Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: dear sir i have a serious problem....when my dick become errected...its loses some liquid...after that it lose errection....although i am not going discharge but a few transparent liquid leaks....after that i loses errection...please dr give me the solution for that..i am really tense ### REPLY: Degree understand your concerns went through your details. The liquid you are talking about while you have your erection is actually pre-ejaculation liquid. That is a natural process and the liquid is a lubrication for vaginal sexual intercourse. You lose your erection after that liquid mainly because of your anxiety. You are worried that liquid is a problem and because of that negative knowledge looses erection as a result of anxiety. I suggest you there is nothing to worry. The clear transparent liquid is a lubricator and is quite normal with everyone. Don't be anxious. I also suggest psychological counseling for you. 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: My father is scheduled for a quadruple bypass tues, however, he is medically compromised. He has liver cirrhosis and a decrease in kidney function. This evening he suffered a severe nose bleed that will most likely require a transfusion. What is his survival rate throughout this ordeal? ### REPLY: Hi dear thanks for asking question.... Here your father have cirrhosis. In which portal hypertension can occur... It can lead dilated vessel with increase pressure and bleed ....so nose bleeding there..... Portal hypertension need to be treated with TIPS like shunt placement or liver transplantation....... Beta blocker can be useful... Take rest and low salt diet.... Now let me know you dear your father mostly here having hepatomegaly syn . So function kidney blood flow is affected. And in such case prognosis very poor. Diuretic not used as it aggravates condition. Give him spinach and carrot juice daily. Take care..... You send reports still further comment can give... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Q : Hi, I am pregnant and it is 28th week running.I am suffering from fever,headache, throat pain and case of diebities & htn. Can you please suggest alopatChatDoctoredicine and dosage to treat it. Thanking you in advance -- age-31 yrs 160cm, weight-80kg ### REPLY: Hi Welcome to ChatDoctorThis is .  As you are pregnant and diabetic , any other Allopathic have to be taken with care. So what I suggest to my patients in such situation is Homeopathic remedy with success which have no side effects at all. In fever, headache, throat pain Homeopathic Hear Self 6 and Aconite 6 / Take both at 1/2 hour interval of each other 4 times each for 3 days will give you relief from 1st day. For Allopathic treatment your treating doctor will be best judge to prescribe in your situation. All the best not Hesitate to get back if you have any other query ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 heart feels like its going 2 jump out my chest. I am a 25yrs,drinker+smoker heavily. 1st time I had heart palpataions I was 10,but never felt it this bad bf. My question is,Why is it so bad now,why have I always had heart palpatations(which have been never diagnosed) + wuts the reason 4 it alll? ### REPLY: Hello, I understand your concern and would explain that chronic alcohol intake can trigger cardiac arrhythmia, even in young patients like you.  Other possible causes to consider would be anxiety, electrolyte imbalance, chronic anemia, thyroid gland dysfunction, etc. For this reason, I would recommend consulting with your attending physician for a physical exam, a cardiac ultrasound, a resting ECG and some blood lab tests to exclude the above-mentioned possible causes.  An ambulatory 24-48 hours ECG monitoring would help investigate for possible cardiac arrhythmia. You should discuss with your attending physician on the above tests.  Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my father have high bp and diabities.now a days he got cidp diseas .so, what we do for that what can we do?pls suggest .do allopathy,do aurvedic do homeopathy.dr. said admit in hospital.and under his treatment they will give steroid.and said for test they put out some water for test from spinal cord.now plz u suggest. ### REPLY: Hi, Your father is diabetic with hypertension and now recently diagnosed as CIDPChronic inflammatory desalinating polyneuropathy (CDP) is an acquired immune-mediated inflammatory disorder of the peripheral nervous system. Treatment includes parenteral steroids /oral steroids. Sice he is diabetic steroids can further increase his sugar level for which insulin doses has to be adjusted which require hospitalization. Second Lumbar puncture to be done 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 22 year old son has been having neck and back pain for 3+ weeks, we thought it was his bed. He has a bad cough (however he is a smoker), he had a fevers of 102 or 3 when I sent him to general MD - said he had a virus. Since then he has started vomiting and neck pain has worsened. ### REPLY: Thanks for your question on . I can understand your concern. Your son is having worsening fever, neck pain and started vomiting also. So we should definitely rule out CNS (brain related) infections. In CNS infections, meningitis is very common in young individuals. So better to consult neurologist and get done clinical examination and MRI brain to rule out meningitis. With appropriate treatment, this is easily treatable. Hope I have solved your query. I will be happy to help you further. Wishing good health to your son. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I fell off a horse yesterday and landed on my tailbone. I either bruised it bad or broke it. I am a nurse and I know that there is nothing you can really do for it except ice and rest, which I gave been doing. But today my lower abdomen has been sore. Like I did a bunch of abdominal crunches, but did not. I don t know if it s from the jolt of everything, or the fact that I am using these muscles to help me move from a sitting and lying position? ### REPLY: Hello again, If there is pain then you need clinical examination and further investigation. Coccyx bone can be better seen on CT scan. I will advise you MRI spine and sacrum.CT scan or EMG-NCV nerve conduction study may be required after clinical examination.X-ray may not show details. 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: Hello My name is ebony and I m 21 years old . For the past months or so I have been having really bad chest pains ; as if someone is stepping on my chest with a boot on . My heart has irregular beats , one minute it s beating fast next minute it s so slow I can feel it like it s about to stop any minute ; times it feels like my back has sharp needles in it and I can t move ; I ve been to the hospital plenty of times my EKG is different everytime but yet they don t know what s wrong . I m very scared for my life . help please . ### REPLY: Thanks for your question on . In my opinion you should get done holder monitoring. Holder monitoring is continuous recording of ECG throughout the day (24 hours recording). So that exact event see can see. You may have arrhythmia.  And holder monitoring is the best tool for evaluation of it. If this is normal than you should go for coronary angiography to rule out coronary artery disease. So better to consult cardiologist and discuss all these. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 father has been diagnosed with a infarct in his right side of his brain on 30 april was getting treatment  and was feeling better but fron last 20 days he is started hving problems severe headache, nosia, uneasyness , numbness in left arm, left leg and ribbs. ### REPLY: I think you will need to get him to the hospital againThere is a strong chance that he has developed another complication in the brained this can be tested by an Prior course there are other possibilities. One of the main ones being a low sodium level. This can have all the symptoms that he has, and may in fact feel like he is having another stroke. So testing that would be as important. And can be done in a hospital Best of luck .