Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: In the last 3 weeks, my husband whom is 65...turning 66 in November has had a few (3x) in last three weeks, dizzy spells where he has had to stop and lean against a wall or sit down. he is taking blood pressure meds but has been for last 3 years... why the sudden dizzy spells? ### REPLY: Hello! Welcome and thank you for asking on ! I understand your concern and would explain that it is important performing a comprehensive differential diagnosis of different possible causes that may lead to this clinical scenario: an inner ear disorder, chronic degeneration of the cervical vertebral column, orthostatic hypotension, vertebro-basilar insufficiency, etc. For this reason, I would recommend consulting with his attending doctor for a physical exam some tests: - a cervical spine X-ray study- a resting ECG- a Doppler ultrasound of the carotid arteries-thyroid hormone levels - complete blood count for anemia-fasting glucose- a Head Up Tilt test for orthostatic hypotension. If all the above tests result normal, I would recommend consulting with an ENT specialist and performing labyrinthine tests to investigate for an inner ear disorder. Hope you will find this answer helpful! Kind regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was exposed to some type of solvent that was sprayed in my hard hat at work. I was exposed several times in what was considered a sick joke. I m unemployed and no insurance. It has caused ingrown hairs and gallbladder issues and I have cut my hair. I think what I was exposed to was what is used to clean masonry saws which are like a chainsaw but cut cement. Is there anything I can do for myself. I have been to the dermatologist but he refused to treat me because of no insurance. The prompt care listened to what I am telling you know but wanted extensive amounts of subsequent visits etc. I know it was the solvent used to clean the masonry saws where I was working and can t get a straight answer for any treatment options w/out thousands of dollars. Please help. -Brad Brown ### REPLY: HIT hank for asking to ChatDoctorI really appreciate your concern from the history given here you have not clearly mentioned the ingrowing hair, where actually you are having the ingrowing hair? But I could say that this is not because of the exposure of the solvent and not eve this is anything to take with the gallbladder although here also did not mention the problem of gallbladder, hope this information helps you, have a nice day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Dr My wife and I have been trying to conceive for 1 year, she has her hormones normal, normal mesntrual cycle, normal uterus . I had a treatment for my sperm count and motility , and lately it came up like this volume 1.6 ml count 61.2 million/ml grade a motility 15% grade b motility 30% grade c motility 20% grade motility 35% normal morphology 65% abnormal morphology 35% Kindly advise me what you see, especially we had a failed IVF she was tested for immune problems and came up negative. Thanks & Best regards ### REPLY: HelloThanks for your query. You are trying for a baby. There is nothing abnormal on the part of your wife. Your semen analysis shows what is termed as Asthenospermia which indicates low parentage of forward motility (Grade One) of sperm which in a normal circumstances should be about 50%. Unfortunately there in no medicine that can increase the motility of sperms. Since you have tried IVF once you may try it once again and if that too fails then it is better to go for CSI which has got good results Please consult some Infertility Specialist for further treatment ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello Doctor, I am addict in eating raw rice. its like a habit. i have been eating this over 10 years. my teeths are affected and removed (4 teeths) & 1 more also affected. not only suffering by teeths but also i cant concentrate on my studies always i feel some sleepy mood or something. i try to control. but i cant. but i want to stop. what can i do? ### REPLY: Hello, Thanks for choosing  for posting your query. I have gone through your question in detail and I can understand what you are going through. It could be presentation of pica which can occur due to depression or deficiency of certain elements in the body. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Can a nose bleed be a sign of pulmonary embolism? My father has already had pulmonary embolism within the last three years and one year ago had multiple blood clots in both legs all the way from ankles up to kidney. He has had several procedures to remove these and is on anticoagulants. He recently has become very short of breath and he has told us that he is having nosebleeds. What is your opinion? ### REPLY: Hello! The nose bleed (medically termed epistaxis)cannot happen because of Pulmonary embolism per se. Embolism means there is clotting of blood in that blood vessel. While what your parent had experienced is bleeding (opposite of clotting) Since you have mentioned that he is on anticoagulant medications (blood thinners) it is possible that these .  Also, it is possible that this nose bleed could have been initiated by some other cause and aggravated by the blood thinner medications.  In that case the underlying cause (maybe hypertension or trauma to nose or anything else relevant)needs to be looked for and treated. While on the way to physician, to reduce the nose bleed, ask your father to pinch his nose for few seconds and lean forwards, application of ice packs can help to constrict the leaking blood vessels and reduce bleed.  The doctor would do a nasal packing to control bleed. Get his blood pressure checked and INR testing done (accordingly the dose of anticoagulant needs to be adjusted) ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 iam 29 years old  my problem is my penis my hight 5.5)kg 79)penis 3inch sir few day before iam first time i enjoy with my girl frd realy she tel to me your penis small and no length and now iam very tenstion iam not married what cani do sir please give good sugection thanks ### REPLY: Hello, The size of the penis varies in the different individual according to their body texture. There is no medication to improve penis size. Initial few centimeters are only sensitive to sex.  So I don't think 3-inch penis size in flaccid state is problematic. You may need not worry about that. The satisfaction after sex is more important rather than size of penis.  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: Since a couple of years I have been getting brown spots over my back and stomach and a few of them near my breast . I consulted a skin specialist who prescribed me miconazole nitrate ointment. I applied it, they disappeared after two days but after a month returned back. Sometimes I even find them on my neck . They are non itchy, but look really bad. and they recur frequently ### REPLY: Hi there Ruth. As I always say, sadly dermatology is a visual field & as such, it is best to visit a dermatologist (second one for another opinion) near you.  The condition you describe could be a simple fungal infection called Satyriasis Tricolor. This can be diagnosed by a simple test involving skin scraping & examination under a microscope using KOH (potassium HY .  