Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 how r u? i have problem since three months.in winter the coldness attack me on the right side of arm leg and brain .i had gone to doctor he said that u need heat in your body so he gave me one subtulamine tablets and neurobon syringe ..my age is 26 and i am searching for job..now i have problem occur in my brain.suddenly i feel lose of conscious and some rolling happened in my stomach the i go to washroom three time to expel waste material then i feel free my self from loss of conscious tell me doctor what i have to do? i will be very thankful to you. if you solve my problem..my test reports are clear only lacking of some calcium .so i am taking it daily.. ### REPLY: HIT hank fore asking to ChatDoctorI really appreciate your concern you might be developing some psychological condition you need to control your thoughts and need to keep your stress level very low your all the complaints are nonspecific and functional in origin, does no seem to have any pathology, looking to your age you can control your thoughts, forget the weird impulses that you are having, hope this information helps you, take care and have nice day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Are there any other illnesses besides MS that are associated with brain lesions? I have had an MRI that showed lesions but my spinal tap came back OK. My neurologist is 90% certain that it s not MS because the spinal tap was OK. I have been having some issues for almost 2 yrs. I have been having pain in my left leg, starting at mid thigh and as it descends down my leg, it turns into more of a numb feeling. It seems to be worse at night. During my exam, my doctor did state that I had diminished sensation on my left side. I have had another set of MRI s down of my neck and spine but I haven t heard back on those yet. ### REPLY: Hello. I have been through your question and understand your concern. Brain lesions seen in MRI are becoming a common feature and not of all of these are significant. Most of them are benign white matter disease somehow related to blood pressure but not associated to any particular disease, being benign and not troublesome. The symptoms in your leg should in first place be related more than to brain lesions to spine problems like herniated disc or degenerative disc disease. Still, a nerve conduction study is essential in my point of view to better evaluate the degree of nerve involvement. Basically since the spinal tap excluded MS it is quite sure you do not have MS.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 my wisdom teeth removed about a week & a half ago. Everything was fine until yesterday when the area behind where my tooth was started swelling and is tender. Do you think its an infection? Ive limited my diet & have pretty much been drinking liquids. I do my salt water rinses after each meal. ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concerns. As per your complaint swelling and tenderness at the site of wisdom tooth extraction that too after one and a half week can be either due to infection at the site of extraction, any left out root piece that is getting flared up and painful while it can also be due to formation of . . I would suggest you to consult your treating physician and get evaluated and a thorough clinical evaluation and investigations like x-ray can help in diagnosis and treatment will be done accordingly. As of now do cool compresses over swelling, take Ibuprofen for pain and do warm saline gargles. Take a soft diet. Hope this information helps. Thanks and regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been told that I have a tilted sacrum and I am experiencing hip knee and back pain. The chiropractor told me one leg is longer than the other that is why I have pain. My left leg and hip are weak and I fell today because of it. Where should I go to get answers? ### REPLY: Hello I have studied your case. Limb length discrepancy is common joint pathologies. You will need further investigation like sonogram x-ray and SOS MRI hip. Limb length discrepancy can lead to back pain or vice versa. You can use a shoe raise on left side, if discrepancy is up to 2 cm it will get corrected by it. If still pain remains persistent then you need to investigate for cause of pain. Till time take analgesic and calcium with it D supplement. For sacrum/ spine scoliosis you may need X-ray spine and physiotherapy exercises. You can consult orthopedic doctor, and also you can report to me. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. 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: The doctors saw a mass on my cousins liver yesterday as large as his liver. He is an alcoholic and has been for over 20 years. He s had a problem with hemmoroids forthe past 5 years. I believe that maybe he has either colon cancer that has spread to his liver or he has liver cancer. I am not sure. I will not know until later on today. I have been reading and what I have read compared to what I know, its not good. His mother, on the other hand was out of town when the diagnosis was given. She does not know how serious his illness is. She will be back today and I want to be there for her and him. They have a very close relationship and he is completely oblivious to what is going on (because this is his first visit to the doctor and he is 51).What do I say to him? What do I say to her? I am a social worker/ therapist but have trouble dealing with issues with my family w/out coming across too insensitive. I am the baby of my family and they do listen to me but I have to be very careful as to not offend. ### REPLY: Hi and welcome to . Thank you for your query. I am , I will try to help you as much as I can. You should not tell him anything yet since you don't know the exact diagnosis. Mass in liver means that there is some tumor in liver which may be malignant or benign. In cirrhosis, it is more likely that this is malignant, and then it is a bad sign since prognosis is very poor. But it should still be evaluated by further tests especially MRI scan or ERCP. I am afraid that this tumor may require surgery and chemotherapy and after the diagnosis is established then you can tell him about further steps and prognosis. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. When i woke up this morning my right arm was completely numb. When i tried raising it, it would float and not go the direction i want it to. Im scared. I have no idea whats happening, i probably slept on it to long, but please tell me how to cure this. It feels tingily. ### REPLY: Hello, It seems you may have a compression of a nerve. It usually happens when u sleep in a wrong posture for a long time, this results in temporary compression of a nerve which slowly gets better when the compression is relieved.  The tingling and numbness is due to the compression of the nerve. I would suggest you to observe how it goes for next 2 days and if there is no improvement to consult an orthopedic doctor. If there is pain you can take paracetamol medication. 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: 3 days in a row I have had a twitch on my left side slightly above my love handle I spent the last weekend at a resort, eat meat during my meals often and went swimming in a heated pool. Could I have a parasite. I also played rackette ball, ping pong and shuffle board. I m left handed. Could it be muscle spasms ? but it does not hurt. What do you think. ### REPLY: Hello, If you are not having high blood pressure or diabetes and there are no any associated factors which increases your liability for cardio vascular problem then this can be only due to stress and excessive work. In my opinion you should take rest. This will be sufficient in relieving your problem. At present, it does not look to be a parasite problem. 