Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 recently married and there are certain things that is troubling me a lot. At first night,I found that she had fungal infection and  when I tried to have sex with my wife, she somewhat resisted and said that I am not able to do properly and she was feeling pain.I took her to doctor and after two weeks when I again tried to have sex, the penetration was very smooth with no pain at all to her.  She too lubricated a lot.  My problem is that is she had sex with somebody else before marriage, she told me lie that she was feeling pain? Why she did not felt little bit pain and why is that there is no tightness in her vagina.I just wanted to know and please answer with brief explaination. I understand that these days this is no big issue but for my satisfaction I want to know the reality. ### REPLY: Hi, Do not think this type of panic idea which might affect your married life in the future. During first time sex as you told she had fungal infection. At this time she might be having some bacterial infection due to itching and irritation causing pain and discomfort while penetration. After treatment, she was ok and there was easy penetration. So forget about this thing and enjoy your martial life. Ok and take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir, I am 20 years old and I am single, I have a sexual problem, when here rubs my penis so I lose my sperm very soon and some time in a few seconds, I have left masturbation for long time but when I use to check my desease so it do the same.  I have become bore from my life, plz tell me what should I do, give me a good suggestion, Thank you very much. ### REPLY: Hi ... Provisional Diagnosis : premature ejaculation ... Here are few advise .... This type of problem mainly related to anxiety related or by depression.... So try to avoid stress... Be relax during sex and assume different position like female with active role and on top while sex ... Kegel exercise help in strengthen pelvic floor muscles ..... Double condom can be wear. . Masturbation before sex helpful ... You can communicate with partner when to slow down to prevent early ejaculation... When imminent feeling of ejaculation squeeze penis head with index finger and thumb to prevent early ejaculation called Johnson's squeeze technique .... Deep breathing exercising helpful ... Local anesthetic ointment can be applied on glans .... If needed fluoxetine can be given ... Discuss all this aspect with your psychiatrist. Hope your concern solved. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: In the past five years I have been diagnosed with ADHD and Trichatillomania. I also show signs if compulsive eating and compulsive lying. The compulsive lying has burned bridges with all the members of my family, and even though my mother is a psychiatrist she hates me and will not help in any way or refer me to her colleagues. Even though I know I brought this upon myself, it still hurts to have the members of my family say I m self-centered and have no conscience . I am sick of being a dishonest, untrustworthy person. I have low self-esteem as well, and often hate myself. I would go out on a limb and say I had Borderline Personality Disorder. I show many of the symptoms including the feeling of emptiness and extreme mood swings. What do you say? ### REPLY: Hello, If your mother does not agree with you, I think you need to seek the second opinion. It is never a good idea to deal patient from family for a psychiatrist and I do not think you need to consult her (my personal opinion). There are many options which can be used in borderline personality disorder depending on the symptom profile of individual patient. 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: ive had a cold and a cough for the past week and a half however in the last 3 days its got worse today all i have wanted to do is sleep and my cough has got that bad that i can feel my stomach muscles pulling...i was bringing a dark greeny colour mucus up yeaterday but nothing seems to be coming up today...im breathless and have asthma but my inhaler isnt working, having minor chest pains which get worse when coughing and feel really lathargic and have no energy ...any ideas? ### REPLY: Hello dear, The symptoms as mentioned in your post can be attributed to Acute exacerbation of asthma, secondary to the respiratory tract infection. Management consists of:1. A course of antibiotics based on culture & sensitivity reports.2. Stalin+ Aeroflot inhaler-provide symptomatic relief by causing bronchodilator (dilating the smaller airway passages, relieving the obstruction & increasing airflow to lungs). So, it can be used during an acute attack.3. Montelukast preparations- used as a maintenance therapy to relieve symptoms of asthma.4. Antihistamines like Cetirizine and anti-tussive preparations can also be used to provide symptomatic relief from cough.5. Also make sure that you are well protected from exposure to cold, dust or other allergens. If symptoms still persist, kindly consult a Pulmonologist for proper clinical evaluation. Wishing a good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I went to a hairstylist and got my hair bleached and dyed. Now my whole body feels like it s going numb and tingly. Especially in my toes. Could this be related to the dye? I know there are people who get head numbness, but my head isn t numb. It s mainly my extremities. ### REPLY: Cellophane You for contacting . Yes it could be due to dye. I would suggest you following things:> try to change dye of you always have problem from that particular one.> take cetirizine one at night for 3 days. Report to hospital if:> Condition remain same after 2-3 days> Any unusual symptom appears> Condition deteriorates.> There is difficulty in breathing. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: For the last several days, I have been having pain starting in the lower part of my back and it then progresses over my right hip down into my leg. I am experiencing the pain when I stand for some time with weight on my right leg. If I elevate the leg, or at least take weight off that leg as I stand, the pain subsides. ### REPLY: Dear patient you seem to be having right side articular pain. Reticular pain occurs all along the leg and starts at back. But since you are not able to take weight on right leg hip abnormalities should be ruled out.I would advise radiograph of lumbosacral spine anteroposterior and lateral views and radiograph of pelvis with both the hips to rule out bony abnormalities. You should start taking diclofenac 50 mg twice a day for 5 days Also take pregabalin plus methylcobalamin one at bedtime for 10 days. And you we be fine. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, My father, who is 70 years old, has recently been diagnosed with slightly high urea and creatinine levels (urea 47 mg/dl and creatinine 1.5 mg/dl). We are from India. The doctor says there are no real medicines to control these directly and these have to be diet controlled primarily. I would like to know which foods to avoid in this scenario? Thanks. ### REPLY: Hello, thanks for posting on . The urea levels are slightly raised, and also his creatinine value is borderline high. Your doctor is right when he told you to control on diet. Creatinine and urea are by products of unused proteins in body. So, first thing to do is to limit intake of proteins to 1gm/kg/day which is requirement for human body. Anything more than that will be converted to urea, creatinine and other waste products. Secondly restrict intake of salt in diet. Daily intake should not be more than 3-4 gm /day. By doing this you will also keep decrease the risk of developing hypertension thus keeping kidneys healthy. Try avoiding high potassium diet like fruits like banana, .  