Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 saw a lump right infront of my ankle area. It is very tender when i touch it but i am pain free. I had noticed it before and thought of it as swelling but as i closely took a look, it is a lump. What can it most likely be? I am planning to get it checked soon ### REPLY: Hi. Thanks for your query. Noted the history about the tender but non-painful swelling in front of ankle. Such a swelling can be due to an abscess, cellulitis, infected cysts and so on. I would advise you the following:Get a course of an antibiotic and anti-inflammatory medications so that the swelling is either settled or vanished. Surgery is only indicated if there is no response to the medical management. Use fresh socks, change daily. Apply Locally Liquid Provide iodine so that the area is kept sterile and further infection is avoided. You may consult a General Surgeon to get a proper management of the case once diagnosed well by proper ways. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 26 year old male and I have a couple lumps under the skin of my crotch area. They look almost like a small bruise on the surface. I tried to squeeze one because it was sore to the touch and blood starting squirting out. I have a lot of problems with infected hairs but this seems to be different. Should I be concerned? What could this be? ### REPLY: Hi, From history it seems that you might be having ingrown hair follicle infection giving this problem. Due to lack of proper hygiene due to be unable to reach on that part night give infection, dermatitis etc. Clean the part daily while taking shower and apply triple acting cream. Keep local part clean, . If you require go for one antibiotic medicine course for 3-5 days. Ok and take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I woke up this morning with a knot on the back of my head. It hurts to touch the knot but there is no redness or discoloration around the lump. I have been in bed all day with headache, nothing seems to help. The pain is intensifying should I go to emergency or can I wait until morning to go have it checked out? ### REPLY: Hi, Reviewed your query. The lump on your back of head, is mostly a bug bite or a fur uncle / boil, as it hurts to touch. A perifollicular cellulitis with Fur uncle may cause such intensifying pain especially when its growing and expanding stage due to acute infection. If Tab Motrin 400 MGM is taken, pain and inflammation with it would reduce. Still I would advise you to have a check-up from your doctor to get the worry ruled out by a direct physical check up. Hope this would relive your query satisfactorily. Write excellent review and hit thanks if this has helped to resolve your issue. Welcome again further for any query in this regard. Have a good day. . N. Senior Surgical Specialist. S. Genl-CVTS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 taken the semen analysis & my results is. Volume - 2.2 Appearence - Grey Opalescent Reaction - 8 PH Liquefaction Time - 30 min Total sperm count - 105 Million/ml Rapid Progressive Motility - 65% Sluggish Progressive Motility - 5% Non Progressive Motility - 10% Non Motile - 20% Agglutination - Absent Pus Cells - 4-6/HPF Please let me know if my results are normal or if there is any issues which needs to taken care ### REPLY: Hi, Welcome to  All sperm parameters in your semen analysis are within normal limit except presence of pus cells which is on higher side. Pus cells more than 6/HP suggests underlying genital tract infection. You can give sample for semen culture and sensitivity which will rule out infection. Also in this report there is no mention sperm morphology which is an important parameter of semen analysis. Kindly post the complete report. 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 query about psoriasis that is it curable? And what are the possible treatments ? Thank You In Advance. Best Regards, Harish ### REPLY: Well come to , dear patient Harish ,psoriasis is permanent curable diseases, that must to changes in your diet, by advise of good Ayurveda physician. And diet of psoriasis is not so hard ok. and start experienced Ayurveda physicians treatment. If your psoriasis is not chronic about 8 -10 years, so it will be cured within few months. And if any problem, so u can contact our research center to cure your disease permanent. Wish u for good health contact- 09825942366,,,,09825942366. e-mail . Com ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, me and my bf were fooling around. His penus was near my vagina and he rubbed it against my clit. There was no intercourse. I am irregular so I do not know when I get my period although I think I was post ovulating. Blood came out of me really little and I do not know if it was because of harsh movements. HELP! I want to know if I can get pregnant, I am seriuously freaking out ### REPLY: Hello Mam, I just read your query. Non-penetrating sex can not lead to pregnancy. Moreover, ovulation time matters most for pregnancy. If you have not vaginal sex, and you know that the period was post ovulating then there is nothing to worry.* But if you still have any doubt in mind then you can go for a blood test named beta  in a nearby reputed laboratory to confirm about pregnancy. This test will tell you about the pregnancy.* I hope you are satisfied with my answer. 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 mother in law has brain cancer glioblastoma. She is in Ireland. We believe it is near the end. Suddenly she now is in pain. The morphine patches are only 5mg. We are so upset about her pain. She is on steroids also. She has lost vision and is bed bound. She is 84. How long? ### REPLY: Thanks for your question on . I can understand your situation and problem. Pain due to terminal stage cancer is very difficult to manage. We have to give centrally acting painkillers and sedative . Transdermal fentanyl patch is very effective, and its effect lasts for 72 hours. Low dose sedation also helped patient to reduce the suffering s from pain. Discuss end of life issues with her. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 cheerleader so I am flexible and do many different stretches and flexibility training daily, so today during a tryout I went into my right splits and heard three very loud pops and then very bad pain! I continued with my tryout which had several different jumps and kicks and with each I felt even more pain and now I am feeling constant pain on minimal movements. What could be going on? ### REPLY: Hi... As per your narration you had injured your muscle...there could be snapping of muscle over the bone or could be a partial tear in the muscle. Nothing to worry. If I were you... I would wait for a while and.... Apply lot if ice in the injured area... frequently for every 2 hours once for 15mins... No stretching to the injured area for next 48 hours...Don't load for next couple of days. Support the injured area witChatDoctorpression bandage... Once movements becomes pain-free then do strengthening exercises for gluteus and then slowly and progressively load the injured area...like moving your leg from out to inside...etc Hope this is helpful for you... Kindly revert.in case you need any further help in this regard... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Dr Candan. I would like to ask you you how you read the following values for my semen? How is the potential for using these values of semen to make an egg pregnant : Volume 1.5 Sperm concentration (mill/mL) 38 Rapid linear progressive (A) 00,0 Slow/ Non-linear progressive (B) 09,0 Non-progressive 08,0 Non-motile 83,0 ### REPLY: Hello and welcome to  The analysis for your semen is as follows:Volume is 1.5 ml/ ejaculate-This is low volume as the normal volume per ejaculate should be at least 2 sperm count is 38 million/ml- This is normal sperm counts. The cut-off for normal sperm count is at least 20 million/ sperm motility is less than the normal range. Non-motile sperms are 83 %. Normally at least 50 % sperms should have rapid progressive forward motion. There is no comment on morphology and presence/ absence of pus cells, RBC's and other nucleated cells. On the basis of this report your sample is deficient in adequate volume and adequate volume. It can lead to infertility i.e. inability to fertilize an egg under physiological conditions. However, I recommend you to get semen analysis repeated after three days of abstinence. If, again the sperm count remains low, there are other techniques for fertilization of the ovum. You can get details of which from a fertility expert. Thanks and take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir, I have swelling and pain in my scrotoum. I consulted a physician and he advised me to take Movon-sp (Two tablet daily). I observed that after 3-4 days, swelling of scrotum is subsidized even became smaller than other scrotum but pain remain continue. Please advise What this symptom shows and what should I do now? ### REPLY: Hello, Your symptoms point towards Orchids like testicular inflammation. For that, you have been prescribed a non-steroid anti-inflammatory .  