Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 11 years old he had a vision test done at school when he was 7 and it was cleared, seven months later my eye dr. said his vision without his glasses he is almost legaly blind. for a couple years now on and off he has had severe migraines and vomiting with them, in this passed year it has gotten worse...in this passed month he has had the migraines and vomiting about three times a week. i was wondering if it could be his eye sight or does he need his head checked out. please help. ### REPLY: Hi, Thankyou for your query. Brief answer .he has to be checked pituitary mass (brain mass). Detailed answer... As I have gone through your sons' history, it seems that he must be evaluated for pituitary (a brain part) mass, as it can cause visual loss and headache both. Since migraine can happen at this age but not that frequency is common with decreased vision. My opinion would be got MRI brain with contrast (if he is not allergic to contrast) done and discuss with neurologist. Hopefully my answer is helpful. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 a 36 years old female. In 2009 i had acute pancreatitis. Lately Ive been having constant pain again in my chest and entire back. Starting to remember this is exactly how i felt for so long before was diagnosed. Is it possible for it to happen again. Dont smoke or drink> ### REPLY: Thanks for your question on . I can understand your concern. Yes, pancreatitis can cause relapse. Without smoking and alcohol, it can happen again. So in my opinion, you should first get done pancreatic enzyme levels (amylase and lipase) and ultrasound examination of abdomen. If enzymes are normal and ultrasound is not suggestive of pancreatitis then no need to worry about this. Sometimes acute severe gastritis can also cause similar symptoms. So avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Start proton pump inhibitors.  .  Don't worry, you will be alright. But first rule out acute pancreatitis. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 45 year old healthy female. I was having lower back pain and weird throbbing pains in my abdominal area. also i have been having stomach issues. i went to doctor because I thought maybe kidney stone. she did a urine test and found small trace of blood in urine. She had me get an ultra sound of abdominal. During ultra sound tech said she saw a 3cm hemangionia on my liver. My doctor has ordered an MRI for next week. Can the small trace of blood in urine be due to the hemangionia on my liver and can the tech be correct about being able to tell that it is just a hemangionia. If it is a hemangionia could this be brought on my IVF. 7 years ago I did six rounds of IVF. i am a little worried because two years ago my dad who was very healthy did not drink or smoke had liver cancer. thanks for your help. ### REPLY: HelloYour ultrasound findings suggests a small hematoma in liver. It is not related to trace blood in urine. Trace amount of blood in urine may be due to UTI or other causes. Hepatic haemangioma is not a symptom of liver cancer. It is a benign tumor of the liver composed of hepatic endothelial cells. It is the most common liver tumor and mostly these are asymptomatic. It is of often diagnosed incidentally on radiological imaging. Haemangiomas are thought to be congenital in origin. Most hematomas disappear without treatment. It is also not related to IVF.MRI can be done for confirmation of haemangioma. Get well soon. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been struggling with chest pain for 7 months now. I have asthma and have been through many tests including EKG, echo, blood gas, stress test, and most recently colonoscopy and endoscopy. My condition seems to worsen everyday, but nothing is showing up on these tests. I have an appointment with pulmonary doc on the 2nd. Just really concerned and it seems like I can t get any help at the ER. ### REPLY: Hi, thanks for using  Chest pain can occur from any structure in the chest from the skin inwards. This means it can originate from the skin, muscles, bones, heart, lungs, esophagus. The ECG, echo and stress tests would have been able to identify any problems with the heart and the endoscopy would have assessed the esophagus and stomach. This means that the pain may be from one of the other areas mentioned. The pulmonary doctor should be able to determine if it is related to the lungs. 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 have red itchy wrists , when i dig them really hard they burn and its little red dots what could this be ? ### REPLY: Hello. As per the description of your symptoms, the red itchy wrists could be due to contact dermatitis due to allergic, fungal or bacterial related infection. You should firstly avoid itching and take over the counter antihistamines. Consult with your dermatologist for further advise who can prescribe you the appropriate ointments for local application after clinical examination. Hope this helps. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 3 and half months old kid is having cough, cold and fever for the last 4 days. Doc. prescribed ECOLite, Azithral Jr and T-98 drops. I have been using the same for the last 2 days but of no improvement. In fact, now he is getting fever more frequently and cough became severe and long. please advice how to bring him to normal. Thanks in advance. ### REPLY: Hi, I am .  You need to consult your doctor again for examination, investigations and further management including need of changing antibiotics, need of bronchodilators if a component of congestion is there. Watch for any warning signs to report immediately to your doctor like poor feeding, dullness, less urine, respiratory distress indicated by rapid breathing and chest wall retractions and high fever, or otherwise you feel baby is not well. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questionsTake care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doctor, Im a breast and thyroid cancer patient.  Ive been having right side pain around the liver. The GI doctor requested an abdominal sonogram.  I have been diagnosed with Hepatomegaly with fatty infiltration and liver size is 19.0 cm.  Please advice.  Thank you. ### REPLY: Thank you for posting your query. Further evaluation and history.what's your age? Weight? Height?any chemotherapeutic medication which liver toxic?is hep A, B C viral serology Negative?? Did you do a lipid profile test?if all above results negative then advice:abstinence from "Alcohol and .  - use lemon juice (lemonade) once in a day-walk 30 to 40 minutes every day. (lose weight if overweight)- or swimming is alternative to walking-NO sports and NO jogging-"recheck liver enzymes after 6 to 8 weeks".wish you good health. Further queries are welcomed. Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health. Regards, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am from bangladesh ctg. My son has asthma when his age 6 month know he is 3 years 6 month. Every 1/2 month he admitted in hospital for his asthma he has some blood infection also. one kind of black rash seen his skin. he take daily TELUKAST 5,SYMBION 4.5/160 INHALER ,ARTICA SYRUP,when he admitted in hospital HIS NEBULISER MEDICINE IS WINDEL PLUS 2.5ML, trixon 1gm, dexo 5mg three time in a day. when doctor test his blood test sometime report was good and sometime report was bad example his WBC was high, his IGE was 120,and his ESR is always 20. he has some blood infection but our doctor don;t find what type of infection it is. I want test his allergy test and blood test also. . . pls suggest me which doctor will better for my child. i can;t see his suffering ### REPLY: Hi and thanks for the query, Your child has a predisposition to develop allergies. The results of the IGE levels extremely high and association of asthma and rashes are very characteristic. The raised WBC sometime simply means then there was an inflammatory process that was going on. On ESR of 20 is really no worry. Management of the child shall require a reevaluation of the pulmonary and allergic aspects of his health condition. I suggest you an allergologist/allergist and also probably a pulmonologist later for the management and control of the asthma. Thanks and best regards, Luchuo, MD. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my father having problem of HB. Bfor 15 days it was 5.00 and than we have supply VITCOFOL injection 5 times. But no such progress HB remain same. After that we have supply 3 bottles of blood and HB was 6.1. What may be reason..? what will be your advise..? ### REPLY: Hello, I understand your concern. I am , infectious diseases specialist, answering your query. There are many reasons for such a high degree anemia. There is need for detail investigation to diagnose the exact cause. I advise you should attend nearby doctor to diagnose exactly. Though you have taken the blood transfusions, such a low HE requires some time to come to normal level. So from now your can start the injectable iron therapy. Continue it until your HE reaches an over 10 gm there after oral iron therapy till HE reaches to normal level is sufficed. I will be happy to answer your further concern, you can ask me on bit.ly/ .  Thank you. ChatDoctorInfectious diseases specialist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 5 month old daughter has a bad cough sneezing and a low fever (99.8) i wouldnt be to concerned but i had a throat infection and ear infection a week ago and im scared shes has that too now. should i be cocerned and go to a doctor or ER or should i wait? ### REPLY: Most often cough and cough in child .  Most often such infections are associated with allergic reactions which can be responsible for sneezing. Giving some antiallergic like cetirizine syrup for a few days should help in relieving the problem. I would not be separately concerned about the sore throat which is likely to be related. You can be patient and observe the child since such episodes usually last for 5-7 days irrespective of treatment. Give paracetamol in case the temperature rises. In case the child grows lethargic or starts wheezing, you would have to take the child to the emergency of a hospital without delay. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 2 days ago i found infected(yellow) patches on my my left gums and cheek that touch the gum, I tried brushing them real strong and then ive been rinsing with hydrogen peroxide and wiping with a q-tip with hydrogen peroxide over the area. a few months ago a tooth in this area split in half, havent been able to fix it yet, is that part of the problem and can i kill this infection with peroxide ? ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concerns. As per your complaint yellow patches over the gums and cheek touching the gum along with having a broken tooth in that area can be due to dental abscess, in case if the infection might have reached below the root tips of the toot leading to pus formation. I would suggest you to consult an Oral Physician and get evaluated and a thorough clinical evaluation and investigations like x-ray can help in diagnosis. In case of dental abscess, treatment of the tooth with either root canal treatment or extraction depending upon the condition of the tooth, followed by antibiotics and painkillers can help. You cannot simply kill the infection with peroxide and needs proper treatment for complete resolution. Hope this information helps. Thanks and regards. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 24 year old male. From my teen age itself, i suffered from acne and pimples . but, even now at this age, there are frequent acne breakouts, due to which scars are developed on some locations of my face . I try to keep my face hygenic and used neem capsules to treat this but for little benefit. I am really clueless why it is happening to me even after my teen age is passed when this phenomenon is normal due to hormonal imbalances. Currently, i am using a skin ailment called ERYTOP which is helping me a bit but not fully. Please advice in the matter. What treatment can be done? Also, i want to know whether eating two solid food groups like chapati and rice simultaneouly as part of one meal is bad for our health and skin? ### REPLY: Hello, Welcome to Healtcaremagic! Acne or pimples is a very common problem. Contrary to common belief, diet has NO role in acne & you can take oily food or rice without any problem. Erato cream is good but alone may not be sufficient. Do the following:1) Apply Erato cream twice a day-- Morning & Evening2) Apply Adhering 0.1% (Darlene) gel-- at Night only3) Use a simple soap (like lux/pears) for washing face I hope in 2-3 weeks you will have better results. 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 60yo wife has lumps in her breasts. 2 months ago, after seeing her family doctor, she had an intensive mammogram xray and the interpretation came back negative. Last week bruises suddenly appeared on her breasts, so she went to her doctor who barely examined her and said to come back 3 weeks later. Now, there are lumps underneath all the bruises. What kind of specialist should we see ### REPLY: Hi.it is best if you consult with a doctor, preferably a general surgeon or a general surgeon with specialization in breast surgery. Did your wife have a recent history of trauma or infection in her breasts? Combined studies of breast ultrasound and mammography may be requested as needed. Depending on the results on how management will ensue. If its just secondary to infection, medical management with antibiotics will be directed. If lesions are found, depending on the categorization, management will be monitoring and/or surgical. Hope this helps. Good day!!~ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have a hard lump on the side of my elbow,it started a couple of weeks ago and it was real small but has gradually gotten bigger now about the size of a quarter, when i go to sleep most i instinctively lay on my arm under my pillow and after about 15-30 minutes get this awful tingle sensation thru most of my arm and if flex my arm in any way it intensify s it beginning to be painful and i have no idea what its is but i am very worried i dont have money to a doctor unless i know something is wrong. ### REPLY: Hi.based from your description, it could be any of the following lesions: fibrous, lipoma or cystic lesions (sebaceous or gelatinous type). Other tumor lesions must also be ruled out. It is best if you consult with a doctor, preferably a general surgeon, for clinical evaluation. Diagnostics (imaging) and management (medical and/or surgical) will be directed accordingly. Hope this helps. Good day!!~ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am infected by the viral disease since 2006 and I have used a lot of medications but lastly I have used Baraclude entecavir 1mg today and used that since last 3 years and in mid I have stopped them due to financial reasons that my father could not pay my bills for medication as now I can pay my own so soon I ll start my medication do u prefer me or not today I have received my tests in which hep b is 41 IU/ml and SGPT is higher then normal SGOT is normal so please advise how can I control my SGPT and is it dangerous for my health. Thank you ### REPLY: Hello. Welcome to . I am .  I understand your concern and will give my inputs to help you out. You are suffering from Hepatitis B which appears to be in chronic stage. Endeavor is an antiviral which reduces the load of virus but does not cure the disease. Now coming to your problem, level of virus seems to be under control but rise in SGPT is matter of concern. This can happen in Sudden discontinuation of antiviral  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 5 year old son has been a bad nose-picker most his life.  Now he gets frequent nosebleeds, even without touching his nose, and for no apparent reason.  He bleeds quite heavily, and recently while trying to stop the bleeding, I have pulled out long, thick strands of bloody mucus from deep inside his nose. Could there be something more going on that we should check out? ### REPLY: Welcome to the  In my opinion your child is suffering from epistaxis episodes and the cause is nose picking habit. Even though the habit has improved but small trauma to healing mucosa of nose can still lead to bleeds. I would recommend the following measures to help him out:1. Use a saline nasal spray or saline nose .  These products can be purchased over-the-counter.2. Run a humidifier in his be ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been treated by my physician for clinical depression for approx 15 years with different antidepressants. I actually was hospitalized 8 yrs ago and opted for a few days of ECTS which proved beneficial. I was recently diagnosed with fibromyalgia. Do you think this dx is from depression? ### REPLY: ! I have read the question, and it asks if fibromyalgia can occur due to anti depressants which you had taken.  