type of headache, associated aura, familial or not, unilateral or over full cranium, duration, aggravating factors, relieving factors. Get an neurologist opinion and get an EEG, X-ray of sinuses, BP, Funds examination for raised intracranial tension. A neuroimaging of brain in form of CENT or MRI brain might be required later. Right now give her symptomatic treatment in form of tablet Ibuprofen along with Tab Steel. And consult a Neurologist asap. Thanks and regards. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello My 84 year old mum was given an injection of Prolia on the 18th November last . her face started itching badly 36 hours later especially along and slightly under her jaw-line. Anti-histamines have not helped She informed her GP of this itching 25th November and asked if it could be down to the Prolia but her GP dismissed the idea suggesting that it is something she is using i.e washing powder, skin products, food etc but Mum has not changed anything at all Mum also aske dabout being referred to a dermatologist or having blood tests or allergy tests carried out and all of these were again dismissed by her GP. The itching is no better. she took it upon herself to see another doctor who carries out allergy testing but as soon as he learned Mum had been given Prolia he told her that this was the cause of her itching and that a low dose of steroids would ease it for her. However it would take up to 5/6 months for the Prolia to leave her system. She is very distressed and getting very little sleep. Since Friday the itch has become more aggressive with splotchy red itchy pimples appearing on her forearms. She is now doubting the doctor s diagnosis that it is the Prolia causing the itch. because it is worse...is that normal...?. She started on 30mgs of Deltacortril this morning I would appreciate any opinion you have regarding this. Kind regards Catherine Foley ### REPLY: Hello and thanks for the query. Prolia or Denosumabis a human antibody used for the treatment of osteoporosis, treatment-induced bone loss, bone metastases, multiple myeloma, and tumors of bone. Denosumab can cause skin problems such as . The most common documented side effects include infections of the urinary and respiratory tracts, cataracts, constipation, rashes and joint pain. It can also increase the severity of eczema ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 lumpectomy 11 days ago. This was my 2nd lumpectomy re-incision. The surgeon used dissolving sutures and glue. Im experiencing a red bumpy rash surrounding the incision and my body is itching on my neck, chest and back. My doctor said that it didnt appear to be infected and told me to use Balmex on the rash. The rash is tolerable, but the itching is horrible. I continually take Benadryl. Could this be a reaction to the sutures? If so, what is the treatment? ### REPLY: Hi, It may be irritant contact dermatitis caused by either suture material or . Consult the dermatologist for the perfect diagnosis and proper treatment. I would recommend you to apply mild steroid cream on the affected areas. And take antihistamines like cetirizine to relieve itching. If needed, take a course of oral steroid in tapering dose. Hope I have answered your query. Let me know if I can assist you further. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have had stomach pain for 7 months now i need to go for a test but i dont know what it is called i have tried everything teas and heat packs what can i do to calm my stomach down until i go to do the test please help.i am a 11 year old girl who can not handle the pain ### REPLY: Hi! Good evening. I am answering your query. If I were your doctor, after a personal physical examination of your abdomen, I would have advised you not to eat anything from outside as intestinal infections could creep in, and also the intestinal mucosa might be hyper sensitive to some constituents of the outside food causing such symptoms of yours for such a long period. Apart from this, I would also advise you for a routine stool test for ova and cyst and treat it if positive. In addition, I would advise you for an ultrasound of whole abdomen to rule out any intro abdominal pathology and deal with it accordingly. Till the tests were done, I would advise you for an anti-spasmodic along with a proton pump inhibitor . I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing to clear doubts on your health problems. I wish you an early recovery. . ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I found a hard pea sized lump on the left inside (toward the back, closer to the anus)of my vaginal opening, less than a fingertip inward. Went to dr and they said it might be a lipoma. But it s hard to feel in stirrups easier to feel sitting and I m 24 weeks pregnant with baby #2 and 29 years old. Opinions? ### REPLY: Hi ! Good morning. I am answering your query. Although it might require a physical and clinical assessment of the lesion you have described, it could be a benign lump of lipoma as your doctors said, but the hard consistency as described by you might not go in favor of it. If I were your family physician, I would have referred to a gone socialist to examine the same and go for any related investigations like an ultrasound to reach near to a diagnosis. If the lump persists even in the postpartum period, I would advise you to consider for a histopathological test of the biopsied specimen at that time. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing to clear doubts on your health problems. Wishing you an early recovery. . ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had my gallbladder removed in 1998. I started experiencing pain which has started to increase where my gallbadder use to be. My stools have turned yellow, which started 4 days ago. Lately, I feel shortness of breath, as well. Any ideas of whats going on? ### REPLY: Hi.noted history of gallbladder surgery several years back and discoloration of stools. Some things to consider are stones recurring somewhere along your hepaticopancreaticobiliary tree area, where your gallbladder was previously situated. It is best if you do a follow-up consult with your surgeon, for physical examination and clinical evaluation. Diagnostics (such as ERCP, ultrasound, liver function tests, bilirubin, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. Hope this helps. Good day!!~ . ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: One week ago, I underwent a colposcopy and concurrent removal of a genital wart , via cauterization . Approximately 3 days ago my genital region became very red and itchy. It has subsided somewhat, but the is still very red. In addition to this, the area which was cauterized has not scabbed over. While it has not been bleeding, it is pretty much an open wound. My questions are, is itching and reddening of the genitals normal following a colposcopy, and should I be concerned that the cauterized area has not yet scabbed over? ### REPLY: Hi, Welcome to forum. As you describe, you had cauterization, the raw surface may have some raw areas, for few days. If they are raw for longer period, it may need treatment with the antibiotics, and antivirals for few days. So I advise you to consult your doctor for diagnosis. I usually prescribe to my patient with such symptoms ofloxacin, ornidazole, and acyclovir. Wishing for a quick and complete recovery. Thank you. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My sister was diagnosed with thyroid cancer this past Summer, she had surgery to remove her thyroid in Aug and we were told that it was caught in time and it had not spread nor was it in her bloodstream. Well she had her annual pap and now they are saying they found C2 level cancer cells...she is only 30 years old. They havent said were the cancer is, but how serious is C2 level and could this in any way be linked to the thyroid cancer? ### REPLY: Your sister probably has a condition called CIN2 which is a condition of the cervix (the last part of the uterus) which is left untreated can progress in half the cases to cancer of the cervix. You have 2 options. Either get a PAP smear repeated every 6 months to see if the CIN2 is progressing. Or, she can undergo a colposcopic examination done along with biopsy of any suspicious area. This will ensure that she does not have anything sinister. Also, this has nothing to do with her thyroid cancer. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 the difference between an acoustic neuroma and vestibular neuritis. I was diagnosed with vestibular neuritis and had an MRI. It showed alight prominence of the nerve root complex in the IAC. My question is how does a inflamed nerve look compared to an acoustic neuroma. I have no symptoms of a neuroma and my VN symptoms have disappeared. Thank you ### REPLY: Hi, I had gone through your question and understand your concerns. Acoustic neuroma is a benign tumor arising from nerve sheath of VIII- TH cranial nerve occurring commonly at cerebello-pontine angle, vestibular neuritis is viral infection of the Visit nerve. Both have similar symptoms(dysfunction of Visit nerve) but acoustic neuroma has also symptoms related to mass effect on brain structures. They are easily distinguishable on MR imaging (diffusion restriction signal in vestibular neuritis, acoustic neuroma grows into cerebello-pontine angle and is definitely bigger than the swelling of the nerve etc.) Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello,I fell down hit my left front side of body, was pretty sore like pulled muscles that tried to catch my fall, didnt realize also hit the side of my head just above temple has left small bruised lump very tender to the touch for couple days but now have had a headache for past 3 days... Will It go away on its own or do I need to see a doctor? ### REPLY: Hi, dear. I have gone through your question. I can understand your concern. You have history of trauma. So if you have symptoms like headache then you should consult your doctor and go for ct scan. You may have some internal injuries. So go for it and then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have what looks like an infected ingrown hairs on the inner cheeks of my buttocks. They have been here for over a month. I got a bunch of ingrown hairs after shaving and soon after that I had gay, protected sex. The problem is he took off the condom and ejaculated over my ingrown hairs. I took a shower immediately after. Is there a chance I could have contracted HIV and that is why the ingrown hair infection isnt healing? ### REPLY: HIV infection is transmitted only through blood and blood products. It can't be transmitted through skin contact. Your infection might not be healing because the ingrown hair is still present and persistently causing irritation and infection of that area. There is a simple treatment. Apply hot towel to that area for 10 min every time you go the washroom. The boil will burst, and the hair follicle will come out and the infection will resolve ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have just been to my GP as I changed my contraceptive pill two months ago and have been suffering from irregluar bleeding and discharge. The doctor has put me on to Noriday. I have been diagnosed in the past with Polycycstic Ovaries PCOS. Should I be taking Noriday with this. Also my doctor has never really gone into what PCOS is and what I should be doing. Can anyone help? ### REPLY: Hi, PCOS is common problem, mainly characterized by multiple cysts in ovaries which in turn causes increase in insulin resistance in body. The best and first thing you should do in PCs case is "weight reduction" and avoid outside food, fast food, oily products and heavy meals. This causes lowering of insulin resistance. You can take Holiday for PCs. Consult gynecologist for your irregular menses problem. Take Carell 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 am 30 years old, my penis is very small and not react in proper time, if i see any porn its standing for sometime but very quickly its come in a normal size, i don t know what s my problem, i checked with doctor, he suggested me that some how blood is not moving in my erection time. plz suggest.......... ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. Sex is a divine act and meditation. We forget ourselves throughout the sexual act and that makes it proper meditation. Sex should not be performed when you or your partner is tired, stressed. Sex should not be performed during unworldly timing, and you should not hurry while doing sex. Erection is happening when blood is pumped into the penis and kept there in a certain pressure. The pressure is not sustained due to the above-mentioned reasons. Anxiety about is sex is also another factor. Don't come to a pretext. Yesterday happened never means it will happen tomorrow. Concentrate on career and not on sex. Keep it divine and do meditate, don't hurry and get stressed. Hope this answers your query. Available for further clarifications. Good luck. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. I m 42, been off of my birth control for 3 months now and we are not using any protection in hopes of getting pregnant. I have a 28 day cycle and my last period started May 12th, 2012 and ended May 19th 2012. We had sex Sunday night. My question is a two part question...could I have gotten pregnant and what are the chances if he s 46 and we have not had sex in over 3-4 weeks? ### REPLY: Hi, in case of 28 days regular cycle usually ovulation occurs around 14th day, so as you had intercourse on 9th day of cycle, there is less possibility for pregnancy, but that could not be completely excluded, male age usually will not affect spermatozoa as they will be continuously produced unlike females around 3 days of abstinence is enough for good quality of sperms, so if you miss your due date in the next cycle you undergo blood test or urine test to detect the possibility of pregnancy. 