Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had RSD for almost 30 years and full body since 1995. I have been told I am in 4th, final phase. I have been having gastrinal problems. Diarrhea and vomiting. Can this be the beginning of it affecting my intestines and bowels or, I pray, just a bug ? ### REPLY: Hi, Thank you for posting your query.First, I would like to reassure you that diarrhea and vomiting are unrelated to your RSD. It most probably is due to a viral or bacterial infection. Please consult your GP and get it treated. There is no need to worry about it being due to any serious issue. 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. On my right ankle on the outer side, I have a quarter sized lump. It s not ball like in feeling but feels to the touch more like a bruise, but there is no discoloring or pain. It is not hard like bone but is rather hard like pooled fluid or soft tissue. What could this be? ### REPLY: Hi, dear I have gone through your question. I can understand your concern. You may have some soft tissue tumor or some benign cyst. You should go for examination.  If needed go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi im 25 yrs old and my whole life i have never felt any pleasure sensation in my penis during sex, all i feel is the warmth and wetness but no pleasure. I love women so i dont understand, but i will admit that since 12 or 13 yrs old i have masturbated several times daily with no lube just bare hands what can i do or try to change my problem? ### REPLY: Hi, Since you have masturbated several times from 12 years of age. The nerves that supply the penis would have undergone too much wear and tear which leads to reduced pleasure or desensitization. Sometimes when we are regularly masturbating penis might feel numb. I suggest you to avoid coitus for a month, and then try to stimulate your penis through oral sex and intercourse. It might make a difference and get your pleasure back. If it does, you can regularly maintain adequate gap (days) between every intercourse session. Take care. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor. I had a horse accident where i got hit by the back of the horse (while riding) after doing MRI and X-ray both showed a 50% compression in D12. Docotrs said I dont need surgery and since pain is not sever and spinal cord compression they did not recommend cement injection. I am wearing a brace and have some pains in my lower back (tolerabale), how much time it will tale to heal and what should i do after to avoid further fractures (i am 35) and will i be able to go back to normal activities wieght lefting, carrying my boys for examples ### REPLY: Hello. I have been through your question and understand your concern. Generally 6 weeks are enough for the fracture to get stabilized. Then you can normally return to your normal activities. While getting wights is more dangerous for at least 6 months to one year. Physical activity of the dorsal muscles can help to spread the weight more homogeneously. Still, you need to be cautious with this. Hope this helps. Wish you the best health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: MY BEST FRIENDS MOTHER HAS JUST BEEN DIAG WITH ESOPHOGEAL CANCER AND GIVEN 6 MO. TO LIVE.  SHE CURRANTLY HAS NO PAIN BUT HAS NOT BEEN ABLE TO SWALLOW ANYTHING IN SIX MO. SHE HAS A FEEDING TUBE. WHAT WILL THESE NEXT 6 MO BE LIKE FOR HER AND HER FAMILY? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Difficulties in swallowing is the most common symptoms.  Later on pain, anorexia, weight loss etc. will develop.  She should be given feeding through rules tube in next 6 months.  Conditions will worsen in next few months.  Prognosis and life expectancy will depend on type, stage and spread of cancer. 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: iam 27 years old guy my foots are paining when i am sitting office continuousley ,if i am taking pain killer it is gives for two days..again it it is paining ,iam unable to walk also,firstits start for one leg after next leg also paining,one leg lightley swell ,i just want to know is the syntoms for ? ### REPLY: Hi, There are criteria for the diagnosis of arthritis. Pain should be present for at least 4 weeks, and it should be associated with morning stiffness. If pain is present for only 2 days less likely diagnosis of arthritis. Other reasons for pain and swelling may be dying to minor trauma which may have been unnoticed or due to continuous sitting in one position. You need to be examined by a physician for a detailed assessment.  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: go oline ### REPLY: Hi, thanks for choosing  dear friend first i congratulate you that you at least show the guts to accept what you have done.watching porn movie is not a sin.in some stage of development everybody goes through this type of activities. Nothing different for you!and your parents know all these things they may be happy that you tell the truth. They also came through the same stage. So don't waste your time by thinking that your parents will hate you but prove yourself by work hard and study well. They definitely accept you. So hurry ...move on with your precious life! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 prescribed to take cardace 10 mg and nikoran 5 mg after my by pass a few years back. I am now in Qatar where these two are not available. The suggested alternatives are Coversyl (5 mg) and Norvasc (5 mg). Are these ok ? Are these the best substitutes ? What dosage is best ? Thanks and regards Sam ### REPLY: Hi, Yes, it is advisable to take covers and novas instead of Candace and Nikolai. Covers and novas are considered to be effective alternatives to Candace and Nikolai for the control of high blood pressure. Covers may be started with 2.5 mg once daily along with novas 5 mg daily and the blood pressure should be periodically monitored to check their response. If blood pressure is not controlled with the initial doses then the covers dose may be increased to 5 mg. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been diagnosed as a borderline diabetic.  For the past several weeks I have had a rash that appears on my mid-section, arms, neck, etc.  I comes about the same time everyday and it produces a terrible itch.  My question is could this be related to the diagnosis? ### REPLY: His you have mentioned that you are borderline diabetic, the blood sugar levels are not very high so may not be related to diabetes however continue the lifestyle management and diet as advised by your physician. If I were your treating doctor would have advised for the itching -some anti histamine tablets and apply Renovate cream if you still continue can contacts you good healthRegards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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...saw my urologist today..PSA has been erratic for a few years up and down. Today it was the highest it s been at 4.98. The digital exam was normal. Soft and smooth he said. We re going to retest in 6 weeks and he says no sex or masturbation 2 weeks before the blood test. Thoughts? How can we tell if it s BPH instead of cancer or is there no clear cut way unless you have a biopsy? ### REPLY: PSA levels up to 4 is perfectly alright. BPH patients show up to 10 which is also ok. the PSA levels are only indicative of the prognosis and the extent of the disease but are never diagnostic and confirmatory. Malignant changes give a hard palpation on examination. But according to reports PSA levels greater than 40 are more likely to be Malignant. Biopsy are always diagnostic. If you are willing for an invasive procedure go for a biopsy. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am married since one and a half year, trying to conceive but its not positive.We had our checkup where everything is normal.Our doctor has suggested for tab. DEVIRY-10 for 10 days and if i have my menstrual cycle then continue with tab.OVOFAR-50MG from the second day of the cycle for 5 days(1 tablet daily). I just wanted to know whether  will I become pregnant, what are the roles of this tablets and is there any side effects. ### REPLY: Hi, devilry is given to induce periods. Ovular is given to increase the growth of your follicles and induce ovulation. It increases the chance of pregnancy.  