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: good morning sir, I am suffering from lower abdomen pain for the last one year. Basically i am from andaman. Because of acute medical facilities here the problem was not so far identified. At my effort, knowing my condition, i started browsing the internet keeping in view of my symptoms. I suspect of endometriosis. My symptoms is chrnic pain in the lower abdomen for around ten days before the start of mentstrual period. Now we are planning to get treatment in chennai. Actually we are now confused where to get the proper treatment and how much it will cost, actual duration of the treatment. After visiting many website of the hospitals now I find somewhat genuine with malar hospital. Please reply thank u very much. with regards, siva mary, andaman email id-- YYYY@YYYY ### REPLY: Hi Siva Mary. Thanks for your query. Noted your history of lower abdominal pain for the last 1 year. I know Andaman has low facilities. Pain in the lower abdomen 10 days prior to menstrual periods and the chronic nature suggests you need the Following:Diagnostic Laparoscopy under the care of a Gynecologist and a Laparoscopic Surgeon would help you to get a proper diagnosis as well as the treatment by excision of the diseased parts help, help you permanently. Any big City in India will have this facility and your thought of Chennai is a good choice. Which hospital to go to is a matter of your search with friends, relatives and Family Doctors. Before gong to a hospital better to get investigated for routine blood, urine, stool, ultrasonography and if required CT scan of the whole abdomen including pelvis as this will save your lots of time. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband experienced tingling in his arms and around his mouth.  He had a metalic taste in his mouth and felt faint.  He immediately went to his doctors office and his blood pressure was slightly elevated but nothing else.  What would cause the tingling and metalic taste.  He has good dental  habits, takes bp meds. ### REPLY: Hello! Thank you for asking on ! Regarding your concern, I would explain that this symptomatology may be related to a seizure. But anxiety and low blood glucose (hypoglycemia) cant be ruled out as other possible causes responsible for this clinical scenario. The slightly elevated blood pressure may have been just a physiological reaction to the event. I recommend consulting with the GP for a careful physical examination, a resting ECG, a chest x-ray and some blood lab tests (fasting glucose, complete blood count, thyroid hormone levels, kidney and liver function tests, blood electrolytes, etc.). An EEG is necessary to examine the brain activity to rule in/out the possibility of a seizure. A brain CT scan may be needed in case of abnormal EEG findings. If all the above tests result normal, anxiety would be the most probable diagnosis. Hope to have been 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: hello sir ,me nd my family is very much distrub with my father..becuz he always want  to kill my mom ..nd he beat her and thought that she having wid his brother,father in low infact wid her son so pls help me..wat i have to do..nd is he will be fine or not ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. The description you gave here is not enough to come to a correct diagnosis. From the description, it can be understood that your father has paranoid personality and aggressiveness. We need to know why this happened? Do he ? Or 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 fathers 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: I have been really sick for the past three or so days with varying symptoms. The first day I had cold-like symptoms - achy arms, headache, cough. That night after eating dinner I got intense stomach pains and ended up vomiting a little and having intense diarrhea several times. The next day the stomach pains were gone but I had an intense headache all day, as well as coughing and sneezing. That night I kept waking up every hour or so because the pain in my head was so intense. Then yesterday I again had an intense headache with mild coughing and sneezing and now nausea. Gradually my headache became isolated to the left side of my head only. I have also had two intense nosebleeds in the past 24 hours. ### REPLY: Hi. Thanks for your query. Your history of flu like symptoms, abdominal pain, vomiting, nausea, headache which has isolated to the left side and nose bleed is indicative of the following:Typhoid - one gets the similar problems with nose bleed. Or Flu with secondary infection of the GI tract and Upper respiratory tract. I would advise you the following:Get the vitals and general examination done by the Doctor. Investigations of the blood, urine, stool. CT scan of the Brain and sinuses to rule out any internal problem causing nose bleed and left sided headache. The treatment will be symptomatic to start with like an antibiotic, topical and oral decongestants, painkiller for headache. The specific treatment may be continuation of the same or changed as per the reports. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 teenage daughter (14) has always talked to herself. She now says there is a voice in her head that she has created (the voice of an actual friend) who talks back to her.  She says she is scared that she is schizophrenic. I told her we would make an appointment with our family doctor.  Do I need to do something about this more quickly.  She has done some self harming when she was young when she would get in trouble and would be put in time out, or more recently when something happens that she doesnt know how to deal with, like when she is PMSing. ### REPLY: Hello, Welcome to . Thanks for posting your question at this forum. We understand your concern. I am  Psychiatry from India. I will guide you about your daughters' health. Whatever information you have given here about your daughter, point towards a serious long-lasting mental illness of psychosis like Schizophrenia. I must explain you in simpler way. Schizophrenia is a psychotic illness in which the person has abnormal perception, absurd thinking, decline of higher mental function, deterioration in social and occupational functioning and significant personal sufferings for years. The patient may claim to hear unusual voices which others deny hearing. This is called auditory hallucination. Initially the voices come for a short period and the person feels strange and does not understand what to do. He/ she gradually may start believing on those voices as frequency and intensity of voices increases with passage of time. Often these voices comment/discuss derogatory about the person and sometimes these may suggest or command the person to do certain act. Sometimes the person may harm herself/ himself sunder the influence of these voices. As you have experienced, she has a self-talking behavior since last many years, has harmed herself once and now she is claiming a clear two-way conversation with that voice. It appears that she is having auditory hallucination(auditory hallucination is one of the commonest symptoms in psychosis like schizophrenia), and apparently these voices are unpleasant or commanding in nature that might have provoked the episode of self harm in the past. Since the onset of symptoms is in childhood and has been continuing for years it shows poor awareness of caregiver about the symptoms of illness. It is never too late. You must consult a good child and adolescent psychiatrist and encourage your daughter to discuss her symptoms honestly so that the diagnosis can be finalized. If I had been her doctor, I would have advice her for brain imaging, certain other investigations, to take some antipsychotic medicines under supervision of a family member and to attend psycho-educative classes regularly. Medicines and supportive therapy can bring remission to illness. Hope this has helped you. I wish you all the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 19 year old female. My wisdom teeth have been coming in for a while now. But haven t given me much trouble until recently. Sometimes I will get swollen lymph nodes in my neck and armpit. I can t really go to the dentist right now. Is this something to be worried about ? I brush my teeth a lot and am quite ocd about making sure the wisdom teeth and gums around them are very clean. Could this be an infection and if so how can I cure it because like I said I don t have the means to go to the dentist for another month or so. This has been going on for 2-3 months. The lymph node in my armpit is swollen as I type this and quite painful to the touch. Thanks in advance. ### REPLY: Hi, Wisdom teeth usually erupt between 18-25 years of age. A condition known as Peritonitis results in pain and infection around the wisdom teeth and the infection can spread to other parts of the body. You should consult a Surgeon and get an OPG X-Ray taken to know the actual position of the tooth immediately. Remember Health is Wealth. Excuses for not visiting a dentist will only deteriorate your health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: How to use Godanti Bhasma and Brihatvata Chintamani Ras tablets, dosage.I have been prescribed the above medicines along with Sinhanad Guggulu for sciatica and severe leg and hip pain.  