I think and hope the above given advice answers your query well, if you need more information you can always ask me. Thank you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My four year old has had a sore throat for 5 days with no fever. She woke up this morning and had a thick white coating on her tongue. Some of the coating we were able to wipe off but some of it not. This white stuff smells awful. Could this be thrush or strep? ### REPLY: Hello, I can understand your concern. The white patch over the tongue that can be scrapped off can be considered as thrush and not due to strep throat. It is possible that due to the throat pain, the child is not able to clean his oral cavity and tongue well and this is causing this candidiasis. I would advise you to visit a dentist for the clinical examination of the tongue and if candidiasis is confirmed, then treatment with prescription antifungals can be started. I hope this information helps you. Thank you for choosing . I wish the child feels better soon. Best, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was unwell once(more than 8 months back ) stomach infection I was given pantoside and tonic(enzyme ) to help digestion I was physiologically unwell I think cause I was so scared that I ate only curd rice for a few months doctor told me to get the feeling that I am unwell out of my head , he told that you are fine its physiological and told me to get it out of my head and I experienced a lot of stress when I was unwell and I started experiencing hair fall and it was not normal hair fall it was crazy now its a little okie I really don t want to go bald plz help !! what shall I do to get my hairs back to the way it was ?? ### REPLY: Howell come to ChatDoctorI really appreciate your concern, chronic illness either physical or mental could cause the hair fall and to prevent this underlying cause need to be managed if this infection then it needs to be treated properly and if this is mental condition then try to come out of this, low down the stress, be happy, try some exercise, yoga, meditation, hope this information helps, take care and have a nice day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Dr,I am married since 2yrs (My age is 26yr and husbands 30yr) We are trying for a baby past 1 1/2 yrs. Consulted gynec, they insisted to take basic blood test for me and semen analysis test for huby. All the reports came to be normal. Then they did two times folicular study. Egg ruptured was good. After all this Dr. also did an HSG test which showed unicornuate uterus, left tube patent and rite tube Nil. And also i have a pocket in the left tube. Now they are sugesting to go for IUI but they say there are chances of ectopic pregnancy. I consulted another doc showing all the above reports they said we will do laproscopy and then will decide further. So what should i do now?? We are very much confused and worried. Please help us ### REPLY: Hi, In the current scenario, the best thing to do is to go for a laparoscopic tubal patency and function test. If tubal patency or function appears compromised, then, GUI would not be helpful. You may land up witChatDoctorplications like an ectopic pregnancy which would worsen the situation. IVF would be the better choice. I think you should take the latter doctors advice. Hope this information is useful. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter is seriously ill. She is 35 yrs old, has been biten by a tick that left a huge knot with a swirl of different colors. Is in Aurora South hospital right now. Her fever is running very high right at 105. She also has a rash all over body that is about as big as a quarter. The doctors are working very hard trying to find out exactly what this is. Antibiotics they are giving her has not helped at all. I am afraid she is not going to make it. If you have any suggestions please let me know!!! ### REPLY: Welcome to the ChatDoctorI understand your concerns. Your daughter seems to be suffering from serious form of Lyme disease caused by your ticket bites. The rash also known as erythematous migrant is pathogenic of it. She will benefit from intravenous penicillin or ceftriaxone along witChatDoctorplete fluid and electrolyte management. Don't worry she will hopefully recover. Hopefully it will be of help. 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, may I answer your health queries right now ? Please type your query here... hello doctor, good morning, i am from india my baby born in U.S. , till last year june month i back to india , my baby offenly suffered from cold but after taking medicine she is fine, again a ten days like that she is getting cold what is the remedy ### REPLY: Hi, I need few more clarifications:Whether it is always associated with several purulent yellowish nasal discharge or headache? Cough present always? Cough throughout the day or only during sleep? Recurrent cold, if not associated fever/purulent nasal discharge/ cough, we need not worry about. If associated with fever and purulent discharge, we have to evaluate for chronic/recurrent sinusitis. If cough also present always we also have to think of allergy and tuberculosis. Allergy is more likely if he sneezes a lot while in dust, nasal itching is there and similar illness running in family. Treatment depends on the cause that we identify. If I were your treating after examining nose and chest, I will order some basic investigations like blood count + ESR, chest X-ray, eosinophil count and IGE level, and manitou test for TB. You can discuss with your doctor, or get back to us with relevant details. 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: Hi I was wondering if you could give me some information on loss of normal cervical lordosis, most commonly due to muscular spasm with a minor reduction in disc height C4/5 nad C5/C6 but with-out significant osteophylosis. No focal bony abnormality. I have twsted/bent urinary tube ?& as a result I have loss of bladder contrl when I walk, cough, sneeze etcI hope you can tell me more about this & if there is anything that can be done. I do have a sheet of exercises to complete & pelvic exercises. I am very fit, not over weight & the exercises are not workingI was meant to have physiotherapy at the local hospital but as I work I coulf not get time for itThank youRita ### REPLY: Hello, Normally, the cervical spine should have some lordosis like the lumbar part. In muscle spasms the cervical spine becomes straight by losing the normal lordosis. The muscle spasm might be from a trauma, a distortion of the neck. Usually, I prescribe my patient medication with any kind of muscle relaxant .  After the second day that spasm is released a little, so I recommend some exercises of the neck to lose up this stiffness without causing any pain. These are range of motion movement of the neck, back and front, and sideways, every day by increasing the angle. By 1 week you should be fine. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have the back pain and the related left leg pain. Sometimes it is severe and i feel burning sensation in my left leg. Doctors advised me to take MRI and the same is to be taken in this week. Kindly suggest remedial measure please. My age is 33 yrs. slim structure. female. ### REPLY: Hello, I have studied your case and reportsCanal stenosis leads to burning/numb sensation and pain in your back and leg. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. Epidural steroid shot can help. Yes you will need MRI. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: dark red spot on foreskin hi. I had in protected sex last night and this morning I noticed a dark red spot when I pull back my foreskin. I was wondering if this could be anything serious... any information would be grateful. I am going to book and appointment at the gu clinic but I am really worried about this.thanks for your help ### REPLY: HelloThanks for query. You have developed red spot on foreskin after having protected sex. This could be mostly due to allergic reaction to chemicals used as a lubricant in condom .However, even using condom is not considered to be 100 % safe and protected as there are chances of getting it broken which can be noticed during intercourse. Please get your basic screening tests for STD done to be rest assured about acquiring STD. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i m female of 30 years. before two days i done my liposuction from butuk and theighs. yesterday night i got 102 fever and today again fever is 100. feel much pain and sweeling treated area. kindly write me the best treatment for relief pain in full body and half head. and what i take for fever. ### REPLY: Hello, I understand your concern. I am , infectious disease specialist, answering your concern. You should continue with the antibiotic prescribed after surgery. For pain and fever you can take the combination of the Tab Diclofenac and paracetamol. Please maintain hygiene by means of regular cleaning and .  