Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 yesterday my dad had a fit - my mum described it like this: he was sleeping on the couch so he was sitting upright - out of the blue he started coughing and it got out of hand - his eyes started rolling up and down and she could see most of the white part of his eyes, his right hand started jerking and shaking and he was out for about 5 minutes - my mother and aunty were massaging him during the process, they tried slapping his face to bring him back but he wouldn t budge - it wasn t until my aunty massaged the back of his neck real hard that he came out of it - i was getting ready to take him to the hospital but he said he was fine - more info: my father had a triple bypass surgery in august 2012 which was successful, a couple of months later he was back in hospital because he had water in his lungs so they drained it out - this happened again in december 2012 but my father was getting ready to go to australia to see his kids and didn t go through the draining session however the docters advised that he d be ok for 3 months, my dad has just come back from australia (he spent 3 months there, he was taken to the hospital while over there cos he couldn t breathe properly but the tests came out positive so he was fine) .. should i have taken him to the hospital yesterday? he seemed ok today ### REPLY: Hi, Based on details your father had R) focal onset seizure with secondary generalization and loss of consciousness. Need to rule out L) cerebral hemisphere structural lesion. Since he had previous history of Triple bypass surgery risk of ischemic stroke producing seizure is high. Hence, dose of anti platelets should be increased after ruling out brain bleed. He also requires anti-epileptic . Consult nearby neurologist for further plan and management ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: good pm what does it mean when the wbc is 4 which below normal (5-10)and lymphphocytes .44 above (.2-.4) normal and eosinophils .08 above normal .01 -.03. all other blood test are normal. what food supplement to take and any remedy? thank you so much ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have slightly low WBC count and slightly high lymphocytes count.  It is very common in viral infection.  No need to worry. Just be relaxed. You should take symptomatic treatment. You should repeat your complete blood count after a month. It will come back to normal. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i have stomach bloating once i finish eathing potato or milk or peas or some other food.the next day it becomes normal.So iam taking now Pantocid DSR table for the past 15 days.i see so much hair loss.is there a side effect when we take Pantocid DSR tablet ### REPLY: Hi, Hair loss is unlikely to be due to Antacid DSR. Antacid DSR is a proton pump inhibitor which suppresses the acid production in the stomach and is commonly used in the treatment of acidity issues such as stomach ulcer, reflux disease, etc. Its common side effects include diarrhea, headache, increased risk of infections or osteoporosis on prolonged use. It is not known to cause hair loss. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am allergic to dust and change of temperature, each year in month of jan-feb-march (change of season from winter to summer and vice versa..) it become worse, During this allergic period, I keep on sneezing and I have running nose and eyes. Please suggest some medicine. I am facing same condition from last 5 year (my age is 31) ### REPLY: Hi, you have treat allergy in step wise manner. If you have allergy only during 3-4 four months time then you should start with antihistamine tablets. See for the results if there is no improvement then you have to go to the next step that is nasal steroid sprays. You have to start steroid nasal spray 3-4 weeks before your symptoms start. It gives very good results. If these sprays do not work then you have to undergo allergy test, an immunologist will do skin prick test to find out your allergic to what all substances. Once it is identified you will have to take immunotherapy. This I can assure will cure your allergy to up to 80-90 percent. Kindly go to physician he will start antihistamine tablets and nasal sprays for you. For allergy testing go to immunologist thank you .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I had a CT scan done in Dec. 2009 they found a 1cm angiomyolipoma in the upper pole inside my kidney, now having pain in my right kidney. I have had many kidney infections in this kidney since 1981 when I drank the water in western mexico and got a bad kidney infection. Had problems ever since. Does this usually grow and how big would it be 5yrs later. ### REPLY: HelloThanks for query. You have been detected on your CT Scan of abdomen to have Angiomyolipoma of a size of 1 cm in your Rt kidney. Most of the time Angiomyolipoma are usually detected accidentally when Ultrasound Scanning or C. T Scan is done while evaluating other kidney problems. These are benign lesion and if less than size of 2 cm do not require NY active treatment. Since you have single small (1 cm) Angiomyolipoma you need worry at all. As regards your query regarding time frame about its growth I would state that these are very, very slow growing benign lesions and need monitoring every 5 years by doing Scanning. Treatment like Embolization is advised only in a situation when they are large one or cause retroperitoneal hemorrhage. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: sir I have transplanted 2500 graft hair by fut method. Doctors have advised me to take medicine alongwith mintop 5% twice a day. but after a few days itching have started. Isit necessary to apply lotion on the transplanted area or what alternate medicine can be apply ### REPLY: Hello. Thanks for writing to us at  It is possible that you have developed mild irritation to topical minoxidil that you have been using. This happens because minoxidil is available in an alcohol based liquid, therefore can cause irritation and some scaling as well at the site of application because alcohol is . If I was the treating doctor I would have asked you to temporarily discontinue minoxidil for a few days (maybe 3-5 days) and let it subside. If itching is bothersome, you may use an OTC oral antihistamine e.g. cetirizine 10 mg once daily for a few days. Use a gentle cleansing shampoo. Once itching subsides, you may restart minoxidil applications, but at a reduced frequency initially e.g. once a day rather than twice daily. I would suggest that you discuss in more detail with your doctor regarding this. Your treating doctor may also start you on oral finasteride 1 mg once daily in addition to minoxidil. Finasteride is approved for An ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 lump on my left side of the neck for 5 weeks now,,,saw ent last week,,, wants me to get a scan and i didnt really want one now that it has gotten smaller,,,like 1 cm,,, was a 3 for a few weeks.... not sure what to do but i will go see him again this week and see what he says is the best thing to do now,,, i guess i should feel better that it has gotten smaller in size,,, I have been on two rounds of meds ,,, i dont feel sick and lump does not hurt,,, what do u think about the cat scan at this point and do u think it could be something i should take care of even tho it is smaller? thanks michele ### REPLY: HI, Dear,Michele. Very Good NOON from India. Thanks for your query. I understand your concerns. I studied your query in depth.-I would advise you not to worry. In my opinion its -mostly-resolving lymphadenitis. I would not advise CAT scan -as it's not indicated and cost-effective.-Treatment -Would be to Consult an ER Surgeon.-Tb-NSAIDs,-Antibiotics for 5 days time. If it reduces and vanishes in 2 was time OK. -If it persists still, then Excision Biopsy and treatment accordingly for the chronic lympadenitis of neck-mostly-TB? Scalp infection/ or Lyme / would be started by the ER surgeon and would take care of it.-Hope this reliefs your worry-some query. Welcome for any more queries in time to come. Have a Good Day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello I fell on my left knee a few months back, it did turn black and blue at that time. Now I have a bump next to my knee cap and it hurts when I stand shift most of my weight on that leg. When I have to bend it to walk away it s painful. What could have happened to my knee??? Please help. ### REPLY: Hello, An MRI knee is advised. As any movement is painful after the fall this might need an MRI to understand the soft tissue better. Post which we can comment on the soft tissue injury. As the bump isn't going away on its own you definitely need to take up a scan, so we can get the clear picture. Also, I will advise taking a scan and post which exercises like - static qua .  