Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 9 year old daughter fell during gym class and now has a lump under her left breast/nipple...it has been about 2 weeks and it is still there...i am concerned because it has not gone away yet.  She said it is painful only if she presses on it...is this normal? should we go to the doctor? ### REPLY: Hi, dairy have gone through your question. I can understand your concern.  She may have some injury leads to hematoma or some cyst or abscess.  You should go for fine needle aspiration cytology of that lump. It will give you exact diagnosis. Then you should take treatment according to diagnosis. Consult your doctor 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. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 arthroscopic shoulder surgery 3 weeks ago. Had complicatins from the scalene block including a paralyzed diaphragm, vocal cords and swollen eyes and was hospitalized for 4 days. Last night, I noticed an area between my collar bone and base of neck that feels like fluid. Called the doctors office and since I was going to PT today, they asked me to have the therapist check it. The therapist said it felt like fluid but it is not an area where fluid normally is. Could this also be associated with the scalene block? ### REPLY: Dear patient During scalene block fluid is injected between collar bone and neck to anesthetist nerves for surgery. That fluid contains anesthetic .  This fluid gets absorbed into blood within one or two weeks and swelling disappears. Fluid used during arthroscopic surgery accumulates below collar bone, and it also goes away with time. Sometimes fluid may take longer time to disappear. If swelling is only concern I would advise you to undergo ultrasound of neck to confirm diagnosis. You can wait for one more week to reduce swelling. If even after that swelling remains please consult your operating surgeon.  Hope this is useful. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 told by a doctor that my 2month old baby has extrapyramidal symptoms (EPS), but after reading about what this is, I cannot believe that she has this. He looked at her and told me that the fact that she is lifting her head up quite high for her age, that she has these symptoms. She used a colic mixture which contains Diphenhydramine and he told us to stop with this mixture. However, after reading about EPS, everyone suggests Diphenhydramine as a treatment for EPS. Please help. How does a doctor establish whether a 2 month old baby has EPS? ### REPLY: Hello, Medications like metoclopramide given to baby for reflux or some medications given to mother during pregnancy can cause extrapyramidal symptoms in baby. Extrapyramidal symptoms may include tremor, difficulty in feeding, tortillas, abnormal movements, and increased muscle tone, etc. Consult a child neurologist to make sure what your baby is actually suffering from. 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 am a 225 lb man and i am 6ft even. so i woke up this mornig and had some wierd crusty blood just on the inside of my belly burron after cleaning it out i noticed there was a red clear type discharge and i dnt have any abdominal pain can someone tell me whats wrong? ### REPLY: Hi. Thanks for an elucidated history. This is a classical case of Umbilical Granuloma. If this has appeared for the first time, consult a General Surgeon. On deep inspection he can confirm the diagnosis. If this is small, local cleaning and application of HY .  The larger ones are excised. This is treatable. Only thing to differentiate this from has to be umbilical sinus or a Fistula which is connected to the internal structures. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 pains in my lower stomach I went to the doctor two or three weeks ago and said it was my diet but I ve been eating plenty of fruit and fibre. I ve noticed when I get the pains it s a constant pain that last a week or so and lots of discharge (clear and white) and today and yesterday I have lots of fluids coming out. I thought it was my period but when I check its clear fluid and it s a lot that comes out ### REPLY: Hello, Hand, You have had pains in the lower stomach area and I assume it dislocated in the lower qua .  You do mention that you are on a high fiber diet, and now you are having clear watery stools now. I am not sure whether you had any kind oxblood work, X-rays, sonogram or CT-Scan. Depending upon your age, these are necessary to have before making a definitive diagnosis. Your stool needs to be tested for hidden blood. If that is positive, you may have to undergo Colonoscopy to rule out colitis or polyps. I 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: I just had an attack yesterday which hey determined after xrays and ultra sould that i have a hiatal hernia.  i was in such pain i was given morphine to calm down.  also an iv because i was vomiting bile for about 3 hours and an anti nausea iv.  i feel much better today but not sure what i should eat.  I have to make an appointment with a gastro dr .  do not ever want to feel that pain again. ### REPLY: HI, thanks for using  A hiatus hernia occurs when a portion of the stomach protrudes through the diaphragm. By itself it does not usually cause symptoms but predisposes a person to reflux or worsens reflux in some persons. In terms of food, you should use a diet that would be used for persons with reflux. This means reducing the use of spicy/fatty/fried/acidic foods, using small meals. 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: Hi i had bone Tb in my spinal code when i was 2.5 yrs old. and did poperation at the age of 16 because the doctor who did my treatment took wrong decition and my back bone band that time my paraents told doctor and he told that after operation it will be ok. but my parents took me to india and did operation. but band back bone not remove. the problem is that i am having continous back pain. ### REPLY: Hi welcome to ChatDoctorThe spine, a row of 26 bones in your back, allows you to stand up straight and bend over. The spine also protects your spinal cord from being hurt.  Spinal stenosis is caused by narrowing of spinal canal .  Spinal stenosis is most common in men and women over 50 years old. Younger people who were born with a narrow spinal canal or who hurt their spines may get spinal stenosis. Constant back pain ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my boyfriend is suffering with problems just below where his heart is... he sometimes gets pains in the right side of his chest which makes his fingers on the right side tingle and go numb.... also recently his chest just below where his heart is has started making a funny and very loud noise (which happens every so often), but he can feel it all the time... He has been to the doctors and they said he has just tweeked a nerve, but i feel that it is a bit more than that... after hearing the sound that it makes (like a bop sound... i would say as if two wet things are sticking together (really hard to explain) i think that it may be more than that... hope that you can help me... my boyfriend is only 18 years of age... ### REPLY: Hello! Welcome and thank you for asking on ! I understand your concern and would explain that his symptoms are not indicative of any serious medical disorder. A musculoskeletal pain or a pinched nerve could explain all this clinical scenario. Anyway, if his problems persist, I recommend consulting with his doctor for some further tests: - a resting ECG- a chest X-ray study- a nerve conduction study to examine his nerves- a cervical spine X-ray study to investigate for a possible disc herniation. Hope you will find this answer helpful! Wishing all the best,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a large hard lump above my right clavicle. Hard, painless and attached. I found it 1 year ago but it has not changed that I can tell, it s about 1 inch around, I have hashimotos and graves disease as well. Should it be biopsied? I also get headaches and sharp chest pains that feel like a stabbing in my left lung underneath my 3 or 4 rib... ### REPLY: Hi, dear. I have gone through your question. I can understand your concern. You may have some enlarged supraclavicular lymph node or some soft tissue mass or any other lesion.  