This simple measure can help you a lot in healing. Please apply Betadine and polypoid on the site at the time  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Our son died from cancer 3 weeks ago. My wife is struggling, as am I, but she intends to return to work. I think she may  benefit from some mild anti anxiety med or antidepressant, short term to get her over the hump. Any better than another. She is a office worker. No heavy machinery. ### REPLY: Dear User, Thanks for using . I am sorry to know your loss. As you know it is natural to feel sad after the significant loss such as death of son and nobody is immune from it. However, if she is able to function properly to some extent I will recommend no use of any medications. It has been reported that use of tranquilizers during bereavement period prolongs the grief reaction and makes it difficult to achieve normal phase or at least delays it. In case there is significant problem in functioning a low dose of Klonopin such as 0.25 mg can be used on need basis. I must inform you that it is prescription only medication, and you will need to see a doctor to buy it from pharmacy. I hope this helps you. If you need to know more or still have questions have a liberty to ask more. 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 was wondering if u can find out whats wrong with my head or brain. i have tingleing in the middle of my brain, which i can hear and knid of feel i also have grinding in the back of my head and am having problems with my memory. i dont remember as much now as i used to. i got tested for lime disease by a doctor, but dont have it and i also had a CT Scan, but nothing was found and its worrying me. i regurarly get the tingling and grinding, but its mostly my memory im worried about and one time i was driving and i got disoriantated and didnt know were i was for a few seconds on a road i always drive on and somtimes i feel like i have internal bleeding in my brain and i hear ringing especially in my ear somtimes, my vission has gotten blury a few times, but it hasnt happent for ages and a few months ago i nearly completly lost my vission for a few seconds, im 20 years Help Please. ### REPLY: Hi, Thank you for posting your query. I can understand your concern about memory loss at a very young age. However, the good news is that your CT scan of brain is normal, which rules out any major brain disease, including internal bleeding. As of now, we need to exclude vitamin B12 deficiency and thyroid hormone deficiency as possible causes for your symptoms. Both of these can be diagnosed by blood tests. In addition, anxiety and stress could also produce similar symptoms. So, if you are stressed or anxious, get treated and reduce them. If the symptoms persist, MRI of brain may be required after consulting a neurologist. I hope it helps. Please get back if you require any additional information. Wishing you good health, . Ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir, I Mrs Rakhi Sanjay Sharma,am 40 Year old Lady & my Husband is also of the same age.For the last 4 years, we are married and I have not succeeded in getting pregnant. My husband has very poor sperm count & sperm motility rate is said to be very poor. I too had problem of fibrous growth in my vagina . The fibrous growth was however removed by operation in last year by Dr. Naina Patel of Anand Gujarat. My Gyna Specialist Mrs. Naina Patel of Anand in Gujarat ,had administered lot of drugs to my husband for 3 months but there was no change in results.My Husband was administered with certain drugs to improve upon his sperm count & motility rate . On finding no change, I was asked to go for IUI .or IVF . During last month meeting,I was told that I can t have issue from my husband sperm and was advised to go for Donor sperm.Some of the Doctor has advised my husband to take medicine of Heyforte Plus to improve upon sperm count and motility of sperm. We both are running out of time very fast for in reproducing age. We seek your advise please . My Name is Rakhi Sanjay Sharma. our em address are YYYY@YYYY , YYYY@YYYY YYYY@YYYY ### REPLY: Hello state, Welcome to the forum. Due to changed lifestyle stress, tensions and pollution there are many couples suffering from the same problem. Do not lose heart. Every individual is made for a different purpose. We treat it is only God who heals and gives. If you want your husband can take the medicine to increase sperm count. Since he already had been under treatment just give him a month gap. Let him get stress-free and relax. There are many other reasons for low sperm count like excessive smoking or alcohol intake in the past, some nutritional deficiencies, stress, accidents, obesity, genetic cause, etc. You will be amazed to know that some couples who are clinically fine are also at times not able to conceive. It is all in the hands of God. Some men feel very week, some complain of dizziness, some get hypertensive yet others irritant as they start taking the medicines to increase the sperm count. A husband should be given high protein diet, energy giving food like legumes, beans, eggs, red meat, dairy products, nuts, fruits, veggies, berries so that the medicine works well and brings the desired results. The medicine may take 4-6 months to show results. It is better to maintain abstinence while the husband is under treatment.  To be able to conceive the spermatozoa should be at least 20 million/ml, 75% should be alive, talent 50% active, 30% normal. There is no harm in trying donor systems as confidentiality is maintained and results are positive. Acceptance and mental preparation depends upon both the husband and wife else it may ruin life. You can try visiting Holy places, Nagapatnam and many other places if you are a believer. Have a nice day, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have a lump on my lower lip i have this lump from bitting my lip, i have done some research on mococeles and i thought that was it but i discovered that the lump is just inflamed & it had no fluid, no puss etc. and also it kindve feels like a ball but it doesnt hurt at all! so im wondering if i should just let it be and maybe it will swell down or should i get it checked i honestly feel ;like theres no reason for getting this checked. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have inflammation in muscle or some benign cyst.  Wait for a week.  Mostly it will become normal by itself.  If it remains persists then you should consult your doctor and go for examination.  Right now no any treatment is required. 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 am having severe left side flank pain tested for kidney infection and all was clear. Pain started about two werks ago and has only increased i have elevated bilirubun and eyes are a bit yellow however all oter blood work is normal cchest and stomach xray as well as ultrasound is clear did have gallbladder removed 2 months ago ### REPLY: Hi.noted history of cholecystectomy and jaundice associated with flank pain. You may have a pathology somewhere in your hepaticopancreaticobiliary tree. It may be an obstruction secondary to a stone (a recurrence or a new one) or a lesion (such as cystic or tumor formation). It is best if you consult with a doctor, preferably a gastroenterologist or a general surgeon, for physical examination and clinical evaluation. Diagnostics (such as ERCP, liver function tests, ct-scan, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. Low fat low salt diet is also recommended. Hope this helps. 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: my mother was born with a deformed heart she is now 80 has had 2 heart attacks one stroke and several stints put in she has a leaking heart valve which is getting worse we go to the er 4to5 times a year she is always commited to much fluid around heart. they told us a time frame of inside a year and she will be gone does this sound normal ### REPLY: Hello, most probably what you are referring to is mitral regurgitation, where there is back leak to the upper chamber of the heart causing symptoms of congestion in lungs, breathlessness and increase in fluid in the body leading to swellings the legs, decrease in appetite because of liver congestion and fatigue.  Mostly it can be well managed with medication, There are newer ways depending on the exact nature of leak and other echocardiography parameters. At 80, surgery to repair or replace the valve may be risky if she is otherwise not healthy, um you may consider the option of Mira clip and discuss it out with your doctor. Till than optimization of her medicine should do the trick.  Send us detailed medication and reports (ECG and echocardiography), so I can guide you more objective. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I M a boy of 16 years , in Kolkata,India. Over the past couple of years I have been having problems like inferiority complex , attitude problem etc etc. Now for the last few months I am really having trouble regarding frustration. I am a part of middle class family and evrything around I see frustrates me. I am never happy. My parents do care a lot for me. But I still feel I want to share my thoughts,feelings with someone. I need serious amount of attention,love and care from someone. Can some1 help me ? I am good looking I feel but my height is a bit short compared to my friends[5 6]. Even this creates complexity in me. Can any1 help me please!!! ### REPLY: Hi, Thanks for query, it seems you are having depression. This is common at this age due to hormonal changes. Develop self-confidence, think positive, Leave negative thinking and develop courage. Mix up with your friends and your parents they are always ready to give you love and are ready to share your feelings and thoughts. You can take advice of psychiatrist and psychologist to overcome your problem. Ok and take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My father is 60 years and on 1st february 2011 he went under cardiac surgery CABG . He is not having the problem he was having before but after surgery 15 days he started having some burning sensation in whole chest and pain in both arms and this occurs in the morning and at night and gets relief after 10 to 30 minutes and now it is 6 months post surgery and he is still having same problem, the cardiac surgen says this is not a cardiac problem, gastro doctors say this not a gastro problem i showed to gastro also but the problem still persits what to do a. please help ### REPLY: What kind of pain is this, does it occur on exertion, does it relieve on rest, have you tried tab Arbitrate 5 mg sublingual. My suggestion is you try tab arbitrate sublingual and if its getting relieved on it, it can suggest cardiac origin. Also, You can try antacid like pantoprazole 40 before breakfast for gastritis. This can also be related to damage to nerve and tissue after surgery. So at last you can discuss with your physician regarding tab Pregabalin 75 mg bedtime which stabilizes nerve. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HIMay baby is 10 months old and she is suffering with cold from last 1 week and we have given to asthakind. My baby born with 3.0 kg weight and she is about 7 kg weight now, we thought that her weight is low. Pl suggest the correct treatment for her. ### REPLY: Child .  Providing steam inhalation should help in diluting the cough. Antibiotics are not required. Some antiallergic like levocetirizine syrup may be given for a few days. Ideally the birth weight triples by 10-12 months of age. Although 7 kg is a bit low for a 3 kg birth weight child, I do not think that there is any need to panic. A single weight does not convey much information. You need to take weight at 3 months intervals and plot it on a growth chart. If the weight follows the normal pattern but is on the lower side, you need not be concerned. But in case it does not, follow-up nutrients might be required. How much supplementation needs to be done, depends on the situation, and you can be discussed only by your treating pediatrician. All you need to do from your side is to give semi solids in mashed form, roughly at 2 hourly intervals. Homemade semi solids made from boiling rice and pulses along with vegetables and giving it after mashing it, should be fine to help your child in gaining weight. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have been having left arm pain and heaviness for about and hour sick to my stomach tingling in fingers and pain in upper back and the pain in my arm is getting worse and going up my shoulder,could i be having a heart attack? some tightness in chest ### REPLY: Hi and pleased to answer you we need some informations to be more precise : smoking use, age, diabetes ...etc but when a patient present symptom like you, we need to evaluate firstly a coronary heart disease first, cause it's a life-threatening diseases. Then the symptoms you present are more likely to be attributed to heart diseases, and you need urgently to do an EKG and a troponin blood test. But if all the cardio logic test become negative, some gastric diseases can be the causes. 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: I noticed for about a month my coccyx is sore at times. I had X-ray yesterday and they asked me if I had had contrast test in last couple of days because of haze they saw. They had me void which she said made big difference. She let me see the X-rays between when my bladder was full and not to see the difference and pointed out my bowel which was matter of fact. But what I saw that has me totally sick is a white circle spot on my coccyx I could see in the background. Im so afraid this could be that deadly spinal cancer that takes people in 7 years.  Im waiting to hear from someone. Is that cancer most likely ?  26 years ago they found cancerous ovarian cells on my sigmoid colon and resected the sigmoid. Nothing since that time. ### REPLY: Hi and welcome to . It doesn't seems to me like it will be malignant. Usually bone metastasis is well seen and radiologist easily verify this. Also, it is unlikely that ovarian cancer would meantime after 25 years. This bone lesion can be caused by degenerative changes or osteoporosis. Pain would be caused by this as well. If you want to be sure I suggest doing tumor markers and bone scenography. This would make everything clear 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: Evening,I recently discovered an abscess on my butt check.  It burst about 3 days ago and now what I believe is pus is coming out from it.  I spoke to a doctor who recommended sitting a warm bath to flush it out.  but I was wondering how the pus should look.  It seems very stringy like fat tissue.  Is this correct ### REPLY: Hi, your history suggest more of staphylococcus abscess, highly mucoid, hazy material, with or without blood tinged, suggestive of pus. The infected region feels more like fat tissue. If I were your treating doctor, then I would advise 1) sites bath with warm water.2) antibiotics to fasten recovery i.e. amoxicillin group will be effective.3) adequate hygiene, using antiseptic soap would help. Hope I have answered your question. If you have any further questions I will be happy to help. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 two days ago my husband and I had intercourse about an hour later I had a sudden onset of cramps and a stabbing pain in my lower abdomine and lower left side of back . As the days have gone on I m now very bloated and the pain and cramps are a constant . I also have a feeling of heavyness in my belly there has been a clear discharge and a light itching in my vaginal area but no odor . A lot of movement seems to aggravate it I do have what Dr called ic in my kidneys and am on elmeron for treatment please help ### REPLY: Hi, Thanks for writing in. You have been given Cameron for interstitial cystitis (IC). Recently you are having cramps and lower abdominal pain (started after sex) and clear odorless vaginal discharge. There is documented painful sexual intercourse in women having interstitial cystitis. In women, the pain tends to worsen during menstruation.IC generally develops in middle age, and many people with IC also have other pain-related conditions, such as irritable bowel syn . Please discuss your situation with your urologist. 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: My husband has shingles . He started with the pain, burning and rash right after Christmas. He says the pain is getting worse. He can t lay down to sleep and has tried ice packs and heat. Nothing seems to help. He is on pain medication every 4 hours and says the pain keeps getting worse. How long can he expect to have the pain. The rash is gone for about 1 week now but the pain is still there. ### REPLY: Hi, Shingles is associated with pain and even after the lesions heal pain can persist indefinitely(known as post herpetic neuralgia). The treatment options available are painkillers like ibuprofen, paracetamol, tramadol. Other .  Other options are TENS therapy, injection of local anesthetic in affected area and in severe cases. If he is not having pain relief, kindly contact your doctor soon, so that treatment could be revised. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My dad has type 2 diabetes. He recently has been discharged from the hospital. He was prescribed ciprfloxacin 2 times a day, metroNidazole 3 times a day, & metroFormin 2 times a day. Today when I checked his sugar levels they were high (289). He has been complaining about a nauseous feeling in his stomach. Do I need to take him to Emergency ? ### REPLY: HelloThanks for usingChatDoctor for your health problems. I read careful your question and understood your concern. You doesn't explained clearly why your dad was prescribed the antibiotic and antimicrobial therapy anyway I presume that it has an infection when he was discharged. The infectious disease and maybe the psychologic stress that is caused by the infection can raise the blood glucose in a diabetic person. His blood glucose is high and nausea can be a symptom of diabetic ketoacidosis. Diabetic ketoacidosis is a serious complication of diabetes that occurs when your body produces high levels of blood acids called ketones. For this reason my advice is to check his ketone level in the blood and in the urine. If the result is positive you need to take him in an Emergency Room as soon as possible because it can be dangerous if it is not treated. In most cases, people with diabetic ketoacidosis need to be treated in hospital. If the test of ketones in his blood and urine is negative, i suggest consulting an endocrinologist in your area because in my opinion the metformin monotherapy is not effective, and it is necessary to add another antidiabetic . I want to remember that the diabetic diet and more physical activities(if not contraindicated)are other important elements for the control of your dads' diabetes. I recommend to not be negligent. Hope I have answered to your question. If you have further queries, feel free and ask. For treatment recommendations, and individual therapy, you can ask me at  at my private link: bit.do/ChatDoctor- ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have lower right quad. abdominal pain. it has been going on for 3 years. I ve had pelvic ultra sound, a colonoscopy and doctors cannot give me a real diagnose. my blood work and everything else comes out fine. what could this be? I feel I have a growth that is attacking my lower intestines to my hip bone I am 56 years old by the way. ### REPLY: Hi. Thanks for your query. 3 years is a long time to suffer from abdominal lower right qua . Since the colonoscopy, blood tests and ultrasonography are normal, we have to think differently. This may not be a growth attacking the lower intestines to your hip bone. I would advise you the following: CT scan of the whole abdomen a sit will give more detailed information than the ultrasonography can give. Review colonoscopy. Diagnostic Laparoscopy in doubtful cases help a lot for diagnosis and therapy too. If all the investigations are normal, then a diagnosis and treatment on the basis of IBS, meaning Irritable Bowel Syn ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have a few problems. I am 37 years old and I had braces when I was in high school. Yeah my teeth spread out. I have a gap in between my front two teeth and my eye teeth look like fangs. I am also worried about my bottom front two teeth there is like this darker stuff on the back of them I cant brush off I know I need to go to a dentist for that. But there is some white harder stuff at the gum area on them in the front of the two bottom teeth too. just need some advice on what to do and what are my options. ### REPLY: Thanks for your query, I have gone through your query. The black stuff over the teeth can be because of the stains secondary to the coffee, tea or smoking(if you Ara a smoker). Regarding the white hard structure is nothing but the calculus(hardened food debris). Nothing to be panic, consult a dental surgeon and get the teeth cleaned(scaling and root planing). It's a simple procedure, get it done, otherwise the teeth will become weak and loose. I hope my answer will help you, 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 Multiple Sclerosis. I recently had a severe UTI, that spread to the kidney. Tests revealed protein in my urine, and blood work showed eleveated liver enzymes. An ultrasound of my abdomen was done but I don t have results. Is it likely there are 2 issues going on, or could one problem cause both abnormal results? ### REPLY: Hi, Thank you for posting your query. I have noted your symptoms. Urinary tract infection spreading to the kidneys are related. This condition is called pyelonephritis. You would respond to appropriate course of antibiotics. Elevated liver enzymes may not be related, unless we are considering a diagnosis of sepsis, where the infection spreads to blood and to all organs, including liver. In your case, elevated liver enzymes could be a side effect of a medication you are on. Please discuss this with your herpetologist/gastroenterologist. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, . Ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,I delivery a baby girl n is now 2 months 9 days.. I don t have sufficient breast milk to feed baby.. doctor advised me to take Lactate.. how long I can use these capsules? My sister suggested me to take GALACT granules which improves milk production.. can I take both capsules n GALACT? Iam asking since I had suffered from fever a week back in such a condition couldn t feed baby for 2 days.. now I can feel very less milk production.. please advice me.. ### REPLY: Hi there, I have understood your concern. Please do not worry. I will suggest you the following - Please have plenty of water in the day, about 2.5 liter.  Have a healthy diet. Use of vitamin, iron, calcium supplements as recommended by your doctor. Use of Asparagus containing granules or powder with milk will be of help. Gal act granules and Capsule serve the same purpose. Please seek prescription support from your treating doctor for getting Metaclopromide tablets, a week-long course usually helps to increase your breast milk secretions. I hope this answer helps you. Thanks.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I am Ganesh from Hyderabad, India. My son-4Yrs old, has been suffering from cold & continuous cough. We consulted pediatrician and he prescribed Moxikind CV Kid and Brodil Syrup. I had tough time in giving him both the medicines separately and so decided to mix it up together and gave him twice(Yesterday Morning & before bed). But this morning I could see, he has developed some rashes in his legs, thighs and a small patch in his chest too. Is it sort of allergic due to the tablets? I didn t give him any dosage thats due now. I will have to wait till evening to consult the pead again. ### REPLY: Dear Ganesh, The rash is most likely due to the antibiotic and points to the entire illness being due to a virus that is called as "infectious mononucleosis" virus or the ABV. Please ask your pediatrician about this when you are with him. Avoid the antibiotic and ask them to replace it with something other than a penicillin or a cephalosporin. You can show him this answer instead of trying to remember these difficult words. ;-) ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Thank you for replying to my questions 1 fatty liver - why didnt my preivious dr 2 years ago tell me this i was at 6.2 then 2 i kinda figured that 3 low fat - no problem -- can have turkey and low fat yogurt ? 4. never smoked = dont drink 5 - meeting her on jan 14 got apmt moved from feb 3 eliminated sugar - completely literally -- 6 doing that but i dont think i getting enuf calories 7 veggies -- .. new best friend ? eating kale alot lately -- 8 100 g seems like alot ?? (with low fat ... how low is low fat ? ) 9 started -- getting back on elliptical 5 min 3 nites in a row - hey its a start fri i did 10 min - today i still have to get on it goal is to gt to 30 min a day -- 3 times of 10 minutes already monit oring bp -- used to be at 130/80 before this week -- it was perfect- dr would say i could even miss a couple days and be okay -- but now i dont think i can ever miss a day ... strict diet :( -- sigh - -thanks ### REPLY: This can be caused by excessive intake of alcohol and are prevalent in individuals who are diabetic, overweight, consume oily or junk food and have high levels of triglycerides. To prevent fatty liver diseases, Best Liver Transplant Centers around the world like those of Global Hospitals, suggest maintaining healthy weight and diet, keeping blood sugar levels and triglycerides in check by consulting your physician and exercising regularly to shed off excess weight. Although there have been new Liver Treatment, it is the fourth most common killer cancer, and the best way to avoid it is to abide by these preventative measures. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 doctor i got suprazole 200mg x2 tab , amoxil 500g and brufan 500mg for every 8 hrs  for my one of upper jar teeth infection, when i take this together i fell  like lifeless, then i stop brufan , while brushing blood also bleeding from gum, pls advice me for this ,i did root cannal for  infected teeth. but still lit bit pain there. ### REPLY: Thanks for using . Read your query. Having gone through your query, I would advise you to take the medication on full stomach and take lots of fluids and keep yourself HY . You can stop Broken if you do not have pain or take a paracetamol for it. Do continue the dose of antibiotics, if the tiredness is increasing please consult your dentist and have the antibiotics changed. Bleeding gums is due to the inflammation of the gums, which will reduce once you get your scaling done. Pain after root canal or some discomfort which usually remains will go down gradually. Hope this was helpful, and you have a speedy recovery. Thanks and regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir/Madam, I had a Ultrasound done and it revealed Grade-1 Fatty liver , -Grade-1 Prostatomegaly and Mild right hydroureteronephrosis, again Ultrasound after 1 week shows only Mild Dilatation of Right Pelvicalyceal system what is the cause and preventive treatment (Also Prostate volume was 26 and then now 23 compared to my earlier reading 15/16 cc) Other/ General Complaints: 1) Giddiness 2) Urgency to pass urine (in control but sometimes, when the bladder is full) 3) Fatigue/ Exhaustion /down/ Nervus exhaustion and more pulpitations if food is delayed ### REPLY: Hi and welcome to . The most common liver disorder is fatty liver which can be found in healthy people, but usually is resulting from elevated blood lipids, overweight and elevated blood sugar. If ultrasounds didn't find anything and viral markers are negative then you have no reason to be concerned. You should treat it by changing dietary and lifestyle habits. Do exercise, avoid alcohol, smoking, fats, fast food and carbonated .  Eat more fruit and vegetables, boiled meat and follow some of hepatoprotective diets. Findings usually improves on such measures. If not, then some medicines can be prescribed. Dilatation of pelvicanaela system is mainly caused by stone, and you need just frequent check-ups. Rarely it can be caused by tumors so if there is progression of dilatation you should do intravenous biography or ct scan. Wish you good health. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: had a root canal done after xrays were taken. there was a sore bump near the next tooth back.  besides on the other side of the mouth on the bottom there was a tooth that was sore when I put pressure on it..  xrays were taken and the problem was there was a puss pocket at the top of the root.  The dds redid a root canal.  That evening at home I put some pressure on the gum near the root canal area and green puss came out.  still a few days later the tooth on the mottom on other side of mouth is tender..could there still be infection I certainly felt he should have done so.  Is there a concern about this situation.  I do want to have a mouth that doesnt hurt. in the mouth?  the DDS did not give me an RX for an antibotic ### REPLY: Hi, Welcome to  .com. I had gone through your question I can understand your concern about your teeth. As per your history and symptoms it seems to me you are having apical periodontitis (that means infection blow tooth root) because of that there is pus and tenderness while you put pressure on it. If I had been your treatment doctor I would have prescribed the antibiotics like Amoxicillin clavulinic acid thrice daily, dosage adjusted as per your weight and anti-inflammatory too like Ibuprofen. You must visit a doctor and take medication as prescribed and if you want proper treatment plan upload an n image and write to us back. Hope my answer will help you, and you can visit us again if you have any further queries. Regards .  Bachelor of Dental Surgery. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Yes, I have been having some watery red spotting after I wipe when I go pee pee.  I have been the the doctor three times and I gave them a urine specimen.  The first time, doctor diagnosed me with a UTI, but wasnt sure if it could also be a yeast infection.  So, she prescribed Bacterim for 5 days but it gave me diahhrea so Dr. changed it to Cipro, which worked fine.  She also gave me a one time pill to take for the yeast infection after finishing the Cipro.  I took all my medication.  During treatment, I saw a little spotting of watered down blood after wiping my pee pee.  Dr. took another urine exam.  Said I never had UTI but that I definitely had a yeast infection.  I finished all my meds so I waited to see if I would be okay and it seemed as though I was.  Yesterday, when I went pee pee, I wiped and saw some more watered down red spots on the tissue.  I returned to the Dr. today who ordered a urinalysis.  He is having me worked up for bladder or kidney cancer just as a precaution. Still dont know what is causing the sporadic blood spots.  Pls. advise. ### REPLY: HIT hank for asking to ChatDoctorI really appreciate your concern, you gave your history in detail but the important things you missed here, your age and gender which is extremely required in your case, just think it about you are asking a medical person without saying anything, who you are Male or Female what the age, how I would be able to advise you, on other hand your complaint is dam related with your age and gender, next time take care, bye ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 spot above my penis in my pubic area. Its only 1 spot and 15 months ago i had unprotected sex and i think its herpes or genital warts . But i dont know how long it takes as its been over a year and i just got 1 spot now? It might just be a spot its small and its red around the outside and has a small white pimple bit in the middle. ### REPLY: HelloThanks for your query, based on the facts that you have posted it appears that you have what is termed as Sebaceous Cyst over pubic area. The skin around the genitals and scrotum is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin. Normally they fade away without treatment however they need to be treated if increase in size or get infected. Please consult qualified General Surgeon for clinical evaluation and further treatment. If needed some of them which are bigger may need to get excised in Toto (Completely along with the sac). .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: The first day of my last menstrual cycle was September 21.  I had sex on September 30, October 3 and several time after.  I have a 32 day cycle.  Could I have gotten pregnant on September 30 or October 3rd? I am trying to figure out the closest possible due date. ### REPLY: Hello, and I hope I can help you today. Contrary to what many women think-ovulation does not occur on day 14 of a women's cycle... it happens 14 days before the start of your period. So if you have a 32-day cycle and your last period was September 21, you likely ovulated 14 days before your period would be due for October (the 23rd) which means you likely ovulated around Oct. 9th. The BST way to know for sure, however, is with an ultrasound (you must wait until at least 5-6 weeks of pregnancy) which can measure the fetus and make the most accurate estimate of your due date. I hope this information was helpful, and best wishes for the pregnancy, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 soft tissue sarcoma in my right for arm last eight years. i have make it see many doctors in lucknow. but they are not able to treat it and still problem is not solved. can you give me some suggetion about this.         i can see my biopsy report ( Six time done), MRI report, MRS report, xray of my hand. ( i have all these reports). ### REPLY: Hi, Thanks for writing in. Soft tissue sarcoma in the arm is a type of cancer in the muscle. The main treatment of this tumor is surgical excision and this can be followed up by radiation or chemotherapy. This sort of cancer might have a locally aggressive form or might even spread to other areas. It is best to go through your reports of biopsy and MRI scan and then know the extent of the tumor. It will help to know if you have consulted any cancer surgeon, and they have done any surgery earlier. Cancer treatment is not easy and in some patients every medicine available might have to be tried before getting an observable cure. Since you have the problem for 8 years and there is no other problem mentioned by you therefore it looks like a locally aggressive disease. I suggest you consult a cancer surgeon at a cancer institute and then discuss treatment options available depending on your disease extent and past treatment details. Wish you a quick 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: my husbands most recent blood work came back showing iron anemia and abnormal rbcs. hes been receiving iron injections for several months with no change in either number. should we be concerned with cancer (no indication in labs) or is there possibly another cause? ### REPLY: Welcome to . I am .  