You can track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles.  Be in contact with your husband every 2 to 3 days after your periods stop.  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: We had a safe sex, but it spilled over from the condom near the vaginal mouth. we were sure that it didnot go inside, still for safety I took an ipill. i was also having a drug named deviry to control heavy bleeding. I had my periods exactly 10 days after having ipill around the schedule date but the bleeding was not heavy as before, may be due to the drug I was having to control it. but after 7 days the period has stopped normally I am having spots for the last one week. am I pregnant? ### REPLY: Hi, In the current scenario, it is unlikely that you have conceived. From your history of heavy bleeding and its treatment, it is likely that you have hormonal imbalance. Emergency pills contain high hormone doses which can make this scene worse. The bleeding you saw after the pill intake is the with .  The spotting you are currently experiencing suggest some breakthrough bleeding. You can exclude pregnancy through the estimation of the serum beta-ChatDoctor titles and if negative, go for further help from a specialist. 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 husband has fallen on an electric toothbrush while it was standing up right in its holder. The metal went all the way into the side of his knee, Im worried of infection, but he doesnt want to go to the hospital. Can u recommend anything please? ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concerns. As per your complaint as your husband has fallen over an electric toothbrush that has gone inside the knee leading to formation of a wound. It can lead to mild infection in the area but the infection will not be so severe that you need to be too much worried about. You need to simply start cleaning the area with an antiseptic solution and apply an antibiotic ointment over it to avoid infection. Keep the wound clean and . . In case if the condition worsen or there is pus formation or pain, consult a General Physician and get evaluated, and he can advise you oral antibiotics. Hope this information helps. Thanks and regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Can a lot of masturbation cause epididymitis?  I have masturbated much more than usual for the last week (2-3 times per day)  Can you get bacterial epididymitis when you have had a vasectomy?  I am 42, 190 pounds, 5 ft 11, Waist 34 inches.  I went to get checked today for pain in groin/testicle.  Doctor suspects epididymitis. He ordered ultrasound and tests and prescribed anitbiotic.  I did see a stripper recently who touched my penis with her bare hand.  But, I did not think contact like that could give me an STD like gono or chly.  Thoughts? ### REPLY: Hello and. As a Urologist, I must assure you, masturbation doesn't cause epididymitis. Masturbating 2-3 times daily, doesn't cause epididymitis.  Neither does a vasectomy cause an infective epididymitis. An ultrasound scan, will clearly show the changes of epididymitis, and if the testis is affected in any way. Just by skin contact of your penis, you're unlikely to contract an STD. Blood tests, like V . If the pain is severe, you can take analgesic, anti-inflammatory tablets, like Chymotrypsin, twice daily. If you've any doubts, you can contact me. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doctor my mother taken 6mg acitrom my mother left leg has blood bolcked  doctor check  it PTR & INR to take the tablet acitrom 6mg and take to belt.my mother taken belt .she is use daily.side effect is heart pain she told heart pain and sleeping not well any solution doctor pls tell me my e-mail id  YYYY@YYYY ### REPLY: Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Endothelial damage, increased coagulating factors or change in blood movement within the vessel commonly leads onto thrombosis. This thrombus blocks the blood vessel.2. Due to reduced activity of your mother, blood movement would have slowed down resulting in formation of thrombus.3. INR needs to evaluated to maintain at a higher level of 2-2.5 during anticoagulation therapy. If she has any breathlessness, meet your doctor immediately. Hope it helps. Any further queries, happy to help again. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was afflicted with myelitis in August 2013 with loss of sensory and motor function on my right side from the chest down. I have slowly regained motor function and have been very active with physical therapy. While I am hopeful about my motor function as I am now walking and gaining a more natural movement each week. The problem is that I have not recovered any sensory function and I continue to have cold allodynia in the lower extremities. They say that if there is no recovery by 3-6 months than the chances of improvement are small. Is it possible to have regained motor function early and much later recovery sensory function? Is there any way I can help to recover sensory function? ### REPLY: Hi, Thank you for posting your query. It is unfortunate that you are left with sensory and motor dysfunction secondary to myelitis. Recovery does happen, though at slow pace, of both motor and sensory functions. This recovery can continue to occur unto about two years. Please continue physiotherapy. As of now, there are no medications to enhance the recovery of sensory functions. There are clinical trials ongoing to assess the stem cell treatment. If that is successful, then, you would have one option to enhance the speed of recovery. I hope my answer 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: hi i am 28 years old . i have sex problem that i did so many times handjob because i can t control my self when see some one like sexy and sexual thing that time im going to this bt i can t take more time within in 5 minutes it s gonna be lickout so im worried about my future life when i ll merry .please give me suggesion what should i do ? please sir........ ### REPLY: Hi, If I were your treating Doctor for this case of so-called addiction I would suggest you not to worry about future life and indulge yourself with harder physical activities! Masturbation do not affect any ones sex life but take care not to hurt or infect your organ... you might have some counselling by a psychiatrist if still not satisfied! Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 6 year old has been with a high fever off and on for 3 days. It started at 103.7 and has fluctuated up and down with Tylenol and Ibuprofin, the lowest being 99.7 with hour doses in between. The fever has not broken. She started with a slight headache, has chills and tired. She feels good to play most of the day, but today she actually went to sleep at 5:45 saying she was exhausted. Any ideas before I take her to urgent care. ### REPLY: Hi, The most common cause of these symptoms-fever, headache, chills, and fatigue-would be a viral illness. Child .  It is most reassuring that she acts normally most of the day. If she had a serious illness like meningitis, she would be sick all the time. Although, there is no documentation that giving a febrile child two medicines for fever is any better than giving just one, many parents give two.  Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, i have been told by my physio that i have a disc bulge that affects my L5 region this was last thurs, i have severe pain in my calf and foot area down my left handside only. this started over 8 weeks ago just with lower back pain but 2 weeks ago it started to manifest itself in the lower leg area.  i have been to my doctor who perscribed naxproxen 500g codine and amptytripyline 10mg, this does not do much to ease my pain so far today i couldnt make work as its as its truggle to walk and stand for any length of time. ihave only taken the amptytiptline for 4 nights so far as physio said this is the one tablet that should help but i cant see any improvements yet ### REPLY: Hi, Thank you for posting your query. I can understand the discomfort you are undergoing due to pain in the lower back and leg. This is most probably related to the disc bulge and pinching of the nerve there. The medication that could help you are pregabalin or gabapentin capsules. In addition, physiotherapy is also useful. If pain still persists, local epidural injections may be taken. Please get back if you require any additional information. Best wishes, . Ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a runner. 35yrs old. 115lbs. 5 4. After 2 stress fracture of my right fibulas, a diagnosis of Hashimoto s thyroiditis and 8mos off of running I am still having mild foot pain every morning upon waking. After 8 mos I tried to run just a mile. I noticed I still have pain in my peroneals. Osteopath thought I might have tarsal coalition bc my foot doesn t move well. Talus locks up and had little independent movement. I had an MRI yesterday and it showed I have tenosynovitis of the tibialis posterior tendon as well as the peroneus longus and brevis. We do not know WHAT is causing it if I don t have a coalition. I don t want to take antiinflammatoris bc I m worried it will just mask the problem. Drs have warned me if I run through pain I risk a rupture. I am at my wits end after 18mos of this and no one knows what is going on. Help. ### REPLY: Hi you have pain in your foot which increases on running. You have been diagnosed as having Hashimoto Thyroiditis and Tendinitis of tibialis posterior and Verona tendons. Sometimes we call them overuse injuries and as such no definite cause may be found and our aim of treatment is to reduce swelling in the tendons. In my clinic, I would prescribe Anti-inflammatory painkillers, Local Heat and protection while walking. I will wait for 2-3 weeks and if there is no relief then I would proceed with Local steroids. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 a 19 yr old female with hydrocephalus and lately I ve been have a lot if headaches they r not as bad as and shunt malfunction headaches but they are not going away I ve trying caffeine, Advil nothing is working but I don t want to waste my time at the hospital if it s nothing any advice ### REPLY: Hello. I have been through your question and understand your concern. While headache might have many causes, in your case it is crucial to rule out any shunt malfunction, which I suppose you already know how HY .  If the ventricles are within normal dimensions there is reason to think headache is caused by it. So I believe this kind of headache is not related to your past medical history, and might be just a tensile type headache, which is the most common type of headache which does not always respond to caffeine and Advil. Hope this helps. Please feel free for further questions. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 24 yrs, weight - 45.5 kg and height is 53 and m suffering from poly cystic ovarian disease (PCOD)from past 4 yrs....I have pimples on my face and suffering from hair loss problem now from past 1 yrs....now i have very less hair on my head...my doctor has suggested me Vighan Forte and mintop solution....is it safe as m suffering from PCOD ### REPLY: Hello. Thanks for writing to us at  Hair loss in POD has a hormonal origin. There is an excess of male hormones that are circulating that normally shouldn't. These male hormones are responsible for miniaturization and hair loss predominantly from the top of the scalp in females (Female pattern An . Treatment of POD is specifically aimed at normalizing the hormonal imbalance with monthly hormonal pills(combination of estrogen and a progestational agent). Once the hormonal balance is normalized the excess male hormones which were acting, no longer do and therefore hair fall is arrested and even reversed. The tablet which you mention contains biotin. Biotin is an added advantage as it promotes hair growth. It also promotes utilization of proteins by hair, but it is not specific therapy for hair fall in POD. Minoxidil too is not specific to POD, it is a non-specific hair growth promoter, but it has an added advantage when it is co-administered with specific therapy for POD. However, both biotin and minoxidil are absolutely safe to be used in PRO ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello doctor, i am 23 years of age and loosing hairs from the top centre of my head.my hairs were thin and curly from childhoood     and it started falling from a very early age.Now i just want to request you to kindly guide me in  the right direction whether what should i do.medication will be helpfull or i should go for hair transplant? ### REPLY: Hi, Understanding your concern. As per your query, you have symptoms of hair loss which could be due to genetic causes, and it could be due to environmental factors. Need not worry. I would suggest you consult dermatologist once and get it examined. Go for ferritin, hemoglobin, thyroid, and other tests and then start treatment accordingly. If it is genetic then hair transplant is the only best option. You should keep your hair massaged to increase blood circulation. Apply Minoxidil on hair follicles and take Finasteride preparations as well for hair loss. Hope I have answered your query. Let me know if I can assist you further.  Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Sir,I am john  from dubai and my age is 29yrs,am married,weight: 74kg,I have a problem related to my penis skin.Every morning when i retracting my penis foreskin and scrubbing the head of penis with my fingers (for proper washing),a white colour cheese like thing is coming.I dnt have any rashes or red spots or pain on my scrubbing area.For the same I used betadine solution and alchohol swab to remove it.But on the next day morning it will again come.Sir, Is this a fungal infection? Which medicine or ointment I can use for this ? I am much worried about this condition.Kindly advise.Thank You. ### REPLY: Degree understand your concerns went through your details. The white color substance is called Sega and is a collection of urine, dust, cloth dust, sperm or semen cells etc. This happens because of lack of hygiene. I suggest you to wash the inner sides of foreskin twice or thrice a day using soap and water. This is not any fungal or other infection and therefore ointment or medicines are not required. You may consult a urologist for confirmation if you wish to do soil you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Please feel free to post follow-up queries. Available for further clarifications. Good luck. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Sir/Madam,i have an irregular periods for the last 10 years, 8months before i got married, we are planning for baby, eventhough now i am getting periods, my doctor told like POLYCYSTIC Ovaries, & she suggested Rejumet Tablet, Please suggest me... i want to get pregnant....By Kala ### REPLY: Dear Gala, Since you are having Polycystic Ovarian Syn .  