You can be prescribed antibiotic course as well for seven days. After five to seven days of pain continues than urine routine microscopic examination and USG local part should be done for further work up.  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 had surgery about 2 months ago to repair torn ligaments in my ankle and today my friend accidentally kicked it as we were walking. There s now a hard lump on the scar. I m currently icing it now. Is there anything else I can do? Will it effect anything? It doesn t really hurt that badly I m just afraid what is wrong. ### REPLY: Hello, if you find along with the scar that it's swollen up. Kindly do some needing massage using any oil or ointment. It will relax the tissues and reduce the lumps and swelling. It will even make the scar mobile and relaxed skin surface will be found later. Taking to worry about your ligament getting injure, I feel chances are less than it would have surely go healed and won't get trouble with minor shots on it. Hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. I have a few small bee-bee shaped movable nodes under the skin of the shaft of my penis. I ve had it checked before and I ll be seeing a urologist on monday. No one seems to be worried about or can give me a solid way to get it removed. I understand it may not be a health risk but I don t want it on my penis! ### REPLY: HelloThanks for your query. Based on the facts that you have posted I would say that you have multiple Sebaceous Cysts over shaft of the penis. The penile skin is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin. Normally they fade away without treatment however they need to be treated if increase in size or get infected. Please consult qualified General Surgeon for clinical evaluation and further treatment. If needed some of them which are bigger may need to get excised in Toto (Completely along with the sac). .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 oral from a girl three days later had the discharge and burning but three weeks later after a lot of anti biotics I only have a slight sting in the head and when that happens I squeeze a few times and a tiny amount of clear stringy fluid will appear ### REPLY: Degree understand your concerns went through your details. Suggest you not to worry much. Your penis was burning after a mouth job due to the rashes you had during that.  You cannot blame that incident alone, your hygiene is also questionable. Three days antibiotic treatment may not be enough. Take a five-day course under a competent physician. Why do you want to squeeze your penis? The liquid escaping on squeezing could well be semen mixed with urine. Do not take self-medication. Please consult a physician. Hope this answers your query. Available for further clarification. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi. i am 22 years old n married. want to get pregnant , i am with my husband for pass 6 months but in FEB i missi my periods and in march i do ChatDoctor test in home. so i got ve ans. but form last two days little blood coming out. it is not normal as earlier mensess and stops after three days. exactly i want to now why this happening to me and also give some possible tips to get pregnant please help me hi i am 22 years old ,female. want to get pregnant but i am with my husband for last 5 months still iam not pregnant. In FEB i miss my periods [i have never miss my periods after marriage this is first time] and i tested in ChatDoctor kit [shows -ve answer] but now from last three days mensses is started but not normal as earlier mensses [before missing i have countious flow for three days but this time the quantity is lower] .After doing intercorse there is a heavy amount of white fluide coming out of my body ,is this is a problem for not getting pregnant.so please give me fine tips to get pregnant and one more thing in DEC there is too much pain in my anus after that i take some antibiotics the pain is over; but since from that day there is yellow coloured fluide comming out till today,some time blood also comes out with stool ,is this creating a problem for not getting pregnant. please give me tips for getting pregnant . ### REPLY: Hello Mrs. Ghani;welcome to  If you stay with your husband for more than a year and do not get pregnant then only you can think of medicines and see your case as a case of infertility. Presently it is just 6 months, so it is fine. The problems in periods can be due to hormonal imbalance and even due to the infection as you said there is white fluid coming out. The other problem of blood in stools is due to constipation and the bleeding may be from piles so don't worry it is not related to your pregnancy in any way. Presently you need to get examined by a Gynecologist to treat the infection and to help you to regard your periods. Few tips you can try for getting pregnant are:--have intercourse every alternate day from 10th to 21st day from start of your menses cycle if it is a normal cycle of 28 days as this is the most fertile period.-after having sex do not get up for up to 2 hours after sex as it will help the semen to stay in vagina. These tips will help you so you can try. All the best. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was fine till about 3 o clock in the morning I woke up to a pain in the tip of my penis( it feels like i have to pee but very little comes out. i am a 53 year old virgin and have not had sex with a woman yet. the last time i masterbated was 2 weeks ago. what should i do? ### REPLY: Hi, You can have acute urinary tract infection like problem. For that urine routine microscopic examination is advisable. Underlying prostate enlargement like cause also has to be ruled out by pelvic ultrasonography.  If urinary retention present then also it will be clear by sonography. I suggest you to consult Urologist for examination.  Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi. im new to this eeg test and im gonna need to know some stuff. i been having axinty attacks for year and 6 mouths it started when i saw someone having a sezure and it bother me and i been having attacks wheree i feel funny, everything feels like is moving sleep problems and so much more. it has now got bad where i cant take a bath, go out, and i cant even wipe my own butt when i use the bathroom yes it is that bad becuase i feel funny and i get feelings of everything moving or a spin. The reason im asking about this eeg is becuase i am getting one and im gonna need to know somethings before i go to the doctors for it becuase my attacks has got realy bad where i may not be able to do some of the steps. things i may not be able to do like closing eyes w hen im not asleep with the white light , open eyes and watch light, the 3 min breathing and overall setting in that room. I forgot to say that im getting this test becuase i try meds and they do not work i been on 5 meds for aanxity. Now i told the doctor that i want a eeg done to help me get over the fear that i got about sezure s from someone having it and to makesure that this was just anxity. Now i try to look up stuff that will help me to forget about my fear but it made thing worse. So all that i try never work. The only way to beat this fear is to have this eeg thing becuase my mind will know that thers nothing wrong. when i spook to him he agree with me nowi got some problems since my anxitys have got super bad if some one told me 1 to 10 i say 10 very bad. In order for me to get this egg and get it done right where the test results are clear and right, I really want to have it in a way that nothing will not effect the results. but heres my problem im gonna have to be on meds for my atttacks or else i cannot stand any parts of the test. heres another problem if i get this test and if i was on meds for my anxitys that work it may effect my chances of helping me getting over this fear and getting results. as i understand this eeg test right it will only be good if you have a attack becuase thiis way the test can tell if its a sezure or not. so even do my axnity attacks are bd and got real bad time to time for this to go right the tesy has to be done while im not on nothing and while imhaving the attacks. So im gonna ask you alot of qestions pls reply to every one of them please. i try to find out about this eeg more but it was not claer to me so i need your help and guide im between a rock and a hard place and i gotta get over this fear and this is the only way. here are my qestions. 