Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 33 year old female with rheumatoid arthritis and slightly overweight . I have pigmentation on both sides of the neck and patches of darker colour on my stomach. This is non itchy, non velvety, just darker colour. They have developed over the past one year.. Nothing seems to be helping. Please advise. ### REPLY: Hi, Thanks for writing to us.It's very difficult to think of a probable diagnosis for these pigmented lesions without clinically examining them. These could be friction induced or of lichen plans pigments, acanthuses Nigerians or due to post inflammatory hyperpigmentation. It would be a wise decision to visit a dermatologist to diagnose the condition and start an appropriate treatment. Hope that helped. 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: B/P at hospital where I work was 182/102 then got a primary doc because just moved to muncie in. Went for visit the same day and I didn t feel like she took my b/p accurately. (Went too fast manually). The nurse got 142/84. The doctor put me on catapress 0.1mg . Took b/p at 2000 and now 182/100. Took first dose of catapress around 1600. Suppose to take Bid ### REPLY: Hi I do care for your condition. The blood pressure will fluctuate according to a persons current behavior, whether calm agitated etc. But it will not vary to the extent that you have mentioned. I would advise taking at least 5 readings every 2 hours apart in a single day to confirm the correct blood pressure. And then taking medicines according to result will definitely help. Hope I have answered your question, if you have more feel free to ask. 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 took a pill for abortion October 2 and the 3 and had unprotected sex November 18 is it possible to get pregnant but I took a pregnancy December 7 test it came back negative but I been having symptoms is possible my ChatDoctor level isn t normal and have a false negative ### REPLY: HI, Thanks for the query under  forum.  I understand your concern.  THE effect of emergency contraceptive lasts maximally for 8 days. So the pills you had taken on October 2-3 is not likely to offer contraceptive protection on November 18th.  Home pregnancy test is best done after 8 days delay in periods OR after 3 weeks of unprotected sex. Insufficient in  before the advocated time can not be detected in urine & so the urine test turns -ve.  So you need to repeat HPT at proper time.to have confirmed results.  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 believe I am 5 weeks pregnant and have been taking tetrasyl for several months. We had IVF to conceive our first child so did not believe it was possible to fall pregnant naturally otherwise I would not have carried on taking tetrasyl. How dangerous is this to our unborn child? Very concerned and would appreciate some advice. ### REPLY: Hi there,Tetras is an antibiotic which is not recommended to be taken in pregnancy, but it is not known to cause any major defect in the baby if taken during the first trimester. Studies have shown that it effects the baby if taken after 4 months of pregnancy, causing the babies teeth to be discolored and can cause hardening and cause excess calcification of teeth and bones which is irreversible. But, since you are exposed to tetracycline at such an early gestation it is very unlikely to have affected your baby. Only minor abnormalities are known to occur in few women. Do not be overly concern and get a NT scan at 11 weeks and an anomaly scan done at 20 weeks to check for anomaly. 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: GOOD Morning from Pakistan, i am male 40 years old , yesterday i gone through my blood test for SGPT level n in result it shows 57. i have to go for medical test for in couple of days n overthere i need my SGPT less than 35. Could you please help me on this issue. adding i dont smoke, no drinking. An early response in this regard will be highly appreciated. Thanks n regards. Have a wonderful day.Mahr Waqar ### REPLY: Hello! Thanks for putting your query in . I am a Gastroenterologist (DM). There are many other causes for elevation of SGPT apart from alcohol intake like Hepatitis B and C virus, Wilson disease, autoimmune liver disease. So I will suggest you to visit a gastroenterologist for evaluation and appropriate management. Meanwhile1. Do reduce your weight by diet and exercise2. At least 30 minutes aerobic exercise per day3. Low fat diet4. Tablet Ursodeoxycholic acid and Vitamin EI hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and 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: Gud day. My baby,3 month old has pus cells 0-2/hpf which is shown on his stool exam. We have noticed he frequently defacates with greenish to yellowish to tannish color. The consistency is soft and slightly loose. Im sory i cant tell how slightly loose a stool could be. But one thing is for sure,his stool isnt runny to the extent that it would leak its way out of the diaper. He had a bowel movement 5x for this day only in small amounts..some in medium amounts. I am afraid of this 0-2pus cellr. What could have been the cause of this?what treatment should be done?need help asap! ### REPLY: Hi, pus cells 0-2 in stools is completely normal finding, and you need not worry about any infection. A 3-month-old child can pass medium to semisolid stools and in a frequency of 6-8 times a day, even more, without any intestinal bug. Colour of the stool can be greenish to yellowish. At present, your child appears to be completely normal and you don't have to load him with oral medications which will only make his condition worse. Thanks and regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had a liver transplant due to chirrosis and my liver dr. says everything is functioning fine. My current problem is with ammonia and the high levels in my blood that is being treated by injestion of 60 mg of laculose x4/day. Talk about no life outside a bathroom! What could be causing the elevated ammonia levels beside my liver? ### REPLY: Hello, Welcome to . I read carefully your query and I understand your concern. You had a transplant liver, ammonia is the product of bacterial activity on protein in intestine, and then it is absorbed and transported to the liver and the liver degrades into end products and waste products, having a liver disease cause the high level of ammonium in blood. The component of the production of ammonia are diet protein and bacterial flora of the intestine, so you should reduce the protein intake through your diet, and specially you should avoid the intake of cheese, peanut butter, onion, mayonnaise, ketchup etc. The other component is the bacterial flora in intestine, for this you can take Lactulose that is a laxative that alters bacterial flora and makes fewer organisms available to produce ammonium, and you take it, you can use with or without the Lactulose antibiotics e.g. Noticing take from oral rout induce the reduction of ammonia production by the intestinal bacterial flora. Except the diet and medication to keep reduced the ammonium blood level you should take a healthy diet and have a healthy lifestyle to keep healthy the liver and this include a healthy weigh that avoid complications e.g. high blood pressure, so you should: eat five serving of fruits and vegetable every day; eat lean meat; eat whole grain breads; increase the fiber in your diet; .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, My father is 63 years old, suffered Massive Heart Attack in 2012 August, his current condition is as below CAD: RWMA +, AWMI, LV dysfunctionNO VEG / PAH / CLOT /PENormal ValvesEF: 30 I want my father to be out of danger and be in good health always. I need help to improve his heart condition. Please help. Regards Mallikarjuna ### REPLY: Brief:Detailed:Hello, Welcome to . Thanks for writing. I am .  