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: hello doctor, i am priya from Chennai. i am 24 yrs old . i completed my BE degree on may 2008 and i got married on march 2008. my husband is working in MNc.we had a boy kid of 1 yr old. now a days i have many confusions , i cant do my work properly.there is a mistake in everything.even i am housewife i cant sleep well. in college days i was bright but now everything is changed. i dont know what i am doing. i cant love anyone. i like to sit idle for many hours. i dont know what to do? i am not laughing now a days. everything is changed. i want to be happy and energetic but something is restricting me. suddenly i free zed out. i dont know what is happening around me.please help me doctor.i want to be i was in my college days.in those days i counseled for many of my friends but now i am not . please doctor help me. ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. The symptoms you provide here are actually serious introspection. This does not mean that you are having some serious mental disorder. These symptoms can also be present when you are disappointed. Disappointment brings on sadness, lethargy, inactivity, loss of sleep and total inactivity. I repeat, this could be disappointment. Now, think, what was those occasions, after your marriage, you got disappointed? Write them down. Analyze them and do the need full to overcome those disappointments. If you have the ability to study more and if you wish to do it, then do it. If you want to go for a career, do it. That way, you can free your creativity and lessen your negative thoughts. 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: Hello, My wife was pregnant. Today the doctor told her the baby vanished. The only thing i could find on line about this was vanishing twin syndrome. We were not told before this that she had twins. So how can vanishing hapeen with only one fetus. Thank you. ### REPLY: Hallow Dear, I can empathize your feelings. Had you mentioned the period of gestation, it would have been much clearer. Sometimes, the pregnancy has a typical variety wherein the gestational sac is present without embryo (baby) in it. This is called as Blighted ovum. Such pregnancies do not grow and terminate by themselves; if not, termination of pregnancy is indicated. Your wife seems to have this type of pregnancy. You have no option than terminating the pregnancy. If you want to discuss the case in details with more precise history, you may ask me Direct question.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 two year old and a 1 yr old which are both teething one has her molars coming out and the other one has his 8th front tootChatDoctoring out and they are both filled with a little bit of pus is this normal? My 2 yr old who has her molars coming out they are bleeding and she doesnt want to eat she has a throat infection and ear infection can the pus on her gums be part of the infection as well? ### REPLY: Hi, Thank you for the query.  Formation of pus is exclusively because of the infection in the teeth or gum. 1 yr old has pus in front teeth so pus should be .  In case of 2 yr old child you said bleeding in the gums from the site of eruption of molars along with throat and ear infection i.e. again because of the infection. Throat and ear infection never lead to pus formation in the teeth or gums definitely there should be a local factor causing it so see the dentist soot hat the reason can be ruled out. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello doctor..today is my 4th day after embryo transfer.. but from yesterday onwards i got free motions..everyone will get constipation instead of free motion..i dnt knw y it happens to me. Is this indicates a negative pregnancy. This is my second IVF... I am fearing about results ### REPLY: Hiwell I have read your queries in details, first be calm don't panic well truly speaking there is no correlation between embryo transfer and loos emotion anxiety itself can cause loose motion well in that case first calm down take home remedies for loos emotion like coffee, pomegranate and apple juice avoid medication as you have undergone embryo transfer and believe me it's not at all negative sign of pregnancy have faith and be patience ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 a healthy, active 31 yr old. I have a small hard lump, about the size of a large pea, on my lower left leg in the center between the ankle bones.  I just notices it a few days ago after stretching and massaging my foot after running.  It doesnt hurt and is not mis-colored.  What could this be? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some benign cyst like ganglion cyst. Or you may have some soft tissue tumor like lipoma, neurofibroma or dermatofibroma.  You should go for biopsy. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Four months ago, I jumped into the split and heard a pop/snap followed by a burning sensation on my upper thigh near my butt. I limped for days, and couldnt lift my leg. Four months later it still hurts to stretch or flex my right leg. I didnt fully have my split and i landed kind of wrong with my foot flexed. ### REPLY: Hello, As the pain hasn't come down over a period of 4 months I request you to get it assessed and examined under an orthopedist. As this might be due to either ligament sprain at the hip joint or nerve entrapment at the lumbar level. Due to which the motor movements of the muscles have been compromised. Since there was burning sensation I suspect a nerve pull. This needs rest initially and later a guided exercise program to retain the muscle strength. As joints are supported by muscular system it is always good to get a diagnosis under a physical examination and assessment by an orthopedist and take the call for MRI for hip or lower back. As you were doing splits there might be a labrum injury which needs to be assessed. Kindly have a diagnosis and then look forward for the exercise session under a guided physical therapist. 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: I have been Dignosed with a Bakers Sist,I would like to know if the sist could cause stiffness in my leg. Also could the sist cause pain and makeithard for meto squat and for meto get Upanishads down without using my arms to push up to assist me into standing up. It has gotten muh harder for me to stand after squatting. ### REPLY: Hi thanks for your query, Bakercyst it is a sac contains knee joint fluid, usually presents behind knee joint. Often it does not cause paint may cause tightness or stiffness behind the knee. Swelling behind the knee that may get worse when you stand. Slight pain behind the knee and into the upper calf. You are most likely to feel this when you bend your knee or straighten it all the way. If a cyst does not go away, or if it is causing a lot of pain, your doctor may . Rest your knee as much as you intake painkillers as per doctor instructions I would suggest you to visit your doctor and have discussion him. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 femoral neuropathy for 4 years after bypass surgery. Neuropathy is mute compared to the pain i begin having a couple of months ago. I thought it was gout but I know better now(I wish my doctor did) .my left foot is swollen and painful to walk on. Gout medicine does nothing at all. Searching in hope, I came upon Charcot foot. Is it possible that this could be the problem ? Prior to getting this whatever,I could handle the pain and discomfort, but Now I walk with 2 canes if or when I do get up. My foot. Is swollen,cold or warm,m toes have. Little feeling and noway will the doctor help with pain pills due to taking Gabapentin and Tramadol..life sucks at 66 . Please help,Please..174 Doctors online and I can t even get a rip without having $15 ? I hope you all sleep well tonight,I MOST CERTAINLY WON T... Ed Amy of you take THE OATH.? ### REPLY: Hello, The chief symptoms you have are pain and coldness of the leg. Along with swelling. Now the very first diagnosis that I would think of in case of these features is a thrombosis of the blood vessels. That would explain the symptoms best. I think the bypass vessel graft was taken from the same leg. So it's likely that the area supplied by the blood vessel is involved and affecting you. This usually doesn't happen because the remaining vessels pick up the function of the vessel removed. Maybe that has not happened in your case. Another possibility is that the previously normal vessels are getting thrombosed. I would recommend testing with the Doppler study. That will be able to detect the thrombus. If found, you will need anticoagulation medicine like Warfarin. 