Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: how cai treat my self with this deseesmy name is mina adam am 29yrs 6.6 height  78 i have 2 babies  my stomach is paining they say tht its aguess how can reduce it am fat and heavy plz help me to reduce my self  tell me which kind of exersise i can use  how can i avoid malaria plz cz every after 2month am gettingf malaria ### REPLY: Hi thanks for asking question. For stomach pain you can take omeprazole if pain is because of ulcer. To treat infective condition like gastritis antibiotic needed. You also want to lose weight. So you just have to modify your diet, take more fruits. Avoid taking fatty diet. Avoid fast food like pizza, burger. Better to eat boiled diet rather than fried. Regularly do flooring exercise for 1to 1.5 hour. Including minimum 45 minute jogging, running, cycling like exercise. Effective way to prevent malaria is preventing its bite. For that DEET like repellent can be used to spray over cloths or using nets. Liquid all out also can be used. Room can be sprayed with insecticide. Sleeping in AC room is helpful. Still no benefit then Chen I prophylaxis with chloroquine can be helpful. I hope I have solved your query. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ? Please type your query here...I have rapid heart rate on and off, not sleeping well, very short of breath and have a sensation in my throat right under my thyroid. I do have goiters in my thyroid ..diagnosed 2 yrs. ago. I also have chest pain in the area right above left breast. I am 46 year old female, 104 lbs. 5 1 . After walking up stairs, i get extremely short of breath and pulse races...even to 120 bpm. I did have echo. done (fine) and stress test - did fine but dr. noticed my blood pressure didn t go up like it should after walking. He said my bp is on low side of normal 110/70 - I take it at home and it runs 100/65 alot. ### REPLY: Hello! Welcome and thank you for asking on ! Regarding your concern, I would explain that your symptoms could be related to orthostatic intolerance or thyroid gland dysfunction. For this reason, I would recommend performing some tests: - thyroid hormone levels- a Head Up Tilt Test for possible orthostatic hypotension. - blood electrolytes. 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: HI. I went to give blood and was told my Haemoglobin was too low. The reading was 118. I am a 32year old man, 6 tall, 14st, fit healthy and active. I have felt tired, but put this down to working too hard. I eat well, and eat a lot of red meat and veg. Any thoughts on what could be causig this? And what to do about it? Thanks! ### REPLY: Hi Simon. Davies, greetings from .come have gone through your case scenario and feel that you need to go for some extra tests like serum ferritin levels, stool for occult blood. These tests will see whether you actually have low iron stores or suffering chronic silent blood loss. Also, I advocate an ultrasonography of upper abdomen to see your spleen size and liver span, as these do increase in certain types of anemia. Since you have not mentioned I assume you do not have any bleeding problem and other co-morbid conditions like hypertension and thyroid disorder. I firmly advice you to visit a primary care physician and get your self evaluated clinically and discuss with him in details regarding your plan. You have not mentioned so I assume you do not smoke and .  Hope I have been able to answer 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: Hello doctor i feel i have a huge problem iam male 19 years old 5 feet 9 inches and only weigh 110 pounds. I eat normally 3 meals a day few snacks hear and there but i dont gain weight. I lose a lot of hair and have a very very hard time sleeping i find myself thinking to much. I believe i might be stressed and even have ADD. Can you please help with any suggestions. ### REPLY: Hi, You have to rule out hyperthyroid by serum TSH estimation. If it comes normal than stress or anxiety indices hair fall and weight loss can be possible. You can Consult a nearby psychiatrist for detailed evaluation and behavioral counseling. Antianxiety medication like alprazolam or clonazepam also can be prescribed. 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: Hello, my name is Meagan and I m not sure if this site is real legit or not. This is my first time on here and I was wondering if you could help me figure out whats going on with my hand. I have this very painful, swollen and weird lump on my knuckle. my middle finger and ring finger can barely move without my whole hand hurting. This has been going on about three days now and it is getting worse and more painful. So i was wondering if you knew what this might be? Please and thank you! ### REPLY: Hi Meagan, Thanks for your query. This site is indeed legit and meant to serve all your health queries. Now coming to your question, you could be suffering from Webspace infection. You need to take analgesic, antibiotics (penicillin group) and hot fomentation. Please check your blood for fasting sugar level and total WBC count. If your condition improves by this, then please continue the treatment for 7 days. In case, if the swelling persists, then you would require an incision and .  Use arm sling while sitting/standing for the effected arm, and do try to avoid free hanging of the effected limb. Take care and wishing you a rapid recovery ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My Urtrasound result reads: KIDNEY: Normal size on both sides but there is decreased cortical echo texture on the right side as well as poor cortico-medullary differentiation. No calculus, no mass and no hydronephoris. The lefty kidney is normal. Dr. what is the meaning of decreased cortical echo texture and poor cortico-medullary differentiation? ### REPLY: Hello, Kidney has 2 distinct parts- 1. Cortex2. Medulla. These are well separated in a person who is normal. Amongst some patients who may have the onset of the renal disease, this differentiation is lost. If this ultrasound is suggestive of the said changes, I would recommend meeting a nephrologist as soon as possible for further evaluation and advice. Hope I have answered your query. Let me know if I can assist you further. Take care , Planetologist ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 doc, my grandpa had Parkinsonism. What is the disease about? Do I have chance of getting that? ### REPLY: Parkinson's disease belongs to a group of conditions called motor system disorders. The disease is chronic, meaning it persists over a long period of time, and progressive, meaning its symptoms grow worse over time. It is not contagious nor is it usually inherited - that is, it does not pass directly from one family member or generation to the next. But new theory explores the role of genetic factors in the development of Parkinson's disease; this is yet to be ascertained. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 65 year-old white female who recently had an MRI of the brain. Symptoms include numbness and tingling on the right side of my face, my right hand lower part of the right arm, 2 1/2. weeks in duration so far. The MRI showed chronic microvascular ischemic change. What does that mean? ### REPLY: HelloThanks for writing to ChatDoctorMicrovascular ischemic changes(decreased blood supply) in brain typically involves small blood vessels. You need monitoring of conditions that lead to ischemic changes like hypertension, altered lipid profile, diabetes mellitus. You need investigations like routine hologram, RBS,LFT, RFT, Lipid profile, ultrasound of abdomen. If there is any more physical problems than it should be treated to prevent further progression. Get well soon. Hope I have answered 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: I had my right lower leg amputated August 15th 2011. For the past couple of months I have been developing a lump on the top of my leg down by the stump. It is sore when putting on my artificial leg, but doesn t really hurt. Is this something to be concerned about. Thanks, Colleen ### REPLY: Hi, Dear,Thanks for your query to  virtual Clinic. I studied your query in all the details put forth by you. I understood your health concerns. Cause of the health problems you