I have read you question completely, I understand your concern and will try to help you in the best way possible. First I will explain about the report. It says that your father had heart attack which effected anterior wall of his heart. Heart has many walls and anterior wall is very important in determining the heart function. Report also says that there is left ventricular dysfunction. Left ventricle is also the most important part of heart and now as its damaged it is working at half the efficiency of a normal person. Normal ejection fraction is 60%, and he is on 30, so after this heart attack his here us working at 50% of normal. Now how to keep him out of danger? These are simple yet important points.1) Save heart from a new attack, this will need him following the diet modifications and regularly taking meds' and doctor followup.2) Don't over load the heart :this will be done by:a) controlling salt intake.b) Taking medic) Controlling BPD) Avoiding over exertion.3) Stay active but always remember he doesn't have to cross his allowed limits. He is on 50% of heart activity, so his physical activity should also be 50% Here your main goal is to keep it at 30% and don't KET it deteriorates. Leaving meds even for a day can be catastrophic so take care of every thing religiously and everything should be fine. I hope this answered your question. If you have more queries I am happy to answer. Regrads. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi sir, act a week before i got fainted n was feeling drowsy when i went to doc they prescribed me kinti-dp, vertin 16 & rantac 150.. but after having this medicines i feel uneasy n my heart starts breathing fast n i feel more drowsy.. doctor said that i got high BP .. that time my bp was 150/110 but now it has come down to 120/85... so please advice me whether i should take this medicine any more ### REPLY: Hi, Only your doctor can advise you to take or not to take any medication because they are the ones who know your case best as opposed anybody reading a few lines of your problem from afar, make sense? It would appear at first glance that your blood pressure has certainly improved from what it was and that is very good.  However, side effects that may be coming from the medication are potentially bad and if you haven't gotten used to them by now it is definitely worth speaking to your doctor first before making any decisions to continue or not.  That is the way any patient should handle any prescription medication that doesn't appear to agree with them. Give your doctor the final word on what to do with the prescription..., not someone who's less informed about your case and your body than he/she. 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: Dear Sir, I have sarcoidosis in my kidneys .my creatinine levels were 3 . I have under treatment of steroids from last 2 months 60 mg dose.Now The creatnine levels is 2.7.pl suggest any option for lowering creatnine levels. Also I have started nefita . Regds ### REPLY: Hello and welcome to . As a Urologist, i can understand your anxiety. Sarcoidosis of kidneys is quite rare. The kidney function has reduced a lot. Steroids is the treatment to be given, with monitoring of blood sugar. The creatinine and electrolytes is done to check kidney function. Nefita is a multivitamins and minerals tablet, given for well-being of patient. Salt 5gm and 40 mg protein diet, with fluid intake according to urine output per day, is important. A kidney biopsy and ultrasound scan must be done. If you've any doubts, you may send the reports to me, as a direct question. .  Manga. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: For over a year it has been getting harder to walk in the mornings till my ankles warm up. They are now becoming quite thick just above the ankles. I do quite alot of walking. My archilles tendons have been sore to touch at a certain spot for along time. ### REPLY: Hello, As you need to begin stretching and get the muscle length to its optimum levels before going for long walks. Also, check that the ankle range of motion, knee range of motion, hip range of motion is to the fullest. Because any tightness in the muscles of the knee may change the gait and lead to quick tightness in the Achilles tendon. Get the full range of hip, knee and ankle. Get the muscle to its original length by stretching, next to look for simple chair aerobics which helps to improve the muscle functions and avoid early fatigue. Hope I have answered your query. Let me know if I can assist you further. Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, My father has a prostate of 93cc and doctor recommended TURP. He undergoes the surgery last month. After surgery , he faced infection and uncontrolled urination, In fact no control and bed wetting starts. Is it normal or any issue in surgery . Please suggest what can we do? He is diabetic (215 after meal ) and have Blood pressure also. I want to consult Urology department if everything is normal or some action needs to be taken. ### REPLY: HelloThanks for query. Incontinence of urine after TURN is mostly due to one of the following factors 1) UTI 2) Uncontrolled Diabetes.3) Thermal Injury to sphincter of urethra which controls urination. Following measures will help to cure his problem 1)Ensure that his diabetes is well controlled .2)Get his urine culture done so that UTI can be controlled by taking appropriate antibiotic.3) Ensure to . 4) Perineal exercises to strengthen urethral Sphincter. Normally this gets cured within 3-4 months . Consult operating Urologist for further help and guidance. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Can I get pregnant if my prolactin is > 23.3 ng/ml (actual results = 35.7)?  I am currently taking medication for hypo-thyroidism - which has been diagnosed recently - so I am unsure if the medication is causing this increase.  I have yet to get the medication level correct for the hypo-thyroidism.  Thanks! ### REPLY: Hello, It is indeed a cause for concern if you have hyperprolactinemia and this can cause infertility and hence, needs to be corrected. Treatment of hypothyroidism is not responsible for this condition; in fact, the hormonal defect could be an associated factor, and you may need further investigation and treatment for multiple hormone imbalances that could lead to infertility. Hyperprolactinemia can be simultaneously corrected through medication once organic causes are excluded. Hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my prolactin level was 39.  the doctor got an mri done to check for adenoma and he told me that was normal and i should repeat the mri after 3 months to see if there is a change. he has just asked me to keep trying to conceive as the level is not too high to warrant medication. please advice. ### REPLY: Hi, I think if your periods are regular then you can try naturally for 3 to 6 months even with deranged prolactin levels as you are already taking the medicine for that. If it doesn't work then you can take some medicines like camphene for the growth of your follicles.  Track your follicles' growth by repeated ultrasound and when your follicles is more than 17 mm, take injection for rupturing the follicles.  Be in contact with your husband for next 2 to 3 days after injection.  Take progesterone for next 2 weeks.  Do a urine pregnancy test at home after that.  You can try like that for 3 to 6 months. Hope I have answered your question.  If you have any other query I will be happy to help. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi! Ive been coughing for a year now and I keep going to check ups but they said I have asthma.I have inhaler,nebulizer and all of the medicines that you take when you have asthma.lately I notice that climbing up the stairs I have a hard time breathing and even just walking on short distance.is there something wrong with my heart?Im afraid. ### REPLY: Hi ! Thank you for using  I would say that having only difficult breathing during walking or taking the stairs is not enough to say that you have heart problem. Usually I would say that a patient has heart problem When he /she experience chest pain (is the main symptom) with shortness of breath , sweating, severe weakness, fainting. The pain is like a pressure in your chest, sharp, tightness or squeezing. The symptoms your describe are more due to Asthma. I would advise you to check the . Wish you good health. If you have any question please feel free to ask me. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have pcos and i have been having issues getting pregnant. I have taken many doses of clomid and i have lost hope in that. My dr has prescibed me naltrexone(made at a compunded pharmacy) to treat my pcos. Do u think this will help in ability to get pregnant? ### REPLY: Hi, I think you should take some medicines like metformin and inositol to treat the pod. Discuss with your doctor regarding this. You can take closed for a maximum of 12 cycles. The chance to get pregnant in one cycle of closed is 7 to 10 percent only.  So, don't get stressed too much.  