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: Hey. I m 19 years old and I took plan b about three weeks ago. I had mild side effects such as mood swings, muscle strains, headache and more. When I took it about 3 years ago I was suffering from numbness of the face, hands and feet.. Muscle pain, intense ear pain with tingling in my head. Anxiety and stomach upsetness. I noticed that as I get older the side effects become less and less. But i noticed something unusual about this time, even though i was getting my hopes up of not getting any serious side effects. I noticed that when i turn my head to a specific direction, there is a crunching noise in my right ear. And again, i m in perfect health never had any health problems but these stupid side effects that plan b causes. I m wondering if this is all in my head and if i should just wait till it goes away.. i mean it doesnt hurt or anything. I can live through it. also my chin and cheeks tend to get numb and tingly. Any suggestions? Is this normal? Do i really need to go to the doctors for this? ### REPLY: Hi, Thanks for the query. Plan B contains levonorgestrel. It can be used for emergency contraception. Usually emergency contraceptive pills present with symptoms like nausea, breast tenderness, bloating sensation etc. For more details : http://srsree.blogspot.in/2012/08/emergency-contraceptive-pill-short-term.htmlBut causing neurological problems is somewhat abnormal with contraceptive pills. They can cause headache, dizziness etc. But pain in ears, numbness etc. are not common side effects of emergency pills. So, if the symptoms persist, once consult ENT surgeon and get examined to rule out any ear pathology. If no abnormality is detected, the symptoms could be psychological and possibly subside soon. Better to avoid repeated intake of emergency pills. 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, am 28yr old. Last few months back due to depression i have smoked a lot and even when I was having a huge cold(flu) with lot of cough. Now, I am ok from the depression as well as from my flu since last 2months but somehow I am feeling very weak and energy less. I am also getting tired very easily with little physical activity. Also, sometimes when I take rest at my work places I suddnely goes into numbness of my limbs (like paralysed). and then I cant move them for next few minitues. sometimes even I feel that i go unconsious inbetween my daily life. Even my mind is not working as sharp as early it use to. Also there is a feeling sometimes that I am about to die soon as I really feel enegy less at some points in my daily life. I want to know is that some problem with my health or it is just I am overconsious as I am working very hard. ### REPLY: Hello, Your symptoms could be related to anxiety. Anyway, I would recommend performing some tests in order to investigate for possible metabolic causes that may mimic this clinical situation:- Complete blood count, PCR, ESR-Blood electrolytes- Thyroid hormone levels-Vitamin D and vitamin B12 plasma levelsNerve conduction studies would help examine your nerves and exclude any possible neurological disorder. You should discuss with your doctor on the above tests. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had an ablation on my heart, during which they damaged the right bundle branch. I am having multiple ectopics for which the Dr prescribed beta blockers.  I have had to come off them as i was having severe visual disturbances.  My heart rate as we speak is 130. Is this dangerous. I have been referred back to my cardiologist for a more specalist heart drug ### REPLY: Thanks for your question on . I can understand your concern. Yes, you should definitely consult cardiologist to rule out arrhythmia (rhythm disturbances in heart). Since you had atrial fibrillation (AF), possibility of recurrence of AF is more. So get done ECG, 2d echo and Holder monitoring (24 hour continuous monitoring of ECG). Early identification and prompt treatment is needed because this can be dangerous and life-threatening. You may need anti arrhythmia .  So consult cardiologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doctor,i am having problems in semen count, it is very low(0.05million/ml) also motile sperms are 0%, doctor says that there is a slight problem in blood flow in my pennis, and suggested to take Nanoleo and caverta50. kindly let me know if i can take those tablets ### REPLY: Hi, Both Caver ta 50 mg and Nan oleo are only helpful for Erection problem, both did not have any role in Sperm production. If you do not have any Erection problem please avoid those tablets. Your semen count is (0.05 million/ml) is very low. You need detailed Fertility work up. Please do repeat semen analysis with minimum 3 days to max 5 days Sexual abstinence. Check your early morning fasting Serum Testosterone, Serum FSH, Serum Prolactin, Serum LH, Check for Varicocele (Scrotal Doppler scan). If any correctable problem u have correct the problem first then take the following .  If Everything normal take Tab. Caring (Twice daily for 3 months) and Tab. CCQ 50 mg (Daily night for 25 days in a month for 3 months). ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 a breast cancer survivor, 3yrs out, with lymphadema in my left arm.  I have had flair ups of the lymphadema before, but this is weird and extremely painful.  Thursday night while driving home from work I realized I couldnt grip the steering wheel with my left hand.  Got home, took my sleeve and glove off and my hand was painful and swollen.  My pinky finger is a sausage, the joint where my pinky meets my hand is extremely painful, the palm of my hand is swollen, and my wrist is painful.  Then today I am developing a rash from underneath my breast to my waist??? I was going to go to the emergency room, but doubted they would be able to do anything...any ideas? Thanks in advance... ### REPLY: Thanks for your question on . I can understand your situation and problem. Since you are breast cancer survival patient, following are possible causes for your symptoms. 1. Lymphedema. Breast cancer is known to involve axillary lymph nodes. And it can cause obstruction to the lymph flow. And hence painful swelling of hand can be seen. 2. Cutaneous spread of breast cancer. Rashes on breast and painful edema of hand can be due to metastatic involvement of skin. 3. Cellulitis (skin infection). Cancer patients are having lower immunity. So skin infections are very common. So better to consult emergency room, discuss all these causes. First diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a tooth on the right side that has been sensitive for the past 2 years my dentist says it is not infected and fine.  5 days ago I started having swollen lymph nodes right under the jaw line on that side.  They sort of itched or were numb feeling I dont know how to describe it.  Today my jawline is a little red and splotchy.  Lymph nodes still feel the same.  Also my tongue feels like I burnt it.  that statred last night but i dont remember doing anything to it.  I am on prilosec and zantac for what my doctor believes is an ulcer.  I am a 27 year old female ### REPLY: Thanq for your query the sensitivity of tooth and the subsequent lymph node swelling you described indicated that the tooth has infected internally and externally may look absolutely fine. Visit your dentist and ask for an X-ray in that region and if there are any abnormal changes the further treatment will be done by your doctor.  There is no need to use Prilosec and Santa unless you have gastric ulcers or taking painkillers. don't use the unnecessarily.  Use McCoppin if u have ulcer on tongue, this topical medication is just sufficient. Apply it before you take food.  Another cause for feeling of burnt tongue is vitamin deficiency. Eat lots of green leafy vegetables and fruits. Anemia could also cause burning sensation of tongue. This is seen during your menstrual cycle. So don't worry. Make slight changes in your diet. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi sir i have done semen test. Qty : 3.0 ml and colour milky white and appearance : Mucoid and frank blood: absent Reaction :alkaline and Fructose test : positive No. of spermatozoa : 110 ml/min good fast direct forward progression : 55% normal forms : 81% epithelial cell : 1-2/hpf pus cell : 2-3/hpf red blood cells : nill Sperm agglunation : absent granular debries : absent immature germ cells : 2-3/hpf ### REPLY: Hi, Welcome to , I am .  The amount of semen is normal, color, reaction, are normal. Positive fructose test indicates you have normal prostate function. Sperm count is normal, in fact it is higher than normal, The motility is normal (>50% as per WHO 1999). Normal forms of sperm is within normal limit. There is no other problem.  So, the report is quite normal, and there is no abnormality for which you need attention. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 age is 35, hight is 5 fit 6.5 inch.  My weight maintained 70-74 KG.  My ultrasound shown : 1) Hepatomegaly with fatty infiltration of liver grade-II. 2) Right Renal Conretion 3) Cystitis.  In spite of this, My penis twisted towards left side showing some veins on right side. Sometimes, some veins on left testicle emerged whenever the hot season or rainy season.  Some ache occurred on the right stomach to backside with waist.  May kindly tell the reasons and the treatment etc ? ### REPLY: HI, thanks for using  Parodies disease is a condition where the penis is curved. The extent of the curve can vary from one person with the condition to the other. The exact cause is not known. There are different treatments that can be tried such as the use of oral medication, injections. Some examples of oral medication are vitamin E, colchicine, verapamil, co enzyme q. Surgery is the last resort. You can consider visiting a urologist for management of this condition. In terms of the fatty liver, this is common. At present the ultrasound did not show any inflammation of the liver or evidence of failure. This means that by adjusting your diet and activity, it would be possible to prevent any further liver problems. You can consider reducing your use of carboy . Cystitis means inflammation of the bladder, this is most commonly due to infection which is treated with antibiotics. 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: For the past 3 days, I ve been having severe chest pain with a burning sensation in the middle of my chest. It literally takes my breath away and makes my heart race, then it eases off for awhile. I ve been debating on going to the ER as it keeps recurring. If it continues, should I go to the ER? ### REPLY: Hi I do care for your concern. Most of the time the pain in middle of chest and burning type suggest more of ulcer related pain. I would advise starting on antacid medication such as omeprazole low dose two times a day for two weeks. If the symptoms persist during the treatment then it is advisable to consult your physician and get an electrocardiogram done to rule out heart related causes. Hope your condition returns to normal. Hope I have answered your question, if you have more feel free to ask. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doctor i am 31 years old 7 years before i  do sex  some lady without condom so after some days fever 99 i was check some time hiv test but report is negtive so fever is contioue at this time i am very confuse so iam desided i am suside please help me ### REPLY: Hello, I understand your concern. I am , infectious diseases specialist, answering your query. In my opinion there are no such diseases which causes fever after the sex. But from your complaint of doing suicide, I can guess that you have SOE psychological symptoms. You should think of visit to the psychiatrist. They council you and give you a good therapy. So you can be all right soon. I will be happy to answer your further concern, you can ask me on bit.ly/ .  Thank you. ChatDoctorInfectious diseases specialist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, My son who is just 3 months old has bunch of white hairs in his center of head and also has hair fall problem. He is ceaserian baby, we parents dont have any white hair still now and no genetic history of white hairs in our family. And my question is : Is this is curable? . Any treatments available for this? ### REPLY: For such an all baby, wait and watch policy should be adopted and no need to worry. If at all some generic changes have taken place, you can't do much. C/s has nothing to do with white hair.However, cherubic myrobalan powder may be given approximately 125 mg with honey daily (its best friend of infants as per Ayurveda classics). Similarly, Embolic extract (Indian gooseberry: Phyllanthus Emilia) juice one to two fresh .  Fresh juice extracted every day at home pl. These two things will show benefits without side effects if its not severe genetic change. Hope it helps. For any further query, pl write direct question. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 everyone,One of my friend (not a close one) has asked for 50,000 inr, as according to him his father needs a kidney transplant as soon as possible. He says that the donor has asked for 5 crore rupees. He has managed to get 4.99 crores and is in shortage of 1 lakh. I dont know whether its true or he is bluffing. Please let me know whether the general cost for a kidney is 5 crores or what. I dont have any idea about organ transplant and am in a complete dilemma. ### REPLY: Hello and welcome to , It is illegal to sell or buy organs. There are some organs like cornea, heart, brain, liver, kidneys which are donated after the death of the person. Consent is very important in organ donation. The consent is given by the donor during his/ her life or by the nearest kin after death. And there are some organs which can be donated during life of person like bone marrow, one side kidney and part of liver during life of the person. The high cost involved in transplants is associated with expertise of the procedure and the cost of the organ. However, it is not as high as mentioned by your friend. The cost is in few lakhs, more in private centers as compared to that in government ones. Thanks and take care. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have what has sometimes been diagnosed and psoriasis and sometimes as i am not sure what it is. It is a form of psoriasis. I usually have to take an antibiotic to keep infection down. It is not helping at this time. My skin is very inflamed and itchy and i feel like i am having an alergic reaction on the inside and outside of my body. I am unsure what to do at this point. I don t usually itch with my psoriasis as much as i have this week. I am wondering if i need to see a Dr. to get a steriod shot or something. ### REPLY: Hi. I think probably you may be having allergic dermatitis along with psoriasis.... Psoriasis is a chronic relapsing and autoimmune disease. You may be having scaly plaques on various parts of the body, scaly lesions on the scalp. Exact cause is not known. Genetic tendency, autoimmunity, stress, . .etc. may be responsible for precipitation and exacerbation of psoriasis. You said that from last few days you have inflamed skin with itching...that would be due to allergy. You consult dermatologist for firm diagnosis and treatment. I usually recommend cap accretion 10 mg twice a day along with methotrexate 15 mg weekly in three decided doses 12 hourly...for psoriasis. This may be taken for long time till good response. Blood tests may be done to monitor the treatment. For itching, you may take antihistamines like levocetirizine. If needed, steroid may be taken for short period in tampering dose. Antibiotic course may be considered, if there is secondary infection. You may apply mild steroid cream or calcitriol point on the lesions on the psoriasis lesions. You may apply moisturizer to improve the skin texture. Furthermore, you should avoid soap bath for few weeks. And you should free of stress and worries as that might worsen psoriasis. For inflamed skin, you may apply antibiotic cream. You might get good result. I hope you got my answer. 