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: So my period was June 3. I have been cramping and spotting since June 21. I also have had 2 long stretchy mucus with pink blood in it. Also have been having alot of headaches. We have been trying to get pregnant. My next period isnt until July 3. Could this be implantation bleeding or from ovulation or something else. The cramping and spotting comes and goes. ### REPLY: Hi. Spotting from implantation bleed usually is a one time one day thing, but rarely can last for 1-3 days also. Many women experience an array of different symptoms during the trying to conceive process, and so your symptoms could be attributed to that as well.Let's not dismiss your symptoms this quickly, as I also recommend a home urine pregnancy test using an early morning urine sample on or after the 2nd day of a missed period. Best wishes. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello,I am a 64yr old woman,189cm tall,50.4kg,no known diseases.I have just had an upper denture fitted,& took for pain Panadol &Ibuprofen for inflammation,until I had to cut them down & virtually out, as I was getting weak & shaky with hypoglycaemia. Have had this occasionally over a number of years,but largely control it with diet.I was wondering if there is safer pain control for this condition?Thankyou for taking the time to reply. ### REPLY: Hi. Welcome to . I have gone through your query and can understand your concern... As per your complaint and presentation of symptoms hypoglycemia is not being caused due to wearing of dentures and in your case as you had this problem since years which you have controlled with diet and as now you are having recurring episodes of hypoglycemia it is an alarming condition, and you need proper medications for controlling the condition. You should immediately consult an ENDOCRINOLOGIST and get evaluated for the exact cause of the hypoglycemia and get treated accordingly. As far as pain due to denture is concerned there may be some sharp elevation towards the tissue surface of the denture that may be causing injury to the gums leading to pain and discomfort. Consult your dentist and get it evaluated and get proper corrections done to relieve pain. You can apply numbing gel containing Lidocaine over the sore areas of gums and can take Ibuprofen for pain and inflammation relief. Do cold water gargles and suck on ice pops for relief. Hope this information helps. Thanks and regards. . . ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im experiencing pain on and off for about 4 months. Location feels like the appendix area. Initially I thought it was muscular, but it should have healed by now. I run and work out and havent stopped since the pain started. I also havent been to a doctor in 10 years. ### REPLY: Hi! Good evening. I am answering your query. If I were your doctor, considering the chronicity of your problem, I would advise you for a routine complete blood count, an ultrasound of abdomen, urine routine with culture sensitivity to rule out the approximate pathology than to be in doubt. Further management from my side would depend on the reports of the investigations. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing to clear doubts on your health problems. Wishing you an early recovery. . ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a severely disabled 12 yr old child who has severe hypotonia, mentally is about 6-12mths of age, constantly chews his fingers, autistic like repietitive movements, has intractable seizures, muscle spasms, multiple mini drops throughout the day, but physically looks " normal" .He is being tested for a variant of Rett syndrome and guanidinacetate deficiency.I read about a case where a young girl in America with Rett syndrome was diagnosed with leukemia and was given a bone marrow transplant and starting talking for the first time in her life and ger symptoms started to reverse. Would a bone marrow transplant or stem call transplant likely improve my sons condition if he did have guanidinacetate or similar deficiency?????? ### REPLY: HiT hanks for writing to The features u described are of Rests syn . Stem cell transplantation for this disease is under active research. This procedure has been successful in mice. But we need to go still a long way before the same can be applied to human subjects. However, medication for seizures, physiotherapy and training for retardation do help the child. Nutritious diet also is important. Hope researches in stem cells goes faster and problems of your and several others 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: Had hip replacement year and four months go. Have swelling periodically in my feet md nkles that goes away rather quickly now I have had swelling and be pin in both feet for about week. Swelling comes and goes depending on activity, but pain is always there, right knee has slight swelling and is hard to lift and bend. I have been told to elevate, but just comes back after I return to my activity. ### REPLY: Hello, Thank you for using . I read your question and understood your concern. This swelling might be due to a deep vein thrombosis which is blood clot in the veins of the leg which is a complication that happens not rarely after total hip replacement. I suggest you to do an Ultrasound Doppler of your legs and consult your doctor for treatment with medication if that is the case. Wish you quick recovery ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im concern because I have a lot of mucus in my throat and nose. My left eye is also running tears. I take Zyrtec and sometime it help. Every now and then I get chills, I cover up and turn the heat up often. I thinking something is going around or do I have pneumonia? I havent been to the doctor yet because I just had surgery. I have been sleeping a lot and just concerned! ### REPLY: Hello! Related your concern I think the is a viral situation (flu). Usually after a surgery immunity is weaker and susceptible of viruses. So, if you get chills you should see for the fever and the increase production of mucus in your throat and nose is the response to the virus. Usually if a person have pneumonia should have a high fever, a lot of cough with green sputum and chest pain but in your case for the moment you don't have mentioned it, so don't worry. What I suggest for you is to use ibuprofen if you have fever, decongestionnant solution, saline solution, steam therapy, control for a surgical site infection and if this situation last more than 4-5 days meet a doctor to see for a post viral complication. I hope my answer help you. I wish you a quick recovery. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hey, i just have a few symptoms im concerned about, im 22years old and have one child, first concern is i had been on the depo injection for 3years i stopped and last injection was in october last year (2012) it is now june (2013) and i havent been on any other contraceptive and i still havent had a period, but i have had white discharge since i havent been on it aswell. Second concern is my breast have been very tender and sore (i have taken pregnancy tests and all come back negative). on my areola i have got a pimple like lump its red and white discharge keeps coming out of it aswell. For about 2-3weeks my breasts had swollen up a cup size and were full and heavier but have now gone back down. Any answer to my concerns please?? Thanks. ### REPLY: Hi I am of all you should know that prolonged use of oral contraceptives can alter the hormonal mechanisms and periods are controlled by hormones. If you are breastfeeding then periods can be delayed. Also have an ultrasound done to look into uterine status and get a blood pregnancy test. If all negative consult a gynecologist which can prescribe medicines to start periods, thanks. Breast tenderness is generally due to hormonal irregularities as well. 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 mother in law, 78 has stage 4 small cell lung cancer and is receiving chemo. She is also on an antibiotic to treat pneumonia. She has a stiff neck and cant eat or drink from the pain in her neck. Is this a side effect of the antibiotic or could it be the cancer? ### REPLY: Hi, Thanks for writing in. The neck stiffness might be due to trapping of nerves from the lung cancer. The nerves in the neck originate from the cervical spine and are called as brachial plexus. It is possible that the cancer in lung is in the apex and therefore pinching the nerves and roots to cause pressure on the nerves. This leads to muscle stiffening and probably leads to stiff and painful neck. Please apply pain relief and muscle relaxant ointment and sprays over the area to reduce any pain and ease neck movements. 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: My 66yr old mother has sundown syndrome. It started about 8 months ago. She is very delusional (hiding on the floor, covering vents and tv). She is convinced that her someone is out to get her and is going to kill her. She calls people all during the night to get them to stay up and talk to her all night. She has lost over 40 pounds during this period. Her doctor sent her for a blood test (she took) and referred her to a psychiatrist (she refused). She pays her bills and appears fine during the day. However, her stories are totally irrational and she can not be reasoned with. What can I do? ### REPLY: Degree understand your concerns went through your details. From the given symptoms, the 66-year-old lady is showing typical paranoid schizophrenia symptoms, and therefore she needs psychiatric treatment. Please convince her using any means. There must be someone whom she trusts. Take their help. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am chewing gutka since 1 year , like 3 packets a day , and now the side of mouth where I used to inseRt gutka has became rough and thin and the tounge has became plain at the side I put gutka , it burns a lot and cant eat spicy food at all !What can I do to get rid of it ?I have stoped eating gutka since last 1 week and it burns more ! ### REPLY: Hi, Thanks for asking the query, Gurkha chewing leads to oral malignancies, leukoplakia, OSMF this can be confirmed only by clinical evaluation. Stop the habit of chewing Gurkha. I would suggest you to approach an Oral and Maxillofacial Surgeon for clinical examination and evaluation which helps in exact diagnosis and treatment. Meantime you can do symptomatic treatment at home by maintaining good oral hygiene to prevent super infection, use antiseptic mouth rinse twice daily. Apply Colonel oral ointment topically over the affected area. Take multivitamin tablets. Avoid eating of hot and spicy foodstuffs. Hope this helps out. Regards. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have a small pea sized lump on my head slightly above the left temple. It been there for quite awhile and has not grow. I do get really bad migraines but they have lessened over the years. I have read about this type of situation and I am trying to figure out if its a cyst or something worse. There is history of cancer in my family, my mother passed away from breast cancer 1 year ago at age 42. ### REPLY: HiT hanks for askingBased on your query and history, my opinion is1. The swelling in your case is long-standing, without any increase in size, most probably a benign lesion.2. To find out the nature of lump, you can get a fine needle aspiration (FNAC) done. 3. Based on the findings on FNAC, you can decide to go for excision considering the smaller size of lesion4. Cysts are quite common on head and neck region, so it is most probably a benign cystic lesion5. It's not related to migraine and not to worry much 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 was in a car accident two nights ago, and I got a knot on the right side of my forehead. The knot is now gone, but when I touch where the knot was because there s still a cut I can feel movement in my head. Is this normal? I haven t had no headaches or anything and they did CT scans that night and nothing was found. ### REPLY: Hi ! Good evening. I am answering your query. Once the CT scan was normal, and it is two days post trauma, I do not consider it anything to be apprehensive about. I am hopeful that with time it would be alright, and you will be relieved of your symptoms. In case it persists, or increases, then only you might have to get it reviewed by the treating doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing to clear doubts on your health problems. Wishing you an early recovery. . ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, i had salicylic acid peel treatment on my pimples about a week and a half ago. It was just a spot treatment only and not applied on my entire face. I was told to use elovera cream at night to moisturize my dry skin brought about by the peel. I just noticed that after over a week of use, my skin is still dry, itchy and pores are dilated. Is this possibly due to elovera cream? Im also using tea tree soap but i started with it for over a month already. So my regimen is as follow:Morning - wash face with tee tree soapEvening - was face with tee tree soap and apply elovera cream after 40 mins Should i discontinue using elovera cream? ### REPLY: Hi, Thanks for writing to us. Salicylic peels can cause . Lover cream is a very mild cream and as such does not lead to irritation of skin. Open pores are basically dated openings of oil glands. Peels or lover cream cannot cause open pores. People with pimple prone skin usually have open pores due to excess sebum or oil production and continues inflammation of the gland. Though tea tree oil is good for acne prone skin but after peels it has the potential to irritate skin further that is why after peels we advise mild face cleansers and moisturizers. Right now I would advise you to stop tea tree face wash as well as lover cream for few days. Use a mild steroid cream like demonize cream(eurozone, atonide or disown etc.) twice in a day for few days. The irritation and ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor, My son is 5 and a half month old is suffering from cold and severe cough. I am giving him otrivin drops and Bricanyl syrup. But he is stuggling a lot