Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: While at rest, just sitting on my couch working on my homework, I felt my heart start beating very hard and vast for a few seconds. My chest inside felt hot, or warm during this time. It seemed like my heart perhaps skipped a beat or the beats were overlapping. It was enough for me to be stunned, I grabbed my chest... my heart rate back to normal, but I notice my lips feel kind of tingly. I know it was not a panic attack as I have had those and this was different. I was diagnosed with a heart murmur when I was an infant but grew out of it by the age of 8. ### REPLY: Hey, Arrhythmias can be a cause of palpitations and irregular heart beat. First you need a baseline ECG and 2D Echo. ECG should preferably be taken at time of palpitations. If the ECG does not reveal any abnormality than you need a 24 hr ECG monitoring which is called Holder Monitoring. Arrhythmias in a patient with heart murder is very common. So I strongly recommend you for these tests. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi ! I m 22 years old & I have masturbate habit since I was 15 years...I masturbate 4 to 5 times in a week but from last year penis size & weight decrease upto 70% now it s just 3inches when it erect & I have also erecting problem now...what should I do to get healthy penis again ? ### REPLY: Hello dear, The size of penis is genetically determined, and it does not increase after a certain limit. But one thing should be known that the size of penis does not determine the potency of an individual. So, stop worrying about this. Also do not get influenced by any over the counter medication which claim to increase the size of penis or improve performance...it may be harmful. Having a diet rich in fruits, vegetables, fish, nuts & honey increase blood flow to penis & maintains erection. Avoid stress...practice meditation.this helps in improving concentration & builds up the confidence level. Avoid smoking & alcohol. You can also do oil massage of the penis...it increases blood flow & maintains the erection. Wishing you a Healthy Life. 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: Yesterday I tripped on the sidewalk and crashed onto the concrete. The first thing to hit was my knee cap it hurt like crazy but I was able to get up and walk home. It swelled pretty significantly and I could hardly walking on it within a few hours. I took two Alene and have iced it. Today is better but am limping and if I torque it a little there is shooting pain. Still icing it and I have braces from a former acl tear (years ago) and a knee wrap. Should I give it more time? Is it important to see a doc sooner rather than later? ### REPLY: Hello, The severity of the symptoms you are experiencing, suggest that you may have suffered a fracture due to the fall. Since your pain and swelling have increased, and you have not felt any relief even after icing and rest it is advisable that you get yourself checked by an orthopedic surgeon as soon as possible to prevent any further damage. It can also be a case of ligament or meniscal injury and can diagnose with the help of an x-ray and MRI of the knee joint. Treatment will depend on the diagnosis. 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: 2year 7month baby,14 kg weight.she have cold.her nose is blocked and she is breathing in her mouth.we consult the doctor she gave amydramine syrub and otrivin nose drops.i continuned one week but still she have same. main is breathing in mouth.what i will do? ### REPLY: Hi... Thank you for consulting in . Cough and cold are viral 95% of the times in child .  For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15 mg/kg/dose (max ceiling dose 500 mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25 mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My lower back is very sore, it happens on occasion, but its quite bad this time. Ive tried muscle relaxants and mild pain killers like tylenol with 8mg codeine, but the do not help. Is there another medication i can take for the pain, until it subsides... it usually only last a few days. The pain is shooting down my legs, and I am having trouble doing regular things. ### REPLY: Hello have read your query. There is possibility of nerve compression leading to articular leg pain. I will advise you MRI spine and EMG NCV study. Medication like methylcobalamine and neurotrophic medication like pregabalin can be started consulting your doctor. I hope I have answered your questions. If you have further questions please feel free to contact us. I will be happy to answer. 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 I am 30 years old and my heart will start suddelt beating rapidly for about one minute. It has happened when I suddenly raise my head quickly from a kneeling position. To straight standing. It had happened 3 Times on three weeks. I have no pain or shortness of breath.what could be wrong? ### REPLY: Hello! Welcome and thank you for asking on ! I carefully passed through your question and would explain that your symptoms could be related to a postural intolerance. I would recommend consulting with your attending physician for a careful physical exam and performing a Head Up Tilt test to exclude this possibility. Further tests are needed to exclude other metabolic causes that may trigger this symptomatology: - a complete blood count for anemia-blood electrolytes for electrolytes imbalances Hope to have been helpful! Best wishes,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi,i have a burning sensation on the tip of my penis,no discharge,no feaver,no constipation,and i pee a lot like every hour.i have been to the clinic they took a swab and they said there is a bacteria infections but they didn t tell me what exactly it is .NOW I HAVE TO WAIT FOR THE RESULTS ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. It is good that you have done a swab test from the penis tip. Culture and sensitivity can give you idea regarding the possible pathogen and its sensitivity pattern. Once you start taking the .  Please take the completed treatment. Otherwise, infection will recur. Please  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 3 year old daughter for the second time had blood and leukocyte a in urine, sent urine sample to lab and results showed no infection. Daughter is otherwise healthy. She did just have 4 days of unexplained hives all over her body. Her doctor said it was something viral. ### REPLY: Hives or urticaria is some kind of allergy if I understood you correctly, I can not see your daughter, but you should know if it was viral rash, which appeared when temperature fell down, and it was small sports then it can be herpes virus of 6 type. But if it was big blisters on the skin it means urticaria and we should discuss this. I need more details about rash. Also, please tell me how much leukocytes and red blood cells in urine, if its small amount 10-15 it means your daughter can suffer from metabolic nephropathy, you should do ultrasound of kidneys and give to her some diuretic plants for excretion of salts. You should also give analysis of 24 hours urine for salts, or write what your daughter eats every day/ If she likes chocolate, juices from markets, or you give to her often peas, Rama, chicken soup she can suffer from sodium oxalate, in any case give to her more water 1-1,5 l every day, I will wait more details ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 brotherinlaw has recently been diagnosed with Non Hodkins Disease. He is just 56 yrs old, has had severe Psorisis on parts of his body for many years now. Generally, he has always had good health, normal weight, non-smoker, only social drinker. Will this NHD ever been cured, and does it shorten ones life? ### REPLY: HelloNon-Hodgkins Disease is not a single disease, but it is a group of disease and divided into many categories so also its prognosis. Classification depends upon its, Morphology, clinical, immunologic, genetic information, Pathological information. Further its classification also depends on presence of T cells and B cells. So at this point it is very difficult to say about the prognosis (whether it shorten the life or not) . Either upload complete report or consult an ONCOLOGIST and get his opinion about patient. 