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi there:) I hit the back of my head almost 3 months ago because of a wooden beam I did not see. I have been on Prednisone for a week treatment . I recently went to the doctor and she saw that there was still a bit of inflammation in the back of my head(she believes I suffered a concussion). I am getting pain on the left side of my head that radiates down my neck, to my shoulder and down the rest of the arm. Why is this ? :( I do not have much money so I have not done any scan of whatsoever:/. ### REPLY: Hi welcome to . In case persistent pain at the back of the head following head injury, it's extremely important to suspect brain contusion. This can result in seepage of blood into the nearby tissues causing irritation of the meninges and leading to set up of inflammation. This can cause persistent neck pain. It's extremely important to have a non contrast CT scan abdomen to rule out meningitis and signs of raised intracranial pressure. Following which a CSF lumbar puncture can be done to start an empirical antibiotic therapy to treat associated meningitis if any. Therapy can last for 21 days. Consult your neurosurgeon for further help. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my name is Gordana. I have being diagnosed with spinal stenosis. Basically my symptoms are getting from bad to worse really fast, my right side has being in a pain for at least 5 years , now both sides, I can barely walk 100 mts. I feel clumsy when I walk, my legs are weak  and the pain is day and night.How can I find a doctor that believe me, I feel terrible tired all the time and the pain does not goes away with anything.I live in Waterloo, OntarioThank youGordana ### REPLY: Hi, Thank you for posting your query. I have noted your symptoms and agree that your symptoms are severe and suggest significant compression of nerves due to spinal stenosis. The severity of stenosis can be confirmed on MRI spine. If it is severe, you should see a neurosurgeon and get decompression surgery done. In the meanwhile, you could take gabapentin or pregabalin capsules for pain relief. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, . 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: I used chlomid to get pregnant the first time, had my baby in december 2011. i stopped breastfeeding in august 2012 had one menstrual cycle in september 2012 and then no cycle since and negative pregnancy test. is there anything natural I can take to help restart my cycles? ### REPLY: **1. Since pregnancy test came negative, and 2 years have passed, it will be wise to get a gynecologist check up, as to why you have missed your periods.2.  Seek/consult a doctor for appropriate examination [per magnum/ per spectrum] /investigations [hormonal profile/ultrasound]PS. Since closed [camphene] itself is given in women for ovulation with irregular cycles, thus Examination becomes necessary prior to opt for any Alternate treatment. Since pregnancy/lactation are physiological causes of not having cycles but since both factors are not possible thus one factor i.e. AGE [which is not mentioned] can be a factor because Menopause is one such cause of amenorrhea [no periods] ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 high blood pressure 3 months ago. My doctor laid it out for me. I came home started eating healthy and in 3 months lost 37 lbs. My blood pressure has changed but I am concerned that the bottom number is high??? I bought a tester and this morning it is 115/95 what has happened?? ### REPLY: Hi, Good to know, you have brought your blood pressure under control. There is one possibility, I would consider-Is the instrument accurately calibrated.- check blood pressure of few other people and repeat it to test accuracy. Studies have shown that diastolic blood pressure is often overestimated. However, if it is really 95, nothing to worry. Recent data shows, no increased risk to heart due to pressure up to 95. There is a small possibility in future of developing systolic hypertension too. You can try low salt intake, avoiding alcohol, maintaining weight, no smoking and exercising regularly. Any further queries, happy to help again. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have slight swelling of my left cheek and a little under my eye which is causing eye pain on that side.  i think i may have an abscessed tooth from an old root canal (the crown fell off a year ago).  the tooth is dead, but can it form an abscess? i have no fever, just the swelling which has improved from the ibuprofen i took. ### REPLY: Hello, Yes, it may form abscess it may lead to cellulitis of cheek or inflammation of surrounding area. Use tablet amoxicillin and clavulinic acid 625 mg twice a day for five days. Tablet metronidazole 400 mg thrice a day for five days. Cold compression may useful. If symptoms not improved please consult with your dental surgeon he will examine and treat you accordingly. Take care. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My Son persuing Engg course is 22 years now was suffering a few years back from low confidence, fear,  self defeat, thinks all are talking about him had recovered, now is back in same mental frame, has confusion, indecision, weird feelings like his pennis is small, shrinking & may severe off, please help ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. Low self-confidence, low self-esteem, confusion, indecision, weird feelings etc. are by products of misunderstanding life. He needs to see a psychological counselor who shall be able to impart self-confidence to your son and make him aware of what he is and what he is capable of. Please consult a psychological counselor. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I got stung by a bee yesterday on the side of my foot at about 2 pm it made sure the stinger was out but it was still very painful for a good 30 mins after hours later the pain is just gettin worse hurts to move or touch my foot and very awollen but its the top of my foot above the sting that hurts and swollen it doesn t hurt where I got stung also I m 32 weeks pregnant what should I do? ### REPLY: Hello, Welcome to , The sting can result in an allergic reaction due to the secretion of venom. Allergic reactions can be immediate or delayed, though immediate reactions are more common. The treatment varies slightly according to the severity of the reaction. In severe reactions (decreased blood pressure, increased pulse, hives, difficulty breathing) hospitalization is required for treatment. Where there is only swelling and rash, you can treat at home by the use of oral antihistamines such as Ben .  In addition, if the area is painful, you can use paracetamol. If the severity of the reaction worsens, then you would need to seek medical attention. If you haven't had a tetanus shot in the last 5 yrs, you also need to take a booster dose. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi , i got my tooth taken out while it was still swollen (gum swollen) they took out my tooth. So after that , they prescribed us to buy antibiotics and pain reliever. Ive been drinking the antibiotics for about 5 days now. Im supposed to drink it 3 times a day but after taking the first one im already dizzy like super dizzy and feel like puking. ### REPLY: Hi. Thanks for the query. As per your complaint dizziness and nausea after taking antibiotics seems to be a side effect antibiotics and temporary and will resolve once you stop taking the medication. As you have already taken antibiotics for 5 days, it is enough, and you can stop taking antibiotics after consulting your treating dentist, however you can continue painkillers if there is pain. In case if you are dizzy it will also be advisable to avoid . . Take appropriate rest and a nutritious light diet. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. Im 20 years old. I had my pre employment exam last day and I found out that I have minimal pulmonary tuberculosis. Is this can cure for about 2 weeks? because my pulmonologist ask me to go back after 2 weeks if I feel better. Is my condition now contagious even its minimal? ### REPLY: Thanks for your question on . I can understand your concern. Upper lobe lung lesions can be due to tuberculosis or pneumonia. Treatment of tuberculosis is for at least 6 months. And treatment for pneumonia is for 10-14 days. So it is better to get done repeat chest x-ray after 14 days of antibiotic treatment. If you are having simple pneumonia than it will be cleared in new x-ray. But if it is tuberculosis then it will not clear. This is the reason why pulmonologist called you after 14 days with fresh chest x-ray. So get done repeat chest x-ray after 14 days. You may also need bronchoscopic evaluation to rule out tuberculosis. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doctor iam 38 years old women, and my husband is 46. i already had a miscarriage before 2yrs.after that because of cycst they suggested key hole surgery. i did before 7 months. last month again i started to take medicine.but no result.i need infertility treatment.so kindly give some valuable suggestions ### REPLY: Hi, Thanks for writing to . Since you had miscarriage you need to evaluate yourself to know the cause. I would suggest you to start with ovulation inducing .  This will help multiple follicles to grow and mature. With this as your age is more I suggest you to go for GUI. It is intrauterine ingestion of sperms. Here sperms are washed and processed and healthy sperms are placed in uterus. This increases chances of pregnancy. Hope I have been helpful. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: for a 4-5 days now ive been feeling like unwiped when pinching my anus.i did finger investigate a little and found moving mass about the size of large grain of rice about 1/2 inch past the opening. whom do i see (as in what doctor) and what it could be (moves under a finger and does NOT HURT) ### REPLY: Hi. Thanks for your query, albeit short and specific. Noted the history and understood your concerns. The commonest cause of such a mobile lump within the anal canal or rectum can be a polyp. This can best be diagnosed by a per-rectal examination and ano-proctoscopy done by a General Surgeon or a proctologist, and thus you should take a reference for such a Specialist who can diagnose and treat well. I hope there are no other symptoms as you have not mentioned any. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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...i am feeling very depressed.especially in the mornings.i have had quite a few traumatic events in my life and a trigger last weekend started the depression.which will be the third time.inbetween i am a happy and cheerful person and can,t understand it.but, find it horrible. ### REPLY: Hi dear. I understand your concern. Traumatic events can lead to depression. . If depressive features are persisted and affect your daily routine activities then need to treat. Morning worsening might indicate melancholic depression, but it is difficult to say without evaluation of your mental status. It can be treated with counselling and supportive psychotherapy.  .  So consult psychiatrist and get help. Still if you have a query then feel free to ask. Wish you a very good health. 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: ok so i had protected sex within the past couple weeks, however i got my period, a little early.  For the first like 4 days it was very very light then about 2 or 3 days it was a little heavier but still light.  Also, the past couple days, when I wake up in the morning, I have a complete food aversion and a middle ground between a stomach ache and nasea.  Today, I also noticed some very liquidy discharge that was clear and had no smell. Is it likely Im pregnant? ### REPLY: Hello and thank you for your question. It is possible that you are pregnant so if you miss a period please check a pregnancy test. It is a little early to be feeling pregnancy symptoms however, so you may also consider getting checked for a sexually transmitted disease. If you have abdominal pain and a positive pregnancy test you should go immediately to the Emergency Department to make sure that you do not have an ectopic pregnancy (pregnancy in tubes) which can be an emergency. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My friend is 30, not overweight, and used crystal meth for the last 5 years.  Now hes been off drugs for about 3 months and went to the VA for a physical and his blood pressure is 230/150.  They told him to come back in a month or so.  Should he be worried? ### REPLY: Hello! Welcome and thank you for asking on ! I passed carefully through your question and would explain that these blood pressure values are extremely high and may lead to an increased risk for intracranial bleeding or eye bleeding, which may have serious consequences. High blood pressure could be related to Meth intake, but it is unusual considering the fact that he has stopped meth from three months. Has he monitored his blood pressure before, while taking Meth? For this reason, I recommend performing some tests to investigate for secondary causes of high blood pressure: - a chest X-ray study- a resting ECG and cardiac ultrasound-complete blood count-fasting glucose-kidney and liver function tests-blood electrolytes- thyroid hormone levels-cortisol and aldosterone plasma levels. He should discuss with his doctor on these tests. If these high blood pressure values persist, it is necessary starting antihypertensive therapy. I would also advise reducing caffeine and salt intake. Hope you will find this answer helpful! Kind 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 m about 31 I have been suffering in mind offness for 4 years. I am thinking of what I m doing.. Where I have to go... Where I m.... I can t judge it all. I can t go anywhere due to said thinking. Is it related with excessive sperm release?? I request you for reply. Thanks YYYY@YYYY ### REPLY: Hi, You are suffering from Dysthymia. A chronic type of depression. But for final diagnosis needs a detailed clinical interview. And It's not related with excessive sperm release. In fact normal sexual .  Sometimes night falls or masturbation can initiate thinking that I am losing some important minerals from my body. So I am getting weak. And starts feeling low mood and low energy. But it totally related with thinking only.  Such sexual acts are completely normal and should not be bothered.  For your dysthymia part, needs antidepressant medicines. For that you need to see psychiatrist. Please don't delay more. As already 4 years are gone. Psychiatrist may advise few blood tests like Thyroid Profile. Get it done and start treatment. For further query you can write more. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 58 year old woman with family history of breast and colon cancer, and has had cancer on her descending colon now presents fatigue, weakness and loss of weight, she has also had uterine cancer and had hysterectomy and also partial colectomy, what is her likely diagnosis ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Fatigue, weaknesses and weight loss all are related to carcinoma colon. Treatment of carcinoma colon depends on type and stage of disease.  Surgical resection of colon followed by chemotherapy is the treatment of choice. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi am roshnimy friend had continues cough with blood so doctor suggest her to take angio and ct scan for lungs to know about damaged blood vesselsand they finished everything day before and now she is fine and today she came to know about the positive result of her  pregnancy ...and we are so much worried about the baby because the doctors said radiation may affect the baby and she was desperately waited for her pregnancy and she never permit for abortion, so please suggest ? ### REPLY: Thanks for your question on . I can understand your concern. CT scan is having the highest percentage of radiation exposure. She was unknowingly exposed to heavy radiation. This radiation might have damaged her baby. So better first get done fetal ultrasound and anomaly scan. If both these are normal then no need to worry about fetal damage. But if baby is damaged by radiation then she has to go for abortion. So better to consult gynecologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your friend. 