because the cold is coming back to his throat and he does not know how to spit. Please advice. Regards,Lalitha. ### REPLY: Hi... Thank you for consulting in . Cough and cold are viral 95% of the times in child . For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15 mg/kg/dose (max ceiling dose 500 mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25 mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: doctor I have mild pain in left side bottom of chest and shoulder some time, it is not constant and not continuous. My blood sugar ,BP, Cholesterol ,thyorod and ECG reports are normal. No problem in breathing also. Can you guide me what to do further. ### REPLY: Thanks for your question on . Since your all cardiac reports are normal, no need to worry much for cardiac cause. In my opinion you are having musculoskeletal pain mostly. So try to follow these steps for better symptomatic relief in chest and shoulder pain.1. Avoid heavyweight lifting.2. Avoid strenuous exercise.3. Avoid bad postures in sleep and movements causing pain.4. Start painkiller and muscle relaxant.5. Apply warm water pad on affected site. You will mostly improve in 5-7 days with this treatment. If not improved than get done chest x-ray to rule out pulmonary cause like lung infection (pneumonia). ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Respected sir, my self Mohan charan mahanta,age 36 yr. I was operated pancrease stone in 2014.After one yr i was found as diabetic patient .what will be my treatment sir.now continue medicine.which is better for me insulin or medicine.i was remove gall bladder stone also in 2012.pl give me yr good advice sir. ### REPLY: Hi thanks for your question. You need certain investigations before treatment is started. Investiations like No1. Fating and post radial blood sugar(blood sugar 2 hours after meal)No 2. H bA1c which gives an idea about your average blood agar level of previous 3 months. With these investigations yourphysion will decide what will be the treatment of choice for you insulin or oral medicine. To began with oral medicine will be the treatment of choice. Hope this answers your question. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been on Dian 35 on and off for about 15 years. I have has two bouts of major depression and I am on lyrica and lexapro for the past five years. I am 45 years old. I am now experiencing Utis. Could they be caused by dian 35 and could my anxiety and depression caused it too? Would you recommend that I come off Dian 35? ### REPLY: Hi there ~ Diane 35 is a contraceptive medication and will not cause Otis. Anxiety and Depression are treated with Learn and Lyrics, however you need to understand that you should also consider if you are experiencing any changes in your symptoms of anxiety and depression that is making your lifestyle worse i.e. you are not . If that is the case then you might have had Otis indirectly due to that reason. However, not good sexual or genital hygiene and deny ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 girlfriend and I are trying to have a baby. But unfortunately we haven t been able too. We even have been keeping track of her ovulation cycle. She s been on the Depo Shot for nine years and has been off of it for the past 1 and a half with regular periods until recently. Which has us concerned. We ve tried the accu test twice with no prevail. Any comments or questions to this will help. Our last option is to go to a fertility specialist. But we can t afford one at the moment. Any help with this is obliged. ### REPLY: Hi there, After going through your question, I am of the opinion that:1) Demo shots are known for a low rebound fertility rate, which means that a person taking demo shots can have trouble conceiving after stopping them.2) It might take anything between one and two years to get pregnant after demo shots.3) You have not mentioned her age as well as whether she has any child . 4) There could be other reasons too for not being able to conceive.5) For now, I think you can check for ovulation with the help of ovulation sticks and also get your semen analysis done. 6) Try to have sexual intercourse during ovulation time.7) If ovulation and semen analysis are ok, wait for 3 months. If still no pregnancy, it would be helpful to visit a fertility specialist. I hope this was helpful. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have little hive like things breaking out mostly on my legs. They are red. They are itchy. I took Zirtek and it seems to help. I am tired, lack of concentration. I have very big stools which I never had in the past. I had abdominal pain, headache, diarrhea and after the diarrhea some weightloss ### REPLY: Hi ! Good morning. I am . On the diarrhea front, I would advise you to avoid eating from outside if you do to rule out any intestinal infections. If I were your doctor, I would advise you for a routine stool test for ova and cyst, a routine blood test like CBC, ESR, Blood sugar, and special blood tests like LFT, Bag, HIV, and a thyroid function tests. If all the tests are normal and non-reactive, then I would not hesitate to refer you to a gastroenterologist for an endoscopic evaluation of your gut and a possible tissue biopsy to arrive at a diagnosis. An ultrasound of abdomen might also prove to be helpful. The lesions in your legs could be due to some allergic manifestation which has responded to the anti histamine ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Diagnosed with Fibromyalgia 20 yrs ago. Long history of migraines, back and neck pain. Physio, traction, neck crunching in past. 63 yrs female. Take half 25 mg Endep, Imigran and Panadol Osteo. Slow loss of fine motor skills in right hand affecting writing. Hand seizes after 3 letters. FM pain worsened by physical activity (when aching), stress, especially weather changes. Presently have neck pain worsened by tilting head back. Pain worsened by laying on neck in bed at night. At times find that Imigran (Sumatriptan) eases neck pain - does this indicate blood vessel entrapment as action of Imigran seems to ease pain in neck at times, when other medication doesn t do anything. Work in school, which requires twisting, turning etc. Cold winter at present in Adelaide, South Aust which exacerbates pain, although I find repeatedly that my best health and least pain occurs in Autumn every year. Get light-headed and dizzy at times. Fell off a low platform onto knees and fainted 2 years ago + excruciating calf pain at night - got up screaming and fainted. Ultrasound revealed clot, suggested Warfarin immediately. I didn t take, sought further advice, saw Vascular Surg, more bloods taken, then just aspirin at night. Took for a while, but not now - bad press recently. Do not have regular gp. See when need scripts. Medical clinic situation rather than family gp. FM mainly self-management. Was secretary of Arthritis Foundation support group initially and learnt a lot about FM but haven t kept up with latest for a while now. Just push on, but neck pain is very restrictive and has