Only tablets will not be sufficient. The tablets you are out on are Methylcobalamin tablets. PCs is not a disorder restricted to ovaries. It involves the hormonal and metabolic dysfunctions also. In this condition, along with the many cysts on the ovary due to entrapped eggs, insulin levels are increased and the male hormones also increase. This all is associated with obesity, which is a peculiar obesity in which there is deposition of fat around the waste. The other symptoms are hair at unwanted places, irregular menses, etc. You will have to restrict your diet - high protein and low carboy ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 my dick is not stading properly i did sex 2  months befor till then mine dick is working great but now its not working what should i do premature ejucalation takes place in 3 min my sperm came out what should i do pleace reply me fast as possible ### REPLY: Hello appreciate your concerns will definitely help you in the best possible way if you can answer my these questions presence of any medical or metabolic disease Do you smoke or consume liquor first it needs to rule out any organic cause for low sperm count and non-motile sperms, by treating the underlying cause, healthy sperms can be improved it fails to increase, than artificial insemination and other artificial reproductive techniques can be used. I would advise you following guidelinesWatch your frequency of sex and look for any injuryMake your be . More conducive and appealing for sex. Spend more time in foreplay and take your time You can ask your wife to press at the base of the glans when you feel to ejaculateAvoid smoking and alcohol consumptionAvoid stress and anxiety, just relax and enjoy your earthier are medicines available for erectile dysfunction as well as premature ejaculation, please let me know if you have need any more assistance, I will gladly answer you Hope this answers your question 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 spilled a large amount of pachouli essential oil on the back side of my left hand and rubbed it on the backside of my right hand and on my neck. about a week later i noticed a rash. since then, I notice a bruise like rash at the place where i had taken a tb test in the past and behind my left ear on my hairline it feels as though there is a tender spot on my hairline left ear area. I was given 25 mg of Atarax (Hydroxyzine Hydrochloride) by my Dr. for the rash ### REPLY: Hello, It looks like your skin is allergic to Patchouli oil. Take non-sedating antihistamines (Levocetirizine). You can continue anthrax as prescribed. But do not take both the antihistamines together. You can also apply 1% HY .  It effectively reduces itching, do not scratch.  It should get well, if it takes time get physically examined by a dermatologist & get treated. Hope I have answered your query. Let me know if I can assist you further.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my son is 13 he is not feeling well he slept all day yesterday was sick to his stomach last night is complaining he has a headache his neck is sore is lower back is sore and his throat is very sore and gets dizzy when he stands up and has not ate much since yesterday morning ### REPLY: Welcome to Ask a doctor service. I have read your query and here is my answer.  Your children symptoms are due to sore throat. He must be having fever and associated headache, backache and loss of appetite. I will suggest saline gargles. Antibiotics as tab Azithromycin once a day and tab Paracetamol for body pains and fever. Ask him to take rest for 4 or 5 days, and he will recover well. 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: Hello Dr, My 17 month old son injured his maxillary fernulum on 13th June 2014, and was bleeding. I took him immediately to my ped. However he said bleeding will stop on it s own and sent me away. But by the end of the day, my son was bleeding profusely and we took him to emergency. The dr made a suture and the bleeding stopped. But next night, my son fell on his bed playfully before going to sleep, with a pacifier in his mouth. The suture came out and it was bleeding a lot again. We again took him to emergency and as the bleeding did not stop over 1-2 hours, the dr examined and gave him 2 new sutures. This time, the bleeding did not stop immediately. They said we should be in observation for few hours at hospital and then, if the situation does not improve, he may have to be operated. But bleeding stopped after few hours and we came home. It s a week now and he has been bleeding on and off, finally more heavily with some tissue hanging near his mouth. He is using a pacifier. Does the use of pacifier delay his chances of healing. I would really appreciate your opinion. Thanks and regards Subha ### REPLY: Hello, I can understand your concern. Maxillary frenulum area has very rich blood supply. Hence, it is understandable that when your son was hurt there, he experienced a lot of bleeding that was difficult to stop without suture. Yes, use of pacifier may keep interfering with the healing in the area making your child bleed from the suture and wound area on and off. It will be good for healing if pacifier use is stopped for about a week until permanent healing has occurred and there is no chance of interfering the wound. In addition, as a week has passed, I would advise you to visit the surgeon again for the follow-up regarding the infection that may have ensued in the area compromising healing and causing recurrent bleeding episodes. If that was the case, the doctor will prescribe you antibiotics after examination of the wound and the healing will ensue. I hope this answer helps you. Thank you for choosing . I wish your son heals 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: Im having a sharp pain on the left side of my chest when I move from my left to my right. It is very brief. I had an EKG yesterday and everything came back fine. Im a 30 year old male with no previous condition. Im going for a stress test friday but this scares me. I know im panicking and need rest. This pain is really brief again. As im sitting here i feel fine. Im hoping for a piece of mind if anything so I can go back to sleep. Should my stress test be sooner than this friday. Im wondering since its real brief if this isnt just a pulled muscle. Im taking gerd medication right now which is what my pcp thinks this is. Its just this short brief pain on my left side is scary. ### REPLY: Hi thanks for contacting ...... Here your chest pain most probably from referred chest pain secondary to acid reflux.  . For that take pantoprazole capsule to reduce acidity .... .  ... Avoid excess spicy foods .... Heavy meal restricted .... Caffeine, chocolate like LES relaxant avoided . Put pillow below head while sleeping . Avoid smoking . Reduce weight if obese .... Stress test will help in rule out your cardiac health .... No need for worry ...go with stress test as mentioned by your doc... If than needed EKG or echo done. . 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: In August 2011 I went to the er and they diagnosed my with panic attacks and panic disorder I need help with obtaining a prescription for something to help me because I do not have medical insurance currently.  The doctor prescribed me 8 xanax and they helped a lot.  As soon as I stopped taking them the symptoms are all back and have gotten worse.   Please if you have any advise as to how I might get a prescription I would greatly appreciate it.  Every day is a living hell for me.  I cant do anything these days other than drive to work which is 5 miles from my home. ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. I am sorry to say that getting a prescription for Xanax is not that easy. Xanax is a .  Please find a doctor, request for Xanax. That is the solution. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Sir, My mother is 62 years old and undergoes cystoscopy (kellys repair) almost every 9 months for the past 4 yrs. She is expereincing continuous pain in her abomen esp lower part. The ultrasound of whole abnomen has revealed that she has garde I fatty leve and bilateral renal pelvicalyceal fullness, (more right than left). What should be done.? ### REPLY: Hi and welcome to . As a Urologist, i can understand your anxiety. Your mother doesn't need to undergo a cystoscopy every 9 months. For the abdominal pain and fullness in kidney p-c system, she must do a CT. A CT is ACTIVE scan, whichll give accurate information about the fullness. Itll show details of the fullness, if it affects the kidney and cause of pain. Thatll clear all your doubts. The scan can be sent here, for an expert opinion. Wish you well. .  Manga. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had unprotected sex three days ago (Saturday morning), I forgot to take my Tri Sprintec pill on my regularly scheduled time, 9pm. I woke up @ 3 am Sunday and took Saturday s dose and then at 9pm for Sunday dose. Should I take an ECP now just to be on the safe side to prevent getting pregnant? I already took my Monday s dose four hours ago, which is the last of the active pills. I will start placebo pills tomorrow. ### REPLY: Hello ma'am. A slight delay should not be a problem, and as you reinitiated your next dose at the right time, I do not think there should be a problem. Moreover, it has been over 72 hours (approximately) since you had the unprotected intercourse, there is no point in taking an ECP now as it would not be as effective. You will have to wait and watch, and hope for the best. Hope this helps. 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 have back pain that I think is more than back problems.i am 64 and I ve had the pain for a while.i didn t think much about it at first,but over several years,and is now almost unbearable.ive had test don and what scares me is the fact that they say I don t even have arthritis that bad and they don t see anything else ### REPLY: Hi, You have a mild form of arthritis that is enough for your body to cause sever back muscle spasm. Since it is from a long time both your deep and superficial back muscles will be involved with multiple trigger points. Hot packs with exercises like Back press, Diaphragmatic breathing, Eagles Active back movements, Walking or jogging, Yoga (all exercises should be pain free and all should be done gradually without any strain). Also, comfortable sleeping mattress, and following proper work and daily activities ergonomics will help in pain reduction. Hope this helps you. Let me know if I can assist you further. 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: All night last night I kept waking up to upper abdominal pain. I felt like I needed to burp or get sick. I vomited a few times but havent since. Nothing seems to make it better or worse. Ill be fine for a little bit then all of a sudden my stomach starts to hurt again. its causing my back to hurt right behind the abdominal pain. Any idea? ### REPLY: Hi ! Good morning. I am  answering your query. If I were your doctor, after a clinical assessment of your abdomen and back along with a general physical examination, I would advise you for some routine blood tests like a CBC, blood sugar, serum amylase and lipase, an LFT, blood urea, serum creatinine, an ECG and some radiological investigation like an ultrasound of whole abdomen, X-ray chest and abdomen in upright posture, followed by a CT scan if need be. In the meanwhile, I would relieve your pain with some anti-spasmodic and a proton pump inhibitor .  Further management would depend on the result of clinical assessment and the investigation reports. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. I wish you an early recovery.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Patient is suffering from gallbladder stone . One and a half months ago, my grandmother was admitted to hospital for a week and doctor referred operation for her. Doctor prescribed Digene 3 times a day and a tablet which is used in case of pain. We want to avoid operation because of age factor. Now, she is facing with same pain again because of overeating. I tried to give her Epsom salt in a cup of water but she don t want to take it. Please advice what to do? ### REPLY: Hi, Thanks for posting your query. Pain after eating is possible in cholecystitis, pancreatitis and peptic ulcer disease. Pain due to gall bladder stone is because of development of cholecystitis (swelling in gall bladder wall). Gall stones cause pain in right upper qua . Di gene is effective for acidity problems and have no effect on gall stones. You should consult with internal medicine specialist/ gastroenterologist and should go for thorough check up. You should also go for repeat ultrasound imaging for detection of gall bladder wall thickening. Your grandmother should take small amount of frequent meals. Hope that helps. Take care, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I suffered a pin stroke on 9/22.  I was at a restaurant with my 2 oldest grandchildren (who were riding )with me.  My youngest son and his wife children were there.  I had no warning signs, but my son , daughter-in law did notice how quiet I was. I cant remember driving home 21 miles.  My grandchildren told me later everything I did.  One question is how can I tell if Im fully recovered ### REPLY: Hi and thank you so much for this query. I am so sorry to hear about this pin stroke. I hope by pin stroke you meant transient ischemic attack which is stroke that the client fully recovers from within 24 hours. The best way to tell whether you have fully recovered is if you have no problem. If your have no worrisome symptoms right now, then it means you fully recovered. The most important thing to do right now is to get consulted. A patient who has suffered a minor stroke would most likely have another in the near future if not well investigated. You would need to get consulted and investigated for the various risk factors of stroke which include blood disorders, heart and vascular problems, infections, cholesterol problems, etc. This would help identify the risk factors, ad . I hope this ad ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 asthma.  I have a cold that is aggravating my asthma.  Would it be help-full in controlling my asthma to take predisolone?  I have done this in the past and used the tapering off procedure.  Do I have to use the tapered procedure when taking predisolone? ### REPLY: Hello dear, Prednisolone being a corticosteroid should be taken only under the guidance of your Doctor and follow a tapering off procedure before stopping it. 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 can also be used to provide symptomatic relief.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: dear Sir, my 4 year old daugher had caught cold on Saturday so i started giving her Maxtra. Now 1 day later, she has also caught cough - very frequent and looks dry. Her cold is not running but has rather become slightly thicker. please advise if i should give her ambrodyl S or Chericf for her cough problem. ### REPLY: Hi... Thank you for consulting in . Greetings from Chennai. By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you -Questions:1. How many days per month does she cough or feel breathless?2. How many nights per month does her sleep get disturbed due to above symptoms?3. Does she feel breathless when she runs around or plays with other kids?4. Are the symptoms when there are seasonal changes?5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?6. Is the cough always associated with fever? If your answer is yes for any of the above questions, your kid might be having viral associated wheezing or multi triggered wheezing, and I suggest you meet a pediatric pulmonologist who is near your place. No point in using cough syrups every time. 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: I have always had problems with being anemic. Just this past week my sister took my niece to be tested about her blood cells being abnormal. It is not Sickle Cell but they tested her for thalessemia. Do you think I need to ask my doctor about it since we cant figure out why my iron levels are still low even on iron supplements? ### REPLY: Hello, I understand your concern. I am , Infectious diseases specialists, responding to you. Thalesemia is disease where there is constant breakdown of the RBC and resultant anemia. I suggest you to figure out which type of thalassemia you are having. This thing will help you in your proper management. I will be glad to answer your further query. Thank you for your contact to . Wish you the best health. Thank you, 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 hd sex on my 8 th day, and condom broke and sperm went inside. I took i pill after 24 hrs. And after dat i got periods on the 20 th day and d period was nt kind of the regular, flow was less comparing to other days. My cycle was 26-28 days. Its been 27 days till nw frm the nit this happened. After dat day we had foreplay and no sex. So, do i have chances of getting pregnant? Please help.Email-  YYYY@YYYY ### REPLY: HelloThanks for your query. The I pill when taken within 24 hours is more than 95 % effective in preventing a pregnancy. Also, the pill can delay or advance your normal periods by up to a week or more, sometimes, 10 days. Hence, the scanty period could be due to this. Please take a pregnancy test anyway just to be doubly sure.Also remember that the pill is not a substitute for regular contraception. 