The doctor who prescribed these has shifted his clinic.  Please advise.  I am 50 years old male ### REPLY: **1. If the said doctor has shifted his clinic, consider second opinion regarding the dosage and medicines since he will be in better position to handle your case and pathology and will treat on the line of Gridhrasi 2. Although both the said . 3. You can incorporate following prophylactic aspect also:. Sleep on hard bed/mattress. Wear heavy shoes and warm socks. Massage of olive oil is beneficial PS. Acupuncture has been approved by the U.S. FDA as a treatment for back pain, and the National Institutes of Health has recognized acupuncture as effective in relieving back pain, including sciatica. Take 4 SF holy basil juice 4 SF ginger juice 4 SF honey and  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son is 11 months and has a fat pad which makes his penis go into itself. My concern is that it seems the skin on the shaft of his penis is attached to the rim of the head of the penis. He is circumsized, is this normal, well I dont think it is so when will it fix itself or what should we do. I went to my family dr and she siad it was fine and it might not fix itself until he hits puberty but what if it doesnt at all what are the complications or solutions? ### REPLY: Hi, I suggest you see a urologist because we are the specialist to be able to determine whether there is further need to manage your sons genital organ or observe until he hits puberty. Often times because of the fats in the area the penis would seem buried, or the shaft is missing, and you can only see the head of the penis. When the boy grows then the fats will turn to muscles in the penis would be normal looking already. Hope I have answered your query. Let me know if I can assist you further.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I noticed a week or so ago a circular slightly red spot on the upper inner part of my arm. It does not burn or itch and it is not raised. When I first saw it I thought maybe it could be ringworm. I dont know what I had that thought, but did. Then a few days ago I noticed what looks like small red callouses on top of the same two fingers on both hands. They are not dry, dont burn or itch. This morning, I discovered that I had sllightly round reddish/violet spots (the size of a lemon) in the groin area on both thighs. Again, no burning itching or pain of any sort. I just read something about flesh eating diseases and am worried I may have something like that. I do not take any meds; only vitamins D and B12 (which may be low at this time). Thank you for any information on this. I am getting an appointment with a dermatologist this week, but in the meantime, I am concerned because I have never had or seen anything like this. Its not grotesque or anything, but not narmal. ### REPLY: Hi, happy to help you on your health concern on part of ! In the present case of Tina corporal and courts or ring worm infection I would suggest a combination of clotrimazole or fluconazole/gentamicin and clobetasol like low dose steroid for 1 month. Please contact your local doctor for a prescription! Hope you got your answer. Please feel free to write to us if any more queries. Wishing you the best 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: Occasionally I get a sore on the roof of my mouth.  Then it goes away.  Same spot.  When I went to the dentist they said it was called rugae?  They were not concerned.  But since I was a heavy smoker for 25 years, I am worried.  Ive quit, its been 7-8 years. ### REPLY: Hello, Thank you for consulting with . Actually Mugabe area is a constant landmark in the roof of mouth, it is not sore, and it does not go and comes. If you have some kind of soreness on the roof then it is not rule, it might be an authors ulcer. Better you should observe the condition and if you notice it in the future, then just start with a topical ointment named McCoppin. In smokers if soreness occur on the roof it is very painful and with burning sensation, but if you have quit the habit that it is not related to that. Hope it will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 3 days ago i visited my doctor and was diagnosed with influenza, now after taking tamiflu, z-pack and cough syrup with vico, i started to recieve an uncomfortable almost painful shooting pain only down my lung area....whats my next step another trip perhaps? ### REPLY: Thanks for your question on . I can understand your concern. Yes, you should definitely consult your doctor again and get done chest x-ray. Influenza viral infection of lungs can cause pneumonia, pleural effusion, pleurisy etc. And all these can cause sharp shooting chest pain. So get done chest x-ray. If chest x-ray is normal then no need to worry about these diseases. Take simple painkiller like ibuprofen or acetaminophen. Apply warm water pad on affected areas of chest. Don't worry, you will be alright with all these but first get done chest x-ray. 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: Hai..Dis is Victoria...Im having a query for my husband..He is 28 years old,recently we came to know that the FSH level is very high..Doctors are suggesting to go ICSI..But we dont know what decision to take...Is there any way to reduce the FSH level? Do we have any chance to concieve? Plz reply... ### REPLY: Hi greetings. Your husbands FSH is high means his testis may not be functioning properly. To know that we will need LH, TOTAL TESTOSTERONE Prolactin values. He may be having hypergonadotrophic hopogonadism meaning in spite of stimulation by the pituitary gland testis is not functioning. After analyzing and confirming we should find out the cause for testicular problem and if correctable should be treated. What about his semen analysis.? If the count is low and testicular problem cannot be treated then IVF _CSI can be considered. Hope my answer helps you. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m a sickle cell anemic patient. I ve been living very fine cos I ve been receiving utmost care coupled with good nutrition and I drink water a lot. I was researching on the effects of too much bilirubin in the body when I came across the word priapism . I was shocked as I used to think those unwanted erections I had were normal. But after conducting more research on priapism, it doesn t completely fit my situation. It s slightly painful, never lasts for up to an hour, I doubt even half an hour. It actually added to my masturbation habit that I m trying to get rid off now as that seemed to be the only solution to make it die down, even after ejaculation it still stays slightly erect for a few minutes. Whenever I sleep off or get absorbed into another activity, I wouldn t even know when it died down. I just want to know if I have anything to worry about. I m just 18 years of age. ### REPLY: Good Day, and thank you for being with  ! You are very prone to Arianism which is defined as unwanted erection lasting for more than 1-2 hours. If ever you have that symptom I would suggest going to the emergency room to relieve the erection. Arianism may cause structural damage to the penis if left untreated. For now remain vigilant and erections for 30 minutes without pain is normal. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.ChatDoctor .com/doctors/ .  Best wishes ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi im 32 yrs im have several problems my periods r very irr regular it is so bad that only when i take medicen i get my cycle, im over weight my height iss 5ft n my weight is 80kgs, i have very thick n dark facial hairs, n im married for past 11 yrs but m not able to concieve now im undergoing treatment for concieving n my dr. has suggested me fertyl 25mg tab i just wan to know how safe it is to take the tab with my kind of problems ### REPLY: HI, I understand your concern.  