1. will i be able to take axnity meds when i get the test done, now i understnd that some meds you cannot take so if theres a way to take something with out it effecting the test that will be graet. i did read something about meds to be asleep. 2. i wan t to know how long does each step that i have to do on the test take, let me be claer i want to know every single step. im talking about the flashing lights the closing eyes and all that. please help me on a hard matter thanks. ### REPLY: Hi.thanks for the query. I am very sorry to hear about all of your problems! Let me assure you that EEG is a very simple & harmless test procedure where a set of points or electrodes are attached on scalp to record electrical activity in brain. This test is usually done in cases of suspected seizure disorders. Going by your description, you do not appear to be suffering from seizure disorder but rather from symptoms of incontrollable anxiety characterized by feeling funny, repetitive flashbacks of seizure event along with host of other symptoms. If you can consult a Psychiatrist, you can receive effective treatment in form of medications like SSRI/Mirtazapine/Trazodone combined with anxiolytic .  I know you have been through a lot & you are managing things bravely...try to stay calm & consult a Psychiatrist. Good luck ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, Im 35 and recently started trying for a baby. My last period started 19 sept and i have 28-32 day cycle. Wehad intercourse 10-14 days after my period. 6 days past what i think was ovulation i had a very light pink spotting,  both spots about inch and half in size, had it just the once. I also had waves of nausea a few times over a few days, was absolutely exhausted for nearly a week. I also had cramping, not too bad, and pain in my back on and off for few days. Im trying to justify each of these symptoms. I sometimes suffer with backpain and especially when I get my period, thought the nausea might be just something going round. Felt dizzy yesterday but i sometimes have that and had a brief time today where i felt funny and passed alot of wind last night when i also had pains in my stomach. My periods due from wednesday next week, do you think i may be pregnant? ### REPLY: Hello, Unprotected sex close to fertile days has greater chance of pregnancy. Light pink spotting one week prior to period and above said clinical features may indicate implantation bleeding. Here, possible pregnancy needs to be ruled out. Here, I suggest undergoing one home pregnancy test soon after missed period or undergo one blood test for beta-ChatDoctor after 7 days to exclude or confirm pregnancy. Kindly, consult with your doctor after undergoing the above tests. Till then, you would take balanced diet, avoid stress, .  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: My son is 7 years old he said his heart Itch s what dose that mean he said he feels like he has to hit his chest he is in good health and I think its just because he don t want to go to bed and that s why now the itchy heart is bugging him but what do you think should I be worried?? ### REPLY: Dear-thanks for using our service. It is important to find out why he is feeling that his heart itches. It can be just a aromatization, meaning that he is trying to complaint about something to get attention but is advisable to have a pediatricians' checkup with an electrocardiogram and echocardiogram to eliminate the possibility of a cardiac malformation or arrhythmia. I hope that my advice has been helpful. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have a pain under my right rib. A little history: I was in a motorcycle accident 6 months ago and hurt my left ribs and back. The doc has been giving me Tramadol. My question; can the tramadol cause liver swelling, the pain is like a pinch inside under my rib. Thank You ### REPLY: Thanks for your question on . I can understand your concern. Yes, tramadol is given in pain in ribs. Tramadol is centrally acting painkiller (acts on brain). It is safe for liver and kidney so tramadol can not cause liver enlargement. Your current pain is mostly due to injury in the past. You can take tramadol for this kind of pains. Also apply warm water pad on affected areas of chest. Avoid movements causing pain. Avoid heavyweight lifting and strenuous exercise. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a daughter who is a runner, got injured 2 months ago. They thought it was her piriformis muscle and it band. Got no relief from stretching or going to 2 different chiropractors. Went to a ortho doctor a week ago with her back hurting now too. He took x-rays of back and hips. Said she needed physical therapy. She went last week and began running slow again per therapist advice, who thinks this is stemming from her back. She didn t run today but is complaining her leg is hurting as bad as ever and now her shin has sharp pain coming and going to where she has to stop talking it hurts so bad. ### REPLY: Hello, Cannot say in your particular case, but generally, the location and movement of pain give clues as to what is going on.  If it is the back, then there would be back pain and the pain going out from the back. If it is a sore muscle, including performs, then poking or pulling the muscle would hurt. Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my son is 10 months old. yesterday he had fever his temperature was 101. we called doctor and gave medicine today his temperature is down  but is shows 95-96 whether this temp is OK or not ? do we need to give him some warm up ...and need to increase a temperature because when i checked on internet lots of sites shows that normal l temperature is 97 for 10 month baby . kindly assist ### REPLY: Hi....nothing to worry about a temperature of 95-96 while recovering from viral illness. The danger signs of lower temperature include - skin mottling, low urine output, fast breathing, seizures, skin rash etc. If these are not there you need not worry. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness. Regards -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son 5 years old just finished a course of 10 day amoxicillin on Tuesday. On Wednesday he started having a raspy cough. The cough got worse and is loose and frequent. No sore throat, no sores in mouth, Wednesday evening he had a lie grade fever 99.9 to 100.5. Thursday evening had a temp of 100.5. Still coughing a lot. Woke up this morning with red non itchy raised red rash all over entire body. Fever 100.5-101. Mouth is dry red and swollen and so are ear lobes. Any thoughts? Amy ### REPLY: Your son could be suffering from a viral infection. In such a condition, amoxicillin could often cause rashes to appear. Certain viral infections could also cause mouth sores, cough and fever. I would suggest you to give your child steam inhalation. Gurgling with lukewarm water should help. Please take the child to a doctor and get him evaluated to rule out other more serious ailments like Kawasaki's disease. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I am 5 mos pregnant and I am due to have a wisdom tooth pulled due tp the migraine headaches its been causing me.... I am not getting put to sleep the dentist is just giving me regular anesthesia I want to know will the anesthesia harm the baby??? ### REPLY: Hallow Dear, Any dental issue should not be ignored during pregnancy, particularly infections to avoid further complications. However, you seem to have impacted wisdom tooth which needs extraction. Most of the time, this procedure needs to be performed under general anesthesia. Usually, dental extractions are considered to be comparatively safer during mid-trimester; i.e. between 14 weeks to 28 weeks of pregnancy as during this period, the pregnancy is more stable and the uterus is less irritable. Now you are in the 5th month of pregnancy; i.e. in the second trimester. So if the wisdom tooth needs extraction, this is the most suitable time for its extraction. I hope this helps you to take decision. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 my very close relative who just got a report from the doctor saying that he has a shoulder cancer..i just wanted to know if it is very serious or its nothin to worry and also if u could give me some tips of how to take care of it while getting treatments...like what food to eat what not to eat kind of exercises to do and everything you know that could help..i am soo worried for him thanks ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Any cancer is serious. Shoulder cancer is also serious condition, if not treated it will spread in other parts of body. Treatment depends on type and stage of shoulder cancer. Surgical removal followed by chemotherapy is the treatment of choice for most of the shoulder cancer. But it depends on many factors. Consult your oncologist and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my two year old has slight fever and moving around like his body hurt dr said his tonsils are inflammed and did a swab for streep whicChatDoctore out ok I do hear noises from his stomach abd he did throw up...im afraid he may have pnemonia since his breathin is fast and I remember going through the same thing with my daughter when she was four ### REPLY: Hi thanks for asking question. Here possibilities of either pneumonia or it can be viral infection. Do x-ray if needed. The sputum examination for rule out infection can be done. Do your CBC. If total count high with necrophilia possibilities of bacterial infection. But if lymphocytes more than chances of viral infection most likely.CRP also helpful. I hope I have solved your query regarding etiology of fever with fast breathing. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 suffer from Deviated Nasal Septum and therefore have nasal blockage every night and this has started from last 3 yrs especially after my dads demise which made me sad and worrysome and in trauma.  My question is if dns causes nasal blockage why did it not occur before 3 yrs and i will not go for surgery so please advice allopath or homeopath medicine to cure it.  thanks for your time sir. ### REPLY: Hello and thanks for using this forum. I am very sorry for your loss. A deviated Nasal septum (DNS) is either post-traumatic like after an accident or congenital that since birth. In either the patient gives a history of obstructed breathing through the nose since birth or since the trauma. The other most likely cause for the nose block that you are experiencing is allergic rhinitis. The allergies in the human body can be due to altered immunity in response to allergens in the environment or mental stress. In your case I feel that the demise of your father could be trigger for the hypersensitivity causing the allergic rhinitis. In such a case surgery will not really be of great help. I shall be able to suggest the best HOM med for you if you can answer the following questions What is your body type -lean / overweight /flabby /Muscular ? What are your favorite foods ? How much salt and sour do you like ? Do you also get discharge from nose, sneezing at any time of the day ? Any relation to weather ? Thanks and take care. .  .com/doctors/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Last night I was at a party with no available restroom. I had been drinking, so I had to go really bad, but I held it until I got home. I ran straight to bathroom, sat down and started to go, I went a lot at first, then suddenly without warning it completely stopped midstream. I still had the urge to urinate, and my bladder still felt very full, and I was experiencing some burning. I tried pushing but could not get a single drop out. When I wiped with the tissue I felt something hard, I was mortified to feel a kidney stone lodged in my urethra! Part of it was sticking out, I could grab it with my fingernails, but I couldn t pull it out. I spent nearly 2 hours wiggling it, pulling it, pushing it, trying to turn it but it was stuck. Finally it came out, and I was able to void my bladder, and I m feeling fine. I had no warning, I m familiar with kidney stones, I ve passed many before, the biggest bring 8mm. Those always caused me excruciating pain, but this one did not. All day I was wearing a tight corset as part of my Halloween costume, maybe I was compressed so tight I didn t feel it? I don t know. I measured my stone and it it 18mm. I always was told a stone that large would be unable to pass, so I m wondering if stones that large are common, and if people pass them without medical intervention, or am I unique?? ### REPLY: HelloThanks for query. You are known to pass urinary stones through urethra frequently But you had retention of urine due to impacted stone of a size of 18 mm in urethra which finally passed out giving you excruciating pain. The reasons for not feeling the pain due to such a large stone are 1)With history of passing stones repeatedly your ureters are dilated and capacious enough to accommodate this stone without pain .2) The shape of the stone may be oval like a peanut without spikes helping it to pass down through dilated ureter without any obstruction and pain . We do get patients with passing large sized stone without pain. This is very common in patients who have history of repeated and recurrence of stone disease. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello, my baby is 1year and 5months old,her birth weight was 2.9k.g. ,now her weight is 9 k.g.she is very active,her height is also nice but her weight gain is very slow.what should i include in her diet for weight gain?junior horlicks like drinks will work? ### REPLY: Halted .  You avoid that. At 1& half years baby should get family food (well-balanced containing cereals, pulses in 2:1 ratio, green vegetables, seasonal fruits, milk or milk products, non veg if acceptable)They should get 3 meals and 3 snacks of roughly 1 bowl each time with family and allowed to eat by themselves. At this age child has natural urge to mimic adults. So seeing adult eating in front of them will encourage him to eat. Best wishes ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My boyfriend is has been having discomfort in his testicles lately. He has cysts that have been there for  a while, but his doctors have told him that it is nothing serious.  He wants to get a biopsy on it to see if it is cancerous or not. what would you suggest doing? ### REPLY: Hello, It depends on "cyst" size. Usually cyst is not common in the testicles. Rather there are tumors.  It is not clear from your question whether he has cysts, tumors or just enlarged testicles. Most of the time, scrotal ultrasound gives information whether the testicular swelling are "normal" or "cancerous". In some cases, blood tests can also be helpful (beta , AFP, LDH).  Hope I have answered your query. Let me know if I can assist you further. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a broken tooth from a n accident a few years ago. since then the core has turned black recently with shots of pain and the gums become unaturally swolen im very sensitive to hot and cold foods as well. I dont have enough money to get it fixed since im taking care of my sister and my mother what can I do. ### REPLY: Helloo....read through your query ...I can say that the tooth is discolored as it has become dead(necroses).and swelling in the gum is due to infection in the root of the tooth as it has become dead...but nothing to worry...it can be treated by root canal treatment...and then placement of crown over it...since you said you don't have money u have to at least do root canal treatment now.and can do crown after few months...