The treatment can also involve an oral medication (has to be taken with a prescription) of fluconazole 400 mg as a single dose & topical ketoconazole cream. Do treat the mites & undergarments et al. in hot water,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: had a fracture in my upper molar last fall had pain when eating on that side for several weeks. Pain left a few weeks later and now came back when chewing about 3 weeks ago (early February) had a temporary crown put on last week (Tuesday) pain left a day or so after.. but a day later i noticed a white bump above temporary crown on outside of gum and seemed a little sore -- it didn t hurt even when eating but tonight I pressed against the white bump above the crown rather hard and the tooth has become sensitive again when I bite down on it. What caused this sensitivity to return? What might this be and should i have it checked or wait a little longer to let it heal? ### REPLY: Hello, Thanks for posting your query, There are many factors that may lead to sensitive teeth, including. Inflamed and sore gum tissue may cause sensitivity due to the loss of supporting ligaments, which exposes the root surface that leads directly to the nerve of the tooth. Chipped or broken teeth may fill with bacteria from plaque and enter the pulp causing Inflammation. Sensitivity can occur following teeth cleaning, root planing, crown placement, and tooth restoration. Sensitivity caused by dental procedures is temporary, usually disappearing in four to six weeks. Get professional tooth cleaning, oral hygiene instructions, and fluoride treatments every six months (or sooner depending on your condition). I hope this information has been both informative and helpful Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HELLO I RESENTLY HAD CT OF THE ABDOMAN RESULT CAME BACK I HAVE SHADOW ON RIGHT SIDE ALSO HAD COLONEOSCOPY WHICH WAS FINE BUT I WAS ALSO TOLD LOOKS LIKE CYST ON THE LIVER AT PRESENT I HAVE CONDITION CALL SARCOIDOSIS ATTACK ME ALL OVER, 4YRS AGO I HAD PHYLOIDS BORDER LINE BREAST TUMOUR  HAD SURGERY TWICE, IAM TRYING MY BEST TO HAVE NORMAL LIFE. I GET TIRED IM ON STEROIDS AND AZOTHPRINE ADCAL ONCE A WEEKLY TABLET NEPROXIN STILL I HAVE LOWER BACK PAIN. ### REPLY: Hi and welcome to . Thank you for your query. This cyst should only be followed and if this become large enough to press surrounding tissue it should be surgically removed. These are benign cysts and rarely cause serious difficulties. There is no other treatment of acidosis but these medicines. It has unpleasant side effects, but you have to continue taking this for controlling your disease. Wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had a viral infection for about three weeks now. About two weeks ago I started getting a pain at the bottom of my left rib cage it has since travelled to the rigt rib cage and the the front of my left rib cage and now by my left shoulder blade. I get a more of a sharp pain when coughing, sneezing or breathing deeply. It also hurts when I lie down and sitting up I also it is great discomfort if I lean to my left side. Can you advise what it could be, my doctor just said its a pulled muscle, but I didnt think pain from a pulled muscle moved around! ### REPLY: Thanks for your question on . I can understand your concern. Yes, possibility of musculoskeletal pain is more likely because your pain is associated with movements of ribs (coughing, sneezing, getting up in bed). So follow these steps for better symptomatic relief in musculoskeletal pain.1. Avoid movements causing pain. Avoid sudden jerky movements of chest.2. Apply warm water pad on affected areas.3. Take simple painkiller and muscle relaxant . 4. Avoid heavyweight lifting and strenuous exercise.Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am having very bad shortness of breath. Was diagnosed with slight water on the lung almost yr ago and put on Lasix by my Cardiologist. I had a heart attack 18 yrs ago months after my husband died. I had to recover over with my daughter and family at the home I own in Milton, MA. by November 1st I felt well enough to go home with a girlfriend who would stay with me for 6 months. I was under treatment by Dr Bevivino in Norwood, and I soon changed to Dr Cadigan Jr. at Norwood Medical. I moved to Milton and was under care of Dr. Delaney and he went into concierge medicine and I have been with Dr Mark Hodgeman at South Shore Internal Medicine- Beth Israell Deaconess Medical Center at Milton for the past 9 years. ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, you should again consult cardiologist and get done x-ray to rule out pleural effusion. Because cardiac patients tend to have ttansudative pleural effusion. Post heart attack, cardiac functions especially pumping is decreased. So fluid tends to accumulate in the pleural cavity. This causes pleural effusion and breathlessness. So you need diuretic and isotropic .  Diuretics increase urine output and so fluid overload can be avoided. Isotropic  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my father is suffering from ckd for last 5/6 years. his s.creat. level was 7.28 on 19.10.2013 and on 21.10.2013 it was 9.28 hb.7 he is so weak to go to a nephrologist and there is some problems to do so. so i request you kindly to suggest what to do? is there any home treatment for survival ? ### REPLY: Hello Friend, Your fathers condition is deteriorating day by day. We have to accept the reality. Now it is also to be understood that the present method of treatment your father now gets is not doing him any help positively. He is not getting a curative treatment at present. If the treatment is curative then his condition should improve instead of getting deteriorating day after day. Therefore, my suggestion is to stop the present method and submit him under Homeopathic treatment at the earliest. Homeopathic treatment may bring him back to life. For that you have to approach an expert Homeopath at the earliest. He will take his case in detail and will give him curative, genetic and constitutional remedy. If you fail to find anybody at your nearest locality, then you can get back to me with the details of your father. I can assist you to prepare the case of your father by sending a case taking format on request. You can fill it up and forward it to me at the earliest. Then I will suggest his curative remedy, and he can be brought back to life through Homeopathy. With best wishes for a rapid cure through Homeopathy for your father, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a slight cold, coughing, runny nose, and Ive been taking cough medicine. Nothing serious. I have a pinching in my chest that Im a bit concerned about. I had pneumonia a few years ago and it feels similar, only not as severe. Do I have a higher chance of getting pneumonia again, is it something I should be concerned about? ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, possibility of simple viral infection is more. But if your symptoms persist for more than 2 weeks or worsening over next few days or development of fever than consult doctor and get done clinical examination of respiratory system and chest x-ray to rule out pneumonia. Recurrence of pneumonia is a possibility because you are previously having pneumonia. So at present .  Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello docter, my father feel that heart area became vacant, this happening from last 5 years, some medicine prescribe by IGAMS docter, after seeing the heart X-ray, this done last year in march , there is small space showing in this x-ray , near heart , can you give suggestion about related disease docter and diet ### REPLY: Hello! Welcome to  ! You please upload the X-ray image. But from the description, it's all psychological. There is no such disease which causing vacancy in the heart space. There is normally some space around both the heart border called as cardiogenic angles. So I think, there is no need to worry about it. Does he have any other symptoms? Hope this helps you and get back if you have any other doubts. 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 legs have been heavy and aching for a couple of weeks, but over the past few days my hips legs and ankles are very swollen my veins are more visable, and i have bruises on the back of my thigh. ive been on contaceptiv inplant nexplanon for about a year, and was wondering if this could be the cause??? ### REPLY: Hello, I have gone through history. This is a clear indication of the side effects of Explain. It has various side effects and some then are faced by you.  It is strongly advised that you get rid of it at the earliest as the body has started rejection of Explain. Once removed your symptoms will subside but along with this to subside is like taking a big chance which I will not advise. Hope I have answered your query. Let me know if I can assist you further.  Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi i have a very slight brownish yellow semen noticed last fewdays....also im getting lower back pain sone times on sleep and when i sit and try to stand.pain is not on backborn but it is in sides..and pain is not continous..is this two p roblems related ### REPLY: Degree understand your concerns went through your details. Brownish pain in semen could mean blood presence in semen. Blood in the semen can be associated with infection as well as prostate disease.  A transrectal ultrasound is normally recommended as an initial diagnostic test.  