Causes for irregular periods can be POD/ ovarian problems/ thyroid problems/ pituitary problems/ sever anemia/ obesity, diabetes.  Before trying to conceive, you should consult a gynecologist/ endocrinologist along with relevant investigations . To ascertain definite cause of irregular menses. Get it specifically treated get your husband also investigated to exclude any problem.  From your history you seem to have either POD or Thyroid problem.  They are managed well with specific treatment.& planning after that would be fruitful!  Tab. Fertyl 25 mg. is somewhat low dose for a female to induce ovulation. So it will not be harmful, but not effective also. You do need an expert advise & methodical treatment.  Thanks.  Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my mother is 65 years and had a treatment for cancer of esophagus(chemo, surgery and radiation). all treatment completed 15 days back. even though she can swallow the food easily. after 5 or 6 spoons it will stop. it will not go inside. As per endoscopy she is having erosive and Anastmosia.   Pls advice the medication for this and pls adivce why she can not eat the food easily. ### REPLY: The erosive mucositis at anastomosis site is due to effects of radiation therapy. It will take time to heal. Meanwhile, she may benefit from suspension sucralfate which is taken orally and forms a protective layer over mucosa (inner lining). A mild opioid analgesic will also help. Give her soft foods at present and energy .  Small frequent meals rather than few large would benefit her. I hope it helps. Please discuss it with your doctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My gums have started bleeding profusely over the last week or so, with no apparent cause. This can happen numerous times throughout the day and at night as I have woken with blood on my billow. This is totally out of character for me, I have never suffered any problems before. I have been on beta blockers for around 8 months and over the last two weeks have felt generally unwell and depressed. I have become very concerned about the heavy and random nature of the bleeding in my mouth. ### REPLY: Hi. Welcome to . I read your query. Gum bleeding indicates periodontal disease. But the amount of bleeding you mentioned can be a manifestation of some underlying disease too. I suggest you visit a dentist and get it checked. Get oral check up, blood test for anemia, On Hildebrand factor, clotting factors. Maintain good oral hygiene, proper diet. Use non-alcoholic mouthwash. Get oral prophylaxis done regularly. You did not mention history of pregnancy. It can also lead to gum problems. Main treatment is to find underlying cause and treat it. Hope the answer helps. Thank you! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am 49 yr old male with a good medical histroryl.i developed sore throat when on holiday two weeks ago with persistent fever and swollen lymph nodes the fever is on and off and reaches 39C but has been 37.00 for the past 24 hrs. the doctor suggested blood tests which showed normal levels but high ESR 100 and WBC 12000. he suggested to consult an oncologist if it stays high. should i worry ### REPLY: Hello and welcome to , High white blood cell (WBC) count is due to infection. Infections cause an increase in WBC counts. A differential count is required to know the type of infection -bacterial or viral. A high ESR is not specific for any disease, but it is elevated in chronic inflammations. Fever with enlarged lymph nodes and elevated ESR is an indication for conducting investigations for a malignant lesion e.g. lymphoma. Thus, consult your physician for aspiration cytology from the lymph node. Aspiration will detect the cells in the enlarged lymph node and thus, help to determine the cause of lymph node enlargement. Definite treatment will be started once diagnosis is confirmed. Thanks and take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have lower back pain and go to therapy 3 times a week. Had a MRI and waiting for results. My question is that my ribs are starting to hurt in the front and my tummy hurts also. Sometimes I ever run a low grade temp. Show I see my doctor now instead of waiting for the MRI results? The ex-rays they took 3 months ago show that my lower L4 is damaged. ### REPLY: Here I suggest to wait for MRI report because it will hardly take one day now as per your problem for the lower rib pain it can be related to your spinal issue or else you must be having calcium as well as vitamin D deficiency and so that you have a weakness in your bones. Low grade temperature also be due to the persistent consistent pain in your body and inflammation in your body and that is usually so do not worry about that. Here U also told about your tummy pain in case if you have difficulty in passing urine or stool as well burning sensation while passing urine and along with that if you are developing fever then you may need to visit a physician because it could also be a urinary tract infection. And you need to do urine test stool test and may need to take medication. For your back pain based on MRI . I suggest in any case do visit a physiotherapist to have physiotherapy treatment which will relax your soft tissues as well take proper spinal exercise program which will help to improve spinal strength and stamina. You can also use hot and cold pack at your painful area to have some more relaxing and healing effect on your soft tissues. 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 Doctor, I met with an accident about 2 months back and i got shoulder dislocation in my right hand. The K wire surgery was done. i went for physiotherapy for about 15 days still i do not have a complete range. I am doing some exercise at home. i would like to know if i do exercise at my home in how many days i can get the complete range ### REPLY: Hi and welcome to , thanks for the query. It is hard to say without detailed documentation about this case, but shoulder is complex joint and recovery may last for up to 6 months. The main treatment is good physical therapy and as short immobilization as possible. There are some possible complication of surgery such as pseudoarhrosis or infection but if this was fracture without dislocation then you should completely recovering you good health. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had normal periods before marrige and after marrige, got conceived in December 2012, but got missed abortion in the month of Feb- 8- 2013. after that got my periods on follwing mnths and date: Mar 29, May 5, June 6, and now on july got my periods on 14th.  Got delayed by 7 days, so got scan and result was polycyst changes found, so docter suggested to have Oosure tablets.  Now i am planning for pregnancy again? will this oosure helps in pregnancy or else will that affect in chances of getting pregnant.  Could anyone suggest me? ### REPLY: Hi, Thank you for choosing . Oosure capsules are for the general good health of the eggs that are formed in case there is ovulation. They do not per se induce the ovulation. If your periods are irregular then hormonal treatment is needed. I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow-ups. If you like my answers kindly rate it, and write a review as well. Please do not forget to accept it. Thank you, Wish you good health. .  .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: I have bad breadth since my childhood. Now i m 33 years old.I brush my teeth as many times as possible,clean my tongue,use mouthwash.I visited Dentists many times .But nothing helped.Pls help. ### REPLY: Hi, First it should be understood that matador is caused by many reasons like decayed teeth, poor oral hygiene, gastric problems, Sinusitis, liver disorder, diabetes, smoking, alcohol consumption, tobacco chewing. You should consult a dentist to check for any problem in your oral cavity. If the problem is due to calculus and plaque it can be removed by scaling and polishing of your teeth. Flossing of teeth and tongue cleaning using tongue scraper should be done daily. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 26 years old, female, and i got married in Nov 2007. I took precautions for 2 years but now i want a baby. I never took any pills nor anything else. Me and my husband adopted purely natural method, withdrawal method. Its been 9 months that I am trying to conceive but failed :( dont know what to do. We both are medically fit. Please adviceFarah ### REPLY: Hello.thanks for trusting the  doctors for your health related queries. As u give information that u both people are using natural method for contraception and u both are medically fit.right. That means u have high chances of getting pregnancy. But u didn't give information regarding your menses either it is regular or not. So I couldn't comment on this. Also u didn't give information regarding your medical tests, u both people gone through. Because for getting pregnant various things are required like-- normal semen analysis of the husband-regular menses-normal genital Anatomy of the women etc. With the above discussion u can try out my suggestions-1.relax, don't worry. Every problem have solution.2. Do coitus as much than possible during fertile period (it is from 10-16th day of cycle). Because this period chances of getting pregnancy is high.3. If u r in hurry then visit nearby infertility specialist. He/she can help you. Good luck. Regards- .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have a questions. About a one scenario. A patient comes to the emergency department with wheezing and thick airway secretions. His heart rate, breathing rate, and blood pressure are all elevated. He is using accessory muscles of ventilation to breathe and has peripheral cyanosis. He has a history of asthma and has had a bad cold for several days. The questions are: 1. What are two possible respiratory conditions he may have? 2. Which two processes are causing the most problems in the case? Hope you can help me for my assignments I m a nursing student. Thank you very much! Kim ### REPLY: HIT hank for asking to ChatDoctorI really appreciate your concern for the patient, you have stated the age and gender of the patient it is surprising that being a student such important information you missed here without this how can it to be answered, you have asked the academic question and of course this needs full information for whom you are talking about male or female young or old or pediatric patients because clinical condition varies in these all, better give the complete information, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi , my name is shazia , have 10 year kid now and did nod concieve after his birth , when consulted a doctor she gave me fertyle tablet of 10 days and dubagest for 10 days , how far it is helpful to concieve and is it usefull to consume these medicine , hope for the positive reply ...... ### REPLY: Hello dairy understand your concerned ferry tablet and suggest will help you to get pregnant. But it should be taken under the advice of the gynecologist for infertility due to hormonal imbalance and ovarian dysfunction. I would suggest consulting the gynecologist and undergo USG scan, reproductive hormone analysis, ovarian follicle study to rule out the problem first. Tablet ferry should be taken for first 4-5 days of the period to induce the ovulation. Tablet suggest should be taken in the second half of the period to make the uterine environment favorable for pregnancy and to regularize the period. Avoid stress, take healthy diet, . Hope this may help you 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 hit my foot on a rocking chair march 15, and I hit it again on the same woodin rockin chair. A child sat in it and it crushed my feet. I have a dark puple blue lump on the right side of my feet. I have soaked it in Epson salt, elevated it and put ice on it. I have been to my doctor and my ankles and right leg is swelling, but the swelling is going up and down. but it has a trobbing pain to it. What should I do. The ermergency room doctors are telling me to do the same thing which is what I have already done. I think the swelling should be down. But my ankles on both sides of the right are swollen. ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concerns. As per your complaint it seems that you have a repeated traumatic injury to the foot that has led to inflammation of the soft tissues and along with it there seems to be rupture to small blood vessels and accumulation of the spilled blood from the blood vessels into the soft tissues leading to bruising and hematoma formation. There is also accumulation of inflammatory fluid, and it is leading to swelling of ankles. As you are able to put weight on the feet there does not seem to be any bony fracture but only soft tissue injury. I would suggest you to continue doing cool compresses and also elevate your feet. Take anti-inflammatory painkiller like Ibuprofen. Apply analgesic ointment and put ankle strap or brace over it. You can also tie a crape bandage. Avoid excessive stress to your feet and walk less. In case of no resolution consult a Podiatrist and get evaluated, and he can do an x-ray to confirm the cause and treat accordingly. Hope this information helps. Thanks and regards. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my almost 3 year old daughter has been un well on and off for weeks,at first she had a viral infection and a water infection and a chest infection and was given antibiotics,she got better for a week or so then had a nasty cough and cold,tokk her back to docs to be told its a viral infection and to give her calpol,a few days later she came out in a rash on her tummy and back and sore puffy bags under her eyes and a blotchy face,took her back to the docs again was told its a viral rash,a week later she is no better and is now complaining of it hurting when she urinates,she looks quite sore down there,could this be another water infection and what do u think to the blotchy face? ### REPLY: Hi...by what you quote I feel that your kid is going through a viral illness. These non-specific symptoms along with fever and blotchy face are pointing towards this. Fever of few days without any localizing signs could as well a viral illness. 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 and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. 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: what type of cancer kills people the fastest? my older sister died in february of 2012 of a metastatic cancer of unknown origin, after being diagnosed in december 2011. first suspected was liver then pancreatic then doctors did not know what type of cancer it was. cause of death was metastatic cancer of unknow origin no autopsy was performed. ### REPLY: Hi thanks for your question. I feel sorry for your sister died of metastatic cancer, of unknown origin. The fastest spreading cancers are sarcomas, which usually involve blood vessels, but your in case of your sister sarcoma is not a possibility. As metastatic lesion was first in liver, then pancreas. Years of survival depend upon, at what stage cancer was diagnosed, may be in case of your sister, the diagnosis was very late, say at stage 3 or 4. Pancreatic tumors (cancer) itself are known for rapid growth, quick spread and high mortality. Since the autopsy of your sister was not done, so we don't know type of cancer, and it cannot say with certainty, was it slow growing type of cancer or fast-growing type of cancer? ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I just ended a really bad vial infection that lasted for about five days. it gave me swollen throat fever nausea headaches loss of appetite and extreme weakness. now most of my symptoms are gone but the weakness. im a 18 year old girl in my first week of college. ### REPLY: Hello, Welcome to , As you had viral infection which has subsided, the post viral symptoms will persist for 10-15 days, but the intensity of the symptoms will be less. The viral infection will reduce the immunity, and it requires some time to recover completely from post viral symptoms. I would suggest you to eat protein rich diet to boost up your immunity to fight against the infections take vitamin A and E. 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: About a month ago I had an underground bump at the very end of my spine. I could move it around and it would hurt any certain angles and to sit. It was never crowning. It went away and now has returned but smaller and less painful. What is it? Eden ### REPLY: Hi, Welcome to  .com I am . Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. This can be sebaceous cyst or Desmond or even pseudomeningoceleHope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in  at http://bit.ly/ask ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a friend who is asking me what to do. She got implanted birth control (implanon, I think) and now is complaining of severe anxiety due to an increase in pain and numbness in that arm.  Shes talked to several clinicians in the past 2 weeks because she wanted it taken out, but couldnt get an appt with someone willing/able to take it out until tomorrow.  Do you think its safe to wait until tomorrow to have this addressed? ### REPLY: Hello, Thanks for choosing  for posting your query. I have gone through your question in detail and I can understand what you are going through. Implanon is a hormonal .  This hormone causes anxiety and occasionally pain as well. Mostly the effects settle down in 2 weeks time, but if they are persisting then it would be wise to get it removed. There is no emergency, and you may wait until tomorrow. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, im 24 year old girl, im married. My problem is that i have a little bump on the outer side of my left upper eyelid. i waited for few days that it might go off but it dint. it is slightly tender to touch with no discharge and slight reddened in colour.  im physically fit and healthy and no other issues except this. kindly help me to get rid of it. ### REPLY: Hi, Dear,Good Evening, and Thanks for the query to . I studied your query in details and understood your concerns.@My impression of your lump on the outer side of upper eye lid-is as follows--Could be Magician Cyst? Champion? Acute Pretreatment Suggested-a-Tab-NSAID-like Voltarenb-Tab Antibiotics-like Amoxycillinc-Eye lubricants-like moi sol eye . I would advise -a-Consult ER Ophthalmologist, who would check and fix its diagnosis. This would help you to plan treatment with your doctor.@Hope this would resolve your worrisome query. Welcome for any further query in this regard, and would love to help you to resolve this problem till it is solved to your satisfaction.@ One Small Request to you to Write strong recommendations promoting my services for the benefit of my new and old patients at  clinic. Wishing you fast recovery.!! Have a Good Day. 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: Hi, my son is nine years old and has a swelling at the base of his penil shaft. It looks like a pencil thick ring tha goes all around the base. He has had it before and it usually goes away after a day or two. He says that it doesn t hurt and I have explained that if he is touching it hard or placing soaps or creams on it, it may get swollen. But he insists he has touched it or hit it. Any ideas? ### REPLY: Hi, Welcome to , I understand your concern. Let me assure you there seems to be no problem with your son especially because he is not symptomatic. The possibilities I can think of with your description are a tight skin fold, penile muscle tissue or just the scrotal covering rim. All these are normal, and they can seem abnormal at times. So you should not worry and let your child enjoy his life. However, confirm diagnosis can only be made of the so-called abnormality is seen by some specialist. So, I advise you to have a consult with your pediatrician and or a pediatric surgeon. Wish your son a great health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I was skateboarding earlier today, and I fell pretty hard straight on my stomach. When I try to sit up, it feels as if I ve done a bunch of sit-ups. There s no bruising that I can see, and it doesn t hurt unless I try to flex my abdominal muscles. ### REPLY: Hi. Pain on flexing the abdominal muscles after a trauma to the abdomen is suggestive of a trauma to the muscles of the abdominal musculature. This can be easily confirmed by local pressure and few investigations like ultrasonography of the abdomen proper to rule out an internal injury and of the abdominal wall to see the nature of the trauma to the musculature. IF this is so, a bed rest and anti-inflammatory medicines can give a complete relief. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: FOR PAST 1YR  IAM SUFFERING FROM SKIN ALLERGY RASHES FREQUENTLY(THRICE LAST YR)(TWICE THIS YEAR)...I DONT KNOW THE REASON BEHIND IT.....BUT TWICEI GOT THIS ALLERGY WHEN I GOT FOOD FROM OUTSIDE....I AM 30YRS NOW....FOR PAST 28 YRS I HAVE BEEN EATING OUTSIDE....FREQUENTLY....BUT I HAVE NOT SUFFERED ANY KIND OF ALLERGIES,BUT FOR PAST 1ST YR ONLY I AM SUFFERING  FROM THIS KIND OF FREQUENT SKIN RASHES....IS THERE ANY POSSIBLITY TO FIND THE REASON FOR THIS....OR IS THERE ANY REMEDY...WILL MAIDA OR CORN FLOUR CAUSE ANY ALLERGY....WILL A PERSON GET THESE KIND OF ALLERGIES SUDDENLY(I.E..,MID OF THEIR LIFE SPAN) ### REPLY: Hello, Welcome to , The history and symptoms suggests me that you are having some food allergy, these allergens will stimulate the mast cell to release histamine which is producing all these symptoms. I would suggest you to undergo skin prick test (SPT) for different most prevalent food allergens to identify the food causing these symptoms. By doing to this it is possible to identify the allergen, by doing this you can avoid the food causing these symptoms, if it is not possible to avoid the food you can go for immunotherapy either with sublingual immunotherapy (SLIT) or subcutaneous immunotherapy (SUIT). 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: Hello, My husband was diagnosed with Typhoid about 7 months back and within a week of Typhoid, he had Jaundice as well. Typhoid was long gone but his Bilrubin levels are slightly on the higher side - Total 1.2 and Direct 0.2. Aso, SGPT Alt is 40 which is in the border line. Even after no oil, less fat diet for 3 months and lest oil and less fat for the last 4 months the levels are not completely normal. Is there something which we need to do.Thanks in advance. ### REPLY: Hello, Blood reports of your husband are almost within normal range. In some patients it takes time to come below upper range. Is your husband vaccinated for Hepatitis B or not. If you are worried you can go for tests related to hepatitis B and Hepatitis C. Hepatitis B Australia antigen Anti HBS Antibody, He antigen and antibody and Anti HCV antibody to rule out these cause for jaundice. You can consult gastroenterologist for your worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my ten month old son just refused to eat his food n always in demand for breast milk n today he is having motions few days back he has got a very bad cough n the cough syrup prescribed by the doctor has got such effect over stomach but now he is not taking the syrup any more n got motions ### REPLY: Hello, The child may refuse to eat during coughing and cold due to the simple nose block. When there is a fever, appetite can go down naturally. You just need to HY .  If your child is active and playing well, no need to worry. He may start feeding, once cough and cold settles.  If there is a high fever (102f or above), fast breathing or decreased activity, you need to consult a pediatrician. Hope I have answered your query. Let me know if I can assist you further. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi im just wondering. Im not happy with my penis size i would masturbate all the time theres not one day i wouldnt masturbate i was thinking of pill enlargements over the internet or anything to make it bigger and sometimes i dont have a full erection thanks. ### REPLY: HelloThanks for query, There is no medicine or device that can increase the size of your penis. As regards erection problem Following measure will help you to boost up your confidence and getting good erection.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. Thanks . . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 72 year old mother is having some really weird symptoms. She is either dreaming or hallucinating and it is always the same scenario. Someone (usually my dad who passed two years ago) comes by then they leave and say they will be back but they never come back. She has cooked three different meals for people she thinks are coming for dinner but never come. I have taken her to her regular md and they ran all sorts of blood, urine, ct scan, they suggested she see a psychiatrist. She put her on Donepezil and Resperidone. She has been on this for almost three weeks but does not seem to be helping. Any suggestions? ### REPLY: Degree understand your concerns went through your details. I can understand. Hallucinations and related symptoms are associated with delusional disorder, dementia, schizophrenia etc. Your mother is already 72. I suggest as long h the behavior is not harmful to others, please let her enjoy herself by working for others. The medicines given may not be enough, but at least it will help sooth her. You may consult your psychiatrist again for change in medicine doses.  If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. 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 wanted to know if there was a difference in taking (3) venlafaxine er 75 mg capsule, extended versus a 150 mg tablet ? What I had done without consultation is take a 150 tablet of venlafaximine and a 75 mg er, but started feeling extremely tired and anxious on top of chest pain which was checked out to be normal at the er. ### REPLY: HIT hanks for using  It is the side effect of venlafaxine at higher dose. You have taken three tablets of venlafaxine and at higher dose, it causes hypertension, anxiety symptoms and chest pain. Nothing to worry about that. Just take two tablets and try to stay at same dose for next few days. After that, try to escalate the dose. Rest, you can discuss with your doctor. In case, you need further help, you can ask. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir I am S.N.Phukan 55 years old man. My prostrate is enlarged to 41 gr. Previously I took silofast-8 now doctor changed it to urimax-D at bed time. I took also Olmezest-20 for blood sugar. I am also a heart patient.  This year 25th September placed a pace maker in my heart before placing pace maker I was fall down and injured in my nose. I took also ecosprin-150 and atorva-20mg for heart. How long I will take urimax-D. To day my fasting blood sugar is 199. I took insulin human mastered 30/70  20 unit before lunch and 10 unit before dinner. Again at bed time I took basolack 20 unit. I am waiting for your reply.S.N.PhukanAssam, Jorhat ### REPLY: HelloThanks for your query. You have been diagnosed to have enlarged prostate (41gms)and have multiple cardiac problems. Ideally there are two modalities of treatment for enlarged prostate 1) Medical line of treatment which includes alpha receptor blockers like Tamsulosin(Climax) and Finasteride . These . And has to be continued till you opt for surgical treatment .2) Second option is to get the enlarged prostate removed by an endoscopic surgery of TURN. In view of you having multiple cardiac problems I would suggest you to avoid surgery and continue taking medicines for life long. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 am 48 year old. From 30 days their is problem in my right hand. When I raise hand upwards, like Brushing, eating, combing ETC, I am unable to perform these kind of activities smoothly. My sugar level is slightly positive than normal. Pl guide me. Regards ### REPLY: Seems little arthritis in shoulder joint and could be onset of frozen shoulder. The treatment doesn't vary much. Please initially take some anti-inflammatory 1 SOS (but do not make it a habit). Start taking turmeric powder 1/2 tsp in warm milk or warm water daily once or twice. Turmeric is a natural, potent healer, bacteriostatic and anti-inflammatory. Safe. Cap Shirt and Tab Romania forte 1BD each for 4 weeks. Prefer with warm water. Safe. No side effects. Light massage by Rumply oil over shoulder, painting area (though my choice is Mahanarayan oil - a classical Ayurveda medicine, but not commonly available outside India and little smelly too but very effective). The massage should be preceded by hot water bath. Let oil be there max time possible. For sugar, pl start cap Karla (or cap bitter melon)1 BD with water. No side effects but monitor sugar levels regularly. Sometimes in a week or so cleanse your bowels by mild herbal purgative. Say Tarunikusumakar chairman 1 tsp at night. As the pain starts subsiding start some yoga exercise/ deep breathing etc. Do not do exercise when it is raining much. Pl revert after four weeks. Hope it helps you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 23 years old guy who lives in lebanon one day i was working and suddenly my heart start to beat faster arround 100 pulse/min and i were fainting my skin were so white i went to the ER and i slept for one night in the hospital. The day after i went to my doctor and asked me to do several medical exams like blood test,TSH,Urine,X-Ray for my chest,ECG,scanner for my stomach and everything went normal.i ve been like this about 2 months and i barely can moves i always feel sick and i am going to die i am feeling so weak and i always have a severe headaches and i am not balacend,and my vision is not always clear. Some doctors told me that i am having a stress disease but i am not sure about it and others told me could be my stomach.so i went to a gastroloc and told me that i have a kind of infection in my stomach with ebb so he gave me a medicine but i am still feeling that i am not normal there is something wrong. Please if you have any advise for me about my case let me know,what type of medcines i have to see? I ll be waiting your response as soon as possible because it drives me crazy and don t know waht to do.I need to know if my case could cause a death? Thank you, ### REPLY: Hi, Anxiety can cause an increase in heart rate and palpitations which is a normal phenomenon. The heart rate becomes normal as soon as the stimulus goes away. The exact diagnosis of the palpitation depends on the time of the ECG if the ECG is taken at the time of palpitations then a proper diagnosis can be made. But as the palpitations are short-lived, we generally advise for a 24hr continuous ECG monitoring of the heart which is called Holder monitoring. You don't need any medication for now but further management will depend on the Holder report. 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 a bypass operation an aneurysm in the right leg..... today my check-up gives a 100% flow and am now back from Acanocoumarol to Ascal the latter being OK for scubadiving (it says..). In the left leg there s a smaller aneurysm which even got smaller over the last 10months and is said to be stable (that s why I m allowed Ascal now). I would like to pick up my favo hobby again... which is scubadiving. Do you think I ll be safe doing so??? A depth restriction could be an idea?? Your reply will be much appreciated, Thx in advance, Rob Maller (The Netherlands) ### REPLY: Hello! Thank you for asking on ! I read your question carefully and understand your concern. Scuba diving is a stressful activity for your body, but besides the physical activity, it imposes a severe pressure change to your anatomical structures, increasing even more the risk of bleeding from an aneurysm rupture. Taking Pascal, may be safe for a normal situation, but may increase the risk of aneurysm rupture during scuba diving stress. There are not many studies related to scuba diving and aneurysms. Unruptured aneurysms, when in small diameters, have shown good results even when not treated with surgery (they have a low probability or bleeding, when unruptured). This is not a brain aneurysm, and I think that you can perform this activity with some restrictions regarding the depth of the diving, to avoid extreme pressure changes. (I would not recommend this activity in case of brain aneurysm, because the devastating consequences of possible intracranial hemorrhage). I recommend monitoring closely your blood pressure, before and after this activity and treat possible high blood pressure. Hope to have been of help! Greetings!  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: It burns when I pee and as soon as I finish it feels like I need to go again. My buttocks also have been burning like it feels like I was in cold weather all day then stuck my frozen buttocks under hot water. This pain is also in my lower back and my thighs right under my buttocks. ### REPLY: Hi and welcome to . Thank you for your query. I am , I understand your concerns and I will try to help you as much as I can. In most cases at this age this is caused by urinary infection or urinary stones, so you should do urinalysis, monoculture and kidneys ultrasound to rule these out. Also, vesicoureteral reflux may be possible cause which is anomaly of bladder but can be easily treated.  