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 I ve had a swollen lymph node on my neck for about two months. It s not painful nor does it move when I touch it. I feel fine no sickness and have had an ultrasound on it. It showed no abnormality. My doctor said it was due to my two year old catching all kinds of bugs but he has not been sick or around other kids much at all. I m just after a second opinion on whether or not to ask for a biopsy. I have lost a bit of weight (not much) and find it hard to sleep at night because I get so humid but not sweaty even with a fan on. ### REPLY: Hello, Well I would like more information if it was possible like: the localization(behind the ear or above collar bone etc.), other symptoms if you had when the lymph node appeared (like fever, sore throat etc.). As I don't have them and reading your history I would suggest maybe to ask for a biopsy. The fact that it doesn't move, or it is not reduced through this time, and you get humid while falling asleep and the lost of weigh, it is indicated for a follow-up. Maybe you can repeat an ultrasound, a blood analyze (looking for leukocytes) and then the biopsy. If you can't do all this again, go directly to biopsy.(a swollen lymph node more than 2 weeks and not painful doesn't move it is indicated the biopsy). I hope my answer will help you, Wish you 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: Hi doc my name is andy and have a severe pain on the hand side of my chest which is effecting my back also its so severe that i have a heavy pressure in my head and have been to numours dockter i hardly sleep at night and if i do i have to sleep staight in a chair its been six months now ### REPLY: Hi, The severity of pain in chest and head pressure indicate definite issue of respiratory system with anxiety manifestations. The chest pain can be due to underlying bronchitis, rib inflammation pneumonia, or else.  The X-ray chest and basic parameters' evaluation as BP, blood sugar are primary steps to proceed for the diagnosis and then comes the management part ahead. 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 ve had pain since this morning that started like a cramp in my lower abdomen and has gotten worse over several hours. It is bearable when I am sitting and is very painful when I walk. I had a hysterectomy 2 years ago and do not have any female parts, no appendix or gallbladder. I am not sure what it can be? ### REPLY: Hi! Good evening. I am  answering your query. If I were your doctor, after a general physical examination, I would advise you to avoid food from outside to prevent any kind of intestinal infections causing the cramping. I would also go for a routine blood test like a CBC, and a routine stool and urine test to rule out any parasitic infections and/or a UTI respectively and treat it if positive. In addition, an ultrasound of abdomen would rule out any other intra-abdominal pathology. 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. . 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: Hi, I have just noticed small round spots around my calf muscle on my left leg. I have really itchy legs sometimes and the other day I was in the bath and this one spot became incredibily itchy so i itched it as normal but then noticed today teh spots. Obviously noticing them now its in my head that they hurt more, just wondering what it could be? ### REPLY: Hi, Thanks for writing in . The condition can be allergic contact dermatitis, lichen plans, muscular eczema, purpuric dermatitis etc. Diagnosis cannot be made without visual clue. Treatment depends on diagnosis. A visit to dermatologist will confirm the diagnosis. A skin biopsy may be required for diagnosis. Till the time you can take tab. Cetirizine 10 mg twice daily. It will help in decreasing itching. Hope this helps. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im a 21 yr. old female and for the last couple of months. Ive had a hard like bump on my upper right arm. It doesnt seem to go away, and I find it itching.. Its about the size of a pea. I thought it would go away, but it doesnt seem to have decreased in size at all. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some enlarged axillary lymph node. It can be due to reactive hyperplasia. Or you may have some cyst or soft tissue tumor.  You should go for fine needle aspiration cytology or excision biopsy.  It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have problem remembering thing whenever i study? It takes a long time for me to absorb the information and then when i remember they slip away the following days.Its difficult for me..I really need to retain what i have study.Its just frustrating! Any help thanks.And could i be suffering from something serious? ### REPLY: Dear Sir/ Madam, Thank you for posting you query at .come advice you to study at relax mode. Do not take your study as a stress. Always study a subject with the fun. It is better to understand the topic well and correlate in practical. Exchange your thoughts and answers with your friend or college, this will boost your confidence. Proper sleep is also very important. Avoid continuous study at stretch. Swim, talking to friend, stroll, recreational break in between will help.  Vitamin E rich diet, protein rich, fish diet are advisable. If you have any further query please revert to me. Your reply with thank you note will be very much appreciated!! With best wishesTehzib Sailed(PT) ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 diagnosed recently igA Nepthropathy after a renal biopsy , my serum creatinine level is 1.89mg/dl & protein in the urine is +300mg. Now i am taking below mentioned drugs, Methylprednisolone 4mg Irovel 150mg( Irbesartan ) Esomeprazole Kindly check & advise below points, 1. How long can i live without a transplant or dialysis? 2. How long can I live a healthy life before the transplant? 3. Is this curable? 4. What about the pregnancy? 5. Is this is a serious case? Thanks for the support as I am in a deep trouble with this. If you needs i can send my biopsy report as well. B Rgds ### REPLY: Hi Latin .  Let me answer your specific questions. 1. You need to repeat the urinalysis and renal function tests every 6 months and monitored. If there is increasing changes, then you will need to go in for a transplant. 2. You can live a healthy life even without a transplant for more than 20 years, provided your renal functions do not decline. 3. Currently, there is no cure for IGA Nephropathy. However, therapies can be initiated to delay the onset of need for dialysis and transplantation. You are on the right medications for this. 4. IGA nephropathy is not a strict condition where in you cannot conceive. However, you need frequent follow up with the Obstetrician. 5. IGA nephropathy is the most common cause of glomerulonephritis in the world. It is a common condition and is not an acute life-threatening condition. Damage to the kidneys occurs over several years. I hope this helps. Take care.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: What does osseous structures are grossly unremarkable mean? I m a 22 year old girl who is having problems with doctors an hospitals no one can seem to get what s going on with me. Just about a year ago in mid fall I had to go to the er cause I had this very bad pain in my abdominal aria an they do a buntch of test an tell me that I have function ovarian cyst on my lift an right overy an that the one one there right side is about the size of a golf ball then on the left side I have more then on that s like the size of pirlse. They send me to a doctor for it who puts me on birthcontrl an to see if that would help my pireds an it did for a little bit until things got worse I was in so much pain it was bring me into tears then I was weighting at 109 an in less then a mouth I go down to 98 ponds so I end up going to the hospital an they do test an tell me that my cyst have got bigger an then they send me to a bgyon an she took blood an is doing test an stuff but tells me that its not cyst that its a kidney stone that is big an is trying to pass but could be to big to pass an I seen my xrays an now there saying that nothing is there. What could be wrong I stay in pain most of the time an I can t keep food or drinks down alot I just don t understand. An the pain is like a sharp stabing pain that s heard to go away. Sorry to make this so long I just really need some help an see what someone else thinks ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have ovarian cyst or kidney stones or some other cause.  You should go for ultrasound abdomen.  It will give you exact diagnosis whether it is ovarian cyst or kidney stones.  Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. My grandmother was diagnosed with advanced bowel, liver and pancreatic cancer about six weeks ago. She was in hospital for 3 weeks before being allowed to return home for palliative care. She had 2-3 doses of morphine whilst in hospital for the pain and has been able to manage on regular doses of weaker painkillers for the last few weeks. In the last 48 hours she has deteriorated rapidly, is unable to eat and is in a great deal of pain. She is cared for 24hrs a day by her daughters, and last night the district nurse was called out to administer morphine. She has been taking further doses every fours hours since. The macmillan nurses are visiting tomorrow with a view to putting her on a morphine drip. I realise that there is no crystal ball, but in your experience, how long do patients usually survive once the drip has been administered. Also, can the patient hear whils in the coma-like state? Many Thanks. ### REPLY: Hello dear. I appreciate your concern for your grandmother. It seems she is suffering from terminal cancer illness and at this pint of time it will be wise to put her on adequate painkillers as she won't be able to tolerate the chemotherapy. Your doctor can also try patch form of medication(buprenorphine and fentanyl) instead of morphine to relieve the pain. She also requires injectable fluids and nutrition. With all this supportive therapy her survival will be 4 to 6 weeks. Hope that solves 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: hi i have had this lump on the top of my spine for over 2 months now it changes in size and sometime affects the middle of my spine and causes pain im 21 years old and have a son of 8 months. it also causes my right shoulder alot of pain right around the shoulder blades.. have you any idea as what this may be? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some soft tissue tumor like lipoma, neurofibroma, Schwann or something else.  You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact idea regarding cause. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: on june 23rd i got internal rotation surgery on my femur and had a titanium rod put in. they cut my bone and inserted through there. i cant walk anymore and im trying very hard to figure out watch the recovery time is til i can walk again or even bear my own weight ### REPLY: Dear Patient, Welcome, and thanks for sharing your concern I went through your query, and want to know for what reason was this surgery done. I feel if surgical cut is made and fixed with intramedullary nail than weight-bearing at least partial can be done early if fracture is stable. If there is any instability than weight-bearing is differed till union signs are seen which means about 2 to 3 months hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My wife has Polycystic ovary syndrome and has irregular periods since early age (18 years old). She used to get period irregular periods in intervals of 1-3 months. In this regard, we visited Fortis Mumbai and started the treatment there. 1. At Fortis Mumbai, we were suggested to take female contraceptives for 3-6 months with the hope that it might help to regularize periods and try naturally afterwards. We tried for 3 months after that but this did not help as there were muliple follicles and mature follicle/ egg formation. 2. Thereafter, we were suggested to go for Clomid to stimulate ovolution. We tried this method for another 6 months but this did not help inspite of increased dosage. The scans during this time still reflected multiple follicules and no single mature follicle (upto maximum 10 mm size). 3. After that, we shifted to Bangalore with the focus of getting results in this regard and visited Fortis Bangalore . We were suggested to undergo various tests like fallopian tube ( HSG ), tuberculosis, semen analysis etc. All the tests were normal and she confirmed that Polycystic ovary syndrome ( PCO ) is the only problem and that we should go for IUI as taking clomid for long duration may have side effects. 4. Since then my wife has undergone 3 IUIs and there has not been any positive results, with no explained reasons for failure. We have been suggested that we should try for 3-6 IUIs before thinking of IVF. During the 3 IUIs, genotropin injections was taken from Day 2 for 7-10 days and .The egg formation has been proper and size of mature follicule at the time time of doing IUI has been 18+mm. All this while, my wife is taking follic acid, metformin and CoQ tablets. However, at this point we thought of seeking your expert opinion since you are an expert in this field. Requests your inputs . what should be our next course of action and please suggest best doctor who is PCO specialist in Bangalore. ### REPLY: Hippos is the most common problem nowadays. The main reason for this is stress, sedentary lifestyle, bad eating habits. Weight is the major culprit here. Metformin will help here to certain extent but major effort should come from the patient, she should walk for 1hr daily, cut down oily food, sweets,junk food like pizzas, should keep her mind calm for which meditation will help. Along with these measures consulting good gynecologist will help you. All the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doctors. I had unprotected sex morning of may 24. I was looking for possible EC pill but only found nordette on the second day. I took 4 pills on the 68th hr after doing the deed and the other set of 4 pills after 12 hrs. Im worried because it was past 72 hrs already when i took the last set of pills. Will it still be effective? Im due to have my period around 1st week of June but the wait is killing me. I saw this forum and just thought i cld get answers. Help please ### REPLY: Hallow Dear, If emergency post-coital contraceptive pill or Plan B pill is not available, double dose of regular contraceptive pills does work as post-coital contraceptive pill if you take within 72 hours of the unprotected intercourse. So even if you had consumed two pills of Corvette 28, it would have given you protection. There was no necessity of repeating 4 pills again after 12 hours. Corvette 28 are levonorgestrel and ethanol estradiol pills while routine Plan B pills contain higher dosage of levonorgestrel. With your first Corvette 4 times dose, you have given due protection against pregnancy. You need not take the stress about it. Now because of all these pills, there is a possibility that you would get some amount of with .  Moreover, your following menstruation may get delayed by few days to a week. You need not be concerned about these events. Patience with masterly inactivity and waiting will do its natural function. I hope this clarifies your doubts.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Sir, My wife is suffering from bipolar disorder and taking medicine of Dr.jhawar Varanasi. Now we are in Delhi and we cant find a medicine T-Meat-50. Will you guide me to where I find this medicine in Delhi? Please also write Doctor Name and address where I can go in unexpected situation. Thanks sunil Tiwari YYYY@YYYY 0000 ### REPLY: Hi, First bipolar is disorder in which patient has episodes of mania and depression on different points of life. Treatment also needed change according to patient mood. Due to that it is advisable to have regular psychiatrist visit. For current assessment and treatment, you can visit psychiatrist in Delhi with treatment record, so that he can give you prescription for T-Meat-50 or its alternative. I hope this information has been both informative and helpful for you. Wish you Good Health.