Try to lose some weight and maintain a healthy lifestyle.  You can go for GUI if you have tried timed intercourse with closed.  A semen analysis of your husband should be done.  HSG should be done to check tubal patency. Hope I have answered your question. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doc ... i m simmy age is 28 .i hv a boy child. i m survivd potts spine diseas from 2010 sep to april2012.i taken the medisn mycibutol 1g, r cinex600,ultranuron+, pza during the same year. i also espareted pss by stmach two tymes also. april 15 ,2012. my doc say dat u r ok by mri chek n alow me to take multivitamins. now am takin al those goldcal d-3, ultranuron. now i want another child and want to cnciev bt my doc say no for it bcz my back is weak so what to do can u plz refrr me soon positivly... ### REPLY: Hi, Thank you for posting your query. It is good to note that you have recovered from your TB spine.  Your doctor is the best judge to decide whether you are physically fit to conceive again. Please discuss with him why he feels that you are unfit to conceive. If in doubt, you may consult another physician for second opinion. Please get back if you require any additional information. Best wishes, . Ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi yes ive encountered some wierd body changes/feelings and im trying to find answers! I stiffness and pain in my body its very difficult to move in the morning, i have a crawling/itchy feeling on the top of my head. itchy feet underneath. increase bladder weakness having accidents most days,numbness and a swelling sensation in my handsand lots of tender areas of my body. I have just started to need to wear my glasses to see the tv and my memory has got really bad and i get confused easily.particular stiffness and pain in my neck.Almost a constant pressure type of pain in my head and have experienced sharp shooting pain towards the back of my head.Any ideas would be greatly appreciated. ### REPLY: Hi, I value your concern regarding the symptoms. I have gone through your symptoms, and in my opinion pain and stiffness in the morning is a sign of inflammatory arthritis, the most common being Rheumatoid arthritis. Also the general symptoms that you depict could be the result of this, Now what you have to do1 lead active life, exercise and walk regularly.2 Eat fresh fruits and vegetables, stop all non veg foods3 consult a Rheumatologist and get yourself investigated,4 Some good Ayurvedic practitioner can be of great help if you can find one near you. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. Special note-Any medication prescribed needs to be taken after consultation with your personal doctor only. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello I m 29. I go to gym 4 times a week and I have a good diet as I eat chicken breast, milk and Whey protein powder daily. but with all this I masturbate once in a week, my question is that does musterbation stop muscle growth ?? after doing exercise in a gym, we need protein but I masturbate in a week.will it affect muscles growth? ### REPLY: Hey. Welcome to . Firstly, let me tell you that, Masturbation is regarded as healthy, sexual activity. It does not cause any harm to the body and can be performed in moderation throughout a persons' lifetime as a part of normal sexual behavior. So, do not worry, it will not affect or stop your muscle growth. Hope I have answered your question. If you have any questions, then I will be happy to answer it. Take good care. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: had lexiscan trying to figure out what the results mean, gi activity along the inferior wall at stress and rest and breast attenuation evident in the anterior wall.  small anterior defect corresponding to breast attenuation which does not change or res ### REPLY: Thank you for asking me this question this is very complicated issue as it can even fool some doctors without too many details it looks like that these are artifacts due to the best interference and I don't think that you have any significant heart disease if you do not have any symptoms, and Then you should not do any other tests anymore if you can give me any more specific information than I can answer you further I hope this fuss have four do you thanks again ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had my first small cavity filling around 5 months ago. Over the last few days my upper jaw has been aching when I chew and eat. The pain is also around my ear and side of my head. My tooth doesnt hurt but its an aching along my jaw. Should I return to my dentist ### REPLY: Hi. Welcome to . I read your query. You mentioned filling being done in your tooth after which pain started. If pain occurs in side of jaw and only during eating, this can be due to high level of filling. I suggest you go to your dentist and have him check the occlusion level of filling. If there are any high points, he will reduce them and your symptoms will subside. However, if the pain continues after that, it can be due to TMJ problems like clenching of teeth, stress, deep bite, etc. If this is found, You need to wear bite plates to reduce occlusive stress. Reduce stress level. In case of symptoms persists, get x-ray of TMJ done and checked by oral surgeon. Hope the answer helps you. 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 muscles sometimes for almost one week or two weeks get deflated after continuous workout. And after few days, again it gets back to the same position. It happens with me more often. I mean something like decrease in size or sense of feeling of loosing contraction of muscles. ### REPLY: Hello, As you might be doing some weights, so there is a possibility of having bulk size increase in muscle. But to maintain this bulk you need to continuously work out with one grade higher of the workout sessions. This helps to keep the muscle fiber pumped up each time you take up the call. Slow repetitions and maximum RM needs to be tried out. Overdoing may lead to losing muscle bulk easily. Continuing the workout for anaerobic mechanism will help more. Hope I have answered your query. Let me know if I can assist you further. Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi my 60 year old husband has sudden stiffness and pain in both hands, He cannot open or close them without great effort. This has happened in the past and stopped after applying a heat pad. Since it is both hands at once, I wonder if it could be a symptom of something serious ### REPLY: Hello, Possibilities are:- Carpal spasm or tetany-due to hypocalcemia. Go for serum calcium and serum 25 (OH) It D level Reynolds phenomenon on cold exposure-as improved on the application of heat pad. Myotonia-Exposure to cold causes marked myotonic in the exposed muscles; the relaxation of the muscle is impaired following a contraction of the muscle. 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 fybromyalgia, borderline diebetic. I also have scoliosis, degenerate disc disorder and sciatica. I take a tablespoon of cod liver oil a day. I also have got  vitamin d deficiency, severe astma. Am I doing the right thing by taking cod liver oil daily ### REPLY: Hello and Welcome to , Well, it is not the best way to replete your vitamin D and you are overdosing on vitamin A, a fat soluble vitamin stored in your tissues causing a toxic buildup. This is what I would suggest if you were my patient. To replete vitamin D you need to supersaturate for a good 6 weeks with 10,000IU D3 per day for 5 days per week and then be re-checked for levels. If levels are normal then . Fish oils are good for asthma control if you are not allergic to fish. Also, the cod liver oil should be free from contaminants and be of a high grade if taken. I personally feel it would be safer to take omega-3 fatty acids to reduce airway hyperreactivity seen in asthma although eating fish has been shown to cause similar reductions in asthmatic symptoms. Again, the concern with cod liver oil is the excess vitamin A and inadequate vitamin D for repletion. The different brands of cod liver oil will yield varying amounts of vitamin A and D, but since A can be toxic over time, cod liver oil daily may not be the best route. For example, 1 teaspoon of cod liver oil will give you 100% of your vitamin A needs, but will provide less than 500 IU of vitamin D.In regard to your asthma, an increased intake of fruit with a high vitamin C intake from these foods may reduce phlegm and mucous seen in asthmatics. Eating whole grains rather than white refined grains is also beneficial for asthma. I hope this ad ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi I am a 27 yo male. I am highly sexually active . In 2009 I was diagnosed with UTI after having multiple sex partners the same time. I had some white pus come out of penis & had burning on urinating . My left prostate got slightly enlarged. I was given a dose of antobiotics which I took regularly & the symptoms subsided. Some things stayed the same such as 1. feeling of testes being a little tight 2. slower urination 3. Semen is yellowish or pale in color. ( I do intake onions regularly but even when I dont & then ejaculate the color is yellow or pale) 4. Pain slight heavy feeling in testes while sitting its been few yrs now and the above 3 still exist. I have met many urologists .. all acknowledge but say it is fine . 