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 have a urine infection and there is 500++ leu, i have no blood in my urine its pretty much clean. Is there a possibility i might have a kidney infection? ### REPLY: Hi: Thank you for your question. The diagnosis of a kidney infection does not rest solely on the number of leukocytes.  The distinction is important because a different antibiotic would be used.  Generally, we look for a fever, flank (upper, not lower back pain). To distinguish between kidney and bladder infections.  Leukocytes are generally higher in a kidney infection, but not necessarily.  In more severe cases, the patient would be vomiting and would need IV fluids and antibiotics.  Sometimes when a patient has leukocytes and no symptoms, doctors will not treat as the bodies defense system will take over or because the urine dip may have been inaccurate. You did not list any symptoms.  I will have to assume you are on an antibiotic and that it is working. Hope this helps. Carol Royal D.O. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, Well I took a stool sample today in a contained but then I realised that I got water in my stool, which is not what the doctor wanted. So I decided to wash the stool out of the container with very hot water from tap and was breathing in the steam while doing this. Can the combination of steaming water and faeces harm me? ### REPLY: Hello, Thanks for posting in . No it won't harm you by any way. But the stool sample that you were collecting must be now tampered. So whatever the results will be they won't be reliable enough now. I would suggest you to discard the sample and get a new fresh sample with the precautions of not getting water in it.Otherwise, there is no harm by inhaling feces. I hope I have answered your query well. Thank you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a CBC & Diff blood test done. Everything came back within normal ranges except RDW which was 15.3 My doctor didn t even address this because my tsh level was high and that is what she discussed with me. Should I be concerned about the RDW result? ### REPLY: Hi, Thanks for asking. Based on your query, my opinion is as follows.1. RDW indicates red cell distribution width. It indicates variation in size of the cells.2. If the hemoglobin is normal, not to worry.3. RDW varies with iron deficiency or thalassemia. If hemoglobin is low, it indicates possible etiology. 15.3 is only mild variation. Not to worry. Hope it helps. 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: Hi, I am feeling nauseated with 2 vomit episodes in the last 16 hrs, 2 hours prior my symptoms, I ate pork (it was a bit too greasy), I had blood test done and it says that my liver enzymes were slightly elevate, AST 94, and ALT 54, can you please inform me what is the meaning of such values? ### REPLY: HI, thanks for using  The main causes of increased liver enzymes are: (1) non-alcoholic liver disease-this is liver disease not related to alcohol use. Occurs in persons with increased weight, decreased activity, poor diet, diabetes, history of high cholesterol(2)alcohol use(3) infection(4)trauma(5)side effect of medication such as statins related to alcohol or medications, discontinuation would help. If due to infection then treatment of the infection is needed. If due to non-alcoholic liver disease then lifestyle changes would be important. The episodes of vomiting may be related to the food used since you stated it was a little greasy. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I have been on nexplanon since July this year. It has been great really, I haven t had a period since I had it put in. In the past few days, however, I ve been having lower left abdominal and pelvic discomfort. Sometimes it feels like period cramps but I don t ever get a period. I m just wondering if this is something i should be worried about and what it could be? Also, i haven t taken a pregnancy test yet but I don t think I m pregnant because i don t have any other symptoms. I m not nausous, no breast tenderness, no change in smell, ect. ### REPLY: Hi Hope this message finds u in good health. I have gone through your msg and understand your concern.it may be due to some sort of hormonal imbalances or variations in the body, though there may be other reasons as reclothing to worry about, You should eventually get back to normal. Take multi vitamin and calcium supplements Do consult a gynecologist if symptoms worsened back to me for any FOLLOW-UP QUERIES anytime. . .(MBBS, MS,MCH) ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have had post nasal drip now for a week. At night I cough so much I can t sleep well. now I have a fever. The symptoms are worse at home alleviating during the day.I have been checked for allergies and am alergic to mites cats dogs grass. We have cats which haven t bothered me much in the past. I also get full quickly when eating. ### REPLY: Hello rearward welcome to .come have evaluated your query thoroughly.* Suggestions for better recovery-Inhalation of vapors of boiled water with added tincture Benson or Karol plus capsules 5 minutes each 3 times a day with blanket covered over the head.- Gargles with salted lukewarm water added peppermint oil 3 times a day-Avoid exposure to pollen, dust, mites, grass, cats, dogs.- Maintain HY . - As there is fever, need decongestants, antibiotics, antipyretic after physician check up. Hope this clears your query. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i went to see doctor because i got a bad cough with phlem, runny noise and sinus pain. i had gone grocery shoppoing and got bad cough attach and felt like i pulled something. told my doctor and she sent for xrays whicChatDoctore bck normal, but when i cough due to phlem and i need to expell i cough quite hard and get the same feeling i got at grocery store. pain inb my shoulder that runs down my arms and in both my breasts. it usually takes about an hour forn pain to subside. what could be going on here? ### REPLY: Thanks for your question on . I can understand your concern. First, no need to worry about lung diseases as your chest x-ray is normal. Coughing can cause strain on ribs, intercostal muscles and shoulder joint. So possibility of musculoskeletal pain is more likely for your symptoms. So apply warm water pad on affected areas of shoulder. Take simple painkiller like paracetamol or ibuprofen. Avoid movements causing pain. Don't worry, you will be alright with all these in 2-3 days. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, im in ivf treatment w dr haripriya at prasanthi hospital. now i am on my forth day. got injection on my tummy and back. the nurse didnt mention the name of the injection i am getting. it took her less than 5 sec to do this. my undestanding is u need to take this medication in a certain dosange and that takes some time to inject into ur body. n also i wanted to is it ok to walk and do my normal work after this injection. the nurse didnt give me a certain answer to me. she was so rude. ### REPLY: Hi Welcome to  It would be better if you mention the name of injections. As you are on 4th day of IVF treatment, I presume that you are getting gonadotropin injections(with or without GRH agonist) for ovarian stimulation or only GRH agonist. Yes you are right that dosage of injection is pre decided and exact dose should be taken correctly under the skin or intro muscularly. As volume of this injection is very small these injections can be given subcutaneously (Highly purified and recombinant) in no time. It is absolutely OK to walk and do your normal routine. You should avoid physical or mental stress. Avoid lifting weights (e.g. Bucket filled with water). Regarding dosage of injections you can always clarify with your treating doctor. All the very best for the treatment. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 felt a lump in my jawline just last night its small, the size of a ball i felt a lump in my jawline just last night its small, the size of a ball bearing it hurts a little if i press on it just when i press on it its onmy left cheek, right below my 2nd molar but its not in my gum its inside my cheek you know when you clench your teeth with your mouth closed and there some kind of muscle that tenses up on your jaw its right at the end of it cos i can feel the lump get pushed but its not swollen on the outside and my lymph nodes are not swollen i can pinch my skin but i cant feel the lump because its very small and it moves around. its way underneath, you cant even see it from the outside you also cant see it from inside the mouth now it kind of hurts cos ive been pressing on it all morning. i am afraid it could be cancer, cos they start out as lumps right but then i dont feel sick or weird or anything, i just happened to rest my head on my hand last night and i felt it ### REPLY: I went to the dentist 3 days ago to have an extraction done on my left bottom molar it was infected everything went good. That night after the numbness wore off I noticed a lump on my left jawline close to my chin it was small I wasn't worried about it... It is now the size of a half dollar, and it itches awful and hurts when I push on it. It is on the outside. Please if you know what this is let me know, thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I went in yest haven severe back pain some chest pain stomach pain he said I had WBC in urine its a uti and put me on cipro said my pain in back n chest is bc I carry my 19m around all day. The pain in my back is horrible especially middle back and under scapula I leave for vacation fri ### REPLY: Hi, welcome to our site. I am , MD. Read your query. That is a very significant question and I appreciate your problem. I will try my best to answer your query would have personally suggested that you have an MRI of the spine to make sure that there was no serious medical condition affecting you. Now I don't know what you mean by "bc" in relation to what the doctor told you. But I don't think an UTI could really explain the backache, unless it is because the pain is affecting the other parts of the urinary system as well. I personally would suggest to my patient an MRI, OT at least an X-ray of the spine. And may have added a prescription of methycolbal, and suggested physiotherapy and fomentation hope this helps you. Inform the reports mentioned above/if any other, so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)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: Hello i got poison ivy exactly a week ago and the rash seems to be at its ugliest stage now. Unfortunately I have it all over and around my buttocks due to peeing in the woods instead of the porter potties at a concert. But now the rash feels like a bruise and there are purple blotches within the hives that have leaked out pus for the last three days. Please help! Ive used zanfel and my doctor prescribed me a strong steroid cortisone but now my groin area lymph nodes are also swollen and hurt so I think it might be infected. :/ ### REPLY: Hello, Thanks for the query. Zanfel is some herbal product. I cannot exactly say how effective it will be. You need treatment with, oral steroidsAnti histamines are also must. Please meet a dermatologist and discuss regarding this. Let me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.https://urldefense.com/v3/__http://www.ChatDoctor .com/doctors/ . Thank you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband has been complaining of lower back pain for quite a while now, now he has been complaining that he can t sleep at night because he feels very bloated, do I need to worry? He is a very busy person, work all day and when he gets out of work he has 4 soccer teams to practice. ### REPLY: Dear patient Too busy at work with stress, anxiety and inadequate rest is the most common cause for back pain nowadays. Ask him to change his schedule and make it more flexible with adequate time for rest and sleep. Sleep for 7 hours a day is must. Take tab diclofenac plus thiocolchicoside combination twice a day for back pain. Also, X-ray of lumbosacral spine anteroposterior and lateral views needed to rule out bony abnormalities.  All the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i just found a lump in my groin area its very close to the inner leg joint so im not sure if it is a normal part of the body as i have another lump on the other side on the exact same spot but it is a little smaller. you have to push deep to find it and moves around freely esp when walking  thankyou ### REPLY: Hi, Welcome. Based on the facts of your query-You seem to have normal lymph glands in the groin. And they become specially felt while walking. Hope this would help you to plan further treatment with your doctor. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Welcome with any other further query in this regard. Good Day!! . S. Genl-CVTS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: iam 60 years old suddenly i noticed my penis curved to the left when in it erect ,Process to address the telescope of kidney Cobblestone 3 years ago, I do not Zmars sex Widowed 8 years ago, despite my need him, do this whole relationship deviation penis ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. To do sex and fertilization proper reaction, penetration and ejaculation is important. It has nothing to do with curved penis. Even if you have right side curved penis or left side you can do sex if you have good reaction. So without thinking of curved penis you can go for your relationship. Many people who have curved penis can have reaction, good penetration and ejaculation have a child and good relationship with their better half so do not worry and enjoy. I will be happy to answer your further concern on bit.ly/ . Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am a 41 year old woman, regularly work out in the gym with weights and have always stayed active. I work in an office for 32 hours a week. At present I have a very sore and stiff neck. I am very tender up around my top vertebrae and slightly to the left side. I also find it painful to turn to the left and look over my shoulder. I have been seeing an osteopath every six to ten weeks for about 10 months and after a visit when she realigns things I am much better. This injury does tend to happen to me 3-4times a year. Is there something I can do to prevent this happening. Or is it something that may need further investigation. I thing I may have originally hurt it 3 years ago waterskiing. ### REPLY: Hello and thanks for using . I have read your question and understand your concerns. In my opinion, first there is need to diagnose correctly the kind and the degree of the damaged area of your neck and imaging studies are necessary to evaluate conditions such fracture, slipped vertebrae (spondylolisthesis), herniated disc disease, since there is trauma history. Cervical spine x-rays in neutral, flexed and extended position, MRI also are needed for this purpose. In mean time, use of a soft neck brace when you work out, travel or stand up for too long can help prevent further deterioration and can improve your symptoms. Discuss with your primary care Doctor about having done these examinations. Definite treatment ways should be clear after imaging studies. Hope you found the answer helpful. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My symptoms are : I am suffering from enlarged fatty liver. It is compressing the gall bladder. Stomatch always feels bloated. I have developed constipation.  