This can look for prostate masses or abscesses. Obtaining a urine tests as well as prostatic massage can be done as well. A urology referral should be obtained to evaluate these possibilities. Followup with your personal physician is essential. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my child aged about 3 and halfgot high fever and mild seizure for 4to minutes. stool test revealed ocult blood positive pus cell 6to7 and rbc 4to6 nilova and nilcyst...that is after 2days mdeication for for reducing fever with antibiotics and seizure prevention.what could be the reason for high fever,and rbc presence ### REPLY: Hi...febrile seizures are seizures which occur during high fever in some kids. They usually occur from 6 months to 6 years of age and usually are self limiting after 6 years of age. They usually do not leave any focal neurological deficits also. Rather than the height of the temperature the rapidity of rise of temperature is more important. In general, antiepileptic therapy, continuous or intermittent, is not recommended for child .  Parents should be counseled about the relative risks of recurrence of febrile seizures and recurrence of epilepsy, educated on how to handle a seizure acutely, and given emotional support. Viral illness can cause RBC presence in the urine and also high grade fever like this. But most importantly in-between 2 fever episodes the kid will be active. Regards -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Im 18 weeks pregnant and I have a UTI I got antibiotics Thursday but today the pain is a 10 it stings when I pass water and its a cloudy white. I have cramping pains in my lower abdomen when passing water. Today so far Ive drunk 1.55l of water I feel hot as well. Can anyone help please ### REPLY: Hi, Thanks for writing here. Acording to your symptoms you may be suffering from Urinary Tract Infection. In it, there is lower abdominal pain, burning sensation while passing urine, fever,may also have turbid urine. So I will advise you to visit a gynecologist or urologist soon. After assessing you, Doctor will prescribe antibiotics or if you have already visited one, take advice from him & continue medication. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 20 and last year when I was 19 I went to the OBGYN and had an ultrasound done of my ovaries and was diagnosed with PCOS. I just want to know if I can still conceive with this? Or would it just make it 10x harder than it already is? I just want answers that my actual doctor doesn t clarify with me. Thank you. ### REPLY: Hi, you can conceive with pro problem.  There are medicines available for that. So, you can take medicines for ovulation and track your follicles' growth by repeated ultrasound.  Discuss with your doctor whenever you plan to conceive.  For now, try to maintain a normal weight.  Don't get overweight.  Do some exercises and yoga. It will help you. 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: I have a really sore mouth my palate is red raw and very sore I also have ulcers on my tongue which is also sore I am an asthmatic and take turbo halers  which have caused small lumps on the back of my throat that  Ive had for years but all this soreness has just happened over past few years but seems to be getting worse I also take medication for back problems is durogesic patches, amitriptyline, vitamin D3 and cholesterol tablets any help greatly appreciated ### REPLY: Thanks for your query, I have gone through your query. The red lesions over the palate could be secondary to the use of inhalers. It can cause candida infection over the palate(fungal infection). Or it can be a herpetic infection or recurrent authors dermatitis or allergic dermatitis. Consult an oral physician and get the above said conditions ruled out. If it is candidiasis then you have to take topical antifungal like candid mouth paint. If it is authors ulcers then you have to take topical steroids like triamcinolone acetone (0.1%) 4-5times daily for 1 week. If it is viral infection then you have to take topical anesthetic and analgesics like Anabel gel for the pain. Do saline gargling. I hope my answer will help you, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doctor iam a male of 42 years of age ai had last week a stone removal by eswl the stone was 6mm and it has oassed out with urine ,but since it oassed i have irregular blood pressure 136/96 ,cold hands and feet.low oxygene level nausea and diziniess could you explain me plz and if you kindly answer me for free it my first trial ### REPLY: Hi, thanks for writing to . Though there is a possible risk of developing Diabetes and Hypertension in the long run in people who undergo ESL, there is no documentary evidence to say that develop within a week of ESL. So, I think that your symptoms are unrelated to ESL. I suggest you to consult a General physician for a detailed evaluation and further management. Hope this information is helpful. Good day ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doctor I just had my period 2 1/2 weeks ago I have an iud but for the past few days my lower stomach been feeling funny cramps and my mouth been gathering water and feeling very sleepy but I just went to the bathroom and seen alittle blood is that nomal ### REPLY: Hallow Dear, Many times when any intrauterine device is inserted, for first few weeks, may be till the first menses, the uterus tries to contract in attempt to expel it as a reaction to the foreign body causing cramps in the abdomen. These cramps can be managed by some anti-spasmodic painkillers. However, after the first menses, these cramps stop or may be become very mild. However, you are having severe cramps leading even to the excessive watering of the mouth and .  It is likely that the device has got infected. This will cause severe pain in abdomen. Maybe you are having some foul smelling vaginal discharge (either you might not have noticed it or it may start later). If you have no infection, may be that the uterus is not accepting the device and is continuously trying to expel it by forceful uterine contractions. In either case, the device has to be removed. In such case, you may better switch over to different type of reliable birth control method like contraceptive pills and/or condom. Please report to your Gynecologist ASAP.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have a blood blister looking thing on the inside of my labia near the bottom.  It doesnt hurt at all and Im 9 mths preganant with blood pressure that seems to be going up so Im being monitered currently.  What is this and will it go away? ### REPLY: Hi thanks for asking question. Here are few possibilities of vaginal blister. First blister can be because of sexually transmitted disease like human papillomavirus and herpes. Violent sexual intercourse can lead to blood filled blister formation. The friction on that area might be because of tight clothing can lead to such blister. Blister can be simply because of bacterial infection like that from staphylococci and associated fever might present. Sometime very fewer possibilities but it can be vascular Angola. So your blister should regularly monitor for few days and trace of its cause has to be search by taking sexual history and physical examination. According to cause treatment has to be done. If it is because from trauma, infection boil then only it will go away without treatment. I hope my suggestion will help you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My kid who is 3 yrs old has been suffering from severe cough for the last 15 days. Doctors have prescribed many drugs but nothing worked fine and finally he is on medication with Durasalyn liquid syrup. Could you please guide us if this syrup is effective for cough. ### REPLY: Hi thanks for contacting ... Noted your child having cough for 15 days. Here you have prescribed theophylline syrup by your doctor... If bronchoconstriction is present like that in asthma or bronchitis then it is useful. Your doc might have examined him so giving this syrup... If cough is . Your child must be physically examined with auscultation for searching cause. Respiratory rate also counted.... You can discuss this with your doctor and syrup can be taken... Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have been having a spotty period. not the norm for me. i usually get it for 5 to 7 days with at least 2 days of nothing then it starts back. well this round i started as normal but ended after two days and uts been spotty. im not having to use tampons or pads like i do with a normal period. and today i vomited and i have jot actually vomited since i was pregnant 9yrs ago. However my tubes r tied but i was told i still have chance of conception . so my symptoms are spotty period... vomiting and tiredness. ### REPLY: Cellophane you for your query. Tubal ligation has a failure rate of 2 - 10 per 1000 women ligated. Which means, it is not 100 % effective, though highly effective. Hence, yes, there could be a chance of pregnancy in your case. Other causes of irregular cycles are endometriosis, stress, anxiety, neuropathic cycles, weight fluctuations rapidly, polycystic ovaries, endometrial hyperplasia, hormonal medications etc. Also, a word of caution, erratic spotting could herald an ectopic pregnancy, and after tubal ligation, chances of ectopic pregnancy are much higher compared to chances of an intrauterine pregnancy. Please consult a gynecologist at the earliest for the diagnosis. 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 diabetes for 46 years and here recently i take my regular dose of insulin but when i go to eat lunch my blood sugar is to high so i can t eat lunch i eat 2 cups of rice crispy and that s is i work hard and usually that brings my blood sugar down to low but now it doesn t matter how hard i work , my blood sugar stays up ????? i need help trying to figure this out because i m losing my mind !!!! Thank you for any help i can get , Steven C Weir- YYYY@YYYY ### REPLY: Hello Steven. I am . I have read your message. I can help you. You need to understand that diabetes is not a static condition. It is an ongoing condition. The insulin need would rise gradually. Sooner or later, the dose of medicine being taken has to be modified. This occurs because the capacity of the pancreas to secrete its own insulin changes. As that happens, the lower insulin produced by the body needs to be supplemented by higher doses of insulin given externally. So you may need higher doses, and you can meet your dietician for modified doses of insulin. Alternatively, you can tell us the exact readings of sugars, and we may be able to suggest part of the modification. Best of luck, Feel free to ask another question. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello,I had got 2 teeth extracted 10 days ago. The wisdom teeth on the right side was below the jawline. The surgen had to open the area, cut the wisdom tooth into multiple pieces and then put stiches on it.Its been 10 days but i still can not eat on the right side, I am able to eat light meal on the left side. Before 2 days, I have minor pain from the extraction site till ears. I have pain in ear when I try to swollow saliva. Its more painful when I clean mouth with salt water.I am on a business travel right now and bit worried about this pain , knowing that I can not go for inspection to the surgen who had done my surgery.Many thanks,PrachiDo you think its sign of infection? Can you please advise something? ### REPLY: Hi, Thanks for posting the query, I would like to tell you that wisdom tooth extraction is not a simple procedure, it's a complicated surgical procedure and often associated with post surgical complications like pain, swelling, prolonged numbness, fever, malaise, difficulty in mouth opening. You don't worry about the symptoms as they will subside after sometimes. Take complete rest, follow the post-operative instructions given by the Dentist properly. Take lukewarm saline gargles and antiseptic mouthwash rinses twice daily. Maintain a good oral hygiene. Hope this helps out. 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: Good evening I am a police officer back in 2011 I had surgery on my meniscus, prior to having another MRI four weeks ago on the same knee, I have been sent to physical therapy three times. After reading the latest MRI, I am now back in physical therapy for 7 weeks. My doctor has informed me not to walk up stairs if possible and no running as well. As a police officer that is impossible. I m taking aleve per my doctors instructions but still have inflammation in the knee after walking, what would you suggest. ### REPLY: Hi, as you mentioned you had a meniscus injury and also undergone the surgery for the same. Well, i don't think you need any limitation of the activity as surgery was performed to get you close to normal functioning. Also, undergoing a proper rehabilitation of the knee - just like the soccer players. If they can play soccer post their ligament injury why not you have a normal functioning of your joint. Focus on not only the injured knee, but also the whole body conditioning. Strengthening the qua .  But extend your protocol to 12 weeks as by that time the knee is ready to fight back. Focus on strengthening the core, pelvic floor, upper limb, lower limb, spine muscles. Undergo the balance retraining using the balance board. Also, get the torque in the muscles of both the thigh-bone. Make the body lighter, so it can take the jumps and runs. Usually what I see patients they all can perform 99% of their physical activity like - jumping, running, climbing stairs, squatting and sprinting. Any further questions you can surely ask meRegardsJay In ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello,I have severe headaches, hot flashes, I am sleepy all the time and have nausea. I have seen the Dr 3 times in the past 2 weeks all times showing protein in my urine. The Dr keeps having me come back to recheck to see if the protein goes away but it does not. What could be causing this and should I see a different Dr at this point? Even though I rest I am still very worn down feeling during the day. I was treated for a kidney infection but was told the infection has cleared but still have protein in my urine. ### REPLY: Hello, Thanks for posting on , Excess kidney in urine usually implies that the kidney is diseased. You will need to have your doctor run a kidney function tests done to determine the state of your kidney. There are three main mechanisms to cause proteinuria:- Due to disease in glomerulus-Because of increased quantity of proteins in serum (overflow proteinuria)- Due to low reabsorption at proximal tubule (Marconi syn . There are several diseases that can be responsible for protein in urine besides kidney infection and the infection might be the main cause of your proteinuria and also the other symptoms you are having. You might need to see a nephrologist for further evaluation and maybe treatment. Hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im a 24 years old male. There is a small neck lump right under my left ear. Its all most on month gone. Theres little pain while pressing. When I seek the doctor, he mention me to do  FNAC test or Biopsy. Is something serious? Also, which one would be the best thing to do for this purpose? So, please provide some suggestion about this matter. Thank you. ### REPLY: Hi. Thanks for your query. Read the history and understood the problems- 24 / male - one-month-old small tender swelling under left ear - Doctor advised FNAC or biopsy - Wants to know the best ... The ideal treatment plan would be in such a case:-First a course of an antibiotic and anti-inflammatory medicines for 1 to 3 weeks.-ENT Surgeons opinion to see if there is a focus of infection and to get it treated too. -Most of the time, the swelling may just vanish, and you may not need to do something more.-If the swelling persists, then go for FNAC.-If FNAC is not conclusive then only biopsy is required. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 small circular patches of skin on my palms and feet that are skin color except around the edges where they are white and look dry. The centers of the circle are open, like a blister without pus that has popped. I m not sure that what is on my hands is the same thing that is on my feet. The circles on my feet are slightly deeper, smaller, and far greater in number. If you know what this might be please let me know! Thank you. ### REPLY: Hi, you could be having a type of eczema known as pompholyx where one gets multiple tiny itchy deep-seated fluid filled blisters that at times lead to peeling of skin. These are usually seasonal and occurs over palm and soles and also alongside of fingers. You can apply a steroidal cream and a good moisturizing cream. However, remember the correct diagnosis can only be made after proper analysis of your skin. Hope that answers your query. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here...How-long-does-it-take-blood-pressure-medicine-to-workI have chest pain and headache that has been pretty constant for over 3 weeks. I have been on blood pressure medication for a little over a week and it goes up and down but still kindof high 126/110 then about an hour later 160/92 ### REPLY: Hello, You didn't mention your age, level of stress, exertion, smoking, and obesity status etcetera. We can discuss your issues related to your uncontrolled blood pressure. Regarding your question of how much time it takes to adjust to medicine then my answer would be one week normally, but if with medication your blood pressure is high, then you need to consult your physician again. 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: Wonder if ya can help me Ive being in hospital twice in 3 weeks with right side pain at bottom of my back and front lower of stomach left side not sore at all so they put it down to a kidney infection due to blood in urine high temp etc and done a ultra scan nothing showed up but Im still in agony so I got a CT SCAN last week still waiting on my results which Im angry cause Ive had this pain for weeks apon weeks now and all of sudden today when Im pooing its just all blood its not sore or anything and all of a sudden Im maybe only passing urine twice a day my doctors back in scotlNd glasgow are hopeless getting results back to ya but Im still young only 30 and due to my mum n family history scared incase it could be worse and there leaving me sore and taking there time with my results ### REPLY: Hi, Welcome to  forum.  Of course, it is quite misleading, but I will try to solve your problem. The causes of pain in the right lower abdomen are the urinary tract infection, stone in the ureter near the bladder, appendicitis, iliocaecal tuberculosis, or amoebic colitis usually accompanied by the bloody stools.  I usually prescribe to my patient with such symptoms niacin 500 mg B, D, furazolidone, metronidazole, fanatic acid, and dicyclomine HY .  Take more of green leafy vegetables, pulses, sprouts, and protein rich foods to facilitate the recovery.  Wishing for a quick and complete 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 am 49 yrs old passing menopause stage.My periods stopped 6 yrs before. Last year i had mensus lasting for 3-4 days somehere in august ,sept and october. I had my rouine check in tata hospital for breast and pap . Endometrium shown 9 mm thickness and went for D & C , My bioposy report reveals cystic grandular hyperplasis of endormetrim. Pl tell me what is this and what is the chance or cancer ### REPLY: Hi, Let try to explain what "CYSTIC GLANDULAR HYPERPLASIA OF ENDOMETRIUM" is and will probably will satisfactory remove the anxiety/nervousness.  CYSTIC GLANDULAR HYPERPLASIA OF ENDOMETRIUM = Fluid filled glands with little thickened inner skin/layer of uterus. Now as far as the clinical research is concerned there are data supporting that its" NOT A CANCER" but classified as "PRE-CANCEROUS" Now pre cancerous means it not A CANCER per se but may convert to cancer in the future, provided the same stress full condition (for e.g. - smoking shows some pre cancerous changes but, after detection the pre cancerous stage, person still keeps on smoking then definitely he will have cancer in future and here the smoking is considered as STRESS FACTOR for the mouth cells) So in our case the ESTROGEN is the stress for causing CYSTIC GLANDULAR HYPERPLASIA OF ENDOMETRIUM which is a "PRE-CANCEROUS ", Now as you are already about the be a menopause / stop your period cycle, is good news as far as this hyperplasia is concerned, so due to menopause the circulating estrogen in the blood decreases as well as new production of estrogen (which is stress/cause) will decrease .  ADVICE: Hence, PLEASE FEEL SAFE that you WILL NOT have a CANCER, BUT It's important to keep an eye on the lesion, so biopsy will be needed every year for first 2 years and then can be switched to once ever 3 to 4 year. Depending upon the doctors' opinion. Hope it cleared much of anxiety and helped to get through this difficult time! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I noticed about a month ago that my 8 yr old daughter had what looked like a small canker sore right above the front tooth on the left side. It was bothering her at the time and was red around the area. I didnt give it much thought at the time because I really thought it was just a canker sore. She has been to her orthodontist twice since I noticed it to get things started for her braces (she only has spacers at this time). The orthodontist didnt say anything about it at either visit. I noticed last night that it is still there. I decided I would feel it and it is hard and spiky feeling. It doesnt seem to bother her at all, but she acted like it hurt a little when I touched it. Do you have any idea what it might be? ### REPLY: Hello, thank you for consulting with . Canker sore does not stay for so long, it takes maximum 7-14 days to heal. The type of lesion you are mentioning, it can be a sinus opening, as it is present above the tooth in the gums. It is condition, which occur when a tooth is infected and there is an abscess formation in the apex of the tooth, and when the pus starts coming out it forms a sinus opening. You should visit your dentist and get an x-ray done of that tooth as it will show the infection. Hope it will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: There s a tingly feeling left side of my head above my ear; it feels like a coin had been stuck in there. It s not going away for 3 weeks now. I had been in a car accident, hitting my forehead but I do not see no relations as I do not feel pain, just discomfort. It hurts whenever I think of it. I also get nasal congestion when I sleep on my left side. Haven t been wearing my eyeglasses for that 3 weeks. No throwing up, no pain behind/above my eye. Started behind my ear when I got anxious, now right above it. I am only 22, fairly large. Do you suspect aneurysm? What do I do to find out? Thank you doctors! ### REPLY: Hello! I read your question carefully and understand your concern. In my opinion it may be just from anxiety or by local contractions of the muscles of the scull. I don't think it is an aneurysm, as they rarely cause pain and in that region you would feel throbbing headache and pulsating noise in your ear. The fact that it hurts when you think about it is another factor in favor of a psychological problem. I would recommend consulting with the neurologist, have a good neurological examination. If you really want to go on an examination to be sure that everything is all right, I would recommend an Anglo CT scan or Anglo MRI to exclude (with 99% of sensibility) a vascular problem. Hope to have been of help! Greetings ! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 son is suffering pain back of Ankle , and stiffed from Thai to ankle, while standing it is pain , whether is is sciatica or what and what is treatment , He is suffering last 3 months .Used pain relief medicine , Aurvedic etc but not cure , please advise ### REPLY: Hello, I read carefully your query and understand your concern. The symptoms seem to be related to arthritis. I suggest doing an x-ray and a rheumatoid Factor blood level for further evaluation. Meanwhile, I suggest to use anti-inflammatory medications such as Ibuprofen to relieve the pain. I also recommend cold compresses for local application. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards!  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i ave lower back pain like a dull ache an also vagina numbness an discomfort, i am on the pill an in relationship. i am 6 days back into my new packet of pill an have seen a doctor an was precribed antiboicts but dont seem to be working am on my last day of a weeks percription plz help ### REPLY: Hi there. You are probably suffering from Pelvic inflammatory disease.  