3 days back I ejaculated in bed ( wet dream) but I found it was somewat painful. Yesterday I had oral sex and again I found ejaculation a bit painful. Please advise if there is anything serious ? Also pls advise if there is a test I could do to check testosterone level. ### REPLY: Hello Thanks for query. The symptoms that you have strongly suggest being due to Chronic Prostatitis. Please consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis3) Semen examination and semen culture.In the meanwhile start taking antibiotics like Doxycycline along with anti-inflammatory medicine Diclofenac twice daily. Further treatment will depend upon result of these tests and final diagnosis. Please note that Prostatitis takes long time to get cured hence one has to take appropriate antibiotics for a period of 6-8 weeks. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Yes I have a 3 week old baby girl she was 2 weeks premature, when she drinks her bottle she sometimes and becoming more frequent chokes and gags, and then formula comes out her nose and mouth and she stops breathing... Causing her to panic and try screaming I pay her on back and flip her over ... But yesterday she was layn in her basinet 20 min after she had eatn and started gaging... And did the same thing... Is this something I should b worried about?... It s so bad I hv to suction her nose and mouth out and sometimes blow in her face to get her to cry and breathe. Please help ### REPLY: Hello, Your baby is having recurrent episodes of regurgitation, needs to handle carefully. Maintain head end elevation, burping after feeding, put baby in lateral position after feeding. Also, consult with pediatric gastroenterologist to rule out whether this regurgitation is physiological or have any surgical cause. The fluid coming out from nose needs cleaning. 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: Dear Sir, I have pain in my pelvis area not regularly. It will be severe in two months once or some times later. I went for consulatation with lot of urologists. They found no stones and no issues. Recently I got the same pain sever and went to one more urologist. He predicted if no stones may be due to vericose and did US of testes. They diagnosed mild vericose near my left testes. The doctor saying do the operation immediatly otherwise it leads to severe problems. Another internal medicine doctor identified stones of sizes 5 mm and 6 mm in the center and bottom of right kidney. He gave some medicine Cystone, Epimag, it starts with ci..... The other urologist told that the stones to be broken immediately otherwise will cause serious effects. Please advise whether I can go for surgery for vericose immediately and for stones I can continue medicines to get it cleared or go for the procedure to break the stones. Thanks in advance ### REPLY: Hello and welcome to . As a Urologist, I must assure you, that neither stones of 5-6 mm size, nor a left mild varicocele, need urgent surgery. As you’ve had severe pain regularly, with no proper diagnosis on ultrasound scan, I suggest, you get a CT-scan-plain(64 slice spiral), so the diagnosis is accurate.  Stones if present, will be seen very clearly. . You can send me a copy of scan and report to me, as a direct question, for an expert opinion.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 wife is suffering extrapulmenory TB & taking from eight months Anti tb tablet dots & before the treatment doctor ask me her one tube & after the treatment doctor checked the tube doctor ask me both of the tube are blocked by tb infection & suggest me my wife is unable to pregnent naturally whole life . please consult me what i do ? ### REPLY: Welcome to . I have gone through your question. As a consequence of tuberculosis your fallopian tubes get blocked, it happens in TB infected patients. I would advise going for laparoscopic recanalization of tubes after consulting surgeon with reports. You can also go for IVF (invited fertilization). So consult gynecologist for these treatment options. Hope I answered your question. Would be happy to answer your further queries. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi.  I have a question.  What is Caesium chloride and what does it do?  my uncle has stage for metastatic bladder cancer and he has been taking this stuff.  he claims it will cure him as opposed to chemo.  he recently (3 days ago) took the caesium chloride and is now in the hospital with a 105 fever.  he thinks it is the caesium killing the cancer cells, but I think it is tumor fever.  What is going on.  is this stuff helping him or harming him? ### REPLY: Hi, Thanks for writing in. Caesium chloride is an alternate form of medicine and has been used in some people for the treatment of cancer. The outcome of cesium chloride treatment has not been widely explored and statistics available are limited in this form of therapy. However, there are researches showing that few patients have benefited from this type of treatment. It will be important to know that your uncle has stage 4 disease and the life expectancy in this condition is up to 2 years from detection of cancer with chemotherapy and care. In this situation, some treatment is better than no treatment and therefore if he is refusing to take chemotherapy then his treatment with cesium chloride might work in slowing the disease to some extent. Please note that these treatments are to be given under recommendation to avoid adverse effects which might harm his health. The fever he is experiencing might be due to infection from his cancer related lowered immunity status. 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: Hello, I ve had lower abdominal aching/ bloating for the past 8/9 years. Lately it s seem to be a little bit worse as far as the bloating feeling goes. It happens more now right after I eat something or drink something.. It s a dull bloating aching, I wouldnt say it was painful, more of an irritating uncomfortable ache. Kind of like if I had to pee real bad and have been holding it for a long time. I seem fine in the mornings after sleeping but once the day gets started it picks back up until I go to bed. I ve had off and on blood in my stool , bloody streaks and sometimes bloody clots or tissue like blood clots. I know I need to see a doctor but wanted to maybe get some idea of what s wrong, what to expect and maybe see if others have had or seen the same symptoms as me. Thank you for any advice. ### REPLY: Hi, It is not wise to delay a consultation with preferably a surgeon and get a check-up at the earliest for the complaint of passing blood with stool and have treatment after a proper diagnosis. Bloating of the abdomen and dull aching pain throughout the day should be checked for and investigated. It may be related to bleeding with stool or something else like some urinary problem. Constipation and straining at stool may be responsible for your problem. Please get a check-up. Hope you be all right soon ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My child has a boil with a pus on the right side of the gum where the decayed tooth is located.She did not complain of pain ,no fever, no chills.She has her scheduled dental appoinment next week.Should I wait for that or should I take her immediately to urgent care?Thank you! ### REPLY: Hi a pus filled boil related to a decayed tooth should be treated as early as possible in a child if not immediately, since it carries a direct risk of infecting the permanent tooth growing right bent hit. There seems to be no emergency if she doesn't complain of pain or fever, chills though. In