queried-There are many causes of the sore lump on the top of the leg, after leg amputation like, Amputation neuroma, Amputation dermatomes(skin infections/infestations, Amputation wound Granuloma, Cracked stump skin, phantom limb pain/ soreness/ or a compromised skin circulation with skin wound and infection. As the soreness is while putting your artificial leg and is caused around the lump developed,-Cause in your case seems to be either from Amputation stump skin tag with sore skin eczema, or skin infection with soreness/ Or could be due to the Amputation neuroma-due to excessive lumpy mass of the amputated nerve end in the amputated leg stump. As I don't have any first-hand information or a photograph of the part, I suggest you to consult ER Ortho-surgeon, who would rule out other causes and would treat it according to the cause of this stump lump on the top of the amputated leg. Remedy-So till the time you consult ER Or tho Surgeon and get his definitive opinion after above investigations, DONT WORRY AT ALL but you need to be worried as it would complicate into some other serious problem with your amputee leg. And act fast on the above suggestions, which helps you to plan treatment with your ER OrthoSurgeon. Hope this would resolve your query with full satisfaction. Welcome for any further query in this regard to ME by direct question at . Write excellent review and hit thanks, to narrate your experience, which would improve my rating for many other visitors to . Wishing you fast recovery. Have a good day. . N. Senior Surgical Consultant. M.S. Genl-CVTS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. My husband has been under a lot of stress lately. Due to my health issues. I have recently in the last month been having seizures, these are new onset seizures. I have never had one before. He has never had blood pressure problems until now, and has never had a major anxiety disorder until now. Recent;y, his blood pressure hasnt been below 152/98 and the highest its been is 178/118. He has been started on a BP medication Atenelol, but has been experiencing numbness in his right hand on his ring finger and pinky finger. It is constant, and its starting to get to where its worrying me! Should we ask his Dr to change his med? ### REPLY: Degree understand your concerns went through your details. I can understand. High blood pressure could be due to the anxiety disorder associated with your health issues, as well as white collar syn .  Thinking about having his blood pressure checked might trigger high blood pressure. His anxiety also needed to be managed. You should talk to your doctor regarding this. After thorough check up, on finding nothing is wrong organically, you should request your husband to consult a psychologist for anxiety related behavior and cognitive therapy. He should be alright within months. 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. 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, i need to ask you doctor that i had a operation of umbilicus sinus with an opening left by surgeon to be filledup but not stitches, and i have my wedding ceremony after 8 days of operation , i have no pain but multiple bandages are going on, i need to ask you that wether i will do activity of intercourse at night of my Wedding???? ### REPLY: Usually there will not be any connection or relation between umbilicus and sexual organs. Your condition may not interfere with intercourse, but a discharging sinus may cause discomfort and sometimes increased intro abdominal pressure(as occurs during sexual intercourse) may delay healing process. It all depend on the cause, complexity and stage of healing. Your surgeon is the best person to assess this. I suggest you to discuss with him without any hesitation and most probably you will get a positive answer. In summary, You can have sex without any fear but get a nod from your surgeon before doing so. Wish you all the best ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter has left eye and left brain swelling. Her eye is noticeably larger than the other and MRI states her brain is also swollen. Eye Doc put her on prednisone tabs and also injected eye with prednisone. She experienced some relief but was only temporary. She also has headaches and is 46. Had many blood tests and is awaiting results and also must see neurologist. Any ideas? ### REPLY: It may be a case of orbital cellulitis with cavernous sinus thrombosis or venous sinus thrombosis. The risk factors for such a condition are diabetes, boils over nose and adjacent area. It is an emergency case and should be dealt seriously as it carries high risk of vision loss. Take opinion from neurologist also .MRI with contrast with orbital cuts and MR venography is required for full evaluation. Rest investigations and treatment may be decided by your ophthalmologist and neurologist. Other possible diagnosis may be kept pending patient evaluation and reports. Best wishes for early recovery. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Ive had the mirena coil for just over a year. Once a month I get a light period however it is always like a browny mucus. Then one random day Ill have a gush of bright red blood and then it will stop. The pain that comes with it is ridiculous. It hurts to even walk. Ive experienced every symptom that of pregnancy which is exhausting. Is it worth taking the coil out or will it subside? ### REPLY: Hello and welcome to , Intra-uterine contraceptive devices are associated with some side effects. Pain, menstrual irregularities are most common amongst them. Pain usually subsides within few months of onset of use. Menorrhagia is the commonest menstrual irregularity. However, these symptoms subside within few months. Infection may be associated with the usage of the Funds. Infection is characterized by lower abdominal pain, foul smelling discharge, fever, etc. If these symptoms appear, the IUD should be removed. The symptom that you have mentioned, light menstrual discharge-is totally harmless. There is nothing to worry about it. Secondly, pain which is present even during walking-this symptom can be due to amenorrhea. You can take magnetic acid for this pain. If the pain does not resolve, you need to consult your gynecologist for examination of the IUD. Thanks and take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im having burning in my chest and stomach like Ive swollowed a hot coal and a sharp knife is sticking in me.  This wakes me up at night.  It happens whenever I eat or drink anything...even water.  My chest feels heavy and its hard to breath.  I can feel my heart beating hard. ### REPLY: Hi, It is . The symptoms you are telling are typical of gastritis(acidity). Still you should do an ECG & 2D Echo to rule out cardiac causes. For gastritis I recommend for tab Pantoprazole 40 mg twice before breakfast & dinner. You should also do an ultrasound of abdomen which will help in diagnosing the same. If you have any further query you can contact me. Wishing you a good health. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 15 year old daughter complained about a lump that developed in the back side of her neck two days ago. We touched it - didn t appear to be in the location of a gland. We thought maybe it seemed like a pulled muscle - she has been working on painting (remodeling) her room with her Dad for a week. Last night she complained she had two more lumps or bumps and they hurt. I felt them - they are bumps the size of quarters and sore to the touch located at the back of her head near the base of her head and neck. Any ideas? ### REPLY: Hi.it is best if you consult with a doctor, preferably a general surgeon, for medical and physical examination. It could be a cervical lymphadenopathy (inflamed lymph node) probably secondary to a recent upper respiratory tract infection or an inflammation other considerations may be fibrous, lipoma or cyst. Clinical examination from your doctor will be of great help. Further diagnostic examination such as neck ultrasound, ct-scan or x-ray and subsequent management (medical and/or surgical if indications are found) will be directed accordingly. Hope this helps. Good day!!~ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 74 year-old very healthy male (eat healthily, work out regularly). I just noticed that the rim of the head of my penis is red..almost bright red. If it had always been like that I think I would have noticed. I m cicrumsized. I m single and masturbate three or four times a week. When I have sex it s always with a condom; I haven t had unprotected sex in years, in my last steady relationship. The rim isn t sore but it sure is red. Is this something to be conerned about? ### REPLY: Hello, Welcome to .comedies around the rim of penis, is definitely a matter of concern. Redness is the sign of localized inflammation, which may arise as a result of infection, trauma. Check for any other sign of inflammation such as localized pain, any discharge from penis, burning sensation in and around penis. Advice for you is to consult a meteorologist as soon as possible. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been ill and sore for over 2 years, with no one being able to figure out what was wrong with me. It was always written off as a weakness or stomach infection. Then 1 year ago the severe vomiting started. I was discovered with hepatitis b. From last 1 year i am on herbal treatment, i have reduced just 200 points out of 4500 points of hepatitis, the improvement is very slow and I still feel severe pain in head, so tire,nauseous and in constant pain. I am just sick and tired of feeling sick and tired!!i am just 23 years old, weight 48 kg, height 5.1 feet,and i have 4500 positive points of Hepatitis B, is it cureable at the moment?Please reply at your earliest possible convenience. ### REPLY: Hi thanks for contacting ... According to your complaint you can have chronic liver infection by hepatitis b antigen... If Bag positive after 6 months then it will remain life long..... Here you have to consult gastroenterologist for detail physical examination and investigation... Certain lifestyle modification with regular follow up can prevent complication and healthy life can be lived.... Take low fat diet. Use less oil in cooking... Trans fat diet like pizza, junk food, non veg kept limited.... Fruits and green leafy veg more....Head and enzyme estimation For three months with HBV DNA done for detecting chronic active stage ...for which antiviral . USG also done... If active hepatitis there one tsp cumin seed with water useful .... If doctor wants staging and grading then biopsy might be done... Take care. Hope your concern solved..... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, me & my husband is 32 & we both are trying for baby since 14 months......... complete hormonal profile is done, Ovulation studies and follicular monitoring is done, my  husbands semen analysis is done &Also HSG, Hysteroscopy and laparoscopy is done.........and doctor said everything is absolutly normal..........try on every alternate day from 8 day to 26 day...........can we take Fertisure F for me & Fertisure M for my husband. ### REPLY: Hi, Welcome to . As all of your investigations are normal, your case fits into the definition of unexplained infertility. Most effective treatment for it is super ovulation (stimulating multiple follicles with tablets/injections) with GUI. Feature tablets may help in conception but how much they will, is unknown. Better option as I told is super ovulation with GUI. Wish you good health. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My last menstrual period was May 15, 2014. I am seeing a fertility specialist. On June 11th, I took a home pregnancy test (positive) The following day June 12, I had ChatDoctor and Progesterone drawn. 6/12: Progesterone 33 ChatDoctor 59 6/14: Progesterone 35 ChatDoctor 149 6/ 17: Progesterone 24.8 ChatDoctor 294 My doctor says that I should be cautiously optimistic at this point. I have had one other pregnancy and it resulted in a miscarriage at 7 1/2 weeks. I am 29, 5 3 140lbs. I take Metformin to control my insulin. I also had an ChatDoctor injection to trigger my ovulation and Clomid 100mg. Realistically, how do things look for my baby? ### REPLY: Hello, Thank you for your query.  The blood values don't look promising.  values should double up every 2 days in a healthy pregnancy and is usually seen in about 80%of healthy pregnancies. However, the remaining 20%can still have a normal pregnancy. The better prognostic factor is the presence of a heart beat detected by an ultrasound between 6-8 weeks from the last menstrual period. The presence of a heartbeat is a sure. Sign that your baby is thriving. Closed and a trigger shot help in increasing your chances of conceiving & sustaining the pregnancy initially. After implantation, progesterone levels (natural or supplements) help in maintaining the level of  to ensure proper development of your baby. As these values vary widely within the normal range, it is better to wait for the scan to check for viability. I am sorry you are going through this. I hope this helps. Please let me know if there is anything else I can help you with. Wish you well ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 m an 18 year old male starting when I was 12 years old I had frequent urination . Now I m 18 and the problem still continues. With in the last week my back has been hurting, first my upper back but not its all lower. I don t wake up at night to urinate, frequent urination during the day and back pain . I m afraid it could be Prostate or Bladder Cancer . ### REPLY: HI thanks for your question You are 18 years old and your chances of having bladder or prostate cancer are very, very less.However, you can have infection of prostate called as prostates. The second possibilities are of urinary tract infection. Back pain could be due to UTI. I would suggest you to consult a physical who will be able to evaluate you for your symptoms and accordingly he/she may prescribe you antibiotics in case of UTI. You may need to get your urine examination and urine culture done to confirm or rule out UTI, as a cause of your symptoms. Hope this answers your question. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have severe lower back pain and lower abdominal pain. It throbs I feel like my heartbeat is there. It is very hard to walk without pain and can not stand straight without a lot of pain. I had lower lumbar surgery in 2008. do you have any ideas for help? ### REPLY: Hi, Welcome to  .com I am . Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Problem : I have severe lower back pain and lower abdominal pain. It throbs I feel like my heartbeat is there. It is very hard to walk without pain and can not stand straight without a lot of pain. I had lower lumbar surgery in 2008. Solution : This is likely to be a failed back Please consult a Neurosurgeon in person for detailed clinical examination and evaluation. This condition needs clinical examination and cannot be managed over internet Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in  at http://bit.ly/ask ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my son is 3 yrs old he has a knot with bruising on his right wrist area I ve been told it s a ganglion and then I was told it s a blood clot.....I DON T KNO WHAT IT IS BUT I M WORRIED. last week when I first noticed it he kept breaking out in hives this week his nose is bleeding. ANY SUGGESTIONS AS TO WHAT MAY BE GOING ON WITH MY CHILD??? ### REPLY: Hi... Thank you for consulting in . Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically.  Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have this voice in my head but not like a kill yourself or a pressuring voice but it repeats a certain word or sentence over and over and over again. I can t stop it no matter what I do. When I try to stop it, it repeats something else. this has been going on about 3 years but it started to get worse about a month ago. Am I mentally ill? ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. This symptom may not be due to schizophrenia and mental illness is a remote possibility unless you treat it properly. Your symptoms are due to hallucination. Do you use any substances which creates hallucination? Hallucination, if not due to substances, is a mental disorder. Understanding it and ignoring the symptoms are the best course of treatment. If you become obsessed and anxious about the hallucination, they tend to return with full force. Consult a psychologist for psychotherapy. If you require more of my services in this regard, please post a direct query and I shall be happy to provide you psychotherapy tips. 