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had experiences over the past 2 years of episodes of coughing, production of mucus, wheezing and I have been to a doctor who says my lungs are clear. But I am thinking I may have COPD. Never smoked, but was in a second hand smoke home during much of my childhood (friend). How is the best way to diagnose and treat COPD. ### REPLY: Hello, Yes, you're all symptoms, cough, wheezing, mucus production are commonly seen with COPD (chronic obstructive pulmonary disease). PUT (Pulmonary Function Test) is a must for the diagnosis of COPD. So, it is better to consult pulmonologist and get done PFT. PFT will not only diagnose bronchitis, but it will also tell you about the severity of the disease and treatment is based on severity only. You may need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a massive toothache the week of nov 11th so I went to the dentist so I was told that I had an infection in my right lower wisdom tooth and that it was on the nerve I was given antibodics and pain meds. So I was referred to oral surgery so when I went on Nov. 17th my neck was swollen and I could barely open my mouth the dentist numbed me up and pulled all four of my wisdom teeth out now the pain is manageable but on the right side where the infection was at still hurts my ear and my throat and I still cant barely open my mouth. What can I do about my throat cause  I finished all my medication and it feels better after I spit ### REPLY: Hello, Thanks for consulting ChatDoctorRead your query as you have toothache and infection in wisdom tooth and undergone extraction of wisdom tooth pain and reduced mouth opening is seen in some patients after wisdom tooth extraction. I will suggest you to consult your dentist for follow up and follow post extraction instructions, maintain proper oral hygiene. Do warm saline gargle two - three times a day. Don't do gargle or rinse vigorously. Hope this will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doctors, I took althea pills on feb 03, its my first time to take the combined pill..i bleed on feb 27, day 4 of my free tablet taking..on march 05, i had unprotected sex with ny husband..supposedly i need to take my new pack on march 03 but i failed..instead i took althea on march 05..i took 2 tablets on the same day..is it possible for me to get pregnant? Pls help me..thanks.. ### REPLY: Hello dairy understand your concernThere is no chance of the pregnancy as you did sex in the complete safe period of the cycleDuring safe period no ovum is released, so no fertilization will take place. But to prevent he is unwanted pregnancy now onward, take pill regularly on specific time. Make habit to take it regularly by putting reminder in the mobileAvoid stress, take healthy diet, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was wondering what would be the cause of my symptoms I ve been having for about a week now. I was diagnosed with anxiety , and am currently taking 0.25 Xannex .. I have a doctors appt. tomorrow, but figured I d ask you guys now considering my symptoms feel worse today then any other day. SYMPTOMS : Numbness from my hands to the very top of my arms on both sides. Low Blood Pressure yesterday it was 89/71 and today its 100/73. I feel tired all the time. And this morning I feel nauseous. I work for a pharmaceutical company, and my job is not easy, because I have to use my arms. I am tired on the jobs, and its stressful to me while these symptoms have accrued. Please tell me what I should do? ### REPLY: Hall your symptoms like numbness in hands, low blood pressure, tiredness, nausea and you're feeling that job is stressful point towards anxiety. Is it present only for 1 week, and you were perfectly fine before that or the problem has worsened in the last week? If it is present only for the last i week, there could be some issues worrying you for which you should consult somebody you confide in or else professional help from a psychiatrist. Whatever, this problem should soon be over, and you will be fine. 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: so i m 15 and have this painful lump under my armpit and it hurts. i m really worried. it has gone away but has come back. it s not cancer right cause i m to young to get cancer. i have been putting a hot towel on it. i really just want it to go away is there anything i should do? please help. also i have 1 under each armpit .. the one on my right isn t big but hurts quite a bit and on my left its a little big and has like white stuff on it. that s a good sign right? i cleaned it a little and some kind of came off. i m just really worried. ### REPLY: First, no age is exempt from cancer. But don't worry. You don't seem to be suffering from it by your description. You probably have an infective cause for your problems, although the exact infection is difficult to say without looking. I suggest you take a course of antibiotics for a week (Tab ciprofloxacin 500 mg twice daily + Tab paracetamol 650 mg thrice daily + Tab Sanitizing 150 mg twice daily). If the condition improves or disappears, forget it. Else show it to a surgeon. It maybe tuberculosis if you live in an endemic area. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 22 yrs old..and im sure i have periodontal disease..ive checked the symtoms online and my gums recede from my teeth and it bleeds very easily and i have bad breath..im going to get this treated.but i want to know if i am able to get braces?..my teeth are insanely crooked..i have 2 ingrown teeth and all of them are crooked..please help me with this question ### REPLY: Thanks for your query, I have gone through your query. The bleeding in the gums, the recession and bad breath is because of the gum infection secondary to the deposits over the teeth. This can occur secondary to your maligned teeth, where you cannot brush your teeth and maintain oral hygiene. If I am your treating doctor, I would advise you to get the teeth cleaned (scaling and root planing) and use topical gum astringents like stolen gum paint. Regarding your MAL aligned teeth, you need to take a radiograph like OPG and lateral rephotograph to check the status of the bone and teeth. If sufficient bone support is there, then you can get the orthodontic treatment done by consulting an orthodontist. Consult an oral physician and get these things ruled out. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 22 year old female, 54 120 lbs. Last April I was told that I had a ruptured cyst on my left ovary and a new one on my right. I was also told i have a fibroid just below my belly button. Normally I have heavy painful periods, but the last 2 months they have been short light and painful. After this month, i stayed bloated when it ended and i have to urinate frequently. I have like a heartbeat feeling by my belly button and my lower abdomen feels crampy. I have also been burping alot and i feel full all the time. Is it just the cysts and fibroid or should i be worried? ### REPLY: Hi welcome to  forum.  Thanks for choosing . F.  You are burping a lot, and feels full of stomach all the time. It is a gastric problem, and it should be treated first, so I advise you to consult a gastroenterologist for diagnosis and treatment. It may be due to hormonal imbalance or to .  Poly cystic ovarian disease can be treated by medicines, and your fibroid appears to be outside of myometrium, it is to be removed by sigmoidectomy operation. With these two steps you will be relieved of your problems.  Wishing for a quick recovery.  Best regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter has a large swelling lump on her right jaw. She had an mri about 2 years ago because it would swell like the size of a pea now and then and was painful. The dr said it was a bundle of veins that she probably was born with. It flared up today and U.S. The size of a golf ball. If she leans forward on that side it hurts. What do you think? ### REPLY: Hi, Dear,Thanks for the query to My  Clinic. I studied your query in details and understood your health concerns.-Treatment Advise and Cause of your lump on the Jaw-a-In -my opinion-due to CT report-it is mostly-Hamartoma? Hematoma with secondary infection in it? With Acute on Chronic-JD amenities -secondary to Chronic-Tonsillitis? The pain on movement suggest it to be as above. This advice would help you to plan treatment with your doctor. Hope this resolves your query. Wellcome for further query in this regard. Have a Good Day...!! With Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Dr. Jain Age is 36 years, female, and i want to discuss regarding my medical problem during the pregncncy specialy during the male child. In 1998 I gave birth to the baby boy in 7th month i.e. premature delivery due high BP and Albumin, then in 2001 I gave birth to the baby girl, BP was high but controlled also and everything went well. Then in 2005 I again gave birth to the baby boy in the beginning of the nineth month, but the baby swalloed the liquor and could not survive more than 4 days. Then in last year 2009, I again gave birth to the baby boy which was aborted in the 7th month as I had an eclimsia attack, but htis time my BP was in control, and suddenly I had a pain in my stomach and BP raised to 226/220. As all the parts had stopped working and only heart was working, According to PGI, Chandigarh doctors I was dead. Now the question is that last year my husband was having some BP problem, then we meet some cardiologist, he asked me that do You (I) have problem during the pregenecy, I said yes My BP is very high and whereas in my family history there is BP patient.Then he said sometimes it happens due to genetic problem and it can be because of my husband also. Is this a genetis problem? If yes, then I wish like to concieve again and then can I go for artificial insemination or is there any other solution. Hope to hear soon from you..... Ashima (India) YYYY@YYYY ### REPLY: Dear AHIMA, its unfortunate you had to go through such a hard time through your pregnancies. Let me help you understand some things.1. High blood pressure during pregnancy with a seizure attack and from what looks like multi organ failure (according to your description)in your previous pregnancy, puts you under extremely high risk to manage your pregnancy safely. You must understand the consequences of future pregnancy on your own health and well-being (the functioning of all important organs like heart, brain, kidney, liver may be compromised and can be even fatal or life-threatening) before attempting one. So you must be fully aware and equipped for any potential consequences of it.2. There could be many reasons why high blood pressure happens in pregnancy. Some women who have a family history of hypertension, and have crossed 35 years are more susceptible to it. And a number of genes are suspected to cause it. Yes, as the baby shares genes of both mother and father, now you can think your body is temporarily handling your husbands' genes. Hypertension can develop if your husbands genes are not efficiently handled.(that's what your doctor explained). This can result in altered placental development and reduced blood supply to the baby. The baby may be thus may be growth restricted, and is prone for premature delivery, and its consequences.3. As even donor insemination may result in similar condition it is extremely hard to predict if that can be free of hypertensive complications.Hence, I suggest you to be rational and take a wise decision if you want to conceive again and obtain very good prenatal care when you attempt it. Hope this information helped. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am very healthy and active. However, I have pain in the upper part of my legs from time to time. It will linger for three or four days and go away. It seems to be in the muscle, sometimes inside my thigh and sometimes on the outside of my thigh, sometimes right and sometimes left side. What would cause this and how do I treat it? ### REPLY: Hi, thank you for providing the brief history of you. A thorough musculoskeletal assessment with MRI of lumbar spine is advised. Now since you are active and healthy, the injury to the soft tissues to the spine will lead to pinch of the nerve. In the initial stages the symptoms arises are little discomfort in the thighs and legs. But it is always misunderstood as just a muscular pain. But later stages this becomes big and lead to radiating pain in leg. Getting a thorough assessment done and MRI will help understand the pinching of the nerve. In many cases the MRI turns normal but the little touch of the disc to the nerve will alter the sensory pathways and later stages becomes different. Also, undergoing proper physical therapy should help stabilize the spine and these symptoms and the future ones can be controlled. In my clinical practice I see such symptoms and find that actual problem starts from the lumbar spine and needs a proper training. Physical therapy in the early stages helps the majority of patients and over a long run of 5-6 years we do not find mucChatDoctorplains as we keep a track of the patients and their symptoms quarterly. RegardsJay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 9 yr old son came home from school saying that he had vomited twice and school nurse took his temp and it was normal so she told him to go back to class. He was tired so he went to take and nap, and now that he is up his temp is 103.5. Should I take him to er or just monitor his fever. He is also coughing, and it sounds very chesty cough. I did give him a tylenol to help with the fever. ### REPLY: Hello, Fever of a few days without any localizing signs could as well a viral illness. Usually, rather than fever, what is more, important is the activity of the child, in between two fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably a viral illness, and it doesn't require antibiotics at all. Once the viral fever comes, it will there for 4-7 days. So do not worry about the duration if the kid is active. Paracetamol can be given in the dose of 15 mg/kg/dose (maximum ceiling dose of 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. This type of congested cough is very common in kids, and you can give syrup promethazine for it, 5 ml thrice a day for three days. 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: My child is 7 and has been throwing up each morning for about 3 wks. I took her to the dr. last week and she dx with a bladder infection and dehydration. She is still throwing up each a.m. and having some discomfort as well. She has had mono last year that caused some spleen enlargement. What do we ask the physician to assess for? ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query your child have symptoms of recurring vomiting and discomfort. Well there can be many reasons for symptoms you mention in query like food intolerance or gastritis and due to underlying systemic disturbances. Need not worry. I would suggest you to consult pediatrician for proper examination. Doctor may order blood test, stool test and take history. Doctor may prescribe antacids along with proton pump inhibitors such as ornidazole, operative along with omeprazole.  For now give your infant probiotic food and plenty of water to prevent deny .  Avoid hot, sharp and spicy food. You can take banana on daily basis and light food. You should avoid taking dairy products in excess.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: How soon is RSV contagious? My grandson was diagnosed with it yesterday but has has cold like systems for two weeks. I have a sister 47 and going threw cemo. Should we be worried about her? Also have 2 pregnant ppl one almost due and one 3 months should we worry about them? ### REPLY: Hello dear, thanks for your question on . I can understand your situation and problem. Yes, RSV (respiratory synovial virus) is contagious and able to transmit from patient to nearby individuals. So pregnant females and cancer patients on chemotherapy are at risk for RSV infection if RSV positive patient is sharing the same home. So better to give mask to your grandson and also to the pregnant women and cancer patient to avoid cross transmission. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi..me n my gf had unprotected sex on 28 Augustand she had taken the ipill after 24hr and I didntcum inside and her last period date was 17August and after that she hadnt got her periodtill date and she was having rashes on her wrist...is there any chance of getting pregnantafter takin ipill also..plzz help me m so tensedabout it. . ### REPLY: HelloThanks for writing to ChatDoctorShe may be pregnant. She may get pregnant even when you have not ejaculated inside her due to fact that ejaculation secretions also contains sperms. It should be confirmed by urine pregnancy test. Two vertical lines on card confirms pregnancy. But, Ultrasound is the choice of investigation for pregnancy confirmation. Emergency pills are not 100% effective. So, it should be confirmed. Rashes are not related to pregnancy. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Good Morning Doctor, Please find the attached report for in detail explanation about my wife helath problem, we are trying for family planing but we are not successful since last 5 months , then we consultated to doctor , and we did some medical test and same report i am attaching for your reference. Please let me know the what is cause of this problem, does this affect for permanently for pregancy, realy we are worried a lot ,please help us on the aboce query, thanks in advance. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have infertility problems. I need your semen analysis and your infertility profile of your wife. In public forum question you can not upload the report. So either give me detail of reports or use premium service and ask specialist in which you can upload the reports. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using . Wish you a very good health. ### END