This sort of pain can be referred to the back commonly. If your antibiotic is not working then you need to get a vaginal swab culture and sensitivity test done along with a urine culture and sensitivity test. Start antibiotics according to the culture report. For back pain take an analgesic and muscle relaxant for the time being. I hope my advice has helped. Good luck ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi , I often have a small trace of blood in my mouth in the morning. It is not there every morning and i can go for weeks with nothing at all, then it may appear for days at a time. As soon as I rinse my mouth out with water it is gone. I am 43 and a very light smoker but am also over weight ! Any ideas what this could be and what I should do? Thankyou ### REPLY: From the description of the problem, I feel you have mild gum infection. Think of when you had your professional cleaning of your teeth done. If it was done more than a year ago, then I think it's time to visit your dentist. Any general practitioner can solve this problem. Smoking is also a risk factor for gum infection. Opt for a soft brush and donor brush your teeth vigorously. You can use any commercially available mouthwash for gargling. U should gargle at least for 60 seconds and donor rinse your mouth after that for half an hour. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 hairs from age of 22, right now I am 25. Consulted a doctor and he prescribed me FINASTERIDE and MINOXIDIL. As these medications have someserious side effects so I stopped taking those. So please suggest me any other medicines for ALOPECIA. Thanks ### REPLY: Hello. Thank you for writing to us at  You seem to have an . This type of hair loss is also associated with widening and deepening at angles of anterior hair line also associated with gradual recession of anterior hair line. There is usually a positive family history in first degree relatives i.e. father and brother. Minoxidil and Finasteride are US FDA approved for treatment of this type of alopecia in males. Let me assure you that these medicines are absolutely safe and the only ones effective in an ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: ok when me and my boifriend first had sex it was after my period had already came last month we went three roundsda first 2 we used protection the last one he used the urination method he did it twice before entering me and there was nonthing coming out anywways (pre cum).......................the second time we had sex was a day before my period we went three rounds again the first and second using protection the third time we did the urination method twice before entering me ,,,,,,,,,,,,,he put his penis inside me four pumps then he put a condom on................now my period was suppose to start monday and wednesday i expiernced spotting thursday which is today ..............am i prego........is my period coming.......................................by the way the spotting was pinkish ### REPLY: Hallow Dear, From your history I gather that your first venture of intercourses was immediately after the period and second was just a day before your menses were expected. Both these days fall in safe period. The egg release takes place 14 days prior to next expected period. The egg has a life of 24 hours while the sperms are active for 72 hours. Hence, a period of about one week around the day of egg release is considered as fertile period. The chances of pregnancy are very high if the intercourse is performed in this period. Your both sessions of intercourses were far away from this period. So there is no chance that you are pregnant. Moreover, you already have started having spotting. So you will get menses in few days. Get rid of the stress. Stress does delay menses. I hope this helps you and assures you.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello i want get advice that how can  i stop mistrubation because what i guess i can concentrate due to this things what should i do about that and other is that i feel really weak although i am taking tablets of vitamins is that problem is because of same thing  i am not married and my age is 20 ### REPLY: Degree understand your concerns went through your details. You are just 20. First you should understand masturbation is a natural process and is not at all considered unhealthy provided you do it in moderation. Instead of stopping it completely, I suggest you to masturbate twice in a week. In that you will be able to have a control on it. You are not feeling weak because of your masturbation. There must be other reasons for that like some malnutrition. You should consult a physician to get yourself examined pathologically. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 little boy 4 y/o just went to the restroom his urine color was normal light yellow but I notice that the last two - three drops were kind of pink. he told me my tummy hurts before he went and just after he finish he said now it doesn t hurt anymore. what should I do? ### REPLY: His understand your concerns about the pink color you noticed.  Pink urine can be caused by:Beets, blackberries, or certain food coloringsHemolytic anemiaInjury to the kidneys or urinary tractMedicationPorphyriaUrinary tract disorders that cause bleeding, I would recommend you to go for a proper urine routine and microscopic examination to rule out any blood or RBC. If it's normal then there is nothing to worry. Just give plenty of water every day to keep him well HY .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a hard bump on my head the size of half a small marble. It is hard but the bump comes and goes. My leg all down my tibia used to have similar bumps down it but all of them went away except one that has been there for months. I went to the doctor and they did xrays and said it is soft tissue and if it doesn t go away to goto a general surgeon he said to stop taking my birth control to see if it goes away. By the time I saw the surgeon most of the bumps had gotten a lot smaller and he said why worry about it because it seems to be going down. I now don t know what to do because the bump on my forehead is not going away. I was thinking (with no medical backround) that it was possibly a calcium deposit ### REPLY: Hi. Thanks for your query and an elucidated history. These are not calcium deposits for sure as they would have been picked up as shining spots on X-rays. Since these are reducing in size, I am sure that these are not due to cancer or so. Hence, not much to worry about. But since the one on the forehead and the tibia are not vanishing it is better to get one of them excised and send for histopatho examination so that the most proper diagnosis can be had, and the further treatment be planned as per the reports. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 a 17 year old male and maybe 6 months ago i found a lump on my neck and i went to the doctor. he game me a medication called Cephalexin and a few days later the lump decreased in size so the doctor said not to worry about it and it should go away. Today i noticed that the lump is back to the size when i first found it and i was just wondering if i should be concerned ### REPLY: Hi, Dear,Good Morning from India. Thanks for your query to  Virtual Clinic.-I studied your query in depth. I understood your concerns.-In my opinion-you are suffering from -lympadenitis or boil-hairfollicle.-Cause of Recurring neck- lump-It recurred may be due to incomplete antibiotic treatment ? Or due to the primary focus in the . -Not to worry about its recurrence and It's definitely not a Cancer for sure. Hope this would help you to recover fast. Wellcome to  again for any more queries. Have a Good day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My boyfriend and I recently had sex and the condom broke, five days after I stopped taking amoxicillin antibiotics for an ear infection. I am on yaz birth control and take it at the same time every day but I hear that antibiotics decrease yaz s effectiveness. What s re the chances that I could be pregnant? ### REPLY: Hello dairy understand your concerned amoxicillin cause decrease in the effective less of the yam pill. It decreases the hormone level in the circulation and increased the metabolism in the liver cause decrease in the effectiveness. But as condom broke, there may be chance of the pregnancy. So I would suggest to wait for the period to come. If your period will delay by the 8-10 days then go for urine pregnancy test and or blood  to confirm the pregnancy. If you will be pregnant and do not want the child then still it can be terminated by abortion pill under the supervision of gynecologist. Hope this may help noncontact  for further health query 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: hi my name is kimberly wallace and I was at roseville sutter hospital on (9-08 -2014 they said my right kidney shutdown and placed a nephrostimy tube in my right kidney also they stated that i have a 7mm kidney stone ive done all that I can do to find a dr. that would help me . my pcp has now told me that my only choice left is to go back to roseville to have it removed I dont want toxic shock agian what do i do? Please help ### REPLY: Hello Kimberly and welcome to . Your question doesn't say anything about the Left kidney. A 7 mm kidney stone is not a problem at all to cause any worry or lead to kidney failure. As a Urologist, I've treated so many patients over the years with much larger stones, with endoscopy only, lithotripsy or laser. Please send the report of your U/S scan, blood creatinine, urea, uric acid, sodium-Na, K-potassium,and anymore tests done. You can contact me by name for an expert opinion. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 16 years old and am quite busy preparing for JEE... But i find it extremely difficult to concentrate.. Whenever i try to focus on my studies many intrusive and obstructive thoughts block my mind. Namely i am fond of girls, and times and again i am lost over thinking about them (very much as a friend, nothing sexual). Again, sometimes i get hyper excited, and indulge various sporty activities like jumping, or dream about things which are obsolate but pleases me for the time-being and hence get distracted. Can you help me focus on my studies and get rid of these problems? ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. You are supposed to refer to concentration and attention as two. Attention span for any adult is maximum 30 minutes. Sometimes, a person can be attentive to an interesting thing for more than 30 minutes, such as movies or games. Concentration is attention plus understanding. For this too, span of below 30 minutes. If you are able to make your studies interesting and based on variable principle, your concentration level can be increased. It is also possible to improve your concentration level with the help of yoga, meditation and breathing exercises. The obsessive thoughts which you refer to can be overcome with the help of active ignorance. Just ignore those thoughts, and they shall vanish if you ignore them continuously. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. My son 20 months old is having cold from couple of days. We gave him Maxtra 2.5 ml twice a day and today doctor told us to change to Relent 2.5 ml twice a day. His nose gets blocked in the night and he is not sleeping properly. He is eating well. Morning when he gets up he coughs but seems very mild. ### REPLY: Hello and welcome to Ask A Doctor. I have reviewed your query and here is my advice. Because of lack of effectiveness and potential for side effects cough and cold medications are not recommended for young child (less than 4-6 years old). The two medicines that you mentioned can both cause restlessness, excitability, and other effects. It will be safer and more effective to use salt water (saline) nose .  Put one  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi there i have a cracked tooth at the back of my left hand side in my mouth and its wobbly also a wisdom tooth at the back at the top i have been taking paracetmol and nurophen i have been in pain since friday with it also it has been effecting my ear and the side of my face the tooth that is woobly is rotten. what would you recommend? many thanks stacey ### REPLY: Infected broken tooth can lead to pain and soreness of cheeks and jaws. Impacted wisdom tooth eruption can also cause pain in the jaws and teeth. Constant cheek irritation by broken tooth can also cause pain and tenderness.  If tooth is broken, then you need treatment for your broken tooth. If nerve of the tooth is not exposed, then tooth can be restored with dental filling or crown but if nerve of the tooth is exposed or necroses, then root canal treatment followed by dental crown is required for the tooth. If tooth is badly mutilated, then post and core procedure is required after root canal therapy. If broken tooth is unrestorable, then tooth extraction followed by replacement of missing tooth with dental implants or dental bridge is required. Only pain meds will be of little help. Hot compresses are not indicated as they will aggravate the swelling. You can do warm saline rinses to reduce the swelling.  You need to get treatment done for infected tooth. If you have cost constrains, then you can visit a dental school where treatment is done by dental students under supervision of experienced dentists. You can also look for free dental clinics near you or can talk to your local dentist if you can pay in installments for treatment. By the time you visit your dentist, you can avoid eating from side of broken tooth. You can also apply travel for some relief. Maintain good oral hygiene to avoid any secondary infections. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: this is for my mom .. she has some ringing in her ears for a couple weeks...and last night she had some dizziness enough to go the er .. they didnt find anything wrong. said she might vertigo..what can we do to find out or help her out more? what else might it be? ### REPLY: Hello, Thanks for choosing  for posting your query. I have gone through your question in detail and I can understand what you are going through. It would be wise to get her ears examined. A tympoanograph would be good. Many times, ear pathologies lead to such ringing in ears. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been diagnosed with c difficil. I now have been informed that I have a positive result for aeromonas hydrophila. I am wonder what this secondary infection is, how dangerous it is. I am on two different types of antibiotics. Disregard I didn t know there s charge ### REPLY: Hello, THX to contact us. I understand your concern. If I am your treating doctor I advise you that Aeromonas HY .  But it frequently isolated in immunocompromised individuals with gastroenteritis. It is very dangerous in such people. It is readily responded to antibiotics like doxycycline, chloramphenicol, ciprofloxacin, ofloxacin. You can choose one of the antibiotics under your doctors' guidance. Secondary infection is when you're having treatment of one infection, and you got second one. I will be happy to answer more of your concerns, kindly know me, Wish you a very good health at . . Infectious Disease. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 suffering from lower right back pain and can feel a lump in the area, headaches, nausea and lower right abdominal pain.  I have had a kidney ultrasound which was fine except for "mild fullness of the left hilum".  I had a blood test that showed low potassium only.  I am so sick of feeling sick and sore, any ideas? ### REPLY: HelloThanks for writing to ChatDoctorYou shouldn't worry about USG reports. It is almost normal and mild fullness of kidney can be ignored. You need proper clinical examination and few more investigations. Investigations include routine hologram, RBS,LFT, RFT, Lipid profile, urine RE/ME. There may be many reasons for pain. Cause may be visceral or musculoskeletal. Treatment can be done after clinical examination and investigations reports. You can take ORS fluid and fruits. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a question about female hair loss. I am losing large amts of hair every time I wash it, this has been going on for about 2 1/2 or so yrs. I am frightful of losing it all. I am a 56 yr old menopausal women,I eat a healthy diet of fruits and veggies, and fish, very little red meat. I have been to a dermatologist who ruled out alapecia. I am concerned that I will lose it all before it has a chance to grow back! What blood test should Be done to possibly identify the cause or rule out illnesses known to cause hair loss? ### REPLY: Hello ma'am and welcome to ChatDoctorFirstly it is necessary to find the cause of your hair fall. In your case it is most probably age related or due to general health. Other things to check for are low iron and hemoglobin, thyroid problems, stress, pollution, previous fever, typhoid, chronic illnesses, certain medication etc. Be careful regarding application of chemicals, hair dyes. Hair growth follows a particular cycle and new follicles and hairs have to grow over time. Age and hormonal changes of menopause play an important role in slowing this down.  