(should not be later than that BCO root canal treated tooth has chances of getting fractured if not put crown).now for infection u can take amoxicillin for 5 days and diclofenac when pain is present.hope u have got some benefit from my reply.be happy and have a healthy day!!! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mom and my four-year-old niece got what seems to be like a stomach bug that only lasted a couple of hours for tops my mom experienced vomiting only a few times and it was very sudden my niece however experience vomiting and diarrhea all very sudden all gone today theyre both fine could this be the Norovirus I dont live with them and I disinfect everything wash my hands frequently and use hand sanitizer no one in my house is infected however I did see them a few days before they got sick is there a good chance that I could get sick as well? ### REPLY: Hi, Thanks for using  Acute vomiting and diarrhea is normally caused by a viral or bacterial infection but the exact cause (exact bacteria or virus) would not be known without testing. Most types of viruses and bacteria that cause this infection can be transmitted hand to mouth, meaning contact with the hands, the eating food or .  Handwashing and disinfecting surfaces would definitely help. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had the flu, no cold just a very bad chest and got to the stage where I could not breathe properly, I was put on 3 weeks of steroids and every time I finished them Icouldent breathe again ,  he sent me for a chest xray and was called by the hosp and fast tracked for the following week to see a chest consultant, he sent me for a ct scan that afternoon and phoned me pm to say that they think it is inflamation but wants to do a bronchostomy, I am still waiting for that, I am now on a very strong steroid and blue inhaler but now the pain has changed it is now on my left lung and it hurts when I breathe out and on my breastbone it almost feels bruised I have had this for 2 weeks now, I have tried coming off the steroid inhaler to see if my chest is getting better but I always go really wheezy, my x ray looked as if there was all splatter marks in it. ### REPLY: Hi, Dear,Thanks for your query to . Dear I read your query and reviewed it with context to your query facts. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer from-Acute Viral Bronchitis with accompanied Acidosis. This could be due to other causes of Wheezing Bronchitis, for which You need to consult chest Physician. You need to rule out TB lungs also and rule it out. Relief with steroids and repeated attacks on stopping steroids, with splatter marks on X-ray Chest. Strong steroids indicate complication with super added infection, which needs to be controlled with antibiotics. Hope this would help you to solve your health issues in the best way possible. Welcome for any further query in this regard. Good Day!! . N. Senior Surgical Specialist. S. Genl-CVTS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Dr, I have a strange unbalanced feeling when standing, sitting and laying, as well as a strange sensation down my right, a feeling of weekness and as though it isnt connected. this feeling has been lasting for around 3/4 weeks now with varying degrees ### REPLY: Hello! Welcome on  ! Your symptoms could be related to peripheral neuropathy or vitamin B12 deficiency. For this reason, I would recommend consulting with a neurologist for a careful physical exam and some tests: - a nerve conduction study - vitamin B12 levels-complete blood count-thyroid hormone levels. If your physical exam coupled with the above tests result normal, there is nothing to worry about. Hope you will find this answer helpful! Best wishes,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: MY mother at age 70 has a skin wound on leg. It has been very slow to heal and has now developed a slight odor. She say a doctor just days ago and they told her to keep doing what she is doing. (changing dressing ets. What does the odor mean? Infection? ### REPLY: Hello, Thank you for your contact to . I understand your concern. If I am your doctor I suggest you bad odor in wound is suggestive of infected wound, which is also suspected with slow healing. I advise you to go with culture and sensitivity of the organism. Take treatment according to the sensitivity report and your infection will go in a week or two. Kindly check her blood sugar and if its high kindly maintain it to normal it will help you in healing fast. I will be happy to answer your further concerned can contact me. . Infectious disease specialist. 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 brother in-law have suffered from cirrhosis disease and Dr. preferred for liver transplant. i want to know what is the expected cost for transplant and what is the success rate after the transplant liver. the patient is only 32 years old and never drunk alcohols in his life but long time ago have accident with him and blood bottled inserted in his body. Due to that blood gradually damaged his liver. Patient stomach becomes bigger and water accumulated in liver and stomach. please advise what we have to do. we are belongs to from ahmedabad gujarat. Kind regards, Dilip Sathvara ### REPLY: Hello Di lip:When patients develop advanced or "end stage" liver disease, this is called cirrhosis, which is irreversible. The liver is only functioning to a minimal degree. One of the indications that the liver is failing is accumulation of fluid inside the belly, this is called "ascites". There are other problems associated with cirrhosis (confusion which is called "encephalopathy", esophageal varices which are blood vessels in the esophagus that can burst and bleed out, liver cancer.). Liver transplant is definitely a good option. The survival after a liver transplant is about 85-90% at 5 years after liver transplantation and depends on the experience of the center, the reason why he is getting transplant (hepatitis C patients do slightly worse than the rest), the quality of the care post-transplant. To qualify for a transplant the doctors will calculate a score based on some of his labs, which is called the "MELD" score (a high score above >15 is awful, and a low score is good By the way the cost of a liver transplant varies from country/city. In the USA it is very expensive, probably around $300000 or more. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 mitral valve proplapse and I have asthma... recently i have been getting shortness of breath (sometimes) and I now have a cough that has been with me for 2 weeks now...  is it asthma related or could my mitral valve prolapse be getting worse I am 43, 145 lbs, 56 ### REPLY: Hi thanks for using  . The symptoms could be due to reactive airway . There is also a cough variant of asthma... The asthma/reactive airway there will be bronchospasm(construction of airway) which causes irritant cough. Mitral valve prolapse can progress to Mitral Regurgitation. By doing an ECHO Cardiogram(USG scanning of the heart) can rule out the situation . There will be exceptional breathlessness, palpitations,heaviness of chest I feel your symptoms are due to asthma than Cardiac inhalation Bronchodilators (Inhalers) and see for the difference. If it is helping you then the problem could be respiratory ... You can also do a Pulmonary Function Test 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: Hi, My name is pranitha,Me and my husband desided to exend our family, we are trying for our first baby from last 4 months but its not happening. I am 26 and my husband is 32, My period cycle is 28 days and its regular. Can you give solution for my problem? ### REPLY: Hello Welcome to . Thank you for posting your query. I read your question completely and have understood it well. Looking at your aged of 26 and 32,its absolutely normal and there should not be a problem in conceiving. I would like to inform you these things. 1. Do not worry about the results, positivity is the most important thing in conception. 2. Do not have the slightest of the doubts in anything. 