your appointment next week please make sure besides the treatment of the decayed tooth, your dentist also treats other teeth carrying caries risk/caries through sealant/fluoride based filling for preventing such a problem arising again in the future.prevention is better than cure. Hope this was helpful .take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a tooth for which rootcanal was done and fixed a cap. Now after 4 years i am getting pain from the caped tooth and the gum is also painful.doctor advised me to take moxikind cv625 with hifenac for 3 days.i continued the treatment for 5 days.but still the problem continues.I am using gel for the gums. but still the problem recurring can you pl.advise ### REPLY: Hello, thank you for consulting with . If you are having pain in the root canal treated tooth, it means, now again some infection is developing below the tooth, which is causing this problem. You have to visit your dentist and get an x-ray of the tooth, which will show the area of infection and then treatment will be done accordingly, after then only you will get relief. Hope it will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have been experienceing shortness of breath for the past week and now im experienceing dizzyness and tingling all troughout my body, its hard for me to take a full breath i can only get one every 5-10 breaths also when the tingling goes through my body i feel weird in my chest not pain but like throbbing let me know if im gonna die and if so when gods going to take my life im sick of these symptoms i hear anxiety i hear m.s. i know this isnt either i just want to know whats going on i renovated a house with mold a week or so ago but didnt really come in contact with it could this be the soul cause of my shortness of breath and other symptoms as well please help cant take it much longer. thank you have a good day ### REPLY: Hello dear, The case history as mentioned in your post indicate that it might be due to Infection/Pathology of lung. Investigations like X-ray chest and Pulmonary function test can clinch the diagnosis. Other causes can be:1. Hyperventilation due to anxiety2. Neuropathy3. Anemia4. Electrolyte imbalance5. Systemic cause like diabetes, hypertension, it will be better to consult a Doctor & get a physical examination done to rule out other causes. So that proper management steps could be taken. Wishing you a Good Health. Thanks & 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 period started on 01 April 2010 and lasted 5 days. I had unprotected sex on 10 April 2010 and started feeling sick 3 days afterwards. For the past week, I have been feeling sleepy, very tired, lower abdominal pains, headaches, backache, leg cramps, a non-smelling egg-white like discharge which changed in texture to watery milky, but still not smelly. I thought I was pregnant, so i took a home pregnancy test on the afternoon of 20 April, it came out negative.  I took another one this morning, 21 April, it also came out negative.  Is it possible that i may have tested too soon? or is it possible that i may have contracted an STI? I still feel the pain on my lower abdomen, though its not as strongly as the first time i felt it.  Please help! ### REPLY: Hello dear, I understand your concern In my opinion it appears that the urine pregnancy test was done early. Usually the urine pregnancy test gives accurate results a week after missed period because  the hormone responsible for positive test starts appearing in urine around that time. And even the symptoms of pregnancy like nausea, vomitings, increased urination, sore breasts start 2 weeks after missed period. The first sign of pregnancy is missed period. So I suggest you to check for the period. In case if it is delayed go for a urine pregnancy test. It is too early to test for pregnancy and also to feel any pregnancy symptoms. As there is pain abdomen I suggest you to get physical examination done and also if needed ultrasound to rule out the cause for pain. There can be possibility of urine infection also. But chance of STD might be rare as you don't have any altered vaginal discharge and no lesion over genitalia. Anyway physical examination helps in accurate diagnosis so kindly consult doctor. Take adequate fluids up to 3 liters per day to prevent urinary tract infections. Avoid stress. Relax. 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: Sir hi my wife recently got admited in hospital for platelets count down to 70000,and this is not down or its gaining,she was having dangue fever now there is no fever she is normal from two days.but due platelete she is still in observation pls suggest ### REPLY: I can understand your concern dear. I would like to inform you that with platelet count 70000 there is no need to worry. It will slowly increase as her condition will improve. There is no need to worry or work on this. There is no medicine to increase platelet count. Body has potential to make them in abundance. So no need to worry, just rake care of her it will be normal in a week or two. Hope this will help you. Thanks for contacting . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I fell yesterday at ice skating practice on my stomach. Yesterday my chest hurt but today my upper back on my right side hurts so I can t look down, or right because it hurts too much. My left hip also hurts today and its a little swollen. When I cough, move or sneeze my hip hurts bad. Did I fracture or bruised a rib or hip? ### REPLY: Hi, thank-you for providing the brief history of yours you had a fall on ice on the anterior part of the body, a thorough clinical examination is advised. As due to the fall on the ice there might be damage to the bone or soft tissue or both. As ice is a hard substance, injury can be possible and post thorough examination we can request for an x-ray of the chest and hip to figure out if any fracture is persisting.Most of the time, swelling is a protective mechanism, and it occurs in both, muscle injury and bone injury. I will recommend you to take an x-ray of the chest and hip, so we can understand the bony status better. RegardsJay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have gallstones. Should I get my gallbladder taken out? I have only had the one attack (which landed me in the ER). I have heard so many "horror stories" about the surgery that I am afraid to have it done. Can they do the laparoscopic surgery on me if I am overweight? I watched the procedure being done on youtube and I noticed that they place three clamps on the duct before cutting it loose. Do these stay in the body or are they removed? How risky is the surgery and what are the possible complications? How long is the recovery time because I have a two year old son to care for? ### REPLY: Hi.thank you for posting query at .I thoroughly read your query and understood your concerns. Gallstones are small stones that form inside the gallbladder. Gallstones pain (Biliary colic) usually is experienced when the gallbladder contracts in response to a fatty meal. This compresses the stones, blocking the opening. As the gallbladder relaxes several hours after the meal, the pain subsides.1. Biliary colic -"The pain without cholecystitis- gallbladder infection/inflammation" - usually subsides within few hours to a day. Acute cholecystitis secondary to gallstones may be continuous and accompanied by fever.2. Medical therapy is an option for gallstones, though a vast number of surgeons around the globe prefer removal of gall bladder-surgical intervention. Medical therapy includes intake of ursodeoxyholic acid (UCA) for a period of 12 to 24 months. UCA has been shown to inhibit biliary secretion of cholesterol, reduce intestinal absorption of cholesterol, increase hepatic bile secretion, and improve gallbladder emptying. Medical therapy is useful if mild symptoms, stones are smaller (weight reduction and low-fat diet is also a part of medical therapy.3. Surgery lasts for less than one hour (usually half an hour). Laparoscopic surgery has greatly reduced surgery time duration and surgical complications. Clamps are with .  You may travel 7 to 10 days after surgery, though the surgeon may indicate precise time. I would also like to mention that gall bladder is removed completely in surgical intervention which may impair fat digestion. You maybe asked to cut fat completely from your diet (or keep to minimum) after gall bladder surgery. Hope to answer your concern. Wish you good and sound health. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband had a stroke in May and his left hand has swollen in the past couple weeks -- he thought it was arthritis causing it due to playing golf, but he hasnt played golf in over a week and it is still swollen.  His hand also shakes -- could the stroke in May and the swelling be connected?? ### REPLY: Hello, I think it is related somehow as the stroke is related with the limitation and range of motions of the arm. This limitation of motion can increase the risk for poor blood circulation due to any deep vein thrombosis which gives swelling of the hand. I would recommend you to do a Doppler ultrasound and respective blood tests for deep vein thrombosis to rule out this complication. 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 an attack of acute bacterial epididymitis due to an E-Coli infection about 3 weeks ago.  The testicular swelling has reduced 75% post antibiotics and NSAIDs.  There is also associated funiculitis which worsened a week ago - but has improved in the last 4 days with bed rest.  Am continuing on Doxycyline 100 mg BD.  My question is - when can I I resume sexual activity with a partner? ### REPLY: Hi thanks for asking question. As far as acute epididymis treatment is concerned in your case treatment has to be started with single I'm injection of ceftriaxone 250 mg. Then doxycycline 200 mg or levofloxacine 500 mg has to be taken for 10 days. Reduce your physical activity. Use scrotal support and elevation. Ice pack can be helpful. According to some study site bath useful. Continue using anti-inflammatory .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a pain on my left side, under my ribcage that hurts through to my back. I feel it more after eating. A few months ago my doctor took an X-ray and found nothing. I think it is now getting worst. I have also had a lot of trouble in my stomach after eating gluten. I have stayed clear of gluten and that helps with the pain in my gut but not my side. I want to say it is coming from the top of my large intestine when looking at a picture of a body diagram. ### REPLY: Thank you for contacting us. Gluten allergy have a lot of manifestations. It is an autoimmune condition. You will have generalized symptoms of fatigue, lethargy and aches all over. You can have joint pains and swelling. You will not gain weight if you always take gluten diet. You may be anemic and with some vitamin deficiencies. You will have diarrhea and abdominal pain. sometimes testing can be false negative that means tests can come back normal even if you have allergy to these foods. If your symptoms improve with gluten-free diet then it is very sensitive. Avoid such foods. Good luck ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello doctor,,,,,,,,i wan to ask from you that i am refering gynaecologist for conception. 4 months had gone but nothing is there till noe. she referred buserellin, lycored tab, FSH harmone but all in vain. i am worried bout that why i am not conceiving. where is the proble? and noe for one month she referrred ovigyn to both of us i.i 25 mg daily to my husband and 75 mg daily to me. what to do? can you please suggest me? ### REPLY: Hello, Thanks for the query to . Forum. Since you both are receiving treatment for infertility and still not conceiving, this is a cause of concern. Buserellin is a gonadotropin-releasing hormone agonist, scored is also stimulate ovulation (indirectly), F S H is also getting. As long term use of buserellin suppresses release of LH / F S H, this is not good. Still it is not clear why, you are not conceiving? For conception many factors play roles as in MALE semen analysis (if sperm count is standard and morphology and motility is good then need not worry). So upload the report over this site. In Female OVULATION, FSH / L H ratio, endometrium thickness, follicles maturation, burst of maturated follicles, release of ovum, fertilization of ovum, implantation in uterus, so get in ultrasound report of ovaries with follicles study. Consult one more Gynecologist and get his opinion (2nd). Hope I have answered your question. 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 m 47, female, have regular blood pressure, no diabetes, no thyroid or cholesterol problems, checked last year.... I feel light headed right now, a little numb left part of face, not right now....last week...have had problems with nerves on feet with pain on 2nd n 3rd toe and both feet, left arm mostly has tingling n hurts fro. Elbow down...right arm starting to do the same thing not as bad though....I also suffer from. Migraine headaches for years.... What could it be? My neck does make a cracking sound when I tut. It side to side..and always hurts me...for years... ### REPLY: Hi, thank-you for providing the brief history of you. A thorough neurological examination is advised. As you have tingling, pain etc. of upper limb and lower limbs I feel it may be due to any nerve impingement in cervical spine for the upper limb and lumbar spine for the lower limb.Also, tingling and numbness of face can be due to cranial nerve pathology or may be a brain issue for which a thorough neurological assessment is advised followed by an MRI of brain is required. Most times the Neurological symptoms are confused with the cervical spine so differentiate the pathology a thorough neurological assessment is required. Also, as you have a regular blood pressure with no other issues as per the past report, undergoing the complete blood routine may help provide inputs too.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: Hello, I have a hard painful lump on my collar bone, it could be my collar bone, but Im not sure yet. It burns if I put RUBA535 on it. I also have had my root canals done and Im not sure if its caused by that. I have not fallen or gotten hit in any way, I have resently got a new job and Im quite tired because of the time change on my job, but that is normal. What could this lump on my collar bone be? Thank you. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have enlarged cervical lymph node. It can be due to reactive hyperplasia, tuberculosis or lymphoma. Or you may have soft tissue tumor or cyst.  You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. 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 am 31, female, 5 8, 130 lbs. Recently I ve been having dizzy spells and black outs. It turns out my blood pressure is very low ranging from high 70s over high 30s to mid 80s over 40s. I also have a resting heart rate of 100+. My last three EKGs all had borderline findings. Doctors have been unable to give me a diagnosis. Do you have any ideas? ### REPLY: Hello, I understand your concern and would explain that it is important for performing some blood lab tests to investigate for possible a .  For this reason, I recommend checking cortisol and aldosterone plasma levels and some other blood lab tests (complete blood count for anemia, kidney and liver function tests, blood electrolytes).  The high heart rate could be related to the low blood pressure.  I would also like to review your ECG for a second opinion if you could upload them on this site.  Hope I have answered your query. Let me know if I can assist you further.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Ive had an allergic reaction to the dissolving stitches the surgeon used on my foot surgury 6th dec 2010.  Why when I went back to see and he told me this did he decided to wait another six weeks until the end of feb before removing the troublesome stitch.  Im still in pain and my foot has swollen again. ### REPLY: Hello, Im . Looks like it has been some time from your surgery. If It was an allergic reaction it should have not been never better, but being always worse. Swollen foot can have various causes. You will need to see again a doctor, so by asking more information to you, and examining the foot, he will determine what is the cause of your swollen foot. Feel free to ask if you have more questions. 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 having a lot of problems with anal itching, as well as small amounts of feces regularly ending up on my underwhere or outside of the rectum, I have been looking up different possibilities and cant decide what I likely have? Also, I work manual labor in the summer and sometimes towards the end of a hard day I get this, decently sized, really painful red ring around my anus. It is very painful esp. when I come home and shower but the pain usually goes away once I can relax inside for a while. Please help me! ### REPLY: Hi, thank you for writing in to . Kindly consult a general surgeon regarding your problem as a clinical examination including photocopy is required for an accurate diagnosis.  