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: Both my 16 year old daughters had all four wisdom teeth removed a week ago.  The first day the both took Hydrocodone/acetametophen 7.5-750 for the pain and ondansetron ODT 4mg tablets for the nausea, they constantly threw up.   So the next day the doctor prescribed 600 mg ibuprofen which they took for for five day, 3 - 4 tablets a day. on the sixth day they took  200 mg ibuprofen tablet, over the counter, One in the morning, one in the afternoon and two (400 mg) at bedtime.  Today they woke up feeling ill and vomited blood.  One daughter threw up twice with blood and the other once with blood.  No medication was given at all today,  They are both feeling very sick and queezy, but no vomiting since this morning.  They said they were feeling a little better this morning and drank a banana smoothie, but after they starting feeling ill again, but no vomiting.  Now there are afraid to try to eat anything in case it make them feel worse.  I took them to the oral surgeon this morning and he said everything looked fine with their teeth.  I wondered if the ibuprophen did this to them and he said its a possibility.  What do I do the help them??  Should I take them to the ER? ### REPLY: Hello, Thanks for posting your query in  forum. Vomitting as well as dizziness are the symptoms usually associated with post-extraction of wisdom tooth. I would advise you to take plenty of fluids as well as nutritious diet to keep yourself nourished. Take rest for 4-5 days, avoid anxiety and stress. Since you are c/o body discharge while omitting, you must consult a GP as soon as possible. Meanwhile, gargle frequently with lukewarm saline. 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 UTI infection in feb 2013 and treated with 1g daily dose of ciproflxacin for 15 days. At that time ESR was 50 after one month of treatment ESG was 27 and now (20/05/13) it is 34. Though I feel everything normal but I am worried is there anything to check out. What are the possible reasons for high ESR and how can we keep it in normal change. ### REPLY: Hello dear, Erythrocyte Sedimentation Rate (ESR) is more of prognostic value rather than diagnostic one. And in absence of any specific symptom, only rise in ESR has no clinical significance. Though increase in ESR is seen in many conditions like anemia, chronic diseases, tuberculosis, etc. any disease cannot be diagnosed only on the presence of increased ESR. In your post you have mentioned the decrease in values of ESR on subsequent testings. It indicates a good prognosis that the treatment against UTI has been effective. Please let me know if you have any further queries. You can ask me a direct query on this website using the below link: http://www.ChatDoctor .com/doctors/ . 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: Im having this severe cough and its been going on for a week so far... i have done almost all i can do to make it go away but cough drops, pills, and liquid med. isnt helping for me at all. Now the cough is really bad. im having a serious headache from the coughing and my throat is bleeding too and more like green mucus is coming up. I dont know if this is something that will just go away or get worse as time goes by... because I think that is happening. ### REPLY: Thanks for your question on . I can understand your situation and problem. You are having cough with hemoptysis (blood in sputum) and greenish expectoration. All these suggestive of lower respiratory tract infection (LETI - pneumonia). You are also not improving with routine cough medicines. So better to get done chest x-ray for the diagnosis of pneumonia. You may also require antibiotics, bucolic and expectorant .  Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, My mother fell down and bumped her shin a few weeks ago. She has suffered bruising on her ankle and around calf next to the shin bone. After the fall a golf ball size lump has appeared next to the shin bone, about 6cm below her knee on the left leg, left side of the shin where she fell, which is painful along with the bruising. She has applied ibuprofen gel but can t sleep on that side and the lump is not subsiding. Is this a worry? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. She may have hematoma formation due to injury.  She should go for x-ray to rule out bony injury.  If no bony injury then no need to worry.  Just take anti inflammatory and analgesic .  If bony injury is there then consult orthopedic surgeon and start treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello dr i am 32yr old guy and had suffered from cortical venous thrombosis and the doctor after dischraging me from the hospital gave me medicines like tab epiliv 500 mg ;tab frisium10mg;tab atorsavef;tab phenova100mg;tab homo16N;tab citinerve p;tab gopan dsr;tab warf5mg; tab azytex250mg after taking this medicine for  about 10 days i refered to another dr who is my family physician who asked me to stop taking whole medicine and he gave me his own medicine like clopicard ap 75;neopress am and gabamak(gabapentine and methylcobalamin )dr i am working as a cabin crew in international airline my height is 5 feet 9 inches n my weight is 75 kg i was dmitted to the hospital 2 months back with headache and dizzines and left side weakness now iam feeling much better but  abit worried for my blood pressure which was detected after diagnosis  triglycerides 165mg/dl:ldl cholesterol 120mg/dl vldl cholestrol calculated 33mg/dl;leukocytes count10.44 thou/mm3:eosinophils 0.00 my brain mri report says(imaging features favors possibility of the cortical venous thrombosis involving vein of ttrolard with right high parietal perirolandic region ischemic changes)so dr i want to ask you whether i will require to take bp medicines life long or not my bp as of now is 120/84 and while admitting in hospital it was 140/100 awaiting for ur reply sir thanks ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have cortical venous sinus thrombosis. You should continue your medication for hypertension. Furthermore, you should take warfarin to avoid clotting. Go for regular PT & INR testing and maintain your INR between 2 and 3. You may have some cause for thrombophilia. You should search for that like some factor deficiency or homocysteine or it b12 deficiency. Consult your doctor and start your treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I HAD VERY HEALTHY HAIR DURING CHILDHOOD BUT FROM THE LAST 5-6 YEARS HAVE VERY HEAVY HAIR FALL FROM ROOTS.  I HAVE TRIED DIFFERENT TYPE OF OILS AND HOME REMEDITES BUT NO RESULTS. I AM 22 YRS OLD AND PURSUING M.SC (PSYCHOLOGY) FINAL YEAR AND STRESS FACTOR IS TOO MIUCH NOW A DAYS.  KINDLY SUGGEST ME SOMETHING. ### REPLY: Hello, Thank you for posting on . I appreciate your concern regarding hair fall. Hair fall is usually ascribed to multiple factors like diet and nutrition, hormones, stress, acute or chronic medical conditions, . From your description, it seems you might be having Halogen Effluvium, which is hairball secondary to stress. If I were your dermatologist/trichologist, I would like to take through history including family history, history of recent major trauma/illness/stress/medications etc. and recommend some basic investigations like CBC, blood sugar, Thyroid function test. Some other special investigations like pictogram and endoscopy and further aid in diagnosis and prognosis. I would suggest you a course of oral tablets containing biotin and other essential vitamins and minerals for minimum 3 months. Also, would put you on solution containing 5%/10% minoxidil once a day and a hair serum containing peptides for hair growth at night.