I feel feverish sometimes. It pains on the right side of the ribs in the stomatch. Is there any treatment for such treatment? Can I get cured? ### REPLY: Hello! Thanks for putting your query in . I am a Gastroenterologist. Fatty liver has many cause like Hepatitis B, C, Metabolic disorders, NAFLD, alcohol intake etc. So I will suggest you to visit a Hepatologist for evaluation who will advise tests and then manage accordingly. Meanwhile, there are few medicines which I found very useful in my patients are ursodeoxycholic acid and vitamin E. Do regular exercise and reduce your weight if you are overweight, avoid alcohol if you . I hope I have answered your query and this will help you. Wish you a good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Day before yesterday, i experienced a poking pain on the left side of my heart. the pain is not continous, they are intermittent, sometimes comes in a gap of hours. today i kind of feel some heaviness in my heart. went to a doctor, they did an ECG which seems to be normal. is this due to gas? ### REPLY: Hi, Chest pain has a lot of causes. Commenting on few1) Cardiac pain- it is generally diffused & never localized & increases with exertion.2) Chest pain due to underlying lung disease - it is localized, stabbing type & increase with inspiration.3) Muscle pain- it can be localized or diffuse & decreases with painkillers. No effect of exertion.4) Chest pain due to gastritis - it occurs generally in middle part of chest or upper abdomen. No effect of exertion. Increase after taking food. Hope this clears your doubtThanks .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 36 and I have had numerous concussions in the past. Today while playing basketball I took a hard elbow to my left eye. Since then ive had a headache, my eyelid hurts to the touch and im seeing shooting white spots fly by. This took place 7hrs ago. Is it possible I may have gotten another concussion? ### REPLY: Hi, I had gone through your question and understand your concerns. Headache and visual problems are minor symptoms of concussion and cannot along define concussion. If you had another symptoms (nausea, dizziness, amnesia, loss of consciousness etc.) you had concussion too.  However, I suggest you to pay attention because repeated concussions may be a serious condition. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have gas pains in my lower abdomen and a slight pinching feeling by my ovaries. I am 2 days late for my period. I have been slightly naseus and my breasts are tender (which often happens before my period). I am sexually active but use a condom every time. I took a pregnancy test and it came back negative. ### REPLY: Hi! Good evening. I am  answering your query. All the precautions including birth control pills are not 100% foolproof in protection against a pregnancy. If I were your doctor, I would go for a serum  determination to rule this out and if need be would advise for an ultrasound as well. Detecting pregnancy. Breasts tenderness no doubt could also be due to premenstrual congestion, but to rule out a pregnancy, urine pregnancy tests are not always 100% reliable. Till then, I would advise you for an anti-spasmodic along with a proton pump inhibitor . I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. I wish you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a small red patch on my upper gums above my 2 front teeth. 2 small white nodules appear in the center of the red patch.1 of the nodules just popped up about a month ago. The other one has been there for at least 6 months if not longer. It use to not hurt but recently its started developing a pressure feeling on one of my front teeth and Im starting to worry about it now. I havent gone to a dentist b/c of lack of insurance, but if this sounds serious to one of you I guess Ill try to go and make a payment plan with my dentist. My biggest fear is that it could be cancer. Especially since skin cancer runs in my family. ### REPLY: Hi and thank you so much for this query. I am so sorry to hear about these patches. The longer they stay, the more concerning they get. To tell whether it is for sure cancer or not, you would need to be consulted and possible causes investigated. For cancer, you would need to get a biopsy done before concluding on that. Risk factors would also need to be assessed which include poor oral hygiene, tobacco, smoking and long durations of dentures. I hope this ad .  Feel free to ask for clarifications and more information if need be. I wish you well. Thanks for utilizing our services, we very much appreciate it. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: yes hello my mum has just been told to stop her chemo treatment she is a breast cancer patient was having echemo every 3 weeks has had 4 sessions and the last lot of chemo caused her to faint and angles are swollen and slightly red has a pimply rash on her chin ... my question is can chemo therapy be harmful and can it cause daeth ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Chemotherapy has many side effects.  It worsens the the quality of life.  Tolerance of chemotherapy is different in different person.  In some person it becomes fatal.  It is better to live with cancer then taken chemotherapy is true for person who can not tolerate that.  So doctor advice to stop chemotherapy. 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 had a cold for about 8 days now and altho I am feeling better I still have nasal congestion and am blowing my nose a lot.  Is is supposed to be clear?  It is not always and Im concerned that I may have an infection now.  How do I know?  thanks so much. ### REPLY: Dear, cough & cold with nasal congestion can be due to bacterial or a common viral infection. Viral infections get cured by itself. To check to bacterial infection you should do nasal swab culture & sensitivity testing in your nearest laboratory. Based on the result of the test you can start the antibiotics. Ill the result comes you should do steam inhalation twice daily to relieve yours nasal congestion. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Im a 34 yr old women. For the pass few days my body has been aching , its hard to walk . when i sit up im light headed. Im so cold . im having a hard time swallowing. I have been told that i have a thyroid issue. So i went to the hospital last nite they say its a virus but even in the pass my virus never reacted in this way. No darriehea,no vomiting, & im not pregnant . ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have symptoms of body ache caused by viral fever this seems to be viral fever. Lowered immunity of body causes increased susceptibility of getting infected. Need not worry. Usually viral symptoms will resolve in one week on its own. I would suggest you to 1) Avoid intake of outside and hot, sharp and spicy liquids.2) . 3) Do warm saline gargles. Take anti-inflammatory medications such as Ibuprofen to prevent fever and body-ache.4) Take analgesic such as Flexion and take light diet.5) You should do tepid sponging as well if fever is of high grade. Your symptoms will resolve in 3-4 days. If symptoms keeps on persisting visit general physician once and get it examined and start treatment after proper examination and prescription. Go for blood tests an s well. Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI,my lympnodes under my jaw lines have been swollen for some time...comes and goes and my lympnodes in my right groin area and pain in upper right leg painful?I have had blood work donemyeosinophils,lymphocytes and mch have been running a little high and RBC a little low I have hypothyroisim,had tpo checked doc says hashimotos???What can I do to improve my lab work,ect. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have multiple enlarged lymph node.  It can be due to reactive hyperplasia, tuberculosis or lymphoma.  You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. You also have hypothyroidism due to Hashimoto thyroiditis.  You should take levothyroxine.  Regularly check your T3, T4 and TSH level and set your dosage of levothyroxine accordingly.  Go for ultrasound thyroid once. 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: Yes. I have been to the doctor for what I thought was a bad cold. He said I may have bronchitis or possibly pneumonia. I was give 2 shots, one antibiotic, and one steroid shot. He then prescribed an inhaler and another antibiotic that I am to take orally, once a day. My question, is he treating me for pneumonia? And if so, how long should I stay home from work to heal, and can I take Advil for my headache? Thanks. ### REPLY: Respected Sir, hi I evaluated your query thoroughly. For 1st question, yes he is treating as pneumonia. Your stay at home is depending on your clinical recovery and symptomatology. If breathing comfortably, nobody aches, no coughing or much cold can resume work in 3-4 days. For 2nd question, you must take Advil for headache after concerning your therapist. Because it requires dosage adjustments along with concurrent use of steroids. And if you have side effects such as unusual bleeding, severe Aldo. Pain, dizziness, light headdress, black tarry stools immediately rush to ER. Hope this clears your both questions satisfactorily. Thanks for using . RegardsWishing you fast and speedy recovery from the same. Take care bye dear. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I just want to know that are there any herbal face masks available in ayurveda that have lifting effect ? Can these be made at home ? If not , how can one get ? Thanks ### REPLY: Hello Pritpalrihal, Welcome to  Expecting a lifting effect from face masks is a bit of an over expectation. Face masks act only on the uppermost layer of the skin (epidermis) and to get a lifting effect the target area should be lowed down (dermis). So, no face mask can give you a lifting effect. If you want a lifting effect, surgery is the best but comes with side effects. The various non-surgical options available are radiofrequency, peels, lasers, fillers etc. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello.... i have been suffering from pain for a long time around my left leg; the side of it particularly... i don t know what is it.. i went to the doctor already, have my arteries scanned for any clot but it s cleared.. i don t know what s causing it and a way to cure it. ### REPLY: Hi, What I feel is, since there is no signs of Varicose veins then it should be related to either vitamin deficiency like vitamin D or may be nerve entrapment. I would not consider still the nerve entrapment as there is no symptom you mentioned like tingling, numbness, etc. So either it could be vitamin D deficiency or may be fatigue induced. Why don't you try taking vitamin D supplement and also try some simple exercise like gradual walking or some aerobic.  Once the stamina improves in the muscular system then the fatigue is delayed and pain doesn't come. Also, vitamin D deficiency is off late too common in many age groups having lack of exposure to sunlight. If any symptoms like numbness, tingling, sharp shooting pain is there then it should be related to nerve entrapment. You need to get physically examined for it by an orthopedist and some specific exercises will be helpful under a guided physical therapist. Please take the call based on the provided explanation for the history you provided here. Hope I have answered your query. Let me know if I can assist you further. Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Today I was at my local dark park. A dog ran up on me and hit me in the groin quite hard. I have been experiencing mild pain, but so far their is no bruising or major swelling. Just a dull aching pain. Is there anyway I could have damaged my leydig cells that would lower my testosterone in the future? If so how would I know? ### REPLY: HI Thanks for posting your query.  You have mentioned that you were hit in the groin. In that case there is no chance of damage to lading cells as they are present in the testicles and not in groin.  So there is no need to worry about any problem for your testosterone production. Just relax.  You can just take Tylenol for pain relief. Hope this information was useful to you. Any clarifications feel free to ask. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 66 year old female born with one kidney but I ve never had any problems with it prior to August 17th, 2013. I had open heart surgery scheduled and had to start taking 3 medications including Coumadin. I began to have a lot of blood in my urine and I developed a UTI. I was given some strong antibiotics but had renal hemorhage 2 days later which required a four day hospitalization. The surgery was delayed a month for my kidney to heal. On September 17th 2013 I had successful open heart surgery (valve repaired/valve replaced/epicore maze) and I have been ok until about 2 months ago when I started having UTIs again. Tests have shown leukocites esterase, nitrates, protein and blood. My urine is brown right now and burns. They are treating me with amoxicillan and then macrodantin but I have not responded to either of them. Due to the hemorhage after the stronger meds were prescribed, they feel those two are the strongest things I can take but it is not working. Do you have any ideas? ### REPLY: Hello and welcome to . As a Urologist, I must advise you, that before starting treatment for UTI in the future, always get a urine culture done.  Its more sensitive than nitrates in urine.  The other reason being, it tells us, which is the best antibiotic to use.Don't worry about being born with one kidney, as it's seen in many people. Your doctor may change the antibiotic, to a cephalosporin soon.  In active bleeding, your aspirin/ Clop .  Your prothrombin time, INR,and platelets must be checked periodically.  If you need an expert opinion, you may contact me directly. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 28 YO FEMALE WITH FIBRO AND RA, STARTED WITH PERIODS OF SEVERE NAUSEA ALTERNATING WITH PERIODS OF EXTREME HUNGER FOR 4 DAYS, UPPER ABDOMINAL PAIN STARTED 2 DAYS AGO, VERY BLOATED AND BURPY, AND CONSTIPATED, VOMITTED WHITE FOAMY SUBSTANCE ONCE, TAKING PEPTO AND PEPCID OTC NOT WORKING...ALSO TAKE ASPIRIN AND TYLENOL FOR ARTHRITS...NO INSURANCE WHAT CAN I DO AT HOME? TO SEE A DR I HAVE TO GO TO ER... ### REPLY: Do you mean fibromyalgia?with RA?, then 2nd one is more economic burden for any1 as its runes long 1c comes, if you have fibromyalgia along with RA, at least you should keep strict subdivision on your diet by ensuring it contains rt amount of protein along with fiber indie. As far as . Worry never solve problem, rather it makes you more painful to worry about pain itself.godless you, 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: hello Im a 34 yr old man who was told recently Im a borderline diabetic, I have since began a new diet and workout regime. I however during sex and oral sex in the past few weeks and months rather keep getting small paper cut like cuts on my foreskin after sex, sometimes during the night if Ive had a strong erection. and when I have sex or during oral.... Ive tried using triple antibiotic ointments. I even went to the emergency room where i was diagnosed with a yeast infection and may have gotten it from my girl friend. It has happened even in the absence on her not having one.... I have been told it may be thrush from bacteria in my mouth or hers. I have been told all kinds of things. I just want to know what its called, how to stop it, because it stings like hell and is affecting my performance and relationship. I cant even be intimate with my partner because its not healing .... Please advise ### REPLY: HelloThanks for query. Having painful cuts over foreskin and stinging is mostly due to what is called as Much Cutaneous Genital Candidiasis and is a first presenting symptom of Diabetes. You need to get your sugar levels done to confirm the status of your diabetes and take the medicines to keep it under control. Take antibiotics like Augmenting and anti-inflammatory medication like Diclofenac along with antifungal medication Fluconazole orally twice daily. Using topical antifungal cream like Candid cream for local application will help to prevent stinging. Ensure to wash your genitals with warm water twice daily. Ensure to avoid sexual encounters till it heals up completely. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 has a lump on the side of his neck that is very close to his jaw line where his jaw meets his ear, about one inch in diameter, pink in color, hard composition, and painful to the touch.  Any ideas as to what this might be?  My son has no known allergies but did have dental x-rays this morning for the first time.  