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 wife had emergency surgery on 3/28/14 to repair ruptured colon. now has colonospy device. obstruction was not cancer. she had a real hard time after surgery, 2 mild heart attacks, severe edema, jaundice, on respirator for 18 days. when all of this was done she was sent to rehab. they got her in mid april and were able to get her up a few times and she was taking as many a 20 steps with a walker. then she had a svere lupus attack 3 weeks ago. has only been up once for about 30 seconds. now has penomia. will not even try to sit up or stand. she is 64 years old and had a normal active life prior to surgery. she has had the lupus (systemic - mild) for 12 years, the therphists are pushing to send her home. i m communting 160 miles a day to be with her. we have no insurance. is there any hope she will ever sit up or walk again or has too much time passed. she just wants cough syrup, sleep and to be left alone. i v tried everything I know to do - i mm 66 and in poor health - any advse is appreciated ### REPLY: Dear Sir, Thanks for your questions. It seems that her lupus is active now, and she had lupus vasculitis/enteritis leading to rupture colon, and she recovered from it. Now she is having pneumonia. Differentials in present condition are chest infection secondary to immunosuppression or Lupus pneumonitis. I suggest doing appropriate cultures, BAD and HRCT thorax for work up of same. Hope I could solve your query. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am a 17 year old male and in the past month or so i have been experiencing stress incontinence when i laugh, i have had this problem for as long as i can remember but for the past 4 years it has been very rare (under 10 incidents a year). In the last week i had two incidents involving bladder leakage from laughing, although it was only a small amount it is still very embarrassing ### 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 due to low tone of constrictor urethra. If it is of recent onset then infection could be the cause. It needs evaluation. 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 a prolonged chest conjestion issue right from my childhood. It normally start troubling during winters. A doc suggested me montek lc which I found very effective but when I miss a dose for more than 2 days the problem rises again. What should I do to cure this permanently? ### REPLY: Hello dear, thanks for your question on . In my opinion you are having allergic bronchitis at related symptoms. Your history of seasonal variation with improvement after Monte LC suggest more of allergic bronchitis. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system. 2. Chest x-ray. 3. PUT (pulmonary function test). Chest x-ray is needed to rule out lung infection. PFT is needed for the diagnosis of allergic bronchitis. It will also tell you about severity of the disease. You may need inhaled bronchodilators. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: The first time this happened it was my left boob it was hurting very bad when i moved my arm or flexed my arm i went to the doctor they said it was my hormones i went sometime in june but lastnight i felt pain in my right boob under my armpit and the inner side of my boob when i pressed down on it and when ever i move or lift my arm an also my left arm pit i was pressing on the back side an its also sore. what could it be? ### REPLY: Hello, Well, obviously, a new pain in the breast would make someone worry about cancer. Mostly it is not. There can be infection; mostly it is fairly obvious that there is infection (red, hot, swollen, purulent, et cetera) and, the breast is near nerves that run under the armpit and out to the arm. The breast does not have to be involved for these nerves to be hit. It is hard for me to remember how bad it was when I pulled one of these nerves out just from reaching out with the arm too fast and far, but it hurt quite a bit for months. It is obviously a reason to get it checked, mostly, not cancer. Mostly does not need surgery. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been having left chest buring sensation for approxmentley 2 months. A few weeks ago I was awakened by a very sharp shooting pain down my left chest, also my left nipple has felt like it was burning. The burning sensation goes away during physical activity and sometimes it will disappear for a few hours, usually this pain lasts for days and hours and hours at a time. 31 year old female, non smoker, overweight, I know my numbers with cholesterol. ### REPLY: Hi welcome to .... This could be cardiac cause, or it could be burning pain by acid reflux.... Investigate your case first with.....-blood pressure measurement-EKG -echo (if needed)Here if no cardiac cause present than chest x-ray needed along with manometry or endoscopy to rule out hiatus hernia ... For which omeprazole capsule given... Auscultation should be done for resp examination and to heard heart sounds to investigate further .... Take care Advise : consult pulmonologist ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 42 year old female who was diagnosed 15 months ago with pernicious anaemia/megaloblastic anaemia. I was having horrendous heart palpitations and breathlessness. An ECG showed i have RBBB. Does the PA exacerbate the heart condition, or could there be an underlying heart disease quite separate to the anaemia? ### REPLY: Hi, dear. I have gone through your question. I can understand your concern. You have pernicious/ megaloblastic anemia.  For that you should take injectable vitamin B12 therapy. Your heart disease is totally separate conditions for that consult your physician and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. I ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 38 yrs old , my wife is 32 yrs, we have been blessed with 2 daughters over nine yrs of marriage. during the second cesarean, i opted for the family planning operation, and which was done. now after three yrs , my wife insists to have third child (son). is this possible , if yes what are the risks involved and how do we start. ### REPLY: Hi, Thanks for using healthcare magic. There are procedures to open the Fallopian tube, so you should consult your gynecologist. Success rate of having pregnancy after re-open depends on lot many factors. Your gynecologist might be able to tell after having expert evaluation. However, there is no current that you will get only male child and not female child. Sex determination is legally punishable in many countries. I hope it will help you. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have all of this--I was to my doctor yesterday, & he had given me this to take--Ac Doph.Lus & Probiotic. Sorry I m slow on this PC.I have a lot of back pain; with sharp pains down my leg on one side. I do have adhesions real bad. I had opertions when I was real young in my 20 s. I m 69 years old. Is it better to fine a good doctor & have them operate on me before I get much older? This is gettings pretty bad, & I have RA. ### REPLY: As you have mentioned in your history that you are suffering from RA as well as your age is 69 years, both the factors have its own impact as far as back pain is concerned. You just have to take calcium supplements like tab shall 500 mg or tab toscal-gem once daily after meals along with some painkiller like tab kilos or tab attract twice daily after meals with tab rant ac or tab carotid twice daily before taking meals. As you are too old I suggest you to take painkiller not on regular basis but only when your back pain is unbearable or disturbing your routine activities. Apart from these you can also use voting gel or relax gel for local application. It is also quite beneficial in relieving back pain and provide you some comfort. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 had a weeping rash near his groin in the crevice between his thigh and stomach. it is hot and extends around his hip in a band about 4 inches in diameter . it is only weeping and rash-like in the crease. The rest is hot and inflamed. We were at a football game on the weekend and he used a portapotty there. But we have been home for 10 days in our own beds. could this be a spider bite or a bed bug. None of us has experienced itching or bite like symptoms. He has felt a little under the weather with flue like symptoms the last few days. He said this started on Wed. but never showed my until last night. I am very worried. He is on metformin only. Generally very healthy and 71 years old. XXXX ### REPLY: Hello, Welcome to Ask a doctor services. I have read your query. It looks like your husband is suffering from fungal infection. Fungus grows easily in sweaty, moist skin. Since you were in football game, he got it (due to moist/sweaty) skin. He should take shower, pat himself .  Wear cotton clothes. He needs to take a course of oral fluconazole and apply clotrimazole cream in the affected areas. He can take a course of non sedating antihistamines. It should go away in 3-5 days. However, you are suggested to get it clinically examined by a dermatologist. Hope I have answered 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: Hello sir , What are the recovery chance for the electrolude brain hypoxic ( brain cells dead ) but still he is chewing food , no tycosmy , no food pipe but his bosy is stiffed he is nt able to sit , standup , own eating food , urine : please give me a best way to save his life ( 20 yrs old ) ### REPLY: As per your description, the patient seem to be in vegetative state. He might be doing some reflex activities but not doing any purposeful or cognitive action. If hypoxic injury happened recently, there are chances of some recovery. Available options of management are:1. Oxygen supplementation2. Maintaining hypothermia in body3. Tab Paracetamol has some controversial beneficial role in hypoxic brain injury. The prognosis is depended on duration of hypoxia and extent of brain tissue damage. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: What can I do to gain sensation back after loosing tissue? I have had two colposcopys in the past 4 years and it just doesn t feel the same at all. The first time you would have thought it was a LEAP the doctor took so much tissue and there was more bleeding than the second... ### REPLY: Hi, Unfortunately, loss or lack of sensation following colonoscopy is a recognized complication which (if after 2-4 years) is likely going to remain permanent.  It is a very uncommonly reported complication of the procedure but can happen based upon scarring of the biopsied area and other uncontrollable factors.  With the loss of sensation in that area, you may wish to talk to your doctor about other possible sidelight causes for numbness in that area unrelated to the biopsy procedure since other things could also be causing the problem.  So check with them as well and see if they can re-examine you to see if there may be a simple explanation.  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: 66yr old male diagnosed 2 yrs ago with asthma . my pulmonologist said in the last 2 yrs i lost 18 pct of lung capacity when i had breathing tests chest x ray is normal. he wants to send for ct scan of chest and ige panel 25 hydroxy vit. d alpha anthtrpsin test ne allergy panel and aspergillius precipitins test i am a non smoker . what other scenarios due you think he might be looking for ### REPLY: Thanks for your inquiries if your diagnosis of asthma is right it's very unusual to be diagnosed of having asthma at 64 years of age, if it really happened then it is a adult onset asthma the prognosis of which is worse than the childhood onset variety. Above all u have lost 18 pct of lung capacity. in this regard we have to search something in association...may be an underlying diffuse parenchymal lung diseases.in this regard an HRCT scan thorax should have to be done. Ur physician also suspected of allergic bronchopulmonary aspergilli that's why he is asking for those tests. It is a good approach. Let the test be done and consult with your doctors after reports are getting available.need not worry ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 15 month old son had a cough for two weeks followed up by a week of fever up to 105.8...it broke after 5 days and he seemed to be better then, two days ago the coughing reappeared and now the fever again - any clues if there is something more I can be doing...I am treating with Tylenol, humidifier, honey etc...he finished a course of antibiotics four days ago. ### REPLY: Hi... Thank you for consulting in . Cough and cold are viral 95% of the times in child .  For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15 mg/kg/dose (max ceiling dose 500 mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25 mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 11 month old Baby boy has a black/brown raised mark inside his left armpit area (about 1 inch long). Is this a cause of worry? he has a similar mark on his left hand near the elbow (frontside). This one is not raised skin. The armpit one you can feel the raised skin. He has no issues. He is a happy baby. I was just checking if we should get a checkup done for this issue. ### REPLY: Hi... Thank you for consulting in . Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically.  Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I am 15 years old and I have slept with 4 people and I very worried, I have two small pink-ish lumps just next to my clitoris, they are not sore but they can often be very uncomfortable and itchy, I have not recently had sex because Im scared in might be an STI, please help!:S ### REPLY: Hi! Good morning. I am  answering your query. Based on your history I would advise you to visit a gynecologist for a clinical examination of the lesion, as it might not be possible to opine on it just over the net. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. I wish you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: The doctor told my nan in hospital she has a weak heart. She was admitted for chest pains and really bad trouble breathing. How long does she have? She has had diabetes for 12 years now and she just turned 89. He said it was about the tablets she was on too. ### REPLY: Hello can understand you concern. There are some heart diseases that when they are not well controlled they can damage the lungs too. The patients in this situation begin to complain of difficulty in breathing and sometimes cough. Diabetic patient have heart problems too, and it is very important to take in control the sugar values. So my opinion is that in your Nan case cardiac problems related to diabetes have cause these problems. I wish a fast recovery for your Nan. Thank you .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a lady aged 24, height 5 8 and weight 72 kg. I have trouble with a molar tooth on the right upper side of my mouth. Its got a small black hole and possibly decayed inside. Though a cavity doesnt seem to appear when taken a look outside. Its very sensitive to hot and sweet food items. I flinch out of piercing pain every time a sweet or hot food particle., or even when plain cool water comes in contact with that tooth. What is the best possible treatment I should go for? What is the cost incurred for the treatment in bangalore?Please help me find a good dentist in bangalore with name and contact details.Thanks in advance. ### REPLY: Hello, I am glad to answer your dental question. The dark area indicates a change in the enamel and with a hole would be decay. Decay needs to be removed or continues to increase and reaches the nerve inside the tooth. Your sensitivity is expected when the protective enamel coating has been damaged. You may be able to fill the tooth if the decay has not affected the nerve chamber. Some sensitivity to sweets and cold often can be treated with a filling. Filling material is usually of a tooth colored composite. Other material choices include amalgam and if a larger section of the tooth needs replacement, then porcelain or a gold alloy should be considered. Once hot sensitivity and sharp pain become more prominent, you most likely have bacteria causing an abscess and will require a root canal or extraction. Sometimes only a very small hole is visible to the eye, but much destruction of the underneath layer has occurred. The sooner this tooth is evaluated, the better chance for a restoration such as a filling. Your dentist will need a X-ray to evaluate the tooth and suggest your treatment options. Symptoms such as throbbing, swelling, a bubble on the gum or fracture suggest a greater chance of an infection. Avoid chewing on the tooth and keep the area as clean as possible. Schedule your dental visit as soon as possible. I cannot provide a name of a dentist in your area. You may ask your general physician for a recommendation. You can contact your local government agency for a list of licensed dentists or locate a dental school which has a clinic or request a referral. Thank you for your inquiry. I hope you will be able to schedule an appointment soon. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: For the past week i have began to have severe lower back pain and it has started to limit my movement at work. Im scared that it might be something serious but im not sure if im just overreacting to some over exhertion from work. i stand for almost 8 hours straight 5 days a week. ### REPLY: Hi, Welcome to  forum, Lower back pain may be due to Lumbar strain/sprain or disc prolapse needs following precautions: Avoid riding two-wheeler. Don't lift heavy weight. Sleep on hard mattress and on your back and side, don't sleep in your abdomen since the muscles will get more strained. Avoid sudden bending and turning. Take hot fomentation daily twice. Sit in a proper potion, don't hunch back when u sit. U can wear LS belt while travelling. Consult or tho specialist for further treatment. 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: Ive been having bad chest pains the last few days. The pain radiates down my left arm im 33 f . Ive been having this lain on and off but its getting worse. Ice tried antacid thinking it was gerd and still have it. Ive been to the er several times doc cardiologist etc. ive had echo stress test halter monitor all was normal. I wven started to develop a dry cough. What could this pain be. Do u think iy needs emergency attention ### REPLY: Thanks for your question on . I can understand your concern. No need to worry about heart diseases as your extensive cardiac work up is normal. Possibility of musculoskeletal pain is more likely. So no need to rush to emergency, just follow these steps for better symptomatic relief.1. Avoid movements causing pain. Avoid heavyweight lifting and strenuous.2. Avoid sudden jerky movements.3. Sit with proper back support.4. Take painkiller like ibuprofen or acetaminophen.5. Apply warm water pad on affected areas.6. Wear rib belt.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 a wind musician. The center of my upper and loer lips is numb after playing a show that I was biting too hard on my sax and clarinet mouthpieces. Its been several days and still numb. How can I speed up recovery? It s killing my flute playing... ### REPLY: Hello, I feel there might be a lot of muscle weakness and need to be checked out once. Sometimes due to weakness, there might be pressure on the facial nerve and that can lead to some symptoms like what you are facing.  I prefer you do some facial exercises and if the symptoms of numbness don't subside then you can get it checked in person with a physician as muscle can be examined by personal visit. Hope you understand that as humans we have certain limitations to come for a close diagnosis. 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: good morning doctor, i am an army officer and received a stress fracture on my right tibia due to road running. i got injured last year in sep-oct and it has not healed completely yet. initially i was even very painful to walk but now there is no pain in walking but can not run properly. i am afraid if it can effect my leg permanently. plz help. ### REPLY: Welcome to  I have gone through your query and understand your concern. It is unlikely to effect your leg permanently. Treatment of this is rest and analgesic such as ibuprofen for pain relief. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a background of hay fever which gets quite severe with an almost contantly runny nose and mild asthma. I find it quite hard to tell the difference between allergies and a cold. for a week now i have had varying symptoms which started with sneezing, a runny nose (extremely so!), there was a slight sore throat with it, and i now have a slight cough and a little breathlessness. There has been no fever but i do work in child care, germ central. unless i have a fever im never sure if i have a cold or allergy and im not sure if the breathlessness is asthma symptoms or not. thankyou ### REPLY: HI, thanks for using  Allergies and common cold can be associated with similar symptoms. The main differences would be fever, change in appetite or energy level that may occur with the common cold. The time frame would also vary, if the symptoms are acute then it is more likely a cold, if they are long term-allergies. The treatment of both would be the use of decongestants (topical or oral), oral antihistamines and cough suppressants if needed. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Good Day Doc, i have problems on my right arm, right hip and right leg.. Its painful especially on my back on the upper right side. I keep on pressing it. What should i do to relieve this kind of pain? I have also problems on my nose, its hard to breath i keep on throwing my saliva. It will trigger when the temperature is hot and cold. Please do help me...Thanks ### REPLY: Hello, As you have pain in right-hand shoulder and leg. Mainly in hot and cold climate. I will suggest you to do some exercise.  As pain in leg. You need to do strengthening exercises for your lower limb. As static quads. Static hams and some exercise which increases your lower limb strength. Same for upper limb too. 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: Over the last six months or so my sister has been in and out of a mental facility for numerous symptoms and recently they have gotten worse. It started with a feeling of chronic deja vu, and anxiety related to it and bi-polar type manic depression.   Most recently she has had full seizures, drooling, phantom smells, and vomiting. She is set to have tests done, MRI, CT etc..but I am more leaning towards a mental vs a physical condition. What would you suggest a possible cause of these symptoms could be so I can be as helpful to my sister as I can from 2000 miles away. Desperate in Detroit, for my Sissy in Phoenix. Thank you. ### REPLY: Hello, Dejavu can occur in mental disorders but as you said that she has this as a chronic symptom-then most likely it is related to seizure disorder (which is not effectively controlled). So, she has both physical and mental symptoms to take of. You have not mentioned any . Regarding her tests- I will advise that she must get an EEG from a good center and get it read by a good neurologist. This will make the situation clear. I hope the reply is useful 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: my 7 year old son has had a bad cough for the last 5 days and then started to get a high fever of 101-103 2 or 3 times a day . he is a little weak and his whole body hurts.. should i bring him to the doctor or just keep giving him calpol and cough medicine ### REPLY: Hello, I agree with your pediatrician, please. Fever of a few days without any localizing signs could as well a viral illness.  Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day.  If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all.  Once viral fever comes it will there for 4-7 days. So do not worry about the duration if the kid is active. Paracetamol can be given in the dose of 15 mg/kg/dose (maximum ceiling dose of 500 mg) every 4-6th hourly that too only if fever is more than 100F.  I suggest not using combination medicines for fever, especially with Paracetamol. 