You should go for biopsy of that lump. Furthermore, you also need chest x-ray. Consult your doctor, investigate properly 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. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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. 23 yrs old Male. Went to a strip clup about 21 times in the last two years. Last time was on July 6 ,2014. No intercourse or high risk exposure of any kind whatsoever. Last time though , there was some petting , and the stripper spat on my penis. Was worried.Got a complete STD panel done yesterday. Everything came back negative (HSV,HIV,Chlamydia,gonorrhea,hep a,b,c) , EXCEPT RPR . It says RPR was reactive , for RPR titer 1:2. There have been no clinical presentations of syphilis on my body. No chancres or rashes. For the past 2 days iv had a mild cold with fever , slightly swollen lymph nodes on neck and little fatigue (have gotten very little sleep and not eating properly due to work .might be due to this.) . Wanted to confirm about RPR titer. Should I test further (specific tests)? , wait for more symptoms ? , anything else that can cause a false positive(that im likely to have and should test for) ? .Thank you for your time. Needless to say , my strip club days are over. Not worth it for a hypochondriac like me. ### REPLY: Helmont going in detail I will just discuss RPR. In your case it is 1:2, while a serum rapid plasma regain tier of 1;32 seems to be the best cutoff point to decide whether to perform lumbar puncture for CSF examination. Now about specific test because RPR is reactive, so I advise you get in these tests for confirmation. Nontreponemal:V . Treponemal test :THAT TPA, EIA. These tests are more specific than RPR and mainly used FOR CONFIRMATION, so get in any if this specific test. Hope this will help you.RPR as I mentioned in detail so for confirmation get as mentioned above tests. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI, About two hours ago, I had a short bout of feeling faint, and breaking out in a cold, clammy sweat. I laid down and it went away. I am on meds for Afib (Coreg) which I don t have after an ablation seven years ago. What could have caused this? Kim ### REPLY: Hi, WelcomeThis is . Atrial Fibrillation can cause clot formation in heart & we keep our patients on blood thinner for it. Clot can travel to any part of body including brain which can cause this faintness. Other cause could be fall in BP. So I recommend you to discuss with your primary doctor regarding need of blood thinner & a new 2D Echo to rule out any clot. I will also advise you to get an MRI brain done to rule out any possible clot travelling to brain. Monitor your BP regularly. Thanks & 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 Dr.  I just today was diagnosed with an enlarged spleen, and had xrays taken, no results yet.  I have the past year been having low iron absorption, and in October, 20, 2013 I had an iron infusion.  Ive had many tests, gastro, pill cam, etc. but no cause for the low iron.  I also had  TIA in may of this year and was hosp for 4 days.  The symptoms lasted 24 hours (numbness and hearing loss on left side of face) but did not cause any lasting effects, so it was labeled TIA.the spleen concerns me, because my brother died from leukemia in 2009, and he had an enlarged spleen and low iron count.  my mom died in 2010 from leukemia and non-Hodgkins lymphoma.  Please tell me this can be something other than leukemia... ### REPLY: Hi, Thanks for using .Some leukemia run in families, Have a role of genetic factor in its occurrence. With family history of leukemia need to get evaluated for it. There are many reasons for enlarged spleen, -Blood test like complete blood count and bone marrow studies help to rule out hematological causes.-Raised portal pressure is another reason, Ultrasound of abdomen helps in it.-storage disordersWith history of TIA and family history, most probable cause would be blood disorders. Need not be leukemia. Hope this helps you. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have been diagnose with high red blood cell count.  When I wanted to donate blood I have been told that my pulse is higher than 100 and can not donate blood.  I been to the doctor how also said my pulse rate is high, he done test on my thirod which was negative and said everything look fine  I am also suffering with low blood pressure and high colestrol.  Must I worry? ### REPLY: May I know your age?smoking? Weight high cholesterol is certainly a risk factor for cardiac disease, so you should consume low fat and sugar diet along with regular exercise. Sometime someone's low blood pressure may be normal for that person unless he is suffering from severe heart disease which is not your case. High pulse rate may be low oxygen level in the blood. So get oxygen levels tested. Do you have any sleep related problems like snoring or interrupted sleep, anxiety problem etc ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 intermittent sternum chest pain that has pressure and burns. Seems to happen with little effort. Lasts for 2-3 minutes, started yesterday. Thought it was indigestion. Took Zantac doesn t cure it usually burp after attack. Had three episodes today. Almost takes my breath away like someone choking me ### REPLY: Hello, Most probably an acidity and gastritis. Do you also have upper abdominal pain, nausea, bloating, increase in pain on food, sour water feeling in throat or chest burning, these are the other symptoms and may be associated? However, you should get one ECG done to rule out cardiac cause.  You should avoid fatty, oily and spicy diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Avoid smoking and alcohol if any.  You can get prescribed tab Pan DSR 40 mg or omeprazole risperidone combination before breakfast once a day for 2 weeks. If not adequately relieved, then you should add SYR sacral O or genus two teaspoon three times a day for a week. Hope this helps you and get back if you have any doubts. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a post patient of gallbladerectomy for past one year. The doctors said that the reason could be many and one such was my pregnancy as I was pregnant one and a half year before and delivered my child on Jan 2009, after that when the pain began sever and went into chest cavity, so I had the gallblader removed on May 2009. After which I have been having occasion loose stools,bloating of the abdomen, and gastric pain. Recetly from past 2 months I have been geting sharp pricking pain in my left side of the waist after eating, but now it occurs anytine during the day and my stomach bloats up. Please doc help me with this problem and advice me of my diet. ### REPLY: Hi, I had gone through your question and understand your concerns. This looks to me like so called postcholecystectomy syn .  Symptoms include systemic symptoms such as sweating and heat sense but also dyspepsia, nausea, and vomiting, flatulence, bloating, and diarrhea, Persistent pain in the upper right abdomen. Some individuals may benefit from diet modification, such as a reduced fat diet, following cholecystectomy since it may be more difficult for digestion of fatty foods. Postcholecystectomy syn ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: At age 60 my non tobacco mother had widow maker heart attack fortunately she drove herself to ER before she died twice and the medical staff saved her. Two stents were put in. She is taking her Rx. A year later she had a breast cancer tumor removed. At least one lymph node removed also had cancer cells. She choose not to have radiation or chemo . I do not think she is taking any Rx for the cancer. She seems more scared about heart issues. What would you guess about her life expectancy range now at age 62? ### REPLY: Basically your mother is suffering from breast cancer which has been operated upon, and she is a known patient of heart disease for which she has been scented. The biopsy shows that at least one node has tumor. Ideally in such a situation I would recommend chemotherapy to her. But that she can't take safely due to her heart condition. What I would like to know before I can comment upon her survival is the size of the tumor that was removed and whether it has spread to other parts of the body (on chest x-ray, ultrasound abdomen, bone scan). If it's an early tumor (less than 5 cm in size, not spread), then the chances of her being cured just with surgery are nearly 80%. We can further improve these chances by knowing her receptor status. This test can be done on the tumor that has already been removed and is called ER (Estrogen receptor) and PR (progesterone receptor). If any of these are positive then she can be placed on a tablet for 5 years. This tablet will not affect her heart and decrease the chances of disease recurrence by almost 33%. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 suffering with allergic rhinitis foe several months , have visited many doctors and have been given the sam medicine over and again but no improvement and now i have severe chest congestion as well kindly help,i dont know what is that which iam allergic to ### REPLY: Hello. Thank you for asking at . I went through your history. Were I treating you, looking at your symptom severity, I would suggest you intranasal corticosteroid sprays for 1-2 weeks and montelukast for 2-4 weeks. Once your symptoms are well controlled, I would change over to montelukast and levocetirizine. Apart from above, I would also suggest you daily nasal saline sprays 3-4 times. For chest congestion, montelukast may work, personally I would prescribe a bronchodilator-expectorant cough syrup at the beginning. I would also suggest you regular breathing exercises and nutritive diet rich in vitamins and minerals with adequate warm fluids. Please avoid exposure to smoke, dusts and air-pollution as much as possible. For diagnosis of allergy, I would suggest you to consult an Allergist-Immunologist who will perform allergy testing and suggest avoidance measures and allergen specific immunotherapy, if appropriate. Hope this will be helpful to you. Wish you fast recovery and the best of the 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: hello im cat well fri i had bad pains in my stomic left side then i started peeing blood so went to er now the blood went away fri at 3 am but it is now monday and guess what the blood is back and its red not like friday it was dark brown what do i do now i was up all last night with the same pains what do i do now please help im scared ? ### REPLY: Hi and welcome to . Most common causes of blood in stool are benign and you shouldn't be concerned. I don't know your age, but usually bleeding is caused by hemorrhoids, figures, angiodysplasia or polyps. Some other more serious diseases must always be ruled out. SO I suggest visiting proctologist who can do rectal examination and decide is colonoscopy necessary.Also, you should do red cells count to see is there any sign of anemia. Try to eat easily digestible food such as fruit, green, milk products and boiled food. And take enough fluids. Nothing serious can happen in short time but visit specialist as soon as you can.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: Embarrasing to ask...my rectum burns and itches really bad. For a year now it gets really sore after a movement. I wipe really hard, so I may have caused damage.?? I can wipe until clean and an hour later I burn and itch and wipe again and it s like I never wiped the first time.... ### REPLY: Hi, From history it seems that there might be having some local skin infection like dermatitis or yeast infection. Due to lack of personal local hygiene this problem might be there. Clean the part gently without giving more pressure and apply triple action cream. Take Cetirizine or Levi cetirizine for itching. In absence of itching there will be speedy healing. Take plenty of water. Avoid constipation. Clean local part with running tap water thoroughly. Ok and take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mom is eighty years old in 1998 she had breast cancer removed the whole breast and all was good. 2010 she was told that she had lung cancer and also heart prolbems and fractured her hip all in a three month period.she went for  nine treatments of chemo. my question is her that her leg is killing her she cries it so bad. she on pain meds and still hurts. Is it possilble that the cancer spread to the bone ### REPLY: Hi, Thanks for writing in. It will help to get her examined clinically to rule out NY serious concern like a clot in the leg views. Many patients with history of cancers might develop a tendency of blood getting clotted in the deep veins of leg. This is known as deep vein thrombosis and is a life-threatening condition if not treated on time. However, this is not the only condition that can cause leg pain and other conditions must also be evaluated for. The pain in deep vein thrombosis is usually in the calf muscles and there is swelling and redness of the entire lower limb in many patients. Please consult her doctor and get her examined to clear bouts regarding any potentially dangerous condition. Spread of cancer to the bone is less like but not unheard of. This requires clinical examination. Please do 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: Hi, may I answer your health queries? Please type your query here... Hi I have this sort of a dull pinching pain on the right side of my stomach about a hand size space away from my navel, the pain isn t too unbearable but it is rather uncomfortable it occurs every now and again and also when i am sitting or standing is some positions i feel the pinching feeling more at night when I m laying flat. I had an umbilical hernia about 1.5years ago and noticed a lump before the surgery but this time there is not lump or bump so i am not to sure what it is. ### REPLY: Hi. Thanks for your query and an elucidated history. You have a history of Umbilical Hernia surgery. The pain in the area you noted is usually due to colitis or a kidney problem and rarely due to the scar of the previous surgery. I would advise you the following:First get a Physical Examination done by a General Surgeon as proper history taking and clinical evaluation does help in proper diagnosis. As per the findings to undergo, blood, urine and stool tests; Ultrasonography and CT scan of the abdomen; any further tests as may be required. The aim has to get a proper diagnosis and hence only a proper treatment can be planned. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: TWITCHING IN MY HAND AT NIGHT INVOLUNTARY MOVEMENTS SOME TIMES LIKE MUSLE MOVE MENT IN FACE AND MUSLE SPASMS AND ONCE IN A WHILE A LOSS OF BALLANCE I ALSO TOOK THE DRUG RESPIRADAL AT ONE TIME AND SERRELLQELL AND ZPREXIA AND DEPTHOKOAT ALL THESE BAD DRUGS FOR MY BIPOLAR AND IT TOOK ME OVER A YEAR AND HALF TO HAVE MY LEG STOP SHAKING I STILL GOT TWITCHING SOMETIME I QUIT TAKING THESE BAD DRUGS THAT THE DOCTORS GIVE ME JUST WONDERING IF I MIGHT START GETTING THE EARLY STAGE OF PARKINSN DIEASE ### REPLY: My impression from the way you're writing things and your likely age at this point in time is that you are probably not developing any early stage of PD.  However, I must admit that the information that would really be helpful to be more firm in that supposition is not present in what you've written.  Can you write to me and supply more clinical data as to how old you are, what medications you're currently taking, and what other symptoms of movement abnormalities might be going on right now?  Please rate this a 5-STAR ENCOUNTER and write me at: www.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 no diabetes or no high blood pressure and do a lot of walking. My microalbumin urine is 381mg/l but my creatinine is 4.2mmol/l. Do I have kidney disease? i am very active normally and but have been using simvastatin to control my cholesterol over last 2 years( around 5.2mmol/l). Thank you ### REPLY: Hello! Yes, your concern is very true. Raised creatinine level indicates either obstructive myopathy or Medico-renal disease i.e. obstruction to urine outflow or dysfunction of parenchymal (functional tissue) of kidneys. Obstruction can be due to many causes like stones/strictures/growths or pressure on urinary tubes (ureters/urethra) from outside i.e. growths from surrounding structures like rectum/uterus/colon etc. In my clinic, I advise X-ray PUB, ultrasound abdomen & pelvis, urine routine, renal function tests, serum uric acid. Treatment is accordingly. Hope this information is useful to you. Wish you healthy life. Thanks. 