You should .  You should reduce salt in your diet as well. In most cases this is self limiting, but sometimes antibiotics are required. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was diagnosed with an enlarged heart in my physical exam 3 years ago, but my ECG was normal and at that time the BP also came out normal. However I have had an elevated BP last few years but after medication it is almost normal. I am 39, weigh 75 Kgs and am 174 cm tall. I am a regular runner and used to run upto 10 kms till recently. However due to BP and heart fears I have cut down on my running. My doctor says there is nothing to worry about a ECG is normal. Should I be concerned? ### REPLY: Hi, Enlarged heart is medically termed as cardiomegaly (it can be hypertrophied, hyperplasia or dilation) of heart. ECG is the basic investigation in cardiology and is not very sensitive to rule out the above-mentioned changes. I would suggest you to go for 2d echocardiogram. It's a very specific test and all chambers of the heart and valves can be visualized on screen. Hypertension is also a risk factor for congestive cardiac failure. Further treatment depends on the report of echo. 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: Yes, I have had pyloneohritis several times years ago. I now have a kidney infection with the bacteria that can cause it. I have had problems for several weeks because of back problems that I believe have masked the symptoms. So you always have fever with it? ### REPLY: Hello, Fever is not a disease but a natural defense mechanism of our body in response to any infection. So fever is an indicator of infection. Pyelonephritis means infection somewhere in the kidney. If you had correct treatment for that and infection subsided then there will be no fever. Fever can occur due to any infection in the body so let's have a complete checkup at your physician to know the cause of fever and subsequent treatment of the underlying infection. Take care. Hope this helps. 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: hello sir,there are 2 points in my spinal cord one is middle point and another is above the waist from 7months. with pain my back stretches whenever i bent forword even on sitting position . now a new problem occers i feel some sensatation on my right buttocks . im 26 yr old and my weight is 70.help me ### REPLY: Hi there. Thanks for your question at . In current times, it is quite common to see back pain at young age. Most commonly it can be attributed to bad posture. But since you have back pain for more than 6 months and new onset sensation in your buttocks, I think it needs further work up. The most basic work up will include a thorough physical exam and X-Ray of your spine. Further course of action will be decided based on them In the meantime, I would suggest you to go through websites on ergonomics. Ergonomics is branch of science which deals with posture adjustments according your livelihood. It will help you choose a posture most suited for your daily routine. Also core stabilization and back strengthening exercises will help support your back in the long run. Hope this helps. All the best. Regards. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor,I am 33 Years old. I had Hepatitis B about 12 Years ago(in the year 1999). Recently I got my health check up results. The result showed elevated values for SGOT(57), Alkaline Phosphatase(182) and GGT (200). I drink daily about 180 ml and sometimes 375ml. These results are about 1 month old. Today I have finally decided to give up drinking. Please advise. ### REPLY: Hi welcome to ... Noted your enzymes are elevated ..... You have diagnosed with chronic hepatitis b infection.... Alcohol can affect your liver.... It will lead to hepatocytes injury.... So it is better to avoid alcohol.... Gradually decrease daily alcohol . ...Meanwhile, take some good lifestyles' habit like low fat diet taken.... Green leafy vegetables more.... Fruits more.... Refined food restricted.... Some good food for liver and taken like....-carrot -spinach -turmeric powder-onion -beet roots -Indian gooseberry Avocados help in producing glutathione which help in eliminating toxin from liver.... Regular follow up needed for any complication like cirrhosis if developed... Also measures your HBV DNA and head to determine about active phase. If in active phase antiviral  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 noticed a lump on the middle part of my daughter s shin last night. It seemed go come out or no where . She is a very healthy and active 5 year old girl. There is no bruising around area and she said it doesn t hurt which is concerning. At first I thought she bumped it but with no bruising I am concerned. her Father has lots or fatty lipomas, I believe it s called durkam s disease. Could this be what they bump is? Also fear could be cancer . Worried out of my mind! ### REPLY: Hi.... Hi I have just read through your query. Sudden appearance of lump can never be a cancerous lesion. So do not worry about this. I can Hun . Other possibility is that it could be an insect bite allergy or a small bruise which could have been due to injury which has been overlooked. Rare possibility is that it could be because of a bleeding disorder which needs evaluation. Whatever it is I suggest you consult your pediatrician regarding this. Regards -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here...Hellohave a question for you and hope you can help me!Im a 27 years old male.. 165 cm.. I would like to know why when Im having sex with my partner, as soon as I look for the condon and want to used it my penis lost its power? ### REPLY: Hello, Maybe due to the anxiety of putting a condom and the distraction, it tends to lose the penile arousal. The thought of getting your partner pregnant if you do not use a proper protection may also play a role in losing the erection. You may need the support of your partner, avoid anxiety & keep away from any past emotional distress. You may take Sildenafil(Viagra) for support. Get connected to a GP, if you think you are suffering from Erectile dysfunction. Take protein rich diet, get treated at the earliest. 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 one injection 20 mgs. of time release Kenalog on June 22 for bug bites on June 29th my BP which kept rising topped out at 175/105.I had nausea blurred vision, weakness. Every time i went into direct sunlight my BP went up high again. I still don t feel myself. How long will this last ### REPLY: Hello, Your symptoms could be related to increased blood pressure values. Anyway, its effects are usually temporary. For this reason, I would recommend consulting with your attending physician and performing other blood lab tests to investigate the possible causes underlying your complaints: -Complete blood count for anemia-Thyroid hormone levels for thyroid gland dysfunction- Blood electrolytes for any imbalance- PCR for inflammation- Kidney and liver function tests. 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: A few days ago, my penis was itching really bad after I got out of the shower. I ve had sexually intercourse with 2 different partners. Also my ballsack was really dry and looked kind of cracked. My penis and ballsack was like that for about 2 days. After those 2 days I noticed that there was a wet spot that smelled fishy on the underside of penis. I washed it in the shower but the next day the smell and the spot was back. I washed it tonight but this time it turned red and looks as if some skin peeled off. The spot is sensitive to touch. I m really scared. Do you know what it is? ### REPLY: Hello, Thanks for choosing  for posting your query. I have gone through your question in detail and I can understand what you are going through. Yes, you apprehensions are right, and it is possible that you might have contracted an STD. You need to get a complete workup done for STD. It could be a bacterial infection as well happening on a trauma. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, or want any further details about this same issue you can use the below-mentioned link:bit.ly/ .  ### END