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: On the inside of my right inner thigh, I have a growth protruding out about an inch. All in all, it s the same shape as a clamshell, maybe two inches long and about an inch deep. It does not hurt, it does not itch but the odor leaves something to be desired. All along the edges of it, are white. And it bleeds alot. ### REPLY: Hello, I read carefully your query and understand your concern. The symptoms can be related to a folliculitis which is an infection of the follicle. I suggest using warm compresses for local application. I also suggest using anti-inflammatory medications such as Acetaminophen to relieve the inflammation. Furthermore, I recommend covering it with an antibiotic cream such as Newsprint cream. 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 had a biopsy on my lip on Monday of this week.  The doc had stitched it with self dissolving stitches.  How long will they take to dissolve and is it ok that I put Polysporin ointment on it as it is cracking and is hard to eat/talk.Thank you :)Kathleen ### REPLY: Hi and thank you so much for this query. These stitches take a while to get absorbed and this should not hinder healing. The problem is not the stitch but rather the infection that seems to be complicating healing. See your doctors for evaluation and treatment as this may require some special wound care. I will not encourage you to put this ointment without a prior wound evaluation. I hope this helps. Furthermore, I wish you well. Thank you so much for using our services and feel free to ask for more information and clarifications if need be. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 20 years old, and for the past three days and counting I have had severe pain that seemed like menstral cramps at first seeing as though the pain was in my lower abdomen. (Im not due for my period for another week and a half) By the second day the pain had moved up some, now being at about right below my belly button. I have had a terrible headache, nausea, and suprisingly not many bowel movements since all this accured. My husband thinks they may be "conception pains" (if there is a such thing) and we did have unprotected sex about two weeks ago. However the only thing that has me concerned is that I had a bladder infection not too long ago and I was wondering if that could be the cause of all this? ### REPLY: HI. Thanks for your query and an elucidated history. *This is not due to conception pain for sure, and it is not expected for the husbands to know about this. Well, you were already a known case of UTI-I would suggest you the following:Pain in abdomen bellow the belly button, nausea and headache together can be due to the following reasons:Urinary tract infection as you have a history of;Can be an intestinal infection. Loose stools may not be present in all the cases. The best part is the antibiotics given for such a condition are going to act with same efficacy in either of the problems. Hence, start on an antibiotic, metronidazole, probiotic, symptomatic for headache, PPI and Risperidone for the headache and nausea. If you get a relief, complete the course of 5 to 7 days. If no complete relief you have to undergo tests :*Routine blood investigations like Complete blood picture, blood sugar, urea, creatinine, liver function tests, thyroid function tests. TIDAL*Urine -routine and microscopy-culture and sensitivity.*Stool: routine, microscopy, occult blood, culture and sensitivity.*Ultrasonography of abdomen, *Colonoscopy if colitis is suspectedThese investigations will help to get a correct diagnosis to get a perfect plan for 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 a woman  and 50 years old. recently i have done my urine test for lower back pain,slight burning while urination, tired some(feeling weakness and for frequent urination. when i got the test the result was - albumin nil, sugar nil and rbc is 10-20. what does it mean how to take care of my health? please answer me. than you. ### REPLY: How about bacterial and leukocyte count? Sugar nil and albumin(microalbuminuria) nil rules you out of diabetic glomerulonephritis. Presence of RBC's indicate bleeding somewhere in the urinary tract (hematuria). There are a number of causes like acute glomerulonephritis (RBC have spikes on their surfaces on microscopy), renal stones, trauma due to instrumentation, urethritis,cystitis, renal TB, renal cell carcinoma, bleeding disorders, etc. Need to be investigated.  Most commonly can be due to stones. . U can take catwalk syrup in case you have burning sensation. And brief course of antibiotics to prevent infection. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Do I have depression. It seems like everyday is a constant struggle I dont want to even wake up anymore. I keep having feelings of guilt after I do anything. I always feel like I just want to cry and little tasks are becoming increasing overwhelming. It feels like I have no motivation and Ive lost all my interest towards things I use to love. Sometimes I go for a period of time feeling extremley happy but then i go back to feeling worthless and sad. I have people trying to minimize the way that Im feeling and I dont know what to do. ### REPLY: Hi, Thanks for using . I have gone through your available history. Your symptoms are suggestive of depression. But Bipolar mood disorder has to be ruled out. You should consult psychiatrist for detailed evaluation. Doctor may rule out physical causes like thyroid dysfunction or vitamin B12 deficiency. You may get benefit by Anti depressants like Escitalopram or sertraline. You should also do stress management and relaxation techniques like breathing exercise and yoga. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my period due date is 29/10/11. On 12/10/11 i took amlife 5000 injection for getting pregnant . On 29/10/11 i had severe stomach pain in evening ,after that i had lighter bleeding . Usually i had bleeding for 5 days as heavier but this time i had drops only(my doctor prescribed me duvadilan tablet at this time) on 9/11/11 i took home pregnancy test its result is negative.Pls explain me y i didnt get period.I had headache ,backpain, heartburn now.pls explain me what to do to get pregnant quickly. I took hexifer tablet daily night. i took susten 100 on 13th day ### REPLY: Hi, Jeyram, Thanks for query, Your treatment is on right tract, continue treatment under GAEC advice. As you did not get period and few . Test for pregnancy was too early to perform. Injection you were given to stimulate proliferation, growth and development of follicle and endometrium. Go for ultrasound to confirm position of follicle and endometrium. You may be pregnant also. Rule out COPD and hypothyroid. Ok and bye. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, my 15 year old daughter has been sick on & off for the last 4 years. She has lost a lot of weight over this time. She suffers with anxiety & asthma. She vomits on a daily basis, has terrible headaches, small bruises everywhere & crys that she wants to be a normal teenager. I m worried beyond belief now. ### REPLY: Hello, Thank you for asking at . I went through your daughters history and would like to know more about her as follows:a. What is the amount of weight loss?b. What are her anxiety symptoms?c. What is the cause of her anxiety? Any particular stressful event? d. What is frequency of her asthma symptoms? What are the symptoms of her asthma? Wheezing, difficulty in breathing, fast breathing? Does she have hyperventilation (related to anxiety)?e. What are her nose symptoms - running nose, congestion, sneezing, etc.?f. What is frequency of vomiting? Does she have any other digestive symptoms - constipation, stomach pain, etc.?g. Has she been investigated previously? What were the previous investigations? Above details would help me to know about her and to make suggestions for her more specifically. At present, from your provided details, I would suggest you as follows:1. I would suggest her spirometry with post-bronchodilator reversibility testing. It will help to confirm diagnosis of asthma as well as to know her lung capacity. Sometimes, an adolescent can have asthma-like symptoms due to anxiety, which will be diagnosed with spirometry testing.2. Based on spirometry report, her doctor would also decide severity of her asthma. It will also help the doctor to decide whether she needs regular medications/inhalers or medications/inhalers