3. Most women are hypothyroid these days, so in case you have not yet tested your thyroid hormones, I suggest you to get a thyroid function tests done. This is not only to your pregnancy, but overall health sake... 4 months is a short time. According to urology books, normal couple should have positive pregnancy in the rate of 60% in 6 months, 80% by 9 months and more than 90% in a year. So I suggest you not to worry. Its termed infertility only if one doesn't have conception after 12 months! I suggest you to relax and pray for pregnancy. It will work. And plan the intercourse around the time of ovulation. Hope this helps you, In case you need any further information let me know. Take care and God bless. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im 3 months pregnant give a week or so, i have a sub chorionic hematoma issue . When i went to the doctor he said it was 2cm and i was go be on limited activity with bedrest. I have excrutiating cramps in my stomache on and off every day for the past three days yet i have no bleeding coming out yet. Are these just the normal cramps? Also i held in my urine for a while and now my right side hurts alot, im correct in assuming this is jus from being dumb and holding my urine in? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have chorionic hemorrhage. It is common and no need to worry.  You should take complete bed rest and if needed you can take blood thinner like aspirin or heparin.  Your hematoma will either absorb or bleed out. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I got my wisdom teeth removed four weeks ago and they seem to be healing well, but I m convened cause in my right wisdom tooth socket there seems to be a piece of skin hanging down. Will this fall off? Is it something I should be concerned about ### REPLY: Hi. Thanks for the query. It seems that there is a piece of gum mucosa that seems to be hanging and has not taken part in healing. When the tooth is extracted the gum mucosa gets hanged as it is not supported by tooth and in case if the flaps are not compressed properly they can get hanged and does not take part in healing. It will not fall off on its own, and you should consult an Oral Physician and get evaluated, and he can either remove it by a small incision or can stitch it to the remaining portion of gums. Hope this helps. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I just moved into a new apartment on a military base with my husband in new orleans. Ive lived in a small town in Utah my whole life up until now. When I first got here I had a couple of really bad panic attacks. Im terrified to leave my house. And its preventing me from living my life and I dont know what to do. ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. You know your condition. Panic attacks for you are not new. Panic attacks are caused basically by anxiety. Anxiety is a disorder and not disease. You must understand that. Are you under treatment for anxiety or panic attacks? Are you under therapy? If yes, fine. By now you must have learned how to overcome panic attacks. If not you should. Learn to relax. Positively imagine etc. are some CBT techniques used to overcome panic attacks. I can help you overcome these. Post a premium question giving all your details and I shall help you overcome panic attacks and anxiety. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 41 year old female. In December I received a cortisone shot in my shoulder. At about the same time I started having my period very frequently - i.e. for the last 4 months, I have had my period more often than not. The bleeding is usually not heavy, but definitely increases with heavy exercise. I have the Mirena IUD and usually don t get my period with it so that is especially weird. My pap smear was normal as was the endometrial biospsy. My doctor has given me a 2 week supply of low dosage estrogen but, thus far, that doesn t seem to help. Just recently I have noticed that I am easily bruising and now I have a hard lump on the left back side of my neck. Should I be concerned? Could all these things be related? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. First I want to say one thing your hard lump has no relation with your heavy periods. You may have dysfunctional urine bleeding or some adenomyosis or some other gynecological problems that leads to heavy bleeding.  You should go for gynecological examination and ultrasound abdomen for that. Your lump on back of neck can be due to reactive hyperplasia of lymph node due to some infection.  However, it may be some soft tissue tumor or rarely lymphoma.  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: age 35 /height 5.10/ wt 64 kgs iam facing problem with fobia of alone drive bike car travel and any time i carry small water bottle with me but i never drink it if i dont get bottle sudden i became  panic when i find it i get calm how to improve confidence and how to come out from fobia etc ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. The symptoms you are explaining are not of phobia but are of anxiety disorder. You are feared or worrying always about your health and something might happen to you. You are finding alternative obsession in keeping a bottle of water with you. Furthermore, you are believing that water can save you for the time being. No problem. There are lot people around you like this. The obsession could be something else. That is all. Consult a psychologist and undergo counseling sessions. You shall be alright. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: what is elevated c r p  noted .ferritin  is  not good index or iron stores in presence from inflammation illnessiron                                                                                transferrinsaturation ferritin  looking for simple ans ### REPLY: Hi, dairy have gone through your question. I can understand your concern. High CRP level is suggestive of inflammation.  In case of inflammation s ferritin is not a good indicator of iron store.  You should go for serum iron level. 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: My son is sixteenth months old and I have found multiple lumps in his groin area on both the left and right hand side our doctor said it was swollen glands and he was given antibiotics on two occasions as after the first course they did not disappear however they have still not gone could this be something other than swollen glands? ### REPLY: Hi.... what are saying is called inguinal lymphadenopathy. It can occur even when there are minor injuries to the legs and the . But just because the lymph nodes are enlarged you need not worry about them - I will explain to you the Red flag signs and if these occur then he will require medical attention - 1. Severe loss of appetite and significant weight loss.2. Bone Pains.3. Severe anemia and significant Pallor.4. Chronic and recurrent fever for more than 4 weeks.5. Inguinal lymph node swelling more than 2 centimetres in diameter and hard to feel. Best regards -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m a 42 year old female and for the last 3 months have had terrible acne on my chin and jaw line. I ve been going to a beautician but my skin does not seem to be improving. Also I have lost 3 kilo in the last two months which is unexplained. I m 5ft 3 and currently weigh 56.5kilos normal weight 59 kilos. My periods are now only 20 days in cycle use to be 30=34 day cycles. ### REPLY: HI, THANKS FOR CHOOSING , you may be having hormonal imbalances leading to reduction in duration of cycles and causing acne when acne is due to hormonal imbalance what will be the use when you intervene from outsides go meet your GAEC doctor, get your hormone levels checked and act accordingly....if this is not the reason your doctor can examine you and come to a conclusion about your problem hope I answered your query feel free to contact me for further queriesthankyou ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have severe, at times, abdominal pain that feels like someone is twisting my insides out with pain that radiates to the right side of my spine, like someone is stabbing me with a knife.  I went to the ER and they did a CT scan of my abdomen which was negative and lab work was unremarkable.  I had my gall bladder out 10 years ago.  I am wondering what else it could be?  