Could this be a reaction to the radiation? ### REPLY: Hi, Welcome to . This could be Mumps Parotitis with preauricular lump in your sons neck just closet the jawline, as its painful and hard. This is not a reaction to the dental x-ray which your son had. Other possibilities need Second opinion from a Surgeon. I would hence suggest consulting a Surgeon and if need be decompressed the painful lump. Hope this would help you to resolve your query. Else Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Welcome with any other further query in this regard. Good Day!! . S. Genl-CVTS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I walked into iron post in target store and it hit my cheekbone and split my eyelid on the side--did not blackout had bleeding from split --it stopped --I drove home--had a neighbor butterfly split a lilies less than half inc no headache until today 3rd day is this to expected? ### REPLY: Hello, I can understand your concern. As the bleeding has stopped and no other discomfort is there except some pain and swelling, you can give it some time to heal. Having some pain and swelling is common after injury to any facial site. As face has high blood supply, the bleeding and swelling always looks severer than the injury itself. You can do ice compressions over the area and keep pain in control by painkillers and wait for some days for the injury site to heal. However, if the pain or swelling worsens, you develop fever or other discomfort, a physician should be consulted as these are sings of infection in the injury site. I hope this information helps you. Thank you for choosing . I wish you feel better soon. Best, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I don t know that my wife is a patient who is suffering from it, what is it? She quickly gets angry, aggressive, all the evil, and said to all the insults and threats. More than 25 years that she has taken the nerve pills, and relaxing. I do not know what to do. Could you help me, please? ### REPLY: Earle understand your concerns went through your details. I suggest you not to worry much. Anger and aggression are normally after effects of irritability. Your wife is somehow irritated nowadays. She could know the reason. Talk to her. Sympathize and help her. She needs you now. If need be, please take her to a psychologist for counseling. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Can wisdom teeth affect your tonsils? My tonsils have been swollen for the past three days very similar to the feeling of strep throat; however, there are no other symptoms such as fever or feeling run down. I have all four of my wisdom teeth, three of which are impacted, and this happens about 4-5 times a year. ### REPLY: Hi. Thanks for the query. As per your complaint swollen tonsils can be due to throat infection that can be strep throat also and not necessarily due to impacted wisdom tooth.BUT in case if you have impacted wisdom tooth and the gum flap over it gets inflamed due to insufficient cleaning leading to infection can cause radiating pain in throat as well as some level of infection to neck glands leading to their enlargement and swelling. If any of the wisdom tooth is decayed and painful it can also lead to pain and swelling of lymph nodes as well as to some extent tonsils, but it is not always necessary. I would suggest you to see an ENT specialist as you have recurrent episodes of consular swelling and get evaluated for the exact cause of it. If it is Strep complete antibiotic course will cure the problem and if it is due to wisdom tooth an appointment with the dentist will be required to find out whether the tooth needs extraction. Doing warm saline gargles can help you in both conditions whether related to wisdom tooth or tonsils. Hope your query is solved. Thanks and regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I was injured at work and had excruciating neck pain and an ambulance was called.  The paramedic said he was surprised that my BP was so low (normal) as I was in a lot of pain.  I do suffer a lot of daily pain due to ME/CFS and I want to know if coping with that daily pain would allow my body/BP to ignore the pain sustained in the accident and therefore not raise my BP? Thank you. ### REPLY: Hi and thanks for the query, Blood pressure for sure is expected to rise during situations of stress. Pain after the incident in your case of course is a stressor. However, it's not in all cases that stress is accompanied by an increase in blood pressure. Some persons are so efficient in the management or regulation of blood pressure during the stress events, by either limiting secretion of the amount of main stress hormones, a .  It is therefore not very unusual. Kind regards, Bain LE, MD ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 fatima 33 trying 2 ttc 6yrs now, been 4 icsi october 2012, was a sucses bt unfortunately miscarried @7.5weeks, now Im on ginette35, and currently in the silver section , on day 5 but stil no period, or any sign there of, when do I do a pregnancy test?  And can it b possible that I am pregnant, while on ginette35? ### REPLY: Cellophane you for your query. Technically, your chances of getting pregnant while on Ginette 35 are very, very low, if you have used the pills consistently and correctly without any irregularity. Please take a pregnancy test if you have missed your last period and are overdue by 3 - 4 days. That is the earliest when a home urine test would show you a positive result. If you are apprehensive because of your earlier miscarriage, you could go for an earlier diagnosis. This could be by visiting your gynecologist for a check-up, and having a blood pregnancy test or a pelvic transvaginal ultrasound scan. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have Grand Mal seizures. This morning in bed I had a bad seizure. I felt like I usually feel after a bad seizure - tired, weak and everything seemed foggy. However, when I got out of bed I noticed that my left leg did not want to raise up and my left leg hurt if I tried to even bend it. This has never happened before. I did take an Ativan What are your thoughts? Also, I have been told that there are lesions on both sides of the frontal lobe that have grown significantly. Furthermore, ten hours later my left legg still feels numb and if I even try to bend it. ### REPLY: Hi, I am .  I have read your question with care and understand your concerns. Let me try to help you // However, when I got out of bed I noticed that my left leg did not want to raise up and my left leg hurt if I tried to even bend it. This has never happened before//This is most probably post octal palsy //Also, I have been told that there are lesions on both sides of the frontal lobe that have grown significantly. Furthermore, ten hours later my left leg still feels numb and if I even try to bend it.//I would suggest you to consult a Neurosurgeon and Opt for Minimally Invasive Biopsy of those lesions - either under stereotype or under euro navigation Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Let me know if I can assist you further. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Iam a diabetic type 2.My complaint is a tickle in my throat I then start coughing (very hoarse cough) to the point of sometimes vomiting ,then the sneezing starts then my eyes water and nose starts to drain.This has been going on for months.Note some mints seems to temporarily relieve these attacts.What is causing this problem and what can I do about it? ### REPLY: Hello, The symptoms as mentioned in your post suggest that you might be having Allergic reactions to certain allergens. Management includes:1. Antihistamine preparations like Allegra can be taken for symptomatic relief.2. Montelukast preparations, which is used as a maintenance therapy to relieve symptoms of seasonal allergies.3. Nasal decongestants & intranasal corticosteroids can also be used.4. Maintain adequate HY . 