(Q era etc.). I would advise use of gentle shampoo and conditioner on regular basis and use of coconut oil twice a week. Also inquire from your dermatologist about upcoming treatment options like monotherapy and platelet-rich plasma. Avoid combing in wet hair and let them  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 teenager and i have been feeling kind of depressed for a while, so i took some online tests and they said i have a high chance of having dysthymia. I read some articles about it and it seems to describe almost exactly how i feel. All of the stuff online says i should be getting help, but i really dont think its that big of a deal. Im not suicidal or anything, and i really dont want to make my family pay for any medicine or therapy. Its not like its totally ruining my life, im just feeling kinda down. Should i go to my school guidence counselor, or just kinda see how things play out? Our health class is doing depression screening in about a month, so if anything is really wrong they will find out and tell me what to do i guess. I just dont know if this is serious enough to make a big deal out of it. I know my parents would either think im making a big deal out of nothing or they would overreact and get super upset.Any advice? ### REPLY: Hi, You are a teenager, and the hormonal changes you are normally experiencing (involuntary) do play a role in your mood changes. It is perfectly normal to get those feelings: sometimes hopeful, some others hopeless. However, keep in mind that this is a transitory period due to hormonal changes. You should cheer up and enjoy your life. You have no reason to get into depression, although you might be feeling down. Go out and walk or run or swim; in other words, do some physical activity that could help you "explode" in order to get out all the negative impulses inside you. Being physically active, socialized and following a healthy diet will help you overcome your teenage mood changes:)Hope it helped! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 the past week i have been having fluttering in my chest off and on usually in the morning but now it is throughout the day. My heart beat seems normal, than I get this one off beat and it seems as though its coming from the center of my chest not the left side just the center, and then I usually cough. Its not a dry cough but a mucus type cough. After the cough I feel tired and somewhat dizzy.  I have also been sneezing more than usual. Along with the sneezing there is a runny nose and the feeling that im not getting enough air in my lungs, I have been quite stuffy also. I am a 42 year old and female. ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, we should first rule out arrhythmia (rhythm disturbances in heart) because your symptoms like Fluttering feeling in central chest, missed beat, dizziness etc. are common symptoms of arrhythmia. So better to consult cardiologist and get done ECG, 2d echo and Holder monitoring (24 hours continuous recording of ECG). You may need anti arrhythmia .  Your runny nose and stuffiness is mostly due to viral rhinitis. So do steam inhalation 4-5 times a day. Take antihistamine and anti-inflammatory  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had hepatitis when I was in the 3rd grade, I was held out of school for what seemed like a long time, I had to have my blood tested often and they had me on a diet that included a lot of steak. I m now 71 years old and don t know which type I had and if there are any concerns I should be aware of. I remember I was told I should never give blood. ### REPLY: Hello, You might have Bag carrier stage in which patient can live a normal life if no hepatic damage occurs. To rule out the type of hepatitis, you can investigate with viral hepatitis profile by as following-Serum HAD antibody testing by Elisa. -Serum Bag testing by Elisa. -Serum HCV antibody Elisa test. Usually, these three viruses lead to hepatitis. So rule out it. Consult a physician for examination. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my daughter has fleet. Most people will say if you have flat feet you normally experience foot pain but she doesnt. She also dances and has no problem standing on the balls of her feet either. So what can ido to make sure this doesnt affect her future? ### REPLY: Greetings there are many people with flat feet who are able to perform all functional activities without any pain throughout ....flat feet may not be a cause to worry at this time....you can however keep her flexible by yoga or stretches to prevent any difficulty in the future...age of your child is not mentioned here...if she is too young I would suggest silicon insoles for flat feet hope this answer resolved your query ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had a very sore lower back for 2 weeks with loose stools. Am taking diclofenac with no relief. The last few days the pain has become unbearable took codeine an hour ago and still in agony, thinking of going to the hospital. Please help? Cheryl ### REPLY: Hi Cheryl thank you for trusting ChatDoctorI read your query and understand your concernUnfortunately it seems you are suffering from lumbar discography Pain is one of its symptoms It is bothering and cause a lot of suffering but alone it isn't risky don't have to be worried too much if you aren't suffering neurological deficits (such as paralysis or urinary problems)Anyway you should be checked by a bee doctor or ER and of it is possible to realise a lumbar CT scan which will determine the gravity of herniation Hope I have been of helpRegards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 back pain in my thoracic area. I would rate it at about a 5 most of the time but I often wake up during the night with more severe. When I stand to get out of bed it is worse for about 5-10 minutes. Does not affect breathing. It isnt related to indigestion. Im female, 75 years old. ### REPLY: Kindly consult an orthopedist and have X-rays done to assess thoracic spine. Often osteoporosis vertebrae are implicated. Bone densitometry for calcium study must be done. Take Solo erosion tabs after meals twice a day for 3 days if it still lasts, visit a doctor preferably an orthopedic surgeon. In old age bones tend to lose calcium and become weakened and can give rise to few problems. A screening is required in my opinion therefore... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 84 yrs. mother suffering by herpiese since 30 sept.2010. First of all so many blisters formed at left side of stomuck & back.By the consultation of Dr. we have given a course of Herprex Tab.and  locally applied Herprex cream for 8 days. Again Dr. started Tagrital tabs for 10 days. Now top skin is completly dried and became blackish, but very qute pain occuring inside the skin that is untolrable to her. You are requested to guide us how to prevent this.RegardsRK TYAGI0911-11-0000 ### REPLY: Hi I can understand your concern. Here is some advice for you. Apply ice cue wrapped in cloth to reduce swelling and pain to that area. Take warm water in bucket. Some salt added to it and soak affected area in that water for 10 minute daily. Aloe receiver juice and vitamin E oil local application helpful. Honey and milk application also helpful. Take nutritional diet. AVOID STRESS. This will be helpful. If still no relief then doctor consultation done. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, my name is Katie. I suffer from anxiety but I m not taking any medications for it. Lately I have had more attacks and been under a lot of pressure and I have noticed that I have started getting these lumps under my arm pits that look like a pimple but much larger. Could this be from all the stress and anxiety or do you think something else could be causing this? ### REPLY: Hello! Thank you for the query. It can be caused by increased stress level. Please note that when you are more stresses, you do sweat more. This gives more moisture in the armpit area. Moisturized and warm environment is a great place for bacteria growth. So this might be the reason of you pimples like lumps. Shaving with non-sterilized shaver can also cause such lumps due to hair follicle infection. I suggest you to try to keep this area clean and .  If this won't help, please consult dermatologist. Hope this will help. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: How to get rid of balgam collected in nervse near ear? thank u ### REPLY: 1. this is probably excess wax/phlegm/Kafka in the external ear which is in excess may cause ear congestion, reduced hearing and stuffiness.2. Increase your fluid intake (warm water with lemon juice and honey) and avoid cold and constipating food (dairy products, sugar,wheat3. Take diet rich in sulfur (garlic, onion) which helps in relieving congestion and increase intake of herbal tea (Lime, ginger,Fenugreek)4. Ayurveda JAL net is effective in such conditions.5. Vitamin C rich diet is beneficial to increase the immunity. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 this bruise that reoccurs eveytime i have intercourse with a female. it is on the shaft of my penis. it feels different where the bruise is compared to other parts of my shaft. the skin where the bruise occurs feels like something is under my skin. ### REPLY: HelloThanks for writing to ChatDoctorYour problem may be related to less lubrication during intercourse. You should take time before penetration. You should try to be calm and before penetration spend sufficient time in foreplay. This is very important in intercourse. Increased foreplay lead to more lubrication in female genital tract. You should also use lubricant over genitalia before penetration. If problem persists then you can consult dermatologist for proper evaluation. Hope I have answered your query. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My sister has got a suggestion to admit my brother-in-law to KKR hospital mandaveli. My borther-in-law has mouth cancer and has also been operated. However, the disease is not cured and whoever consulted have given up the hope..please advice..whether the treatment at KKR hospital can benefit my brother in law ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Treatment of mouth cancer depends on type and stage of cancer. In early stage surgery is helpful.  In later stage chemotherapy and radiotherapy is the treatment of choice.  Please give me details of his cancer so that I can help you further. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have AVM (gastric bleeders with low hgb) and anemic. Am having dental surgery and need a pain reliever. I get very nauseous with hydrocodone. Can t take aspirin. Would Tylenol #3 be a good choice or is there something else that I can recommend to the periodontist. Tramadol makes me nauseous too. ### REPLY: Hello, NSAIDs are commonly avoided in case of gastric bleeding. This is because NSAIDs are believed to increase gastric bleeding however paracetamol in lower doses is not considered causing such problem of gastric bleeding. But to be on a safer side you should consult your physician and get evaluated, and a thorough clinical examination can be done and if he permits you should take paracetamol otherwise not. As far as HY . Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a small wound yesterday in my chin,it was because of a blade,now a black layer has completely covered it and it is dry,how much time will it take to go,coz i have an important presentation.Is there any way of getting normal skin in 4 days? ### REPLY: It depends upon your immunity how much time it will take, u can try some homemade remedies for that 1.one tablespoon honey2.one tablespoon fuller earth (Multan mitt)3.one pinch of turmeric powder n one tablespoon of milk. Mix all together make a paste n apply for 3 days , it will work out but please don't rub, apply very soft n wash it off after 5 minutes . As far as your important presentation is considered u can use concealer on that mark.it will make u surprise. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, my name is Lisa. I just found out that my 3 yr old son has Fraziers Syndrome. He is also developmental delay, Autistic and has cardiac mumours. My question is all the research that I have done tonight shows me that it all boils down to the kidneys. what diet should I have him on to maintain them in Great health and can he play in sports without stressing out the body. ### REPLY: Thanks, Lisa, for putting up your query at . I am sorry that your 3-year-old son is suffering from Fraser syn .  It is a rare disease with improper development (dysplasia), underdevelopment (hyperplasia), or absence of one or both kidneys (unilateral or bilateral renal agenesis) caused due to a genetic defect. There are certain other associated abnormalities, and I am not going into the details. Unless I can come to know the exact nature of kidney defect your child has, it is difficult to comment on the diet. An ultrasonography would make things clearer. That would also indicate whether the livers are affected as well. That too would play a role in determining the diet. It would also vary with the presence or absence of protein in urine which would indicate a defect at microscopic level. Please get back to me with the details and I would try to help you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi sir, I am peter. I am masterbating daily now and i cant come out from it. Somebody are saying that it is very dangerous and i wont get a child in my future. I worried a lot about this and dont know what to do. What they have said was true? Pls suggest me a way... ### REPLY: HelloThanks for query. Based on your statement it seems that You have been indulged in frequent and habitual masturbation since many years and now worried about sexual problems that you would face in future and your sexual potency and capacity to impregnate your wife. First there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body. All the problems that you are anticipating in future are mind related and due to anxiety. Following measure will help you to boost up your confidence and getting good erection and to maintain good sexuality. 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 Zinc 3)Take anti oxidants like Almonds 5-6 everyday4) Avoid alcohol and smoking.5) Restrict frequency of masturbation to twice a week. Though it is harmless, excessive and frequent habitual masturbation does affect quality of erection and delays ejaculation. Please try to reduce the frequency of masturbation by keeping yourself busy in activities like sports, reading, social work etc. so that you will not get free time to masturbate. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello doctor, I am 16 years old and ive had a lot of white skin around the tip of my penis. Ive had it for more then a year. its annoying and ugly. I hate it and want it gone so I wont have this problem when i have sex and the girl see it and get disgusted from it. What can I do? ### REPLY: Dear serve understand your concerns went through your details. Please do not panic or worry. The whitish substance is called Sega.  Sega is a combination of shed skin cells, skin oils, urine, sperm cells and moisture. It occurs in both male and female genital organs. In females, it collects around the clitoris and in males, Sega can collect under the foreskin. There is no evidence that Sega causes penile cancer, but its presence over a long period of time may irritate and inflame the penis, which may increase the risk of cancer. It may also make it harder to see very early cancers. Clean the area beneath your foreskin daily twice after pulling your foreskin back. If you require more of my help in this aspect, please use this URL. . Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I am a 47 year old female with MS type symptoms. Bloods all fine no diabetes, blood pressure a little low, thyroid fine. I am 5 1 and weigh 52 kg. Dr sent me for MrI without contrast. One T2 lesion found in the white matter of the right frontal lobe and another found in the T4 vertebral body. What does this mean can it be MS? Thank you Denise ### REPLY: Hellene T2 lesion in brain doesn't confirm MS(multiple sclerosis). It may be an incidental finding. MS is associated with many clinical features and MS lesions are found in typical region of brain like periventricular, pericallosal region. T2 bright lesion in brain may also be due to ischemia. Since your don't have hypertension, diabetes mellitus, ischemia is unlikely. You may have follow-up MRI scan to seen progression of lesions. Verterbral lesion is most likely an incidental finding. Get well soon. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I am a 30 years old man. My girl friend suffer from talasemi minor and I am normal. We want to get married. I want to know that is there any way to prevent of having the child with this problem. and if not the children with this problem could be normal; for example, they can do physical activities just same as the normal person? Regards ### REPLY: Hello, if you don't carry any defective thalassemia genes then the worst scenario for your child .  Thalassemia minor causes a very mild chronic anemia that won't prevent individuals from engaging into physical activities. If you're having one defective gene though, then caution is advice because then you would have a 25% chance of having a child with a really serious problem (thalassemia major). I hope I've helped! If you'd like further information on this, please let me know and I'll be glad to answer. Kind 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 strained my back when picking up something from the lower compartment of the fridge, now my lower back hurt so much that I cant even walk or sit.  I took a couple of painkiller but cant do anything.   What should I do?  How long will it last so I can be back normal.   Thank you! ### REPLY: Hello, Thanks for your query. Treatment guidelines for a muscle strain or pull is as follows -* Adequate rest for a few days * Ice packing over the affected area once in 2 hours* Once the acute pain subsides, Moist heat application over the affected muscles* Gradual & gentle stretching exercises* analgesic & muscle relaxants as needed do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I am a 53 year old female that has recently been experiencing a wet feeling on my upper thigh on thefront of my right leg but there is no moisture coming from my leg than instantly i get a burning feeling inside my leg on the upper front thigh - what is causing this feeling? ### REPLY: Thanks for asking question, I have understood your concern, burning sensation in upper thigh May be due to few reasons, first any history of rubbing of skin with hard objects, or due to excessive heat production due to consumption of hot meal or spices food, or very hot weather. Some time for to nervous compression also give rise to such pain. So first you need to identify the cause, then reduce your metabolism by fewer calories food. Take more water. Do regular Panama practice and yoga which regular your metabolism. I hope you have satisfied with these answers. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 dad is 70yrs, he has got carcinova cancer on naval cavity and he has given radiation of 30 sittings. I heard there is good medicines for cancer in sidha... I want to know how true is this and is it advisable to treat him with sidha in this age as he is  weak.. ### REPLY: Hi, dairy have gone through your question. I can understand your concern.  He has nasal cavity cancer.  Treatment depends on type and stage of cancer. In early stage surgery can be done to remove cancer tissue.  In later stage surgery will not helpful.  Radiotherapy or chemotherapy is the treatment of choice.  Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, im 13 and a girl. Im worried , one of my breasts, my right one, is seeming to get different. My great grandmother had breast cancer, so I look out for these types of things. The shape of my nipple is changing, ive read that it could be a sign for breast cancer. Half of it is longer and more oval looking than the bottom, which is wide and circular. So it looks like 2 dent on each side to make it more clear, I just noticed it while doing a self evaluation. ### REPLY: Hi, Welcome to  forum.  It appears to be your hyperactivity, now it is the time for you to think of the studies, exams, and games, snacks, and foods.  Around the age of monarchy, the breasts will develop in a different stage, and different sizes in both sides.  Leave about all these things, and if you have any doubt about the health you ask your mother.  Take more of green leafy vegetables, pulses, sprouts, and protein rich foods, to have good health resistance against the infections.  Wishing for a quick and complete recovery. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello doc. Here are my signs and symptoms. Asymmetrical reflexes. Ankle clonus left ankle. Slight sensory variations. Muscle weakness, twitches, fatigue, lump on thyroid. EMG normal, MRI says not MS. In the process of being referred to an endocrinologist. Any thoughts as to what is wrong with me? ### REPLY: Hello, I believe the most important thing to rule out and fix (if there is a problem) is a thyroid nodule causing Hyperthyroidism which can cause all the symptoms you mention, although we tend to think of endocrinological pathology as the cause to neurological issues in a symmetric instead of asymmetric fashion. But it can happen asymmetrically as well. I would not worry about guessing too much about things and just look at the obvious for the time being. Once, that has been properly evaluated and ad .  If you are still having problems then, go to the next level of the chess board. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have to have two root canals but since Im still in the wait zone with my dental insurance I have to live with this terrible pain for at least another six or so months. Ive asked for pain medicine and was given one prescription that lasted ten days, no refills, and was told that their rules say they cant prescribe more until I have the surgery. What do I do about the pain? At first 800 mg ibuprofen helped a little, but its gotten worse and nothing is helping. Im allergic to tramadol which was their only alternative for me so thats out. Please help ### REPLY: Hi if you are having severe pain with a due act, it is due to the pressure exerted by the pus formed, which should be immediately treated upon because it has a direct risk of spreading towards your bony underlying tissues if not treated soon. It shouldn't be delayed for the time you have mentioned. Antibiotics and painkillers are taken for a while but even their usage cannot be extended for a prolonged period of time. Besides they have their own side effects. I ADVICE YOU TO GET THE ACT DONE AS SOON AS POSSIBLE and not to wait for so long for the dental insurance. Remember health is wealth !!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: Hello!! Sir, I am in 21 (m) years old. And suffering from the night fall. Plese tell me how can I stop this.?? Actually I am suffering this disease from last 5 years. So sir please help me and it s very necessary to know to how can I control. And is there any herbal medicine to cure its so prefer me... Am waiting your reply.. Thank you ### REPLY: His understand your concern. Nocturnal emissions are not a disease. 1st you have to be clear by mind. Night fall occur due to excess in amount of semen in scrotum. Semen production occur in scrotum 24 hourly and stored in it. If you are not sexually active BT sex or by masturbation then semen will come out automatically in night while we . So it is normal and physiological process. It will disappear when you are sexually active and started sex or masturbation. Read more about that. Do not think about it, and it will do not cause any harm. So relax. Still have a query then feel free to ask. Happy to help you further. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello sir,I am 24 years old,height 511, weight 72, no medical history, from last few year my hair is falling like anythng, it may be due to her heredity but at such an early stage... am fed up now i just cant see myself going bald... i am frm mumbai... please help.... ### REPLY: Hi there.1. Your concern is chronic halogen effluvium leading to baldness.2. Start using romaine 5% spray along with rev illus hair supplements.3. Meanwhile consult a dermatologist nearby you for physical examination and grading of your baldness.4. We can further slow down the balding process and can make the scalp better.5. Have reviews about platelet rich plasma and plan for few sessions. This will support the prescription. Hope this info may help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I woke up yesterday morning with my neck primarily hurting to the left side then by yesterday evening it was in the back now I care barely turn my head either way and it is hurting so badly.  