Since you do a lot of weight-bearing going by your profession it is important to rule out any abnormalities of the rectum since you are also complaining of fecal incontinence. Kindly .  Also avoid spicy food. 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: Hii, Hope everybody is fine..I get liquid in my penis when its erected, also I get pain in kidney when i get erected.Liquid comes when the penis is hard. I did scan of the kidney and everything is fine as doctor said to me.Is this kind of some pressure on kidneys?I have only one testicle(left), another test was removed due to testicle torsion.. please guide me. ### REPLY: Hello dear, welcome to , During erection if you get some liquid that is Sega for lubrication. You should consult a physician before calling it the kidney pain, because a referred pain can also occur from some distant location in body. Since you have only a left side testis left, a left side varicocele is mucChatDoctormon which causes a . Get a USG done to clear things.Don't worry. Have a healthy day. 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 recently had a stent inserted in LAD artery  and have totally quit smoking after 47 years of 1/2 pack a day. I am on blood pressure meds, blood thinners now, and lipitore, and janumet for sugar(borderline), not overweight . I smoke marijuana recreationally , a few joints on weekend. Unlike cigarettes , how will this affect my stent and arteries. I was a heavy smoker all my life of marijuana and the rest of my heart and arteries are good. Do you think occasional weekend usage will affect the stent and that area? ### REPLY: Hi ! Thank you for using  Yes Marijuana may affect your arteries and stand condition. This happens cause marina affect your nervous system in result you may have : increase heart rate, high systolic and diastolic blood pressure (that your medication may not manage) ;. These 3 conditions makes your heart muscles to need more oxygen (so more blood) and if you have problem with coronary arteries (especially When you have stand) you artery can not afford and in the end you may have Angina (heart infarct) Also Marijuana may cause vasospasm (constriction of you coronary artery) . Some studies show that Marijuana may increase risk for heart attack with 4.8 after 60 minute you take it. Hope these help Wish you good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I believe my son has a low IQ; he is 11 yrs old. He does not follow directions very well at all. I have to keep reminding him constantly to do something even though I just told him to do it. He has very poor grammar. Even though we corrected his sentence, a few minutes later he does it again. There are times he acts very childesh like. Is there anything that I can do to help him? ### REPLY: Hi, How was his overall development so far? Did he attain all milestones(like sitting, walking, running, talking) on time as expected, or was there any delay as compared to siblings/peers? Is he very hyperactive? This may indicate either a subnormal intellect or other conditions like learning disability or attention deficit disorder. Kindly take him to a developmental pediatrician or pediatric neurologist. We can do a basic evaluation including IQ assessment. Hope I have answered your query. Let me know if I can assist you further. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, My mom is suffering from nasopharyngeal carcinoma from Aug 2011. When we diagnosed the disease the doctor informed that she is in Stage IV. After Chemotherapy and Radiotheraphy treatments, the doctor told that the disease is not present in the body right now (Feb 2012). Afterwards she was good till last May 2012. Afterwards she is suffering from fever , not able to eat food properly, breathing problems, etc.. Are these side-effects of the treatment ? or Anything going wrong on her body. Please provide me your suggestions. Thanks in Advance. Regards, Suresh (India) ### REPLY: Hi Suresh, Welcome to  Physicians desk! The nasopharyngeal carcinoma is a difficult disease to treat and notorious for aggressive recurrence. Fever and shortness of breath is not a side effect of chemotherapy, but it may be due to pneumonia which is a very common in this group of patients and can be very challenging to treat if extensive. I would advise you to review to an equipped health center and get a proper work up, advise and treatment as soon as possible. There is no scope of trial antibiotics in your patients because you should get CBC, CRP, FT, blood and sputum culture and chest x-ray prior to start of treatment and follow up. I think the advice would be helpful for you. If you still have queries if any, please feel free to communicate back. Wish you a great heath. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Like 3 days ago i did a vaginal shower that ones they sale at Walgreen with vinegar and water i bought it a long time ago and i didnt  look for an expiration day.After that next day it started to hurt 2 days after i did the shower i look myself in the mirror and i saw one little pink blister,it burns every time i pee and i have alot of white discharge.Like a year ago i did a blood test for herpes and it was negative i have a new boyfriend and he did it too and he is clean.Can you please tell me if this is herpes or any infection cause by the vinegar and water shower please im really worried it could be herpes. ### REPLY: Hi, Welcome to . I doubt it is herpes as herpes lesions usually occur in crops and are fluid filled. I am suspecting a boil or fur uncle in the genital area. Burning sensation while passing urine indicates urinary tract infection. You also give a history of white discharge which is suggestive of vaginitis. Following are suggested:1. Keep the genital area clean and .  Tab Norfolk 400 mg twice daily for 5 days.3.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 how are you? i need your help. I am 24 years. Sex: male. my problem is that when i am 21 years old i addicted with masturbation. I do this bad work 4-5 times per week. But I am trying hard to control it but unsuccessful every time. So doctor as a child of your please please give me a better solution to control it because I  want to be a perfect boy. Save me this type of bad work. I never watch bad film it is true. ### REPLY: Hi. . I understand your worry. First and very important thing to know is that masturbation is normal and healthy way for people to explore their own bodies and to find out what feels good, where and how they like to be touched and how to have an orgasm. Even though it is normal, some people feel ashamed or embarrassed about masturbation. This is partly because it has been wrongly labelled as deviant, harmful or sinful over the years, and many of these out-dated myths still exist. The frequency of masturbation varies in different individuals, for some people it may happen 2-3 times a day and for some 4-5 times a week. I will tell u some simple methods to come out of this habit. Remove anything that tempts your urge to masturbate like access to pornograpChatDoctoraterial. Avoid being lonely and keep your self busy in some useful activities like sports, swimming, going out with friends etc. Find a new hobby, or cultivate a skill. Learning something that takes a while to master can refocus your brain on the delayed gratification of achieving goals instead of the instant gratification of masturbation. Even after doing all these things if u can't come out of habit, and it is bothering u, it is better to consult a doctor. All the 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, Im having occasional chest pain (EKG normal), pain in my knees, a lump on the right side of my neck (not on a nymph but close the jugular), the lump does not have borders. Oh a slight rash on my lower extremeties. These symptoms come and go. Im 35, 106 lbs, and last physical blood work was normal. ### REPLY: Hi, dear. I have gone through your question. I can understand your concern. Your chest pain is of non-cardiac origin. It may be due to muscular pain or acidity.  You should take analgesic and antacids accordingly. You lump may be due to lymph node or some cystic lesion. Furthermore, you should go for fine needle aspiration cytology.  