been constant for a month now, with just occasional relief - probably due to pills rather than abating of problem. Don t know whether to ignore and hope it gets better, or get some massage, or go down gp line and seek specialist assessment. Am not one who rushes to doctor as over time fm patients usually learn to not expect any answers for pain. Think I ve got to a point of head in the sand self treatment now. Seem to be conflicting attitudes to value of MRI as a friend had for neck probs. I keep looking at barometer hoping it s the reason for pain - perhaps foolish, but when people have conditions for which there is no magic answer or treatment or reasons one becomes complacent I guess. Just wondering whether I should be seeking some answers to this neck problem as it s starting to concern me re: pain and constrictions. Have irregular heart rhythms also which were considered by Cardio to have contributed to faints and dizziness. Still trying to work in a primary school setting but becoming difficult, although it does force activity and movement. Cope with back pain but this neck pain is a bit more concerning when any slight backwards tilt causes compression and more pain flare-up. Daughter aged 38 yrs also has had pain in arms and legs, with hand tingling and heavy aching for many years. No-one has ever really investigated this or given any reasons to her. She had dysgerminoma ovarian cancer with ovary removed at just 13 yrs. 12 mths later another laparotomy to remove other ovary. Turned out to be a haemorrhage of ovary, so it was left. Due to abdominal surgery, she got lypodaemia. Probably more related reason is surgery re: arm pain, but thought I d mention also. Basically, how much should one be concerned re: neck pain?? Thankyou so much. HW. ### REPLY: Hi.u should be concerned as it was making u daily routine difficult .account to your given history i migraine fibromyalgia I'm Ina out that u may be suffering from cervical spondylosis why don't u try an app and lateral radiograph of c spine which role outs any abnormality or canal stenosis.u should continue your migraine prophylaxis under the supervision of your physical as it ha many aggravating factors in your case.the same applies tour daughter also to have a radiograph done and take to your radiologist and ask h8m whether to have any further radiological investigation. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 married person & three years have gone, but after having many inter courses my wife has not yet conceived. Pl let me know as what will be the reason i.d because of less SEMEN going inside or less food intake by both of us ? When we approached the gynecologist they told us to go for DNA test so what is a DNA test for me & for her doctor has given a GEL which she has to apply Is t because I used to masturbate & in this connection i want to know as whether due to this will this affect my family planning as i used to have sexual relationship with my wife but so far she has not become pregnant.. Thanks ### REPLY: HelloWelcome here. I can understand your concerns. First, I would like to tell you that masturbation is a normal process and does not affect sexual capacity. Second, DNA test does not decide the fertility capacity. For you, go for semen analysis to the status of your sperm count, motility, morphology etc. For your wife, go for the following tests:Hystersalpingogram to know status of uterus and tubes;Hormonal assays (LH, FSH, Progesterone and an . Menstrual irregularities can also be a contributory factor. These tests will determine the cause of infertility and guide in treatment. Consult your nearest infertility specialist. Hope this helps. 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 wondering if it is possible to experience peripheral neuropathy only in the arms and hands and not legs or feet? I was diagnosed as pre-diabetic several years ago, took medication to control it and then was taken off of it due to my ability to control it on my own. The last time I had a blood glucose test (fasting) I was at 99. I have been experiencing numbness and tingling in my arms and hands though, and my middle finger on my left hand continuously feels a bit numb. There is a history of MS in my family, should I consult a neurologist? ### REPLY: Your complaints seems to be involving only upper limbs. Few neuropathies may involve upper limbs first like porphyria, diphtheria, multi focal motor neuropathy with conduction block, vasculitic neuropathy. But definitive diagnosis can only be made on examination And nerve conduction study. Another possibility of Carpal tunnel syn . I should recommend you to visit a neurologist for better assessment. Hope you get well soon. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my 19 month old daughter woke up shivering, and can t seem to calm down but she is finally asleep. I checked on her forhead for her temperature, and found out that she was burning up. She is still showing signs of a fever. Should i give her Motrin? or should i just go to the Hospital? Please help. ### REPLY: Any child with fever should undergo history taking and complete physical examination to reach the diagnosis and treatment of coarse depend on the diagnosis .most of the time its self limiting viral illness, but serious causes of fever must be excluded like pneumonia, meningitis ... EtcI highly recommend you to give her the antipyretic and rush to her doctor to see her and fully exam her. I hope this helps ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Dr. I am 30 years old and my doctor has prescribed me Concor COR 2.5mg for tremors and Paroxat 20 mg for anxiety? I have read the leaflet of both of them and got really worried about the side effects. Concor is for heart disease, why has he prescribed me for tremors? Also are both of these medicines rightly prescribed? Thanks ### REPLY: Hello and welcome to . Thanks for your query. Concord (Bisoprolol) is a beta blocker medication which is used for a variety of conditions. It is used not only for hypertension, heart diseases but also commonly used (in low doses) to treat the physical symptoms of anxiety like tremors, palpitations, etc. Part (Paroxetine) is an SSRI anti-depressant used to treat depressive as well as anxiety disorders. So, yes, both your medication have been rightly prescribed. 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: patient: 37y/o female. symptoms: anaemia, raised liver enzymes, smokes 20/day for 12 yrs, widened mediastinum on CXR, ?spinal cord compression. -> Would you say this presents with lung carcinoma leading to secondary spinal tumor. Or a mediastinal tumor. If mediastinal would it be posterior? ### REPLY: Thanks for your question on . I can understand your situation and problem. Since patient is heavy smoker, possibility of lung cancer is high. And spinal metastasis is very common in lung cancer. This can lead to spinal cord compression. Another possibility is mediastinal tumor, mostly lymphoma. Lymphoma is mostly seen in posterior mediastinum but can involve anterior, middle mediastinum. So better to get done CT thorax with Contrast to rule out lung cancer or mediastinal mass. Also get done MRI spine to rule out spine metastasis as a cause for spinal cord compression. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 on repo provera from may till august which i never continued,i wanted to conceive and i went to see the gynaecologist early this month since i really need a baby,she gave me Estelle and preconceive folic acid,after five days i stopped taking them since they made me dizzy,what can i do to get pregnant? ### REPLY: Hi, Thanks for writing to . I would suggest you to get your follicular study done. By this you will come to know you are ovulating normally or not and timing. If you are ovulating normally then you can try for 3 months with taking only folic acid. If you are not ovulating or desperate for child then I suggest you to go for ovulation inducing . This will help multiple follicles to mature and rupture. This will increase chances of pregnancy. Hope I have been helpful. 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: On 11th day my RT Ovary is 1.5X1.4, LT Ovary is MSF, EM Thickness is Mild tripleline. On 13th day my RT Ovary is 2X2, LT Ovary is MSF, EM Thicknes is Tripleline 7.2mm. Dr gave ChatDoctor 10,000 iu. on the same day. Still takeing F-gam. Hormone test was done on 2nd day and its all normal. On 15th day RT Ovary collapsing, LT Ovary MSF, EM Thickness is Tripleline 8.8mm. Dr asked me to take Sugest 200mg for 15days from day 16th. And to continue with F-gam. Does Sugest 200mg help in pregnancy?. ### REPLY: Hello. Thanks for writing to us. Sugest 200 mg is a micronized progesterone preparation which helps in endometrial growth and prepares the endometrial lining for implantation of the fertilized ovum. It is given specially in cases where endometrium is comparatively thinner according to the period day. Do take care in having proper timing of sex so that the time of ovulation matches with it. I hope this information has been both informative and helpful for you. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I don t remember hitting it on anything but I have a lump on my left hip that feels like bone its a lot bigger than a lump I have always had on my right hip and it is bruised badly. It hurts to the touch and when I sit down. If had it for about a week ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some soft tissue tumor like lipoma or neurofibroma or something else. You should go for fine needle aspiration cytology. It will give you exact diagnosis. Then you should take treatment accordingly. Excision is the treatment of choice. 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: My knees hurt when I straighten them from sitting indian style. Also when sitting on the couch and I stand to walk they can be wobbly and feel like they could snap and I could fall. Several times when getting out of the car from driving I about fell and caught myself. There is no knee pain when walking or exercising. They stiff when in one position for awhile. Thank you! ### REPLY: Hi, since you mentioned your history I will recommend to just get one MRI of the knee done which will help us to check any soft tissue damage which is not able to unlock the knee mechanism. Biomechanics of the knee is a different and difficult process to understand. So while deciding any treatment plan we need to know the exact cause of the restriction in the mechanism. Well, checking up with a physical therapist will help input some change of exercises so the biomechanics of the knee is maintained. Also, you can try performing reverse walking and strengthen the hip muscles. Personal experience of mine with patients have made me help their biomechanics better with resolving their symptoms. Understanding the actual lag in the biomechanics can be helped to you by an MRI and a physical examination. With the grace of God I wish you a speedy recovery ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a lump behind left ear, about the size of a quarter. I have had it for 2 weeks. Thought it was staff, my GP perscribed Bactrim. I releived some pressure from it. I though it seemed to be going away, But it isnt. The area I punctured has healed but the lump is there still. GP sent me to a sergeon. Is concerned. I have pain in jaw down my neck into my back. Dont know if these are related. The sergeon looked at it today and said he wanted to do surgery right away. So I am going tomorrow morning. He mentioned cancer. Now I am concerned. He asked me other questions and one was my shortness of lbreath. He felt the right side of my back and there is a lump kind of lunder my shoulder. I also reached back and felt it. My mother died of cancer. She had it everywhere. My father had colon cancer. It all boils down to dhould I really be worried at this point. I have no money to pay this . Sorry for your time ### REPLY: Hi there, If there is a lump which is not responding to antibiotics the doctors may want to cut it out and check it under microscope (called biopsy) to make sure it's not malignancy or anything to worry about. I think you have done the right thing to take proper medical advice and so go for the biopsy and go according to the doctors advise. Take care and remembering worrying too much will not help, so take things as they come. 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 growth removed from my gums today and the dentist who removed it said he had never seen anything like it in 30 years of being a dentist he sent it off for biopisiy no pain had it for several months had x ray of the area about a month ago and nothing was found any thoughts? ### REPLY: Thanks for your query, I have gone through your query. The growth over the gums can be a myogenic granuloma or peripheral ossifying fibrous. Nothing to be panic, consult a good oral physician and get a second opinion. Your dentist might have not seen such cases, so take opinion from another physician. Once the biopsy report comes we can treat further, if the lesion reoccurs. I hope my answer will help you, take care. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My wife has been experiencing upper left side abdominal pain that radiates to the back that is usually worse in the evenings. Sometimes it keeps her up at night or even wakes her up. She was diagnosed and treated for h pylori months back and this pain is what was left afterwards. She never had this pain before. They have done blood tests and said everything was normal but the pain is not going away. Any suggestions? Thanks ### REPLY: Hello. I feel your wife is having gastritis or acid peptic disease. She needs to follow some lifestyle tips.1. Do not eat spicy food2. Take medications for gastritis- panto/Gomez/rantac3. Take little food at frequent intervals. Breakfast around 8am, small snack at 11am, lunch at 1pm, small snack at 4pm and dinner at 8pm4. . Do not smoke, take alcohol or tobacco and even excess of coffee and tea 6. Do not take much of stress. Stress aggravates gastritis7. Do regular exercise. At least half an hour per day8. Learn meditation techniques9. Follow this regularly for 21 days. It is said that anything you practice regularly for 21 days becomes a habit 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 was bite by a cat thee weeks ago it was infected and I took an oral antibiotic for a week and a half. I had six puncture wounds all healed normally except for three of them healed with lumps under the skin I saw a np who said this was scar tissue and not to worry. But this week its been itchy and small red bumps are appearing around the punctures. Should I be worried? I also suffer from eczema and the bumps are similar to that,. ### REPLY: Thanks for posting you query to .as this lesion develop around your scar could be due to secondary infection or edematous lesion as such lesion can develop on scar mark. If it is due to infection it will swell up, appear red, filled with pus and would be associated with fever or body ache. So if you develop symptom of infection contact to your general surgeon for taking treatment accordingly. If you feel only itching no need to worry about infection just take whatever treatment you are taking for your eczema and if not received contact to your dermatologist. Hope you would be satisfied with my answer. Feel free to communicate if any query.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: dr my hubby is suffering from jaundice his serum bilirubin 1.5mg/dl,{total} , SGOT 53 U/L ,SGPT {67} IS HE IN an initial stage? cud u tell me wat shall i provide him in his diet? wen and at wat wat tym? he is feeling weakness n he has lost his apitite lyk before. wat shall i giv him so dat his apetite increases lyk before? he doznt hav any other symptoms xcept weakness and less apitite plz suggest. ### REPLY: Hello,First he should get further testing to figure out the etiology of his abnormal liver tests. He should get tested for viral hepatitis, autoimmune liver disease, etc. by blood tests. He should also get a liver ultrasound to check if he has fatty liver or stones in the bile ducts. If he . There is no magic diet to decrease the liver enzymes. If he has fatty liver disease then he should eat a regular and balanced diet, low in fat. He should definitely get follow up with a liver specialist or gastroenterologist. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been diagnosed with iron deficiency anaemia. My nails are starting to split vertically and I am also getting hot flush/sweating episodes later in the day. Are these recognised symptoms. Tomorrow I am having a capsule endoscopy. I am concerned that I may have a tumour as I had a malignant melanoma 20 years ago. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Your symptoms may be seen in iron deficiency anemia. You should check your blood count and iron status. You should also go for ultrasound abdomen. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I need a new hip in my polio hip but I am afraid since I broke the femur in this same leg a long time ago and they had to take part of my other hip bone to lay around the break since the polio bone won t grow on it s own or that is what the Dr. said. I also grow scar tissue fast and have not had one good surgery because of this. The pain is very bad but don t want to do anything to my hip if the bones won t grow on their own. ### REPLY: Hithank you for providing the brief history of you. A thorough musculoskeletal assessment is advised. Since you require a hip replacement as per the or tho I feel you should go ahead as in today's time of advance science things are perfect and recovery is outstanding. Even the procedure what your or tho says is correct, by using a bone graft technique healing can be improved. In my clinical practice I have come across a polio patient who has undergone THR and is successful. Surgery was successful and patient is able to walk as well. Regards. Jay In . ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was recently diagnosed (at Cleveland Clinic) with mild diffuse encephalopathy... I haven t received a treatment plan yet. Can you shed some light on this? (I don t drink alcohol more than a few times/year; I have never smoked; and I have not had a head trauma.) ### REPLY: Hi, Thank you for posting your query. I would like to know a few additional details regarding your diagnosis. On what basis, were you diagnosed with mild diffuse encephalopathy? Was it based on clinical neurologic examination by a neurologist, or was it based on electroencephalography (EEG) test? Encephalopathy refers to brain dysfunction, such as . If you had these findings, then, one can make a diagnosis of encephalopathy. Please get back with more details. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 9 month old is just getting over a cold and had his 4 month shots 2 weeks ago. He had a pale (off white poop yesterday) and today has had 2 poops that contain white chunks/curds mixed in with normal looking poop. What is going on? (No diet changes) ### REPLY: HI...these changes on stool frequency and consistency is normal in kids of this age. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 86 years old and having good health till 4 months back. I got psoriatic Arthratis but it was diagonised late. I lost 4 months and got treated by the doctor with Saaz. But I found it not suitable for me. I lost 2 month for treatment. Now I have been treated with folitrax 15 mg injection and I found it is ok for me. Pl advise how to get strength as I am bed ridden and could not walk properly without support. Also my back joints L4 L5 etc are giving lot of pain. Pl advise remedy. ### REPLY: Hello, Low back pain in psoriasis arthritis have different origin. This pain is mostly due to increase in inflammation. In your case two factors are playing role one is your disease & other is your inactivity with your age. In my opinion if you are facing severe problem with low back pain then you may ask from your doctor about intermittent course of low dose steroid. This is very helpful in such cases. Your doctor is the sole person to decide its pros and cons in your age. You should continue or start calcium & vitamin D therapy. Hope I have answered your query. Let me know if I can assist you further. Take care ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have 4 years ago after endoscopy been diagnosed with inflammation of stomach and have since been taking omeprasol daily over last few weeks been experiencing pain under lrib cage left side whicChatDoctores and goes worse when lying down gets worse when I get anxious or upset I eat a high protein low carb diet ### REPLY: . Stomach pain usually occurs due to oily, spicy food, disturbed diet pattern, stress,over eating... You have to take more simple, liquid,high fiber diet. . You can take pantoprazole mebendazole with risperidone. Enzyme preparations will be helpful. Avoid oily, spicy food. Avoid stress, anxiety.go for exercise regularly. Consult your treating doctor for further diagnosis and medical management. ### END |
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