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: hallo sir my name is mrs vinita patel age of 28 years i have a problem of seveior lower abdomen pain since one month for which i was admitted in hospitals after relief from pain i was discharge from hospital but after 3 days i am facing the same problems. according the doctors the blood report , urine report , ultrasound report & abdomen CT reports are normel. so the doctor give me the tab for pain relief and advise me to wait till mc period my last mc was on dt 03/11/12. i am feeling continious pain pls help me ### REPLY: Hello and thanks for the querulous pain may be related to the infection or inflammation of the intestine due to bad eating habits or UTI. Repeat USG of abdomen can help to find out other causes which has being missed in previous report. Take your diet at proper time and only fresh and light diet. Take antacids like END, PPI inhibitors like Acid. A course of antibiotic is essential if pain continues after taking above medication and precautions. Hope this will help you. Best Wishes ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had a lump on left side of scrotum not testicles, what seemed like ingrown hair...popped this.morning puss squirted out , havnt found hair yet ( fingers crossed) but has left a hole, looks deep but Im guessing thats the place where hair grows out of, I wanna know how to find hair or what it is. ### REPLY: HelloThanks for query. Based on what you have described I would state that you have Infected Sebaceous Cyst over scrotum. The scrotal skin is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin. Normally they fade away without treatment however they need to be treated if increase in size or get infected. Please consult qualified General Surgeon for clinical evaluation and further treatment. It needs to get excised in Toto (Completely along with the sac). .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter is drooling profusely and it looks like her tongue has some reds bumps towards the tip (I can t really get that good of a look right now) She hasn t eaten much the last couple days and has a slight fever. She is 20 months old and over all a healthy baby. ### REPLY: If you can get IRIMEDADI tel which is an Ayurvedic herbal oil for oral use in mouth Ulcers, bump on tongues etc. is the safest, non-toxic healer which I prescribe to my own patients. Twice or thrice application on tongue with swab or finger will heal it in few days. It's not sweat or palatable taste but extremely useful. Even if it goes down the throat (though it won't), there's no harm at all. Where you get this oil, you can also order Balchaturbha .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 wrist has been hurting on and off I have had this for two years no it hurts when I bend it back and forth went to the doctors but they said there s nothing wrong they even took xrays and nothing I don t know what to do anymore plus they told me to wear a brace but it doesn t make it better ### REPLY: Hello, The symptoms are typical of a condition called carpal tunnel syn .  As of now, you can use analgesics/anti-inflammatory combination like diclofenac/serratiopeptidase for symptomatic relief.  If symptoms persist better to consult an orthopedic and get evaluated. In severe cases, a surgical correction might be the only option. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi. its been 2 days since i have finished my 5 day period cycle. I ve been getting lower abdominal pain and lower back pain that comes and goes. what is that caused by? and is that normal ### REPLY: Hi, Yes it could sometimes happen due to severe menstrual cramps. Not to worry, you can take any of the over the counter analgesics for this. But if the pain becomes severe and if there is any associated Abnormal Vaginal bleeding, you should be seeing your Gynecologist so that she can examine you and rule out the exact cause. It is the spasmodic type of pain whicChatDoctores and goes. Apply heat pads several times a day and get adequate rest. Wish 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: Last night I woke up to use the bathroom. I got cold sweats and fainted. After my daughter helped me up and left I fainted again. I hit my head and left side of my body pretty hard on the tile. I now have a burning feeling on the side of my head and arm. Do I have Anything to worry about. ### REPLY: Hi, I am .  I have read your question with care and understand your concerns. Let me try to help you Question : What causes sudden episode of cold sweat and fainting? Answer : Low Blood Circulation can cause sudden episode of cold sweat and fainting Question : Do I have Anything to worry about. Answer : Yes. Please consult your cardiologist immediately. Low Blood Circulation is an emergency 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. 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: My nan was diagnosed with cancer on the 5 February after having a ct scan. She was feeling unwell before scan but not bad. Since the scan she has been very poorly. Can the die used aggravate the condition. She has bowel liver and lung cancer? Yesterday she was put on a syringe driver and has slept since. Is this just to get pain under control or would she be in final stages? This has happened so quickly please advise ### REPLY: Thanks for your question on . I can understand your concern. Since, she is having cancer in liver, lungs and bowel, she is having stage 4 malignancy (terminal stage illness). So only palliative treatment in the form of pain management and nutritional support are advisable. Excessive sleepiness can be due to brain metastasis. But we can not do anything for this. In my opinion, she is having life expectancy of less than 4-5 months. So better to discuss end of life issues with her. Hope I have solved your query. Wishing her good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a problem with my jaw I ve never had before. When I open it as far as I need, say, to put a fork in my mouth to eat, it clicks, just between the edge of my mouth and ear . It sounds a bit like an elastic band breaking. It only started today about halfway done my lunch. When I went to Guidance (I was at school), the lady I talked to said I should tell my mom to get it checked. What exactly is it? I am only 14 years old, turned so on January the 2nd. I have only had cavities once. I got 8 at the same time, but they were all baby teeth and I ve lost them by now. I ve never done anything to my jaw that I know of directly. My last visit to the dentist was in March(this month). I got my teeth cleaned and checked, as well as a flouride treatment. I also am known to grind my teeth at night, and used to have headgear. My orthodontist decided my condition was not too bad so I didn t get braces. ### REPLY: Hello and thank you for your question. In your head you have a groove in the skull and a rounded joint on the jaw, between these two bones that make of the temporal mandibular joint is a cartilage disc.  This disk is attached by muscles and elastic ligaments.  When you open your jaw it rotates then slides down and forward, when this happens the disc slides back.  When you close it goes back forward.  Sometimes these ligaments become loose and there is a lag in the sliding of the disc.  A closing click arises during closing of the jaw and is caused by the condole (the rounded part of your jaw joint) rapidly repositioning posteriorly (towards the back), displacing the disc anteriorly (towards the front) or medially (towards the side).  An opening click arises in the opposite of what was just said.  If you get a line of 100 people 40-60 of these people will have clicking, cracking or popping in their jaws without any issues.  Hope this helps give you comfort.  