for as-and-when-needed basis.3. I would also suggest her allergy testing for common inhaled allergens (house dust mites, molds, pollen, animal dander, insect proteins, etc.) and common food allergens (milk, egg, peanut, tree nuts, wheat, soy, fish, shellfish, etc.). This will help to know if she has allergies as well as to identify the substances causing allergies to her. 4. Weight loss is not a common feature of asthma-allergies. It could be due to poor appetite related to anxiety or other causes. Please get her weight regularly monitored by her doctor, so if weight loss is significant, other disorders could be thought about.5. I would suggest her regular use of antacids like sanitizing or omeprazole to reduce vomiting and gastritis symptoms.6. For intermittent bruises (At present, I assume they are hives, can be confirmed only by doctor after direct examination), I would suggest her to take antihistamines like cetirizine or levocetirizine and application of calamine lotion.7. I would also suggest her a good multivitamin-multimineral supplement containing vitamin D, vitamin B complex (especially folic acid & vitamin B12), etc.8. Please try to identify her stressor and try to remove it, if possible. A psychologist consultation will help her to combat stress. Regular stress reduction strategies such relaxation and meditation may also help. Hope above suggestions will be helpful to her. Should you have any further query, please feel free to ask at . Wish her the best of the health ahead. Thank you & Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son has been very very sick for two and a half years. He has muscle problems, nerve problems, now his hips, joints and feet are giving him problems. Doctors have run many many test and can not find the problem. I myself his mother has Sarcoidosis. Now they are leaning towards him having it. Mine was on my face etc, not muscles joints and everywhere he has it. He is only 41 years old. He has a whole life ahead of him. He is married with 3 children. Please help us. It is very hard not knowing what he has. They have him on may medicines and I am concerned if they don t know what it is how can they give him medicine? We watch the Doctor s on TV every day and respect there opinion ### REPLY: Hello, I have studied your case with diligence. This can be seronegative polyarthritis. Rheumatoid arthritis may involve small joints and early morning stiffness in joints, do you have sucChatDoctorplain? Ankylosing spondylitis typically involve spine and hips with other large joint also. There is reduced chest function in this disease. Stiffness in spine is increased do you have such stiffness in spine? When such patients come to our hospital I advise them blood test like RA factor, CCP, ESR, complete blood count, HLA B27,IG M for acidosis. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi,i m amulya,25years old,while my husband is 34....its been two and a half years that we are married,but have not conceived yet....i was away from my husband till last august,since marriage due to my studies in a different place,so could not have intercoarse regularly for more than 2-3 months,though we are wanting for a baby since last year....,right from last august we are together,but have still failed to conceive though i have regular cycles which usually comes between 28-30days.. i weigh 64kgs,is this effecting my fertility? ### REPLY: Welcome to . Complete successful intercourse is requires during fertile period that is from 12th to 16th day of cycle. First go for routine investigations like semen analysis of your husband. CBC, RBS,THYROID,B12,HORMONAL STUDY for you. Also go for USG abdomen and ovulation study. Plan your pregnancy according to ovulation. You will definitely get conceive, avoid stress and anxiety. Eat good balance diet. Take b12,folic acid, dha supplement. Consult gynecologist for better line of medical management. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have what I believe is a muscle strain that has been painful for several weeks. The pain is in my upper left arm. I was doing some research online and would like to know whether I should be using ice or heat on it or both? Right now, I am using Aspercreme rubbed into the arm several times a day. I have also figured out how I can move my arm with the least amount of pain. ### REPLY: Hi, I am understanding your concern. I want to suggest you something as per your question, in muscle strain, immediate treatment includes Rest and ice. In first 2 days you should apply Ice (Not directly on skin) for 7-10 minutes along with rest. It helps the muscle fibers to heal and rest, and After 2 days go for hot fermentation. It will enhance your healing and increase blood supply to your injured fibers. 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: Hi, my 2.5 year old daughter has tested positive for sugar in her urine but blood sugar is normal, all other blood tests at our local hospital have also come back normal. We are now being referred to a specialist to figure out why her kidney is leaking glucose into her urine. Any idea what would cause this? Thanks ### REPLY: Hi...the possibilities could be a test being taken after exercise too. Sugar in the urine is usually checked only as a back-up to checking blood sugar, or to screen other family members. A urine check showing no sugar means that when the urine was made the blood sugar level was below the renal (kidney) threshold (about 8.0 to 12.0 MML/L, or 145 to 220 mg/DL). A urine check showing sugar means that when the urine was made, the blood sugar was above the renal threshold. These urine checks are not a direct measure of blood sugar, because the urine collected for the test may have been produced over a number of hours. 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 am 30 years old and married since six years, i am trying to conceive for last 1 year but not got success, we consult our doctor and she suggested us for following once Laparoscopy so that the problem can be diagnose, i have taken this surgery on 9th of may and i found my one fallopian tube is blocked and second is opened after surgery but there is some type of infection, i want to know that how much time that infection can be healed and i can conceive after it or not ### REPLY: Hallow Dear, The million-dollar question is, when surgery was done, why both the tubes were not reopened? If the opened tube is infected, there is a great probability of it getting blocked again. First get the infection treated and then again reassess the patency of the tube by Laparoscopy or Hysterosalpingography. If the tube is still patent, you stand a chance of natural conception. However, tubal patency is not the only factor of conception. You have to find out whether you produce the eggs regularly or not. Ovulation monitoring by ultrasonography can help you to get this information. Also get the semen of your husband examined.  If all the investigation reports are within normal range, try to plan your sexual relations on and around the day of egg release as found by ultrasonography. If after a fair trial of at least 6 months also, you fail to conceive in spite of all the reports within normal limits, you might have to consider opting for Artificial Reproduction Technique for which you should consult Infertility specialist. I am sure, this will provide you initial broad guidelines. For more detailed advice, you may ask me a direct question on this forum.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a blunt force trauma to my foot several months ago. I keep having pain and repeated bruising in the same spot when I move my 2nd toe at just the wrong angle. I m thinking I did more damage then I originally thought. Could it possibly be broken and I keep re-injuring it? ### REPLY: Hello, I had gone through your query and understand your concern. As you had a blunt injury several months ago, an underlying fracture might have healed by this time. If you still have pain then healing is not proper. Injury to blood vessels causes repeated bruises. I suggest you to consult an orthopedic doctor who will advise you to get an X-ray done to see what exactly is the problem. I hope this helps. If you have any other queries, feel free to ask.  .  ### END