The underlying cause has to be treated to see best results and prevent it from coming back. Any treatment needs to be taken over a few months to see good results. Nutritious diet and rest is also required to help hair grow well. Add a hair supplement like Biotin or collinear capsule daily. Renocia or anaphase shampoo will help with growth. First hair fall will reduce, and then new hairs will grow. You will see improvement in 2-3 months but Do take the treatment regularly. Consult a dermatologist regarding blood tests to rule out conditions mentioned above. At a later date if there is no change at all, you may consult your dermatologist regarding surgical methods like PRP, laser therapy etc. Hope this helps you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am i have lower back pain actually i could say pain at hip joint i had this pain last 6 years as my doctor recommonded i went for phsyio therepy regullarly but after some days pain started then i changed doctor he gave me injection my lower back after that i got relief for one month after that same possition then I go for MRI i got that there is gap reduce between ls4 & ls5 that become 12mm instead of 14 to 18 what r u recommonded ### REPLY: Hello. Thanks for writing to us. Your MRI report is suggestive of a reduced disc space which causes a nerve root compression leading to pain you are having. There are various treatment options like painkillers, muscle relaxants, epidural injections, physiotherapy and surgery. Your orthopedic can guide you regarding the best treatment. I hope this information has been both informative and helpful for you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, recently I have been having trouble with the hes of my penis, basically I keep getting a build up of smeg daily and when I pull back the foreskin I get a burning sensations and the doeskin looks really tight, the excess foreskin when pulled back around the bottom of the headI have regular sex with my girlfriend bu have stopped for now as for obvious reasons, Im confident she hasnt got an Sti ### REPLY: . There might be some inflammation or cut injury inside your foreskin. It is better to avoid sex till get complete cure. Take proper local care. Wash that area with antiseptic liquid and start to apply antibiotic cream regularly. Avoid tight undergarment. Oral NSAID will be helpful to subside pain and inflammation. If it is persistent after complete healing then use good moisturizer during sex.  Get examined by your family physician for proper diagnosis and medications. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hii sir good morning my period cycle is every month 10 -13 and i had unprotected sex last month aug 8th.but till period is not came n am feeling that my stomach is increasing is it pregnancy..?if the pregnancy is,what is the tablets for the abortion please help me sir am so afraid of this ### REPLY: Hello dairy understand your concernFirst, I would suggest going for home urine pregnancy test 8-10 days after the missed period to confirm the pregnancy it will come positive then you have to consul the gynecologist to confirm the intrauterine pregnancy by the USG scan. If intrauterine pregnancy will be confirmed then you should terminate it by using mifepristone and bisoprolol under the advice of the gynecologist. Do not use abortion pill as self-medication it causes serious complication. Avoid stress, take healthy diet and do regular exercise. In absence of the pregnancy period can be induced by the progesterone pill. Hope this may help noncontact  for further health query 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 husband just told me he had an episode of severe dizziness, feeling faint and what he describes as a cold sweat, soaking through his shirt, causing his hair to be wet and feeling clammy all over. He had no chest pain or heaviness, jaw, arm, or back/shoulder pain. His doctor heard no bruits in his carotids. He was recently diagnosed with Type II diabetes (he might have had low blood sugar, he hadn t eaten anything since the evening before). He is being treated for hypertension but that has been controlled. He has not been diagnosed with sleep apnea, but he snores and often jerks from the waist down in his sleep, (in about a 1-3 minute cycle). Any thoughts? ### REPLY: HIIT is like hypoglycemic attack for faint, dizzy spell when BP Is controlled. He must have all tests for blood sugar, HAC,glucose tolerance test, urine test co relating with blood test duration and frequency. Peripheral neuropathy should be explored for jerks in leg, by erosion physiological tests. Methycobalamin 1500mcg daily be taken. Consult a physician or planetologist. Diet should be small but 2 hourly. Daily diet charting be done and balanced diet with adequate calories according to physical occupation ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 did my Semen analysis test the result are as follow:Quantity: 4.5 mlViscosity: ViscousColour: NormalpH: 7.5Liquefaction time: 20 minsSperm Count: 46.2 millions/mlMobility: (Active: 40% , Sluggish: 10% , Nonmotile: 50 % )Abnormal forms: About 25%Pus Cells: 30 - 35 / HPFOthers: ---- nothing. please i want to know if the Semen test results is good or no? and if i can have baby with these results? thanks for help, ### REPLY: Thanks for contacting  with your health concerns and questions. You are concerned about the amount of pus cells or WBC seen in your semen results. The elevated pus cells suggest that you may have prostatitis. This is an infection in the prostate gland and very common in men. In my practice I treat these infections with 2-4 weeks of an antibiotic usually levofloxacin or Bactrim DS. I recommend you seek medical attention and ask the doctor to prescribe for you and antibiotic of prostatitis. Hope this answers your question. Please contact us again with your medical concerns and 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: Eight year old daughter had mono 4 months ago, now has rash for 2weeks all over torso and neck, feels like is going to throw up at night and has always had a belly that protrudes more than others , aand will have random joint pains. Im getting concerned that something is wrong. ### REPLY: Hello, As with the symptoms, I think you should get this check with the pediatrics. Because sometimes kids develop some infection which can lead to other symptoms. Having checked in early stages is better for the kid always. As you said the pain keeps moving from one joint to another we can get a feeling of rheumatism, but your kid is too young to fall in that category. Having a physical meet up and examination by the pediatrics will be surely needed rather avoiding it. Hope I have answered your query. Let me know if I can assist you further.  Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello, im probably over reacting but i just want some opinions. I had unprotected sex 3 out of 5 days of my ovulation (2-6)  time.. none of the times he went in me but i know the sperm can live for days..and i just started birth control a week ago and now im having lower abdominal cramps and a slight streak of blood the 14th. The cramps are sharp but go away pretty quick..i have been very moody. Help please?? ### REPLY: Hello and welcome to . Thank you for your query. There are two-three possibilities from your description, and I shall explain them to you.1. Birth control: The initiation of birth control can easily cause side effects like lower abdominal cramps, mood swings, slight discharge (blood), etc. Thus, what you could be experiencing could be side effects of the birth control. You could consult your prescribing doctor and report the same2. Pregnancy: This is always done. Is routine in patients experiencing such symptoms, this I request you to conduct a home pregnancy test, which is to be done at least 20 days after your last sexual contact or on the first or second day of a missed period. An early morning urine sample should be used for most accurate results. This test might have to be repeated 2-3 times for an informed result3. Infections: As you are sexually active, the possibility of an infection, will have to be ruled out as welly opinion would be to consult your doctor, and find the cause for your presentation, which should most probably be one of the above conditions. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications. I would gladly help you. Best wishes. ### END