Best wishes and 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 doctor my wife had recent laparoscopic surgery,i tested my sperm countvolume 2ml,viscocite:Bone 7.1,Number:superieure 20.10*6/ml mobilite:70% in movement straight, 20% stationary, 10%immobilemorphologie:10% of macrocephalus,70% head regular,20% of macrocephalus culture:10% some elongated, 90% regular divers: GB3-5/ch,cel.epith.5-7/cmin this sperm count what is abnormal i m very tense and i lost my concentration please help me should we try for child or i need some medication,i am staying out of india there is no specialist docrors please advise some medicine......... ### REPLY: Hello, Thanks for the query to . Forum. I analyze your report as, Volume 2ml (normal 2-5 ml) at borderline level normal. Viscocity normal pH 7.1 (normal 6-8)SPERM COUNT (query) normally it is 60-120 millions total. In your semen it is 20 million / ml and your semen is 2 ml, so in aggregate it is 40 millions means below normal. Normally if semen is taken after 3-4 days abstinence than its volume increases, so in that case it may be 3 ml than count will be normal. Motility is usually 90-100 % but in your semen it is 70% so they (sperms) are less motile than normal. Immobile 10 % and this is also normal (normal 10% immobile)20% are straight, and they are dead.  Rest of analysis is non-specific so no discussion. In my opinion consult a physician and get his opinion and treatment. Nowadays good and effective medicines are available in market, so you will GE alright in short time. If further any question I will help. 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 9 year old son had self dissolving stiches on his tongue 3 days ago. The cut has now opened up again, the stiches seem to be gone. Does he need proper stiches or will the cut heal itself, and if so, how long does that take. He only had stiches 1 week after the accident, as the first doctor seen thought it would heal itself ### REPLY: Hello and welcome to . Toungue cuts(lacerations) are very commonly encountered in clinical practice. Unless it is deep stitching is avoided by most doctors. Firstly because a stitch in itself is a risk and source of infection. Secondly healing in this area is very fast due to moisture, rich blood supply and flexibility. So my advice is to leave the cut alone. It will heal on its own.Meanwhile, avoid giving hard spicy or sour food to your child. Try to give soft food like mashed potatoes, bananas, noodles and ice creams. Hope you find this answer satisfactory. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi Doc,my husb has a daughter, that was before we got married. i have had a couple of abortions, before i also got married. Now, we have been married for 2yrs, i havent gotten pregnant. his sperm use to be thick, but now i guess due to excessive whisky intake its clear, thin & watery. why cant i get pregnant, pls help me. ### REPLY: Hello dear,I understand your concern. In my opinion the infertility can be due to both male and female factors. So in your case the causes for miscarriage like thyroid abnormalities, any progesterone insufficiency or any should be ruled out. The semen analysis should be done to your partner. Regular intercourse helps in increasing the conception chances.Don't worry. Avoid stress and anxiety regarding pregnancy as it might also delay fertility. So relax. Best regards... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi , my dad is having belching problem , he couldnt swallow things , he is a chain smoker , few days back while he was eating he went unconcious for a moment and became normal , when i took him to doc he is diagonised to have kidney stones of 8mm . i would like to get some suggestions ### REPLY: Hi, welcome to . Looking to your fathers' history, kidney stone was accidentally detected on evaluation for transient unconsciousness and swallowing problem.8 mm stone in kidney usually does not pass spontaneously. If it is not obstructing the urine passage, you can follow it up with repeat sonography or CT scan after 3 months. But your father needs evaluation for unconsciousness with neurologist. Best wishes. Tc. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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,Actually I want to ask you something related to my family. My father, is now in his 50s and before two years he started doubting my mother. He thinks that the unarrowed men around are trying to influence her. So he is taking out all his frustrations on her. What can we do sir? ### REPLY: Degree understand your concerns went through your details. I can understand your emotions. You must talk to your mother regarding this first. If there is no reason for him to be like this, there is a possibility that your father developed a paranoid personality disorder which needs counseling in the beginning, psychotherapy as second hand measure if counseling fails, and psychiatry treatment if both the first and second measures fail. For the time being you should consult a professional psychological counselor. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I have a rash on my stomachs, it started out as a pimple or a flat spot that itched , I scratched and it bleed but I starched more like a dog with the mange I could not help it. for the pass two weeks I have had this itch and it has spread all around the naval their like sores ### REPLY: Hi, The rash could be a popular urticaria or could be scabies. These conditions could be distinguished only after proper clinical examination and treatment differs for both the conditions.  You could take an antihistamine tablet for relief from your symptoms. But, I request you to consult your dermatologist for proper diagnosis and management. 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: Im 25, weigh 155 am 5ft and am 32 weeks pregnant.  I have noticed for the past few days some swelling in my gums above 2 of my teeth and now have what looks like a few little white pimple looking spots on the gum in the same spot.  Ive been taking tylenol because of the pain but am not getting any relief and the pain is now radiating to my ear and into my sinuses.  I tried a local urgent dental clinic but  they wont see me pregnant and I have no regular dentist...I dont know where to turn next ### REPLY: Hello, You are describing signs of an infection that is spreading. This will not resolve by itself. Anti-inflammatory medications such as Tylenol may help control the spread of the infection but is not a cure to stop the infection. An antihistamine, Ben .  Warm saltwater rinses may help. Continue to clean the area as best you can. I strongly suggest you see a dentist to evaluate the area. It is most likely an abscess from the tooth, but can also be a periodontal condition. The dentist may be able to  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had an irritating tickly dry cough for 3 days with no mucous. Bought cough suppressant in pharmacy. Very helpful Am also registered asthmatic and takingClenil andVentolin on minimum dosage. Very little coughing during day but still occasionally at night. New baby granddaughter born today. Am I infectious? Should I see her or not and if not when should I see her? L Hall ### REPLY: Hi L Hall, Thanks for writing your query. First congratulations on your granddaughter. Irritating . You should get yourself examined by an ENT specialist and physician and take medicines accordingly. If your cough is due to bronchial asthma and is unproductive, there are no chances of infection.  But still you can use a medical/surgical mask while visiting your granddaughter. This will prevent transmission of infection, if any. I hope this is helpful to 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 work with a lady that she has just informed me she had abdominal TB, taken her medication and finished in August. Which was about the time she started here.. Was this caused from regular TB? She said her vaccine as a child stayed dormant in her system and just became active.. I told her HR, but I have sat and visited with her, she I be alarmed?? She even sneezed when we talked.. ### REPLY: Hello dear, thanks for your question on . I can understand your situation and problem. Abdominal tuberculosis is not infectious. Tuberculosis can affect all organs of the body. But only pulmonary tuberculosis is infectious. Since the lady is not having pulmonary tuberculosis, no need to worry about spread of tb Infection. Abdominal tuberculosis is not contagious, thus no need to worry about spread by her. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m 28 week pregnant with twins i have become emtionally very weak i will get disturbed and pissed off with family matters and i dont get proper sleep in the night..will these affect my babies health and pls help me suggest to overcome this mental weakness ### REPLY: Hello dear patient any tension or anything which affects your health will surely affect your babies normal growth. Stay calm you can try meditation practice also. Avoid any such thing because it will lead to ill health and that will lead to disease than finally tablets and medication which will definitely affect your babies so to avoid all these problem stay calm for few more months. Take care regards Dr ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: sir when i went to bed at night or day i start masterburation. it may be 2-3 times within a sleep, now i am very week as looking wise. i tried many times to be healthy person but i can not. as i think it is because of masterburtion. i want to be healthy, attracitve and good looking person but so plz  advice me for my good life and control on masterburation ### REPLY: Hello, You can restrict masturbation frequency for 2-3 times in week by following ways. Don't watch porn videos or images daily if you are having habit of it. You can try yoga and meditation. Try to make some short term and long term goals. Indulge yourself in some activities. If you still cannot control masturbation than consult psychiatrist for detailed counselling Hope I have answered your question. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i had during last year an acute pancreatitis; since a week now i feel some mild abdominal pain after eating. i did ultrasound that showed normal gall bladder normal pancreas and fatty liver and some gases . i started lowering my food intake and started eating veggy mainly. ### REPLY: Hi, pain after eating is essentially a symptom of Pancreatitis. But it could also be gastritis or bowel ischemia. You should see your Doctor and get your Serum Amylase and Liver function tests done. Bowel ischemia would have been very painful. I advise my patients to start with medicines to decrease acid production like Pantoprazole or Omeprazole half an hour before meals. But, I strongly recommend that you see your Doctor who can examine you and advice accordingly. Take care and do ask any queries you might have on the subject. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Two weeks ago I tried paxil for headaches/anxiety. On it for 5 days. Had brain freeze a few times...but was very very tired and light headed. Waited a week and started 12.5 mg of Zoloft last night. Didn t sleep much last night...certainly not tired today. I did have a few moments of brain freeze this morning and that sensation across my upper body. Scary! Headache is much better today. Question: Is the brain freeze and tingling something to worry about? I ve had a mri of my brain recently and it is fine. The headaches started 6 weeks ago. I m 70 yr old female. ### REPLY: Hello! Thank you for the question. I understand your concern. I think you don't have to worry about it. The brain freezing and tingling are common symptoms of some types of headache. The brain MRI has ruled out any other serious problems. I would like to know more about the duration, precipitation factors and localization of your headache. In my opinion it's a Tension type headache. Zoloft is very helpful for this situation. You should continue taking it for at least 3 months. You will see results from the third weak of treatment. Furthermore, you should have a headache diary to register time and duration of headache every day. So you will be able to make the real difference of the therapy. Hope to have been helpful. Best wishes.  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI Im Roberto Dela Pena of Philippines,My problem is i have a small left kidney,it was found during my first medical test which KUB is mandatory,the doctor found out that my left kidney is small it was 2007 ago,can you explain me about this situation because everytime when i conduct a medical exam for work abroad they always found thesame result small left kidney,but i did not experience any trouble in my left side body part,can you explain me about this one,here is my e-mail add: robertodela  YYYY@YYYY , Thank very much,more power to all of you.. ### REPLY: Hi Thanks for your query. Uni-lateral small kidney is usually acquired after a disease affecting it. In your case, you may correlate with your past medical history. In such a case the other kidney enlarges to compensate for the function. Thus, the person has no problems from it. Sometimes it is present since birth. Then it is called as congenital hyperplasia. The pelvocalyceal system is small and usually pacified in intravenous biography. Again compensatory hypertrophy of the contralateral kidney happens. Associated anomalies of kidney are present.  You may watch for symptoms of urinary tract infection and other kidney disorders as it may affect the function of the other kidney.  Take care.  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI my husband complained a couple of days ago about his ear, finding it hard to swallow and intense pain around the nape of his neck.  he has now developed a rash which seems to spreading from his neck to his shoulder and face .......any ideas ?????? many thanks ### REPLY: Hello. Thank you for writing to Spain and rash, localized to a part of body on just one side suggests a possibility of Herpes Zoster/ Shingles. Zoster or Shingles usually presents with grouped, discrete, fluid filled lesions/ vesicles arranged in a stripe like pattern on just one side of the body. The lesions are painful. They rupture to form erosion/ raw areas which heal in about a week or ten days, on oral antivirals. Diagnosis is clinically obvious. Treatment is with oral antivirals like either acyclovir Or val acyclovir for a week. These are prescription . Topically he may use an OTC topical antibacterial e.g. 2% mupirocin twice disregards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 wife is suffering from Asthma since she was 12 years. Now she is 26 years old.Initially she was treated in Miraj,Maharashtra.She is using BUDAMATE 200 spray.Previously the frequency of using of spray was only 3-6 time in a week but since one month she is using 2-3 times daily. Now I want treat her in Pune. To which hospital I have to go?? Please help me. ### REPLY: HOI appreciate your concern asthma is a treatable condition with number of treatment modalities you need not worry since we don't advertise about any hospital, so I can't suggest you in my opinion she should do steam inhalation and deep breathing exercise especially during morning hours try to find out any trigger for an asthmatic attack Hope I have answered your questioned free to ask for follow uptake 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 went in for a physical recently and asked the examiner about my cough and swollen lymph nodes. She informed me that it seemed like pharyngitis. As the week progressed i developed slight Hemoptysis. I am concerned that it is something more serious then a simple case of pharyngitis. What is your professional opinion? I would also like to include that some of the sputum is yellow, some clear, and some gray. ### REPLY: Hello, As per your clinical history is concerned, please follow this -Do a clinical examination by your doctor [pulmonologist]and to confirm exact cause do few pathological investigations like [CBC with differential, T-Spot. TB, CT scan, sputum culture, and ESR]If found positive, then follow lifestyle modifications like this -1) Stay home. Don't go to work or sleep in a room with other people during the first few weeks of treatment.2) Try to ventilate the room. 3) Try to cover your mouth. Use a tissue to cover your mouth anytime you laugh, sneeze or cough. Put the dirty tissue in a bag, seal it and throw it away.4) Try to wear a mask. Wearing a surgical mask when you're around other people during the first three weeks of treatment may help lessen the risk of transmission. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Sir. I am 34 yrs and i ve been taking spasmo proxy last two years. Later i came to know that i am pragnant and m worried taking proxyvon drugs during my pregnancy. Is it safe for my baby? Please do advice me. my email add:  YYYY@YYYY ### REPLY: Hi, I have gone through your query and understood your concern. Spasmoproxyvon contains dextropropoxyphene, dicyclomine and paracetamol. Dextropropoxyphene belongs to pregnancy category C and D according to the FDA. Category C means animal studies may have revealed adverse effects and there are no controlled studies in women. Category D means there is a definite risk but in both cases, the .  Dicyclomine and paracetamol belong to category B, where studies have failed to reveal any harmful effects and hence can be used if necessary. In the current scenario, please get regular follow up and an anomalies scan if you are well into the pregnancy. If you are in very early pregnancy, you can get the fetal DNA sampling done. Hope your query has been clarified. 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: Hey. At around 8pm last night, I put Nair on my upper lip and chin. I washed it off 4 mins later, and it left a rash. Now, I have scars that look like acne, I used Aloe Vera today. When will it diminish? Will it diminish by Friday? How can i make it disappear faster? ### REPLY: Hello. Thanks for writing to us at  This rash is the result of Irritant contact dermatitis to the hair removal cream. Hair removal creams are notorious for causing irritant reactions. Instead of using aloe vera, If I was the treating doctor, I would have asked you to apply a moderately potent topical steroid e.g. fluticasone propionate 0.05% cream, twice daily for the next few days. Steroids are anti-inflammatory and therefore are effective and should make it fine over the next 3-5 days. An OTC oral antihistamine e.g. cetirizine 10 mg once daily will provide you symptomatic relief from discomfort. Avoid using soaps on face till the rash heals. You may use a gentle cleanser Or just plain water. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello . i suddenly came down with a back ache that acts differant then other back aches. the reasons are as follows: it hurts to trist and the pain moves around from one side to the other, at least that happened at first . this has been hurting for two months ### REPLY: Hello, there are so many reasons of backache as muscle injury, ligament injury, nerve compression, disc prolapse. But the treatments are limited as surgical and non-surgical treatment.Non-surgical treatment: Non-surgical treatments are temporary treatments includes spinal extension exercises, stretching and hot/cold water fomentation. If there is pain no swelling then apply hot water fomentation every 4 hrs. Hot water fomentation reduces the muscle spasm and increases the blood circulation. Epidural steroid injections. You can take NSAIDs as tablet ibuprofen or naproxen, acetaminophen can give temporary relief.Non-surgical treatment: if there is nerve compression and disc prolapse then the surgery is the only way to get permanent relief. But to find out the exact cause of pain get some investigation like MRI and consult with or tho. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 colonoscopy 4 weeks ago, ever since then I have had constant lower and sometimes upper aching in the abdomen, I also have constant chrning noises and feeling going on, I dont have diarroea and I am taking prescribed laxitives for constipation, I had a ct scan and nothing was reported, the pain is dull and worse in thr afternoon and evening. ### REPLY: Hi. Thanks for your query. The colonoscopy can give rise to immediate complications of perforation, peritonitis and septicemia. Colonoscopy can not give rise to the long term effect after 4 weeks as you have. It is possible that the preparation for colonoscopy, laxative misuse might have disturbed the intestinal flora causing all the rumbling and pain in the abdomen. As you have not mentioned, I take the colonoscopy report is normal as is CT scan report. Take a course of an antibiotic and metronidazole. Add pre and probiotics to the prescription. Avoid all the foods and beverages which you must have noticed by this time to increase your abdominal problems. A treatment on the basis of suspected IBS- Irritable Bowel Syn .  Please remember, and you must have observed that when you do not have stress your problem with IBS is reducedChange of lifestyle. I think maybe you are not coping with something. Vacation outside your area, mobiles phones to be off. You must have noticed already that these changes help a lot. Try to avoid anything which you are / have to do against your will and wish. Get into the hobbies which make you forget the world around you. Life comes only once, boss. If the change of routine helps, the necessity of medicines is  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 indigestion and running around the doctor, please help me... :( ### REPLY: Hello thanks for choosing  Dyspepsia as we call it in medical terms is a wide spectrum of disease with a number of symptoms such as indigestion, heart burn, bloating feeling etc. The cause of which could be as basic as an unhealthy lifestyle, stress, bacterial infection, .  First 1. Healthy food habits. 2. avoid spicy food and outside food3. Do not starve yourself and do not overeat In case there is no remedy with these simple steps you need to start on antacids, proton pump inhibitors You can take the following medication for about month and see Tab. Pantoprazole 40 mg once daily, half hour before breakfast. If you have already tried the above medication with no relief then you might have to get an endoscopy done to know the exact cause. A gastroenterologist will be able to guide you on the necessity of an anti H. Pylori medication (antibiotics) hope I have answered 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: Hi. My daughter is a over 20 months old and tonight I happened to notice that when I put my hand on her chest, I could feel her heart beating. It felt like it was beating hard and fast. This is the first time Ive noticed this. Is this normal for a baby her age? ### REPLY: Hi, I can understand your concern. The normal heart rate for a baby of around 20 months will be between 90-110 beats per minute. There might be variations in rate with crying, playing, sleeping, post meals, fever, deny .  Chest wall of baby is comparatively thin, it is normal to feel heart beat with palm even in adults. So don't worry about it. You can monitor heart rate, activity of baby, watch for fever and any other symptoms. If any then consult your Pediatrician. Hope this helps you, if so do vote. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 BABY IS 8 MTHS AND GETTING SLOWLY OVER A VIRAL INFECTION HE HAD A COUGH AND COLD THE COLD WENT BUT THE COUGH IS STILL AROUND NORMAL WHEN HE IS TRYING TO GET INTO A SLEEP AND OUT OF HIS SLEEP HE IS IN GREAT SPRITS PLAY,EATING WET NAPPIES BUT I HEAR EVERY SO OFTEN RATTLING ON HIS CHEST LIKE HE HAS TO COUGH UP SOME PHELM IS THIS NORMAL ??? ### REPLY: Hello, Sometimes for babies is difficult to clean up from mucus and their chest to be clean. They need more time and this is the reason than your boy still have cough. I will suggest giving him plenty of fluid so to help him HY .  You may also use aerosol with solution NaCl to help your boy. So give the cough some days and if it does not pass or got worse of course you should consult your doctor. 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 am currently taking Azythromycin for a respiratory infection today was my first dose about 5 and a half hours ago. i am now suffering from a horrible headache, watery diarrhea, my heart rate is high, i have a pain in my side near my stomach, and i feel extremely cold. ### REPLY: HI, thanks for using  Antibiotics, like all medications, can be associated with a possible side effects. Azithromycin can be associated gastrointestinal side effects such as abdominal pain, vomiting, diarrhea. The increased heart rate would be due to the infection and also related to the fluid loss due to the diarrhea. If you are unable to tolerate the effect of the medication, then you may want to consult your doctor. 