My dear friend, if your husband is not responding for treatment then we need to find out the cause of anemia. You need to do some important test as complete blood count, peripheral blood film, reticulocyte count and stool examination for occult blood. These test will remove your any doubts regarding cancer and will help us for further management. He will be fine soon. Keep in touch. Thanx for query. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son is 9 months old. He went to grab the end wood table and his fingers slipped and he fell. He hit his head now it s red with what look like a bruise in the middle already. His pupils are reacting fine. Im a first time mom and freaking out. The bruised looking part is bumped up ### REPLY: Hi... I understand your concern. First be reassured that your kid is normal. I congratulate you for informing me that the pupils are reacting normally. I will suggest you danger signs of head injury -1. Vomiting continuously2. Seizures3. Watery of bloody discharge from ears and nose4. Unconsciousness5. Altered sensorial or behavior. 6. Unequally reacting pupils. If none of them are present, I don't think you should worry about his trivial head injury. For pain, you can give oral Paracetamol in the dose of 15 mg/kg/dose every 4-6th hourly. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my father in law aged 76 yr, MRI results show diffused cerebral atophy with few micoangiopathic foci both frontoparietal lobes... i want to know the cause and his chances of cure as his life expectancy considering the dignosis ### REPLY: Hi Pahlavi, Cerebral Atrophy is a common feature of many of the diseases that affect the brain which means loss of brain cells which is nothing but loss of neurons and connections between them. It can be generalized where all the brain has shrunk, or it can be focal affecting only a small area of brain and resulting in a decrease of the brain function. The exact life expectancy cannot be predicted but depends upon the cause like, stroke, Alzheimer's disease. I wish him 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: A person I know has been on dialysis for some time.  Recently a sore has formed on her leg which may have resulted from the dialysis.  Her son was not sure of the name for the sore.  He thought is was aphaleptic something.  Would you be able to clarify the name?  He said the maruka honey treatment had not been effective. ### REPLY: Dear Patient, probably we are talking about calciphylaxis. This is very comment in those patients on dialysis with a poor control of calcium/phosphorus/PTH levels. Often is an indication of inadequate analytic dose. In these cases, we increase the dialysis time or number of sessions, we control at best calcium, phosphorus, PTH and vitamin D. We make sure that vascular access is ok. However, we perform also a Doppler of the affected limb in order to exclude chronic obliterating arthropathy, which may give ulceration of the skin. In summary, a lot of work to do. Let me know. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was diagnosed with bronchitis yesterday and given benzonatate 100 mg every 6 hours, it hardly did anything and lasted only a few hours, I called the pharmacy and they said I could double the dose.  I took it at 10 pm and cannot stop coughing. I dont know what to do. It is a dry hacking cough.  She also gave me a prescription of methylprednisolone and said to take get it filled if the antiobiotics and teh benzonatate dont work...Im not wheezing do not have sinsus problems.  I dont know what to do ### REPLY: Thanks for your question on . I can understand your concern. Best treatment of bronchitis is inhaled bronchodilators. Since you are not taking inhaled treatment, your cough is not improving. So consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will tell you about severity of the disease and treatment is based on severity only. You will need inhaled bronchodilators (formoterol or albuterol). Better not to take methylprednisolone because it is a oral corticosteroid and having many side effects. Don't worry, you will be alright with inhaled bronchodilators. 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: Hiee Doc, My MRI shows an annular disc bulge at L4-5. I have unbearable back pain mostly in the lower back and the pain is maximum in the mornings and after noon time that continues till the night. I ahve been prescribed Mobizox for few days . Pls let me know the dos and donts for this disc bulge problem tretment. I am 32 , ht. 5 feet and 42 kgs. ### REPLY: Hi, Thank you for posting your query. I have noted your symptoms and MRI report findings. L4-L5 disc disease is common in people with desk jobs, in the absence of regular exercises. There is no need to worry, as significant improvement can be obtained by proper treatment and precautions. The most important is to start physiotherapy with IT, ultrasound, etc. Back extension exercises should also be started. You should avoid forward bending and lifting heavy weights. For pain, you may take pregabalin or gabapentin capsules. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, . Ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi there I keep feeling funny, I keep getting.Burning/warm feeling under bottom left ribs moving down to my waist around the left side of my belly button and left hip.My head feels like its heavy and someone is pushing it around (sometimes this gos).I feeling of dread/panic. Like a cold feeling in my chest.Throat closes up when trying to eat sometimes, as if someone had their hands round my neck.Back pain, neck pain.Blurry eyes.Balance unsteady sometimes.Brain fog.The tips of my fingers on my left hand are all sore and have a rash or something on them.Feel presure or a kind of tightning of my muscles above my belly button up towards my chests.Digestive problems.Hair on my face (im female)Hair thinning on my head.Ive had blood tests and my doc is saying they cant find anything, but why do I feel like this. ### REPLY: Simply get yourself molded to take antacid herbals for the time being. A kind of esophagitis, acidity (in Ayurveda Pitt humor vitiation) takes place. It could be resulted of mild hiatal herniation symptoms too. Avipattikar chairman (a herbal powders combo) is the best bet. It's bitter a bit but effective. No side effect, safe, no counteraction with other medicines. Second required thing is Hard . These medicines are available all over Indian subcontinent. I'm sure you won't need so many procedures and tests again. Once you start these, other things will follow to correct. Pl try to find these. If  allows we may try to send you. Next step related to hairs etc. will be advised after completing this phase. Hope it helps you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i Have a pain in stomach due to cylinder weight uplifting at home. Some times pain are at back and usually in below chest and towards left part of body. such pain always comes when i pick up some heavy weigth lift things.pls provdide remedy as i have taken all medicines ### REPLY: HI. The diagnosis is obvious. This is due to muscle strain or a sprain and the first thing to follow is to avoid lifting such things which cause you this. Get an examination done by the Orthopedic surgeon to ascertain that there are no other causes like problem with the spine or unequal muscle imbalance in the back. Take anti-inflammatory and muscle relaxant medicines and rubrafacient liniments to sooth the muscles. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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,My Mother is 53 years old. She has been suffering from headaches since 10 years. whenever she used to get headache she used to take paracetamol 500 mg and it used to get reduced. she used to get headache twice  a month during the last 2 years and she used to take paracetamol. But 3 month back, she has got severe headache along with vomitings. So we went to a neurologist and got a CT scan done which says like this "RIGHT PARASAGITTAL OCCIPETAL EXTRA AXIAL CALIFICATION IS SEEN". Impression of the report goes like this " ?MENINGEAL CALCIFICATION, CALCIFIED MENINGEOMA IN RIGHT OCCIPETAL REGION".Doctor has prescribed encorate chrono 200 mg(Twice a day), spenzo(0.5mg), Mylonerv D tablets. . she used them for 1 month . she did not get headache in this 1 month.After 1 month when we went for follow up, Doctor prescribed the following medicines    -   Franxit(composition-flupentixol 0.5mg, melitracen 10mg) ,               Vibrania D(composition-vitamin d3,methylcobalamin,pyridoxine hydrochloride) tablets. she used them for 2 months. she did not get headache in these two months also.  10 days back we went for follow up . Doctor checked her weight. within 2 months she increased her weight from 55 kgs to 60 kgs. Doctor told to stop gaining weight. i dont know why. In the recent follow up  Doctor has prescribed Encorate chrono 200 mg(twice a day) and neurobion plus tablets (once a day) for another two months which she is using now. Doctor told to have MRI scan after 2 months. My questions as are follows:What is ?calcified Meningeoma?Why does it occur?Are we taking the right treatment?Are there any side effects in using the above mentioned medicines especially encorate chrono for such a long time?Is there any kind of natural remedy for this?What kind of diet is to be taken to get rid of this?What kind of precautions are to be taken by such patients?Request you to kindly give your opinion.Thanks and regards,Sudha ### REPLY: Her weight gain is probably secondary to Enc orate which contains Valerie acid and has increased appetite and weight gain as a side effect. Meningiomas are usually benign extra-axial tumors i.e. they do not arise from brain parenchymal. They arise from meninges which are sheaths covering brain and spinal cord. They are usually benign and slow growing with resultant calcification. Since they are causing symptoms I strongly suggest that the patient gets an MRI scan of brain and is seen by a neurosurgeon for possibility of safe excision. If the tumor is small it can also undergo radiosurgery with a Gamma Knife without having to undergo surgical procedure. Please discuss it with your doctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi sir I m more then 5 weeks pregnant am suffering along with sickness I consulted doctor said 2 days to go check your pregnancy test just i was taken vartine 8 mg it will be effected or not sir vartine 8 mg taken with in half an hour I got period sir it will be effects are not please confirm soon sir ### REPLY: Hello, Thanks for sharing your health concern with us. I would like to know if you had the pregnancy confirmed. If so, the onset of bleeding could either mean a threatened or inevitable abortion and care should be taken. If you have not confirmed, it could be a natural period. Vermin has not been shown to cause any untoward effects in pregnancy. However, any medication should be used with precaution in pregnancy. Hope your query has been answered. 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 been diagnosed with GAD since recovering from prostate cancer & possible duodenal cancer that was determined to be non malignant both within the past 2 years. I have tried 5 different SSRI s and 3 different SSNI s, none of which provided any relief. Side effects for most made my anxiety worse. I have also seen 4 psychiatrists with some minor success. CBT offering some help, the others, EMDR & Talk Therapy very little. The only relief I get is with 1MG Lorazepam as needed with no side effects. Why all the negativity re this medication. ### REPLY: Hi. I understand your situation. Keeping myself in your shoes and with previous experiences with these therapies in cases of anxiety and depression with aggravation SSRI, I would suggest either NLP or sunk six I acupuncture. NLP practitioner are available all over the globe. If you do not have access to any practitioner than you can read the best books I came across this topic - unlimited power and awaken the giant within. Both by Anthony Robbins. These are life-changing books and I highly recommend them from personal as well as patient experience. Six I acupuncture is different from Chinese acupuncture. It utilises very small needles with very small insertion depth only on palms. For emotional issues six I acupuncture is one of the best techniques to change the whole Constitution of the person. If am not sure which country you belong, but there are sunk association from Moscow who can probably guide you don't practitioner in your area. Hope this helps. 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: Sir,I am a chronic patient of kidney stone. in 9 years 4 times i have operated through ESWL and remove stone completely every time. Last operation done 1yrs back. But now again 2 stone found 4.4mm upper pole calyx of left kidney and 6.6mm in mid calyx of right kidney.My uric acid is:6.68.  Plz suggest how to control stone formation again and again. ### REPLY: Hello, You are having tendency of stone formation and frequently get operated several times.  Here I suggest you, when you get operated your stones this time than you must get checked up your kidney stones for their chemical composition and formation, that is what type of stones you are having either oxalate, phosphates or any other substance and try to avoid food containing those stone forming chemicals.  Also, you take further consultation from Homeopathic Doctor, sometimes it works very well. Good luck and take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my mother is 75 years old, had a CVA last year. She has now become forgetfull since a month or so and the report of an MRI done yesterday says previously noted ischemic infarction in right occipital region now appears chronic with gliotic changes, rest of the report is same as was done last year....so what does these gliotic changes mean??? Kindly answer, thank u. ### REPLY: Dear idiotic changes are a report of brain hypoperfusion which in most cases is caused from chronic illness such as arterial hypertension, mellitus diabetes or dyslipidemia. So if you want to treat the brain problem first you have to treat those disease. Aspirin is needed at a dose of 100-300 mg per day. Brain protector such as paracetamol 1000 mg per day or meantime 20 mg per day starting from 5 mg per day and rising the dose each week.Don't hesitate to contact me for further advice, wishing 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: doctor i suffered from PCOS for that i took treatment to get pregnency. After IUI i get pregnency by using medicines along with injections for ovulation.and now i have 8 months child. now i want to have my second child. I got period in 8 month after my delivery. can i get pregnency normally otherwise i have to go for IUI again? ### REPLY: Hi, I think you can try naturally with medicines.  You can take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound.  When follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles.  Be in contact with your husband for 2 to 3 days after injection.  Take progesterone for next 2 weeks.  Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months.  Hope I have answered your question. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello I am a healthy 26 yr old female that has been have problems with PV bleeding for about 2 years.  I have had blood transfusions and have tried everything possible and nothing has stopped the bleeding.  I currently have a Mernia in place and that has lightened the bleeding but has not stopped it.  I have been having abdomen pain since this has been put in place.  Do you have any advice for me ### REPLY: Hi ! Good morning. I am  answering your query. Many a time some women do not tolerate IUD's and start having bleeding and abdominal pain. If these do not subside by their own, or the problem increases in intensity, you should consult your gynecologist for a change in the IUD device or to adopt any other available method of contraception. For anemia, you might get a prescription of Iron tablets from your treating doctor. 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. Wishing you an early recovery. . ### END