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 took a home pregnancy test and it came back positive and i have been having pregnancy symptoms since october but i have had my period since then and i took a urine pregnancy test at the doctors office in Nov.and botChatDoctore back negative so would i be pregnant? ### REPLY: Hi, There are two possibilities in the current scenario. You may have been pregnant as you had a positive pregnancy test earlier and since you had a period later, could have aborted and thus have a negative pregnancy test now. Else, the earlier test may not have been performed properly or had the effect of medication or hormones. A trans-vaginal sonogram will help to clarify the situation. With a negative urine and blood pregnancy test, you are not likely to be pregnant. 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: When my daughter was born she was hospitalized with phnemonia and was diagnosed with acid reflux . she has also been diagnosed with baby asthma . Since last year she has been sick constantly with bronchittis and cold. In the recent months she has been coughing constantly which leads to vomitting. It most occurs at night like 3-4 times. I have taken her to the doctor and they tell all is well. I am very concerned b/c she is a very petite child and when she vomits she sometimes turns all red, sweats, and her stomach starts making noises likse she has eaten in a long time. What can be wrong with her? ### REPLY: Hi Fauna, The vomiting can be due to the clogged up secretions (phlegm) in the throat which will be difficult for her to swallow it or bring it out which leads to retching and vomiting. She requires humidified air in the form of saline nebulization to bring out the phlegm or to liquidity it. Saline nasal .  I feel you need to consult a good child specialist/chest physician and get the child treated. 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: Whenever I sleep I sweat, day or night, it smells different but not foul.  I have left lower quadrant pain, excessive gas and bloating whenever I eat, most times I can eat one meal a day and be sick the rest of the day but still have weight gain.  My WBCs have been elevated when I go to the doctor lately.  I have a strange discharge and cramps without menses. ### REPLY: Dear, Welcome to ChatDoctorAs I can understand you problems are1. Sweating at night in sleep2. Gas problem3. Pain in lower abdomen left qua .  Elevated wbcs5. Weight gain my answer1. Sweating in sleep at night is very normal 2. One time meal and keeping stomach empty can often lead to boatingsouln: have frequent meals, do not stay empty stomach for more than 6 hours at stretch3. Pain in lower qua ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter is 7 months old, since 10 days we are observing while patche on her head,and on that patch dandruff kind of stuff is there,even though we are clearing/cleaning dandruff kind of stuff daily,but still we are seeing dandruff kind of stuff daily on that patch. ### REPLY: Hi, I had gone through your question and understand your concerns. There is not much reason to worry at this moment. Patch Dan .  If such a patient comes to me in my clinic I would suggest:1. Washing your babies scalp daily with mild shampoo to remove the scales.2. Apply oil and comb her hair with thin scallop. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you and your baby good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am 33 yr old, trying pregnancy for the first time, i have a medical history for Thyroid for which I am taking 100 and 75 mg alternatively. I hav ealso been advised Clofert 50mg from 3rd day for 5 days and duphaston from 14th day until 18th day. Want to know how helpful this line of medication is? As i am no more very young i was anxious about my pregnancy? ### REPLY: Hi, as far as thyroid treatment is concerned, you must continue your treatment to keep your TSH within normal limits. Closer is used for inducing ovulation in women who have irregular or no ovulation. I hope your doctor has tested your ovulation status & has found some problem to justify this line of management. In women with normal ovulation & no history of fertility problems there is no indication for closer (rather it should be avoided) as it is not without risks. Some doctors prescribe Phaeton for supporting any anticipated pregnancy (hormonal support). I think you should discuss with your doctor about the indications of last two medicines as she or he knows the most about 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: hii,i am a girl & i need some help for my father.He is the patient.My father was not like this as he is now.He is getting violent.He doesnt listen to anyone.My father has a joint business.He regularly drinks alcohol for an extreme limit.We told him everyday not to drink but this is getting out of control day by day.He is married with my mother for 20 years but after so many years he sometimes beats my mother.I cant see this.I live in hostel .But I always have a fear for my mother.I care for her.We dont know what to do.Sometimes we want to die & sometimes we want to kill my father.But we know that is not a solution.So, the main purpose for this question is who to control my father?Please help.. ### REPLY: Hi madam, Welcome to , I can certainly understand your concern and worry about your mothers suffering and can definitely say that your fathers' behavior could be due to alcohol with the help of the details provided by you. I can diagnose it as alcohol induced psychosis, so that I can suggest that your father has to be treated as soon as possible because already would have been dependent that he might have certain symptoms like he couldn't sleep if you doesn't take alcohol, he would have some tremors, palpitation, sweating in the absence of the substance so it's better to act immediately. Consult your psychiatrist get him detoxified from the substance, if he is suffering from above with . The detoxification must be started with  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here...Hello my name is Seth and im currently in Sevilla, Spain.  I have chronic kidney stones (calcium oxalate have been my usuall). I get them on a regular basis it seems like.  Since April 2007 I have had over 7 or 8 stones and Ive tried everything with the 24 hr urorisk and diet change, still producing them.  I went to the ER yesterday for another episode and they found blood in my urine...they prescribed me Nolotil and sent me on my way.  I have no idea what it is but it does not work for the pain and I have no idea what to do!! ### REPLY: HelloThanks for query .of are known to have recurrence of kidney stones since many years and now getting severe pain in renal area with hematuria. These symptoms are mostly due to stone either in kidney or impacted stone in ureter causing back pressure changes in kidney (HY . You need to consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture. 2) Ultrasound scanning of abdomen and pelvisFurther treatment will depend upon result of these tests and final diagnosis. More precisely on site and size of the stone and degree of HY ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HELP!!!!! i am currently expiriencing severe abdominal pain, and i have lost my appetite.  i am afraid i am not getting all the nutrients i need.  I am also experiencing symptoms of jaundice.  Im only 15 year old, and i have no insurance so i cant go to the doctors.  Im currently living on the streets because my house burned down, but im asking this question from a library computer.  i dont want to die! help me! ### REPLY: Hi, Thanks for posting in . Symptoms you are experiencing like abdominal pain and loss of appetite could be associated with jaundice, as you are suspecting. However, clinically it needs to be detected by examination of sclera in daylight. Jaundice causes yellowish discoloration of skin and mucosa due to increased bilirubin levels in serum. Due to this, during the illness, you also pass high colored urine. Once suspected, jaundice needs to be proved at least by laboratory test called as Liver function test. It is mainly diagnosed by Total and Direct bilirubin levels along with enzyme levels in serum. Hence, you need to be clinically evaluated by Physician first followed by Liver function test done in the laboratory for confirmation. Based on the results, you would be appropriately treated. Hope the information provided would be helpful. All the best. ### END