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: My 7 year old son woke up in the morning with a swollen face. I rushed him to the ER and they diagnosed with viral parotitis and ruled out mumps due to the fact he has had both immunizations (MMR). No blood test was done. I followed up with primary care doc the following day and they too agreed with the viral parotitis diagnostic. No tests were done. The following day he woke up with a rash all over body. Their are bumps spiratic all over his body (not a lot but bumps but all over here and there) some are small with a whitehead and some are just red. Under both of his armpits are covered in large red bumps under the skin (dime or nickel sized). I m taking him to the doctor again tomorrow. Do you agree with the viral parotitis diagnostic even considering the rash? Why aren t they doing a blood test or virus test? I m concerned about something more serious like meningitis etc.) He is healthy, no allergies, and hasnt been sick much in his life (other than 2 ear tubes surgeries from repeat ear infections). Thank you, Concerned Mother ### REPLY: Hello, I can understand your concern. The body rashes that have suddenly appeared seem to be viral in origin. Thus, the presence of rashes in fact confirms the diagnosis of the doctor of your son suffering from viral parotitis. Meningitis symptoms include more severe central nervous system related symptoms, so please do not worry about it as your son is not presenting any symptoms of meningitis. The diagnosis of parotitis is very easy due to its specific swelling location and the age of the child. So it does not require tests to be done every time for diagnosis. In addition, it resolves in about 7-10 days without any specific treatment and providing only symptomatic treatment as and when needed. I hope this information clears your doubts. Thank you for choosing . I wish your son 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: My 3 year old child bitten by a street dog. the doctor gave him TT injection same day. Next day I went to a nursing home and start the vaccination course of dog bite .till now two injection has given to my child.But the dog has died. Now what will we do for next.Help us please ### REPLY: Hi, Thanks for posting in . I understand your concern. What you have done by taking TT and injections following dog bit is right. Kindly see that the wound does not get infected and would be maintained clean and .  Since the dog has died, you need to compulsorily complete the schedule of injections as on days 0, 3, 7, 14 and 30. Also, administration of immunoglobulin might be required. Kindly get evaluated by Physician once for appropriate management following the completion of injection schedule. Hope the information provided would be helpful. All the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am losing my balance alot and have fallen several times. I had back surgery 5 years ago and got MERSA and could not even turn over in bed for a year. I worked hard with the therapy they gave me I did not want to end up in wheelchair all the time, but in the last few months my balance has gotten really bad, I feel like it is all I can do sometimes to just stand up, and it is worse at night. I am numb in places in my back and on my legs. What is wrong? ### REPLY: You need to see a Spine Surgeon / Neurologist urgently. These may be a presentation of Cervical spine problem or brain which may need an urgent attention. It may also be due to problem in thoracic or lumbar spine. If you have weakness of pain / numbness in your arms also, it is more likely to be in Cervical Spine. With your history of previous surgery on back (I take it as lumbar spine) chance of having a problem there can't be ruled out. In any case you need to see a physician and get investigated appropriately. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 my mother is 82 yrs, a diabetic for 20 yrs on humasulin 30/70 mixtard-approx 20 unit daily +she had a tripple artery bypass so she has a heart condition with erythemia + recently she has been treated with a coarse of wysolone & pentasa for crohns disease. this is two months back--- right now she is complaining of swelling,insomnia,stiff neck & shoulder with shortness of breath and extreme fatigue. Is Myoril 4 mg recommended in her conditions (with erythemia,short breathness & HYPOTENSION) ### REPLY: Hello, Moral is a muscle relaxant which may aggravate her shortness of breath. I would recommend consulting with her doctor and performing some tests to investigate for the shortness of breath: - A cardiac ultrasound to investigate for heart failure.- Chest x-ray study and pulmonary function tests to investigate for a lung disorder. 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: Dear sir, I have done semen analysis and come up with acitivity grade 3- and motility is 65%, Pus cells are increased and hpf 8-10. this seems to abnormal, is it treatable as acitivity grade 3- means circular movement of semens.Kind regardsAli abne johare ### REPLY: Hello Ali and. As a Urologist, I do share your concern. You should've done the semen analysis, after 2-3 days of abstinence. Pus cells of 8-10/HP, is suggestive of infection. You'll need to take a course of antibiotics, for at least 7 days. Ciprofloxacin /Sept ran/Nitrofurantoin are routinely advised. If you've fever, semen culture, should also be done. In case, you're referring to motility(activity), then grade I- 65%, is considered as normal. For that clarification, refer to the semen analysis again. To confirm semen is free of infection, repeat analysis, after 3 weeks. For an expert opinion, on the report, send it to me, as a direct question. .  Manga. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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... Hi there. Our 14 month old has diarrohia and nappy rash, and noticed tonight when giving him a bath he has 3 or 4 red spots on his arm which dont disappear under the glass. He is fine apart from that, but there is a virus going around his nursery. Should we get this checked out now or check again in the morning to see if the rash has worsened? Thanks. ### REPLY: Hi... Thank you for consulting in . It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Ive been on Nebido injections for the past 6 months as I was put on them by my consultant as he said Id never gone through puberty properly because of low testosterone. So basically my question is how long will all the changes take? Its just Ive met somebody recently but Ive always been very reluctant to get into a relationship as I wouldnt be able to have sex/get an errection. So I was wondering how long does it take till I can start getting erections and engaging in intercourse ### REPLY: Hi greetings. I understand your concern. Since your consultant told you that without testosterone injection you will not reach puberty meaning, either your testis is not producing enough testosterone or there is inadequate stimulus from your pituitary gland to the testis. Now I have no idea of your age, present hormonal status and your body stature.(I mean your hair pattern and size of the Penis etc.).IF TESTOSTERONE IS NOT PRODUCED IN YOUR BODY YOU WILL NEED THIS FOR A LONG TIME TILL YOU HAVE TO BE ACTIVE IN SEX. It depends up on the dose, and it is calculated as per your hormonal levels. It is safe, and you will be able to have normal sex. So don't worry about it and to know about your present stage discuss with your doctor as I have no access to examine you. Hope my answer helps you. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi,sir. mydaugnter is 10 and she is advised lecope-m kid for three months.she suffers from dust allergy. if she does not take the tab she needs nebulization once or twice a day .is it safe to take the drug or is there any other solution .please answer ### REPLY: Hi, thank you for choosing . Regarding your child become M is a safe medicine, and it has to be taken continuously for at least 3 to 6 months to have good benefit. Take it regularly in evenings, and you will a good response. And is she requiring normal saline or albuterol nebulization? If she is requiring albuterol nebulization kindly contact your child specialist as she may require inhaler. I'm available in Hyderabad. Hope this has been helpful to you, kindly feel free to contact again for any queries. Kindly rate the answer if so. 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 mother is on plavix. Today she bumped her ankle on the foot pedal of a wheelchair and bruised quickly. Now she has a 25 cent size black and blue with very slight surrounding bruising and a bit of pain at site when walking. We iced it she can walk but should we worry. It has not gotten worse and she feels it is a bit better ### REPLY: Hi, I value your concern regarding the symptoms. I have gone through your symptoms, and in my opinion there is no reason for worry, just give time to the injury to heal Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. Special note-Any medication prescribed needs to be taken after consultation with your personal doctor only. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 need to ask a question. My friend is experiencing burning and itching on his side, and in his chest . He has asthma, but hasn t taken any asthma treatments since elementary because it only kicks in when he exercises. He got stabbed about last year, and they had to stitch him up in the inside too. Can this burning and itching be relavent to the stabbing incident, or is it something else? ### REPLY: Dear Adnikki15, your friends symptoms are not related to his asthma, also if it was because of nerve injury after stabbing and stitches, it would have presented earlier and not after a year. Most likely he has got fungal infection or allergies. He should get his blood eosinophil count done to check for allergies. Skin cream containing Clotrimazole will help in case of fungal infections. Hope this helps. Stay healthy and stay cheerful. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi.. i am stressing and worried about that my gf would get pregnant.i know precum can cause pregnancy. we started on kissing and hugging.  after that we help each other  to undress and had oral sex and i remember clearly that i didnt have any precum or sperm on my finger and i finger her. but the thing is i had  some precum that soaked on my underwear and i was rubbing on her vagina.can precum go through  underwear and make a girl pregnant? please give me your best answer. i am very worried now :( ### REPLY: Hello, From above sexual activity and pre-cum through underwear, chance of her pregnancy is quite rare. Pregnancy depends on proper timing of unprotected sex with ejaculation inside vagina and ovulation (14 days prior to due date) or fertile days. Here, she must wait for next coming period and undergo one home pregnancy test if it is delayed more than 1 wk to clear doubts. Hope, it helps for you. Good luck and practice safe sex. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 diagnosed with idc stage 1 last year no lymph node involvement.rads and arimidex. right side. i now have a lump on left fore arm has been there about 10 weeks growing slightly. one doc says its ok only a ganglion other doc says i should see a surgeon to investigate.what is your opinion i am 50 years old. ### REPLY: Hello! Thank you for the query.It's hard to say not being able to see it. If the lump is hard and in the vein area, your forearm is larger than the other one (swollen), veins thrombosis can be the reason. If the lump is soft and a bit tender, present close to the wrist, ganglion cyst is a possibility. Veins thrombosis is a serious diagnosis and can not be left alone. That is why it would be reasonable to consult general surgeon. Hope this will help. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,am 28 man,I sufferd from internal fever from a year that causes me allergy in the eyes, feel high temperature without appearing in thermometer and every time I go to the doctors they give me deffrent medicines and I geting better then afte finish the treatment the fever returns. So please tell me what I have to do?...Thanks ### REPLY: Howell come to ChatDoctorCore temperature is main reading as long as fever is concern if this reads normal then no need to worry, the least concern about the surface temperature of skin, even if this is high, some time because of some stress one can feel malaise, and sick, but actually this is not due to some disease, but this may be functional condition, avoid the bizarre thoughts, have a nice sleep, try to keep the stress level very low, everything would be fine soon, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 6 weeks after giving birth I had unprotected sex. I got the morning after pill 15 hour after. I had a bleed 3 days later. That was 6 weeks ago, should I have not had a period by now...could I still be pregnant after having that bleed and taking the Morning after pill? ### REPLY: HelloThanks for writing to us with your health concern. Chances of pregnancy are remote because -1. Rarely does ovulation resume 6 weeks after childbirth, in particular, if you are breastfeeding.2. Morning after pill when taken within 24 hours offers more than 95 % protection.3. The morning after pill can delay or pre - pone periods, as can childbirth, so that is not a reliable indicator.However, start using contraception now. Take a pregnancy test if it has been more than 2 weeks since you had unprotected sex. With . All the betake 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: For months my back has been hurting and I thought it was just a muscle strain. When it continued past four months it became more intense and difficult now to turn over in my sleep. It is worse at night then during the day when I am in movement. Today though the pain has gone up my back and making it harder to take a breath without a minor amount of pain. I don t have insurance, it s too expensive for this hard-working independent, American woman. Help! ### REPLY: Hello, Thank you for using . I read your question and understood your concern. This is back pain probably for fiscal hernia or discuss that may need examinations such as MRI etc. In your condition since you do not have any insurance and can not do these examinations, I would recommend starting some exercises at home to strengthen your core muscle, back and abdominal. You can do these exercises in home and do not even need to go in gym. It will need at least 3 months to see and effect but stick with it. I wish you 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: I have been having pain under my left breast. I have breast implants and have gained about 30 lbs since the surgery. It is not a constant pain however it hurts to wear a bra, especially one with wire. could this be a muscle issue or something bigger like gall bladder or heart issue? ### REPLY: Here you need to check couple of things.1. Do you have pain while walking or doing some activity immediately after that.?., also do you have breathing difficulty along with that? If yes then it could be related to your heart.2. Do you have regular acidity problem, and indigestion issues regularly? If yes then it could be related to gall balladeer stone. But still the conformation will be done by your ultrasound of abdomen. Which will also reveal if there is anything else.3. If both above tests or observation are normal then need to consult the surgeon who has kept the implant for you and check it out properly. What ever the case at home you can also use a hot and cold pack to get some relief for muscular pain. 