I took more Motrin hoping it will ease up some.  Is there anything I can do to help this.   Never have I had pain like this.  Thank you. ### REPLY: Thanks for choosing . I understand your concern. Your pain is more likely due to muscle spasm of your neck as a result of poor posture during sleep. It is very painful condition, but it is totally recoverable and is not associated with any serious complications. Following are some of the ways that can help you treat yourself. Stretching: Spasms are best treated with stretching exercises. Massage: You may be able to massage your neck yourself by finding the tight muscles and putting deep pressure on these muscles. You might also get a massage from a friend or therapist. Medicine: You started taking Martin but in addition to painkillers you need to take muscle relaxant too which I mostly prescribe is Mooney (tizanidine) 2-4 mg twice daily for three days. Remeber Non-steroidal anti-inflammatory medicines (NSAIDs) may cause stomach bleeding and other problems. These risks increase with age. Read the label and take as directed. Do not take for more than 10 days. Ice: Put an ice pack, gel pack, or package of frozen vegetables wrapped in a cloth on your neck every 3 to 4 hours for up to 20 minutes at a time. Moist heat: Sometimes, especially with recurrent spasms, moist heat can help. Moist heat includes heat patches or moist heating pads that you can purchase at most .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 6 year old son has had a cold with a cough and complained of belly pain. Now I noticed that his belly button is pertruding - which he did not have before. His belly/abdomen is kind of bigger.Not sure whats going on here... hes not usually complaining, so its hard to tell when something is bothering him ### REPLY: Howell come to ChatDoctorI really appreciate your concern, this could be allergic cough if this is long-standing then this may cause umbilical hernia in pediatric age group, any cough more than a couple of weeks need to be taken seriously, if this is allergic cough then this need to be treated with following medicines1) Levocetrizine with Psuedoephe . 5 ml three times in day if the symptoms does not improve then this need to be clinically examine, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my follicle size in the right ovary is 13 mm on 16th day of period after yaking gonal f ,since i am undergoing ivf treatment....the doctor did not discourage because my estradiol level is 2020.and endometrisal thickness is 7mm.will i suceed in this cycle?? actaully i want to know that will i ovulate any more as i am taking gonalf and cetrotide and progynova and oestrogel ### REPLY: Hi Welcome to  Though follicle growth is little slow as it is 16th day of your cycle but with continuation of goal follicle size will improve and reach its maturity. Estradiol level is quite good, and it suggests that many follicles are growing. Endometrial thickness is also good and it'll improve further. Once follicles reach maturity(18 mm)  injection will give for egg rupture. In an IVF cycle success is around 30-40%, which also depends on other factors (e.g. age). Trust your doctor and hope for the best. 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, lm a 27 yearold male, with pancreatitis, hiatal hernia, anxiety, hepatitis, depression, sever insomnia and to top it off l have diabetes. My pancreatic attacks are sever and would like to know which painkiller is the best for me and not too hard on my liver??? So l can possibly ask my Doctor to prescribe it for me possibly? The pancreatitis pains are sever and keep me up all day and night. Thankyou for any information you can provide about my PAINKILLER Situation or any of my health problems. ### REPLY: Hello, Thanks for the query to . Forum. Your query is the best painkiller for acute pancreatitis ? All painkillers are best until they act and after some time you will be addicted. The best way is treatment of pancreatitis not painkillers. All painkiller also aggravates Hiatus hernia and make bad side effect over liver if used for long time. As many painkillers contains morphine and its alkaloids, so this is not good for you as all these are habit-forming .  Nowadays most potent treatment of pancreatitis available, so please get the treatment from gastroenterologist and be happy. 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: There use to be a stick that was made of hard plastic that you would squeeze to break another tube inside.  It would then produce a product that you would put on a bee sting.  Sorta looks like the thing they use to wake someone up that passed out. ### REPLY: Hello, Welcome to , The sting can result in an allergic reaction due to the secretion of venom. Allergic reactions can be immediate or delayed, though immediate reactions are more common. The treatment varies slightly according to the severity of the reaction. In severe reactions (decreased blood pressure, increased pulse, hives, difficulty breathing) hospitalization is required for treatment. Where there is only swelling and rash, you can treat at home by the use of oral antihistamines such as Ben .  In addition, if the area is painful, you can use paracetamol. If the severity of the reaction worsens, then you would need to seek medical attention. If you haven't had a tetanus shot in the last 5 yrs, you also need to take a booster dose. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I just had a Botox in my forehead and eyes and I am trying for a baby but did not no that Botox will effect me. I am now 8 days late from my period and I have done a pregnancy test which was negative. Does Botox effect my periods? I also had a Misscarrige in September. I am really worried and regret having Botox. Is there anything which I can do to get the Botox out my system. Thank you Joanna ### REPLY: Hello, and I hope I can help you today. Botox is a medication that normally only affects the muscles that have been injected. If you do not have any unusual side effects from the medication, it is unlikely that it entered the rest of your body and could have any effect on your fertility and your menstrual cycles. The effects of Botox cosmetically persist for somewhere around three months. However, because this medication is not systemically absorbed, there cannot be any exposure to baby if you become pregnant now. The only risk would be at the time of injection, however there are no studies that have been shown that Botox is harmful during pregnancy. However, we do not recommend its use during pregnancy (meaning-not getting the injections during pregnancy) because its effects on the developing fetus are unknown. There is no antidote to Botox topically in the skin, so you will just need to be patient waiting for the symptoms to wear off. However, because you've not yet conceived, the Botox you use previously does not pose any risk for in impending pregnancy nor will it affect your menstrual cycle or fertility. I hope that I was able to adequately answer your question today, and that my advice was reassuring. 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 my name is elizabeth and me and my husban lisban were in a car accident recently, he is currently in the hospital with inflamed lungs (swolen lungs) the doctors say that the cause of it was because during the car accident he vomited and swollowed it and went to his lungs, will he be ok? ### REPLY: It depends on the severity of the injury. What they are likely referring to is aspiration pneumonitis. Sometimes this is mild and only causes minor symptoms like coughing. On the other hand, sometimes this can be very severe and require breathing on a ventilator. His prognosis depends largely on the severity of the inflammation currently. If there is diffuse damage to both lungs, it implies severe disease. If only a small area of one lung is affected, it implies a better prognosis. I hope this sheds some light on the issue. ### END