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: i had done intercourse wid my bf yesterday n 2day i took i pill and as m going through a treatment i need to do urine n blood test 2moro morning so will dat i pill thng or the intercourse thng will reflect in my report... plz reply its really very urgent... ### REPLY: Hello, Thanks for letting us know your health concern. I have gone through your query and would like to offer you some suggestions. If you are going to have a routine urinalysis and blood counts, the use of the emergency pill cannot be detected. The hormone excretion can be detected only by testing for progesterone and even then cannot be discriminated from the natural hormone unless tested for specific compounds. Intercourse cannot be detected through blood and urine tests. It is detected through a vaginal exam and detection of sperms. 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: i have on and off headaches occurring irregularly. I often suffer from stiff neck, 2 months is the minimum  difference of its occurrence. I always yawn. I have rhinusitis. I also suffer from pains in my back, it is like burning pain. I feel so low and always ffeeling fatigue. I am always irritated and hot headed. I rarely concentrate, and my memory is very poor. What is wrong with me? ### REPLY: A back muscle strain or ligament strain is one of the most common causes of acute lower back pain. Lifting a heavy object, twisting, or a sudden movement can cause muscles or ligaments stretch or develop microscopic tears. Correct posture is a simple but very important way to keep the many intricate structures in the back and spine healthy. Back strains often heal on their own with the help of some combination or rest, ice and/or heat application, anti-inflammatory medications, and/or gradual and gentle stretching and back bending exercises without jerks.  Walk, Deep breathing also helps for long time recovery. Bending forward is prohibited in back pain lower or upper back . For long term relief, take care to eat healthy balanced diet including more of fiber, protiens, vitamins, minerals, salt, less of carbs, fried, fasts foods Take raw ginger garlic and a lot of water , A level Spoon of turmeric powder with cup of hot milk in B/F and with almond oil 1 spoon at bedtime. Lemon juice in the morning with a pinch of salt and long pepper. This regimen will fulfill your requirement of essential nutrients Bowels should be cleared regularly.  Hope this helps solve your query. Take care All The best Don't hesitate to get back if you have any further 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 have been to a health clinic two times now because of a slight burning/itching on the tip of my penis. I m slightly red around the penis hole and it seems that the skin is cracking up. I have been tested for STD (all negative) such as Chlamydia, Gonorrhea, Herpes, etc, and gotten a bunch of antibiotics for it. The doctor at the health clinic thought it might be a yeast infection and gave me miconazole nitrate 2% to put on the penis two times per day for a week. It has been a week and I still feel pain/itching. I have no idea what to do; keep applying the cream or just wait it out. ### REPLY: Hi, Welcome to  forum.  As you describe it appears to be due to the diabetes, the cracking of fore skin of the penis is usually due to the diabetes, So first it should be excluded.  I advise you to consult a physician for diagnosis, or to exclude the diabetes.  I usually prescribe to my patient with such symptoms' fluconazole, cifixime, ornidazole.  Wishing for a quick and complete recovery. 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 was pushed quite hard and hit my lower back on a unit i am in great pain i have a stinging sensation in my left side of my lower back i am finding hard to get comfortable.I get stuck in positions where i cant move then when i can i am in great pain.I have taken tramadol but nothing is helping with the pain.I am 34 years old weighing 11 stone my hieght is 5ft 7. I have a history of a prolapse disc 2 years ago i had to have a  operation, ### REPLY: HelloThanks for your query. After going through your query I came to know that you are probably suffering from lumbar disc prolapse as you has already history of disc prolapse. It can be confirmed by MRI scan. There are two treatment options. First option is rest in position of relief(generally lateral position with both knee bend), neurotopics such as mecobalamin and analgesics (Diclofenac three times a day after meals is effective). Sometimes strong analgesic(such as tramadol three times a day after meals) is required. Omeprazole before meals prevent acidity caused by analgesics. Second option is go for surgical operation(Discectomy).  You can discuss with your treating Doctor about it. Hope your query get answered. If you have any further questions then don't hesitate to writing to us. I will be happy to help you. You can also write to me directly on below link:https://www.bit.ly/ask . 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 a CT scan which showed a fatty liver.  I am about 45 pounds over weight and working to lose weight.  For seversl months, since about 4/12, my white count has been elevated on repeat blood tests.  I have also had an elevated temperature on a regular basis along with extreme fatigue.  Could I have Hep C? ### REPLY: Hi thanks for asking question... In hepatitis c infection if it is in chronic stage then symptoms like anorexia, abdominal pain right side, fever, jaundice can occur.... But Bag carrier patient can be totally asymptomatic..... So to rule out viral hepatitis viral markers done.... Here you should also rule out hyperthyroid by thyroid profile as you have fever with fatigue. . You have not mentioned value of WBC count... It could be increased by repeated infection also... 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 am taking ginette 35 since i am suffering 4rm pcod .On the consumption of 12th tablet i had unprotected anal sex.i took i-pill within 72 hours.should i continue with ginette 35 now? ### REPLY: Hi, Thanks for the query. As you are taking combined hormonal pills, they will give protection from pregnancy along with treating poly cystic ovary disease. So, if you have taken contraceptive pills without missing, no need to take the emergency pill, actually. Repeated intake of emergency pills can lead to problems. For more details : http://srsree.blogspot.in/2012/08/emergency-contraceptive-pill-short-term.htmlBut as you are taking the contraceptive pills for poly cystic ovary disease, you have to continue them. Usually hormonal pills to be taken for around 2 to 3 months to cure the POD. After that ultrasound is needed to evaluate the status of the POD. And depending on the findings further treatment can be planned. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son is 17 weeks old. He has GERD , and a milk protein allergy along with soy allergy. He is on Prevacid 15mg once a day. He power pukes after he eats, has been crying alot like he is in pain. The GI specialist said to give the Prevacid 2 weeks to work. Today, my concern is that when he is throwing up it has a yellow tint to it.... Is this normal? What could it be? ### REPLY: Hi sir/madam, I am concerned that your son is suffering from HERD and vomiting. Gastric juice, bile juice can give a yellow tint to vomiting. One or two episodes of yellow colored vomiting is not a cause of concern but if yellow to green colored vomits persists, it may suggest intestinal obstruction and should be evaluated without ignoring. Regarding HERD, as long as your child is gaining weight adequately regurgitation is not a big issue. But if he doesn't gain weight he needs to be evaluated further. So just keep a watch for persistence of yellow vomits and weight gain. Take care.  . Balaji ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 two year olds palms are red and blotchy and seem to be bothering him. He also had a stomach virus last week with vomiting lasting 2 days and diarrhea lasting 4 days. All has subsided except the red palms. Bottoms of his feet are not red, neither do I notice sores in his mouth. ### REPLY: HI...this seems to be a viral illness form which he is recovering. Sometimes it can cause this sort of skin allergy like symptoms. As you say there are no mouth ulcers this could not be Hand Foot Mouth disease. But, 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