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 had hep c for 13 years. I now for a long time had an ache in my upper right abdomen , serious fatigue , don t ever sleep well or long, and for months on end, every day had loose stools . I ve never had jaundice , though. Could this be symptoms of something else such as gall bladder problems? Why the side pain and stools? I ve read that the liver problem wouldnt cause pain. This gnawing ache and daily diarreah is just terrible. Whath else could it be? I have also had small painful mouth ulcers in the past.I get hungry, but no fod seems good to me, and when I do eat, I can t seem to eat very much at all. ### REPLY: Dear batsman, You say you were diagnosed 13 years ago. Were you ever treated for this? There are highly effective treatments to clear the virus from your system and achieve "Remission" or cure of this condition, preventing complications from Help. C virus damage to the liver, such as liver coma or even cirrhosis(Scarred liver) or liver cancer. You do need to follow up with a digestive disease specialist or a liver specialist. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I have been fighting an on and off again cough for about 2 months. A chest x-ray showed pneumonia and the doctor thought I may have bronchitis as well. I was prescribed a type of amoxycillin that had an acid mixed in and for the first time, I actually finished the prescription (even though I felt better). I now seem to have a dry cough with very little production. But the cough smells like blood or iron. Thank you in advance for your thoughts. ### REPLY: Respected user, HiT hanks for using .come have evaluated your query thoroughly.* This seems bronchial irritation through residual bronchitis.* Suggestions for better outcome - Sputum culture examination and further antibiotics according to that.- Gargles with salted lukewarm water and added peppermint oil.- Lesson pearls for soothing throat.- Basil leaves, turmeric, clove help through excellent herbal properties Hope this will help you a lot. Welcome for further questions. 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 am suffering from Apthous ulcer in right side cheek. The lesion is about 7mm long. My dentist Rxed me BecosuleZ Cap 1 OD, Antoxid Cap 1 BD, and Tess mouthpaste t.i.d.for local application. No antibiotic was given. I have been taking the above dose for last ten days, and the lesion has still not disappeared. By the way, I was a habitual tobacco chewer=Pan masala addict. for last 25 years. For the last ten days my tobacco consumption has gone drastically down,limiting myself to 4 or 5 times in 24 hours. Without tobacco, my head & concentration wavers,and I feel irritated. My family says,taper off and leave tobacco gradually.I am trying to stop tobacco fully. From today a chemist friend advised me to take Rebagen [ Rebamipide 100mg] of Macleods Pharmaceutical, in doase 1 b.d. plus local application of paste of Laxanox [Amlexanox Oral Paste 5%] twice daily, for 5 days. I have added this regime also. Please advice if this is the correct therapy or I should go for a biopsy to rule out sub-cutaneous fibrosis or anything more severe. I shall be obliged for your response. I am a Indian male, aged 59. weight 98kg with normal health. Thank You. CSTewari. Uttar Pradesh. ### REPLY: Hello, Thanks for sharing your concern with us. The best thing to do before brushing or eating is to rinse with warm salt water. (1/2 tsp. Salt with 10 oz warm water). Swish and SPIT the whole glass, wait five minutes and then brush or eat food. Avoid spicy foods, citric acids found in fruit and toothpastes containing sodium model sulfate (sometimes called sodium lauryl sulfate, or with the acronyms SLS or SDS). Vitamin B12 used orally may have some effector can contact me again directly through my profile. Regards. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a couple of misscariages and currently I am talking Eltroxin .88mg /day and also B12 1 capsule daily.I feel I might be pregnant again and I would like to know if the estrogen and progesterone level was low when they ve tested me for infertility if I could be pregnant.I am not using any contaception .I shoul get my period next tuesday but 2 weeks ago I started having very tender breasts and this week I feel nauseated and I wonder If I could be pregnant. ### REPLY: Hello dear, i understand your concern. In my opinion the confirmation of pregnancy is done by urine pregnancy test. The missed period is the first sign of pregnancy. And the urine pregnancy test need to be done a week after missed period. The symptoms of pregnancy like nausea, vomitng, increased urination, sore breasts start 2 weeks after missed period. So it might be too early to feel any pregnancy symptoms. But it is always better to confirm the pregnancy by doing the test rather than just symptoms. The serum progesterone level is done on 21st day of cycle. Avoid stress. Continue vitamin capsule and thyroxine. Best regards... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my 22 month old was bitten by our small dog on his cheek there were two puncture wounds that we cleaned but he wont keep a bandaid on Our dog recently had his teeth cleaned and is up to date on all his shots so is my son. should he see a doctor.  Our dog was eating and my son happened to put his face near his food. ### REPLY: Hello, Welcome to , Rabies is 100% fatal, but it is 100% preventable by proper and adequate treatment. As your son was bitten by your vaccinated dog over the cheek which has lead to two punctured wounds on the cheek. According to WHO categories of dog bite it has been categorized into Cat III. Which requires both active and passive immunization. As it is a vaccinated pet dog I would suggest you to follow1. Ant rabies vaccine on days 0,3,7,14 and 28. If the dog is healthy discontinue after the third shot of vaccine.2. A course of antibiotics like Spy Autoclave, twice daily3. Topical TB act point. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have severe abdominal cramping on the lower left side of my abdomen . I am also drenched in a cold sweat, shaky, naseous and irritable because of the pain. I have had my gall bladder removed. I have lost 18 pounds in 30 days with out trying. I have an appetite and eat. About 1 1/2 hours later I get sick like this. My doctor does not know either.What can I do? I am a 49 year old female and am 5 foot 7 inches and weigh 215 lbs. Thank you for any advice or help. ### REPLY: Hello! Thank you for the query. Lower left side abdominal pain may be caused by diverticulitis, left urinary tract infection, left ovarian inflammation and large intestine tumors as well. According to your symptoms, you should have abdominal ultrasound and foll blood work with liver enzymes and pancreas enzymes, urine test. If an ultrasound find vertices and WBC with CRP will be elevated, you should have antibiotics therapy and colonoscopy after about a month (not earlier, as colonoscopy when inflamed vertices may result with large intestine perforation). If your inflammation markers will be fine, you should have colonoscopy right away to rule colon cancer out. Hope this will help. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Can I become pregnant on the contraceptive implant? I feel very strange but can t put my finger on why. Have pregnancy symtoms. Taken a home pregnancy test and it was negative eventually. When from slight positive to negative within the 3 minutes. I just don t feel right. Thanks. ### REPLY: Hello, Thanks for trusting us with your health concern. As for any other mode of contraception, there is a slight failure rate for the implant too. If you are not sure of the home pregnancy test, you can go for the estimation of the serum beta-ChatDoctor titles to confirm/exclude pregnancy. Home pregnancy tests should be done 3-7 days after the missed period with a fresh early morning sample of urine. A trans-vaginal sonogram done a week later can give the status of the pelvic organs and clarify the situation. Hope you find this information useful. Take care. ### END