They did say that I have diverticulois but that wouldnt be causing the pain. ### REPLY: Welcome to  .1. After CT scan, it almost narrows the causes.2. It clearly demonstrates organs and the pathologies. Liver/Pancreas/Spleen/Kidneys/Spine. After all these ruled out even if diverticulosis is not found - one will think of some pathology in the bowel.3. In the bowel we can see IBD - ischemic bowel disease, Diverticulitis/diverticulosis, obstruction, and inflammation of the bowel.4. Any of the above bowel pathologies would give the above symptoms.5. So improve your diet and evaluate bowel pathology with barium swallow.6. Hope it helps you. Anything to ask ? Do not hesitate. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a small pea size stationary hard lump on the center of my jaw under my chin. It is slightly painful unless I touch it. Touching or pressing on it is quite painful. Is this something I should be concerned about or should I just take the wait and see method? ### REPLY: HI. This small lump is a lymph node and one can always find a course of an infection in the .  Consult an Oral Surgeon and find out the offending cause. Get this treated, the lump will automatically go away. As this lump is a potential source of an abscess which grows fast and sometimes can cause a difficult situation, it is mandatory to get this investigated and treated. NO wait and watch n this case. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 chronic cramping pain from my gastroparysis. The pain has brought me to the ER many times. I usually get, photonics, zofran and dilaudid for pain. I have no issues with movement of bowels. Lately the ER has been refusing the pain med. I need help getting over these episodes. Any ideas? ### REPLY: Hi, Pain medication changes gut motility and usually makes Gastroparesis worse. There are a lot of medicines that increase or decrease gut tone and one of them is likely to work. Sometimes a blocker of acetylcholine, sometimes more acetylcholine. An antispasmodic like benzyl or one that works opposite to narcotics like romantic are helpful in some people. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, i m a 42yr.old female. I had bld tests done for my symptoms that began 2yrs. Ago. Low complement c3 c4 levels along with very low ferritin were the abnormal findings accompaning my fatigue, low grade fever, joints of fingers, ankles, feet and knee pain with morning stiffness lasting more than 1hr. Ana neg., rheumatoid factor negative. Bone density identified severe osteopenia, ### REPLY: Hello, I understand your concern. I am , Infectious diseases specialists, responding to you. Ferritin is the storage of the iron in our body. As iron is not stored in the body. It leads to anemia. This results in weakness and other symptoms of your body. I advise starting iron therapy as per your body iron status, under your . I will be glad to answer your further query. Thank you for your contact to . Wish you the best health. Thank you, ChatDoctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. My mother s EKG report says antral infarct, probably old, abnormal . And she has had chest pains previously. What does old antral infarct indicate? Can the damage be reversed? Its possible cause and line of treatment? Is she in immediate danger as I cant get an immediate cardiologist consult due to the country I am in. ### REPLY: Hi Welcome to  Old infarct means that she had an in fact in past which was minor or was undiagnosed and missed. She is having cardiac disease. After all infarction the cardiac muscle gets scarred and there is no treatment available to revive the tissue. She must undergo angiography and stress echocardiography to know level of disease and further stent placement or bypass surgery. The best approach is to avoid future attack. Ask your mother to keep her BP, sugar level and lipid profile under control. She should avoid undue physical and mental stress and practice meditation. She may take baby aspirin 150 mg daily. If you have any further query then you can come back to  , I will definitely help. With 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: Hiya I am 44 years old and generally in good health.  The only medication I take is prozac x 2 a day for anxiety.  I have had this chesty cough for nearly 5 days now.  The mucus that I bring up is thick and dark green (sorry for the gruesome details) I seem to have a constant headache and feel constantly tired. ### REPLY: Hi, thanks for using  Productive cough may be related to bronchitis. Viral bronchitis is more common than bacterial bronchitis. These infections may be associated with additional symptoms such as headaches, fatigue. Additional symptoms such as ear ache, sore throat, decreased appetite. You may want to consider the use of bucolic agents. These would help to reduce the thickness of the secretions so that it can be expelled easier. Examples are bipolar, guaifenesin, Mucomyst use of an analgesic would help with the headache. Paracetamol can be used. Rest and the use of enough fluids would also be important. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello! I m a 24 y/o white, female with, overall, great health. Approximately 4 weeks ago, I noticed the swelling of one of my inguinal lymph nodes on the left side. Recently, two more inguinal lymph nodes have swollen, also on the left side. Along with the swollen nodes, I have lost weight and become fatigued. The nodes feel firm, but are movable and painless. I ve checked my feet/legs for cuts/abrasions, thinking I possibly had some kind of infection, but my skin is clear. My question is, do I have cause for worry? Or should I wait a couple more weeks to see if the swelling goes down before seeing my family physician? ### REPLY: Hi, thanks for using  It may not be anything significant, but you should consider going to your doctor for an evaluation. Normally it can take up to 4 to 6 weeks for lymph nodes to return to normal after an inflammatory response. Since the 4-week time period has gone, and you are noticing more than one lymph node, your doctor may need to assess you. This would include history of symptoms, examination and blood tests. The initial blood tests would likely be a complete blood count and ESR (checks for inflammation in the body). I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: We have just returned from Bali, my wife started with sore thrat and flue sysmptons as we flew out which is not really an issue, the problem is her legs have been very sore and aching and at sometimes she cant bear anything on them, her back is also aching and she has had a fever for nearly 3 days now that we have controlled with howers and panodol. could it be gangy fever? ### REPLY: HI, thanks for using  The symptoms are in keeping with an infection which can be viral, bacterial or parasitic. There are different illnesses that can cause muscle aches and pains such as influenza, dengue, toxoplasmosis, Lyme disease, malaria. In light of her flu like symptoms however, it is likely that she has the flu. She needs to rest, use a lot of fluids, continue paracetamol to help with the fever and joint pain. She can also use over the counter cough and cold meds to help with those symptoms. If her symptoms worsen then she may want to consider visiting a doctor. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi for sevral months iv suffered stomach pains and the past2 weeks iv become bloated weak and in a lot off pain.the pain has now gone from my bottom right hand side up to behind my right shoulder blade but I also get pains on the left.I often also get a sharp pain when walking in my chest and taste a blood taste.Im geting tired when I walk and do things.can you tell me what this could be please ### REPLY: Hi, Thanks for posting your query. With the available described details, there appears to be possibility of dyspepsia with decreased gastrointestinal motility and multiple somatic symptoms. Dyspepsia is a collection of symptoms consisting of acidic belching, abdominal heaviness and bloating, gargling sound, excessive flatulence. Dyspepsia could be due to peptic ulcer disease, bile reflux disease and functional in nature. You should consult with internal medicine specialist/ gastroenterologist and should go for thorough check up. You should also go for complete blood count, blood sugar, thyroid profile, and renal function test. Furthermore, you should also go for endoscopy and urea breathe test for H. Pylori. If Urea breathe test is found to be positive then you have to take complete eradication therapy for H. Pylori bacteria. Meanwhile, you should also take proton pump inhibitors along with prokinetics and selective serotonin reuptake inhibitors. 