5. Also make sure that you are well protected from cold, dust & other allergensDespite these measures, if your friend is having the symptoms, then it will be better to consult an ENT specialist to rule out any systemic cause. Investigation such as complete blood count will be helpful. Wishing a Good Health. Thanks & take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, For several months I have redness on foreskin and tip and heat in scrotum and anus, also some numbness along shaft of penis. Ejaculation can be painful in my anus as well. Tried various fungal creams and lotrimin made the redness worse. Doc says prostate is ok and got the all clear at the GU clinic. Have a constant crawly feeling in uretha under scrotum and into anus. Have not been given any antibiotics as yet. ### REPLY: HelloThanks for query, Based on the symptoms that you have I think you have infection of the prostate (Prostatitis)Consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to help to establish diagnosis.1)Urine routine and urine culture 2) Ultrasound Scanning of abdomen and pelvis 3)Semen examination and semen culture. Further treatment will be decided by him and will depend upon results of these test and final diagnosis. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 3.5 YRS OLD HAS BEEN DIAGNOSED WITH S.TYPHIO +VE 1:80 DIL.S.TYPHIH +VE 1:80 DIL .POLYMORPHS 49%,LYMPHOCYTES 43%,EOSINOPHILS 08%,MONOCYTES 00%,BASOPHILS 00%,E.S.R1/2HR 12MM,E.S.R1HR 26MM,PERPHERAL SMEAR MP:NEGATIVE,PERIPHERALSMEAR MF :NEGATIVE.COULD YOU PLEASE HELP UNDERSTAND SERIOUSNESS OF THIS? ### REPLY: Hi, I had gone through your question and understand your concerns. You should be worried but not too much. Your cholesterol is not that high to be very worried. You may easily understand from analysis that she has Salmonella type infection, which usually causes gastroenterocolitis at kids. I see similar cases amongst child .  From blood analysis you should pay attention to high level of eosinophils, it points to allergic process or helmintiasis. You can discuss this with your treating Doctor. ESR is also increased moderately due inflamed process, after treatment with antibiotics it will get back to normal range. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing your baby speedy recovery. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been having just a single solitary drop or two of blood exit my penis during urination.  I havent had any symptoms in line with an STD.  No fever, no pain, no itching, no swollen glands, no redness.  I do have urges sometimes to urinate but I always associate these with caffiene/coffee consumption.  I recently id some very strenuous leg squats and felt a little sharp pain at the very base of my penis...near the anus.  The urine comes out in normal color and stream but with close inspection I can always see one or two drops ending up in the bowl.bri ### REPLY: Hello, Thanks for choosing  for posting your query. I have gone through your question in detail and I can understand what you are going through. Well the most common reason for such a happening is aberrant blood vessels or ectopic blood vessels in the urinary passage which may bleed occasionally. You may get an ureteroscopy done to identify the vessel and get it treated. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, or want to know further about the same query, you can use the below-mentioned link:bit.ly/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My left leg knee replacement took place hardly month and half back. Presently I am going thro lot of pain. I also also have my back disc L4 and L1 L2 damage. TIred of eating Oxycrocent and other pain killers. Hot water salt bath helps temp. Can U. Suggests to avoid severe pain I go thro my leg and back pain. Night can not sleep et sleep disturbed ### REPLY: Hi Thanks for your query and Welcome to . I am . You have mentioned that you had a knee replacement surgery around 6 weeks back and even after that you are having a lot of pain. Normally pain after a knee replacement surgery should start settling 6-8 weeks from the date of surgery and should be a bare minimum at 3 months, and there should be no pain from 6 month onwards. But some patients can have pain for a slightly prolonged periods of time. Anyway if there is only pain, but no other s/s of inflammation or infection like Skin redness, increasing swelling, local warmth etc., then it can be managed by :- Ice packs for few more days-Change in the medications you are taking, maybe a combination of Tramadol + Paracetamol can be given if it is routinely used by your Orthopedic surgeon.- Physical therapy can be modified according to your pain tolerance as aggressive physical therapy can sometimes increase pain after knee replacement surgery.Also, you can initially limit your ambulation and other activities as per your pain tolerance, or as guided by your physical therapist. As far as your spine problem goes, I can advise you in detail if I have detailed information about your problem including neurological examination and relevant MRI images and report. Do not hesitate to contact me if you need any further assistance. Thanks & Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello a big intraspinal lipoma was partly removed 2007, operation went very wrong. Before operation no pain in lipoma area, only Ichadic pain left side hip, I could work full time. Operation was to prevent future problems doctor explained, just to make moore room for lipoma to grow for the future. After operation problems to walk, severe pain in op area 24/7, numbness in belly, legs, back, genitalia, impotens, anus, feces inkontinent, dont feel when the tube is full until last minute, spinal tube after op to tight, lipoma pressing against disc, where ever i turn i get no help from doctors. I do not know what to do, my life is ruined, and all the doctors i meet say they cant help me. I live in Sweden, I wonder how is it possible to widen the spinal tube so the lipoma can co-exist because the lipoma is intergrown with the spinal cord and can not be totaly removed, and how to rebuild the 4 back bones that is amputated and give back muscels more stability ? My back muscles have no support any longer and moving around like jello in the back, every step or movement feels like knifes cutting me up from inside. would be happy for guidens, what can be done ? //Peter ### REPLY: I wish you can meet a spine specialist and get yourself checked. For pain management you can meet a physical therapist for the non-invasive procedures which will help you. Post that a little exercise which will be slow and gradually increase. You will have to follow a close visit to spine surgeon and guidance of the physical therapist before doing any exercise. I hope you should get help for the future by keeping a close communication with a spine specialist and a passionate physical therapist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 low platlet count around 120,000 for the past two years im 38 yrs old. i have over the past year have been having acne also and slight weight gain. i have not been diagnosed w/ anything but the last doctor i saw told me that i could have something seriously wrong w me  and ordered alot of blood tests, should i be worried? what kind of illness could i have? ### REPLY: Hello and welcome to , Low platelet counts occur due to either decreased production of platelet pre-cursors in bone or destruction of platelets are its pre-cursors in the peripheral blood and in bone marrow. Thus, both of the above-mentioned causes of low platelet has to be managed. You need to consult your hematologist for clinical assessment and relevant investigations. Investigations will help to determine the cause of low platelet counts and thus treatment. Thanks and take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My both the Fallopian tubes are blocked, these are opened by Laproscopic on 15-09-2012 & on 23-09-2012 I take Lupride 3.5 for the Endometriosis . Now I already taken 3 Lupride Injections . Bleeding is occuring every 20 days after taken of Injection. Can I hv a chance to conceive in this month, Suggest me to YYYY@YYYY ### REPLY: Hi and welcome to the site. Chances of pregnancy would be much higher by doing in-vitro-fertilization. Most doctors are no longer recommending surgery to repair blocked tubes. The reason is that the surgery itself is very expensive. And results are not so good. Even if there is a pregnancy, there is a high risk that it will be in the tube. Money is better spent on in-vitro-fertilization. The women undergo fertility treatments to get eggs. The eggs are taken and mixed with sperm. After fertilization, the embryo is placed into the uterus of the woman. Chances of successful pregnancy are much higher this way. I hope this information has been helpful. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi sir.. i am 26yrs old male. I had history of malaria as plasmodium vivax being diagnosed on 11th sept, 2014.. but all report till now shows normal except LFT reports. mine SGPT/SGOT on 16th sept, 2014 showed 173/175 and today 20th sept. 2014 SGPT/SGOT its showing 289/130.. i am not getting any sign symptom for jaundice and malaria too.. what could be the reason.. m worried. ### REPLY: Hello and welcome to , SGOT and SGPT are liver enzymes which are elevated in cases of damage to liver cells or hepatocytes. Jaundice is caused by elevated levels of bilirubin and not by elevated levels of liver enzymes. Malarial infection caused by Plasmodium viva can infect the liver cells or hepatocytes and thus this can lead to elevated levels of liver enzymes. Thanks and take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor, I have recently starting to notice my hair looking thinner on one side of my head.I have read online about some reasons why this might be, stress, hormonal imbalence etc. I am taking the pill, Microgynon 30, but recently have not been taking it correctly. Could this have created a hormonal imbalence which may cause hair loss? Also what other reasons might be causing it? And what could I do to stop it? ### REPLY: Hello, You may be having halogen effluvium. Consult the dermatologist for the perfect diagnosis and proper treatment. The cause may be anemia, vitamin deficiencies, mineral deficiencies, stress, endocrine diseases, thyroid dysfunction, internal diseases' etcetera. Avoid taking any oral pills. I would suggest you the following:- Treatment of diseases if found.- Take biotin tablet daily.- Take vitamin capsule daily.- Apply mild steroid lotion on the scalp.- Apply herbal shampoo.- Do almond oil massage in scalp and hairs. 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 am going throgh medical treatment. My wisdom teetChatDoctore out long time ago.but recenty cheek behind the wppisdom teeth cut out by that teeth and i am feeling pain for 7 days. I am taking medicine is it sasafe to remove the teeth if the pain remains same ### REPLY: Hello, Welcome Thanks for consulting , I have gone through your query, as you have cheek batting due to wisdom tooth yes, treatment for this is Extraction (removal) of tooth. Go for extraction if your pain remains as same.  Do warm saline gargle two - three times a day.  You can apply ointment McCoppin or Colonel twice pain on cheek batting area it will give you relief. Hope this will help you. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son who is 13 years old has been diagnosed with an enlarged liver. The hepatitis tests have come back negative and the one mono test is negative.  We are waiting on one more Mono test to come back.  What else would cause a viral infection that enlarges the liver? ### REPLY: Hi welcome to  ... The enlarged liver can be from viral hepatitis infection as well as from fatty liver or from hemolytic anemia like condition... For viral hepatitis work up done with... -Sept and got estimation-hbsag detection -anti CV detection-serum bilirubin hemolytic anemia work up done with... -Peripheral smear examination -relic count -LDH estimation If needed he electrophoresis done to rule out hemoglobinopathy if present... Like thalassemia also can lead this... According to cause further treatment can be guided.... Take Paradise : physician consultation for examination... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Yeah I ve got triggamenneuralgia n if I don t snort a pill my entire right side of face n head hurts so bad that all I do is cry, my eye seeks like golf ball b runs infection down it n my ear feels like it s gonna explode n my head hurts from front to back, my nose Hurst my face my teeth feel like I wanna pull them out.what do I do ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concern... As per your complaint and presentation of symptoms the first thing that you have to do is to consult a NEUROPHYSICIAN and get evaluated for the exact cause of the pain as in case of Trigeminal Neuralgia as many a time due to any large artery compression over the trigeminal nerve can lead to severe pain along the course of Trigeminal nerve and until the compression is not removed pain recurs when medication is not taken. In such cases surgical decompression of the nerve from the artery by a procedure known as MICROVASCULAR DECOMPRESSION can help in relieving the nerve pressure and can resolve pain. Hope this information helps. Thanks and regards. . . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Have there been any clinacal trials or people who s already had a liver transplant but still has Hep-C. I hate to mention this but I m a disabled vet. who if I hadn t read my medical files and found out I had Heptocelluar carcinoma on my own...... I would be dead, right now! I have proof the VA doc s. never intended on telling me by my written records !!!. I discovered I has cancer from an MRI taken nearly two (2) years earlier from a clerck when I asked him to look up the results of a biopsy about four months afterwards. Never informed by my treating (Fellow) who naturally was taking orders from her overseer who was a, supposedly REAL Doc. and knew all of my history. If my wife and I hadn t of confronted them.... Well you know the results of them not treating me. I ve asked for the new drugs, such as the new AbbieV drug , but they say since I m already immuno suppressed.... I might develop cancer again????? Anyway... have there been any test on transplanted patients with Hep-C, which is destroying my new cancer. They also tell me....They want to wait until I get in 2nd or almost third stage liver failure. Does that make scense? Usually when I make the effort to contact someone outside of the VA.... They immediately drop contact with me as Cancer centers of America and others did! Are you the same or or you looking for money and then do nothing as they and the VA intended on doing? ### REPLY: Hi, I understand your resentment. If I am not wrong you had liver transplant some time back and is hep c positive. And now you are supposedly have CCI I am on correct line, then it is likely that the HCC is not very advanced stage. If that is the scenario, surgical removal is an option if residual liver is functionally adequate. This is often determined on MRI liver. Most likely the lesion is leaving surgical option out, that could be the reason you have not been offered. However, if HCC is confirmed and non-resectable then sorafenib is option. It can be given in hep c positive patientAlpha photo protein level will be helpful at this point for monitoring sure what you meant with abbrev .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Think i may be pregnant. This happens a lot, my boyfriend and i dont use a condom, but we use the pull out system. I always get scared that im pregnant. This time it is different. We went to the lake this weekend and i sat on the dock yesterday, and i am still motion sick when i stand up, my appetite has changed, and my ovarian area hurts during intercourse. If i were to be pregnant, it could be as far along as a few days ago, to a month ago. what could this be? ### REPLY: Hello dear, I understand your concern. In my opinion there is risk of pregnancy with pull out method because the pre-cum might also cause pregnancy rarely. And the sudden with . I am not saying it is not effective I am just trying to tell you that it might fail sometimes. Anyway just the symptoms like motion sickness, appetite changes do not suggest pregnancy. Because stress regarding the thought of pregnancy also might make one to feel pregnancy symptoms. That is why the pregnancy needs to be confirmed by doing a urine pregnancy test. The first sign of pregnancy is missed period. Other symptoms like vomiting, nausea,increased urination, sore breasts start 2 weeks after missed period. So if at all there is missed period I suggest you to do a urine pregnancy test a week after missed period. So relax. And avoid stress. Hope this helps. Best regards... ### END