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 cut my finger pretty deep yesterday with shears while cutting hair and i have been keeping it covered with a band aid but it is a "flappy" cut so every time i have to change the band aid it starts bleeding profusely again. i was told by my educator to use super glue but i dont have any i only have wood glue... what would you suggest i do? ### REPLY: Hello dear, I read carefully your problem. I think, superglue, or every kind of glue should not be putted to your wounded finger, or it may get infected and complicate the wound more. Depending on how long your wound is, you may need one of the above treatments:1) If its more than 1 cm long cut, it will need to put 1-2 stitches in it. You have to go to the doctor for this, as it needs sterile (very clean)conditions.2) If its bleeding because its deep, but no longer then 1 cm, then you can find steri-strips in the pharmacy, and they will stabilize the would so it won't be flappy anymore, so the bleeding will stop. Some other things that you should do, is to use a non-adherent gauze to . Hope this helps, Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a temp of 99 degrees every other evening for 3 times now, back spasms for 2 months which were just when I turned over but now are with other activity also such as walking. Today began experiencing neck tightness. What is wrong with me? Thank you. ### REPLY: Hello ! I read your question carefully and understand your concern. I would recommend you to consult with a GP as soon as possible and have some tests done. In your situation I would think of infections, which could be located in the cervical column or meningitis. These two disorders have similar clinical patterns. A full blood work for infection and a good neurological examination are very important. You may need further tests like a cervices-thoracal column CT scan or a lumbar puncture to establish the cause and the wright treatment. Hope to have been of help! Thank you for using ! Best wishes,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello i am 15 years old and I have noticed about 8 bumps ranging from my penile shaft to my scrotum. The bumps swell up and get red and itchy if I squeeze them there is a clear discharge, I have never had sex so Im sure its not an std. Any sort of answer would be greatly appreciated ### REPLY: HelloThanks for query. Multiple bumps on shaft of the penis and scrotum are mostly multiple Sebaceous Cysts. The scrotal and penile skin is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin. Normally they fade away without treatment however they need to be treated if increase in size or get infected. Maintaining proper personal hygiene by cleaning genital area is very important to avoid getting these cysts. Please consult qualified General Surgeon for clinical evaluation and further treatment. If needed some of them which are bigger may need to get excised in Toto (Completely along with the sac). ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 girlfriend was just diagnosed as having HPV, I dont have any symptoms but assume I know have it too. She wasnt given any information on what this means for us.  Should we avoid sexual contact, will we be passing the virus back and forth between us? ### REPLY: Hi, I understand your concern.  You should get yourself examined for infection BY HPV DNA testing & Dacron swag testing(A specialized test available with STD dept. of institutes) -- Though there is no specific treatment for the condition, The virus is self controlled & goes to non-symptomatic phase by 18 months of infection at the most. Still antivirals like( .  - To rule out fear of reinfection to each other, condom should be used while sex.  - Cervical high risk papillomavirus should be excluded by virus DNA testing.  Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am having seasonal allergy symptoms such as sneezing, stuffy nose, watery eyes, sore throat, etc.  I tried an allergy medicine with fexofenadine hci tablet USP, 180mg/ antihistasmine , (generic form of Allegra), and got no relief.  It was a 24 hour tablet.  Can I take anything else, such as benedryl,  for my symptoms? ### REPLY: Hello dear, The symptoms as mentioned in your post suggest that you might be having Allergic rhinitis. Management includes:1. Antihistamine preparations like Allegra can be taken for symptomatic relief.2. Montelukast, which is used as a maintenance therapy to relieve symptoms of seasonal allergies & asthma.3. Maintain adequate HY . 4. Also make sure that you are well protected from cold, dust & other allergens. 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 four year old has been complaing of a tummy ache for approx 3 days, she has also had multiple soft,clumpy light yellow stools(3-4 per day) it does not really have an odor. Should I be concerned, we have been adjusting her diet to include less junk food. ### REPLY: As you said his diet has to be modified (less junk food), the pain in abdomen can from gastritis which is due to spicy and oily junk food or can be mild viral infection. There is 3-4 yellowish stool not foul smelling, not watery, so, all you need is to just observe these things (watery secretion, increase in frequency, foul smell, appearance of fever, persisting symptoms, irritability of child). For now give sanitizing and antacid for gastritis it, pain will resolve in next 48 hours hopefully, if not or increases anytime and above symptoms appears please get the child checked. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 done semen analysis after 3 month (jan 2010) & now i done semen analysis in may end 2010 i found very changes, how it possible ? first i get 55% motility now i get 0 % MOTILITY HOW? ### REPLY: DEAR SIR / MADAM HERE IS REPORT OF MY SEMEN ANALYSIS AGE- 34 MALEMETHOD COLLECTION-AT LABABSTENENCE OF - 4 DAYS PHYSICAL EXAMINATIONQUANTITY - 1.5 COLOR -OPAQUE WHITELIQUIFICATION - WITHIN 20 MINS CHEMICAL EXAMINATION pH - ALKALINE MICROSCOPIC EXAMINATION (PER HIGH POWER FIELD)TOTAL SPERM COUNT - 25 MILL/ML MOTILITYACTIVELY MOTILE - 00%SLUGGISHLY MOTILE- 50%IMMOTILE - 50% SPERM MORPHOLOGYABNORMAL FORMS - 7%A. HEAD - 4%B. BODY -2%C. TAIL -1% PREMATURE GERMS CELLS - FEW PUS CELLS - IN FAIR NUMBERS CULTURE & SENSITIVITY SPECIMEN - SEMENORGANISM ISOLATED + NO PATHOGEN ISOLATED GERM & ZN STAIN ANALYSIS TEST NAME - RESULTSPECIMEN SEMEN PHYSICAL EXAMINATION QUANTITY 1.5 COLOR OPAQUE HISTOGRAMS STAIN NO ORGANISM SEEN.  DEAR SIR PLS REPLY ME SOON, WHAT CAN I DO FOR IT THIS IS DT 26/05/2010 SEMEN ANALYSIS LATEST.-----------------------------------------------------------------------------------------------------------BEFORE 4 MONTH SEMEN AS ABOVE SEMEN COLLECTION AT LAB.COLLECTION TIME 10-00 A.M.EXAMINATION TIME 10-30 A.M.DAYS OF ABSTINENCE 10 DAYS QUANTITY - 2.00 COLOR - OPALESCENT WHITEOUT - MUSTYVISCOSITY - NORMALLIQUIFICATION TIME - 25 MIN TOTAL SPERM COUNT 38.00 MILLION / ML.ACTIVE MOTILE 55 %SLUGGILISHY MOTILE 5 %NON-MOTILE 40 TOTAL ACTIVE MOTILE SPERMS 42 MILLION MORPHOLOGY-NORMAL 75 %, AB NORMAL 25 %. CELLS-PUS CELL - 25-30 CELLS / HIRED CELL - 7-8 CELLS / EPITHELIAL cell FRUCTOSE TEST - POSITIVESPERM ANGULATION TEST - POSITIVE. IN BETWEEN FOUR Months I LEFT TABLET 1. OLIVER, 2. COQ 10 COENZYME & 3.STEPHEN M. MY COUNT LOSS IN BETWEEN THIS TIME, PLS REPLY ME I M VERY SAD. CAN I BECAME A FATHERS.PLS REPLY MY EMAIL AD ? Com PLS HELP 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: hi, ive just found out that i have mono a second time.  what can i expect this time around and how long should i stay away from my girlfriend for? also, how long could i have been contagious prior to knowing i have mono, given its my second time testing positivie for it? ### REPLY: HiT hanks for posting on ChatDoctorThe length of time someone with mono remain contagious is unclear, however, the chances of passing the infection to another person is highest during the first 6 weeks following infection. Some studies however show that an infected person may spread the infection for many months and possibly up to a year and a half. There exist no specific . Treatment mainly involves bed rest, good nutrition and enough HY ### END