I would like to tell you that it has never been reported or seen, and I also have not heard any patients on antidepressants developed fibromyalgia due to them. It is however seen many times that one may have both the illnesses and is treated with antidepressants for them. So, I do not think that your medicine have caused this to you, at least it has never seen / found in research. Hope the reply helps you with your doubt. Feel free to ask more 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: my two year old son had a ganglion cyst removed from his left wrist about two weeks ago and now the cut is real infected. It is red, swollen and seems to have alot of fluid. Any suggestions on what to do until I can get in to see his doctor tomorrow ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. I suggest you to start antibiotics for the infection. Definite pediatric dosage three times a day can be taken under doctors guidance. For acidity pantoprazole before meal should be taken. You can also do culture and sensitivity from the wound discharge. Once the report available you can take the treatment according to the report. Antibiotics according to report not only cures your child earlier but also treatment becomes chip. You can use dilute detail, Betadine for . Please maintain the good hygiene locally as it is equally effective for treatment as antibiotics do. I will be happy to answer your further concern on 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: 3 months ago I had two crowns put in the back of my loweer jaw.two weeks later my jaw has been swelling and I have pain. My whole cheek is swollen. Went to the dentist and put me on antibiotics. Then saw a endonotist. Teeth are fine put me on more antibodies. My meddoctor ordered Ct on my face and throat. Showed nothing and put me on steroids. Went to ENT at clev. Clinic. He didn t know either but he tried an antibiotic for bacterial infection.my face improved for the first six days then got real bad again. Went to an oral surgeon and he doesn t know either. One doctor suggest another c t with contrast. I don t know what I can do next. Please try to help me. I ice every few hours for the swelling ### REPLY: Hi. Thanks for the query. Well, in case if your teeth are fine and there are no signs of infection then it can be most probably allergic reaction. You might be allergic to any food or medication or any other irritants/allergens that might be causing the swelling. So my suggestion is to consult an Emergency room and get evaluated, and a blood test can be done to rule out for allergies and if it comes out to be positive then anti allergic scan be advised that can help in bringing down the swelling. Hope this helps. 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 taking duphaston from 16th day of my period for a regular cycle as i have pcos...last three months i had the priods after using the tablets...this month i am late by 2 days...can i expect pregnancy...whn shld i have urine pregnancy test ### REPLY: Hello dairy understand your concerned have PCs and used phaeton to regularize period. Pregnancy test will give positive result when you period will delay by more than 7 days. So I would suggest to wait for period to come. If period will delay by more than 7 days then go for urine pregnancy test and or blood  test to confirm pregnancy. If pregnancy does not occur you can ask for . Avoid stress, take healthy diet,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 feel a bulge on the left side of my back , right above my waist, on my left side. I feel pain touching a specific spot (a rib?) which is not exactly the spot where I have the bulge. The pain started almost 2 weeks ago, very strong (like I could not move) but I felt no bulge at that time. Now I can move more or less 100 with minimal pain but I am worried about this bulge ### REPLY: Hi! Good evening. I am  answering your query. If I were your doctor, I would advise you for an anti-inflammatory and a course of broad spectrum antibiotic. If no improvement, I would consider some basic blood tests like a CBC, ESR, an X-ray chest, and if need be FNAC to rule out any chances of a cold abscess. Further investigations would depend on the physical examination of the treating doctor with results of related investigations. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. Wishing you an early recovery.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir, I am Biswajit Chatterjee since last 10 days I am surrering from Anal Fissure I go to Surgeon and he advised for operation but I am very much afraid for this in this regard I am feeling burning specially after stool. Pls advise me the best ointment still I am using Cremagel and Seitz bath. Regards ### REPLY: Hello, Welcome to , Anal fissure is a cut or tear occurring in the anus that extends upwards into the anal canal. Fissures are a common condition of the anus and anal canal. Anal fissures are caused by trauma to the anus and anal canal and also by a hard stool or repeated episodes of diarrhea. The following are the different modes of treatment for anal fissureInitial treatment involves adding bulk to the stool and softening the stool with high fiber diet and advised to avoid foods that may not be well-digested. Site baths Topical anesthetics prior to a bowel movement to reduce the pain of defecation along with the steroid cream to reduce inflammation. Oral medications like nitroglycerin to relax the smooth muscle of the internal sphincter have not been shown to aid healing. Ointments containing calcium channel blocking . Surgical procedure called partial lateral internal sphincterotomy is the technique of choice for the treatment of anal fissures. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 7 year old son has had stomach aches for months now. They are getting worse by the day. When I ask were it hurts he starts in the middle of his upper stomach then goes to the right then to the left and says it hurt a little below his belly button. He is not throwing up. No fever, however he says the pain makes his head and eyes hurt. It is starting to effect him wanting to eat. He has had black thick sticky stool. Also his butt icthes sometimes. What is going on? ### REPLY: Hi! Good evening. I am  answering your query. If I were your doctor, I would advise your son not to eat from outside specially fried and fast food along with the aerated .  Also, intestinal infections could creep in from outside food. I would also advise for a routine stool test for ova and cyst and treat it if positive in addition to a urine routine/microscopic test. However, he would need a clinical assessment of his abdomen along with an ultrasound of the abdomen not to miss out any other intro abdominal pathology. Therefore, I would advise you to get him clinically assessed by a general surgeon/family physician in your area for further management. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. I wish you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 48 yr old bro is having problems and no ER will help him because he is homeless, Oboma Care DOESNT CARE. My bro is past heavy drinker. His abdomen is extended bad at times then its fine. He has low back pains and complaining about his left nut hurting. He has gain aprox 30lbs in 2 weeks. All ER turn him away after 3 day. What is wrong we fear the worst. Also has hehepatitis B and copd, still smokes. Help? ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. Heavy .  All this points the favor of liver failure in your brother. Because of liver failure protein is excreting in extracellular fluids causing the body to accumulate more of water. The only care with your brother is required an urgent hospitalization. Your problem won't solve without hospitalization. I suggest you to make your brother free from alcohol and smoking. If he won't with ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 age is 36. five years back got married . i have pcos trying to get pregnant .doc put me on glucophage and clomid .  from last two months i got my period regularly . my last period was 20 feb and now is 3april . i donot have my period .two negative tests but lettle cramps lower abdominal what to do . i am so warried about my health and also want my own kids what to do please halp ### REPLY: Dear user, welcome to . The pregnancy test is negative, so you are not pregnant. You may wait for spontaneous menstruation and have a painkiller for the cramps, or visit your doctor to prescribe you progesterone to induce menstruation. As for you seeking pregnancy, you are 36 years old, and you have been married for 5 years receiving gluconate and closed. You must change this policy and not waist any more time because there is a decline in fertility over 35 years and a rapid decline occurs over 40. I suggest you have 3 cycles of controlled ovarian stimulation followed by intrauterine insemination and if pregnancy doesn't occur you should have intro cytoplasmic sperm injection or invited fertilization according to your husbands' semen parameters. I wish you good luck and pregnancy soon. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: For probably 10 years I have had pain in my ribs and shoulders (Or under my shoulder blades really). My ribs feel like they are too small for my body! I feel I have to pull them out with my fingers and sometimes it feels like the bottom ribs poke things when I lay down. I feel pressure all over my ribs. I have pain under my shoulder blades that drives me nuts. I have talked to my doctor more than once and still no idea what is wrong, but I am going crazy! Some other symptoms that may be related are my undiagnosed daily stomach aches and extreme gas pain. I also am recovering from depression and anxiety. I have patella femoral in both knees. My hips pop when I walk and are often quite sore. I m generally sore and tired most of the time and pain is not limited to these areas. Sometimes I get unexplained stabbing/ burning pains all over my chest. My doctor last suggested fibromyalgia and gave me a medication to try, but it isn t qorking. Can anyone please help me?? :( ### REPLY: Hi, It's a very common phenomenon to have pain in ribs and shoulder blade. This is basically because of the weakness of muscles and the point where it is attached at ribs and other bones, it gets pulled and there is inflammation. So there are two parts of treatment. One is to get relief now. For that you can start with ultrasonic therapy and if no relief then laser therapy. If still no relief then you can get trigger point injections from any pain specialist or orthopedic surgeon. For long-term relief, you need to build up your muscles. For that start with walking daily and regularly and increase distance gradually till you reach up to 4 km. Then start brisk walking and continue it.  It will take around 5-6 months for muscles to strengthen. In between when pain increases, get those injections again. These injections are totally safe. But don't stop walking. 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, may I answer your health queries right now ?  Please type your query here...i have several disc and prot. to the c2/3 and a funsion done on the c4/5/6, and i know there is some nerve damage,but in the middle of my head my hair is real thin..and it fall out sometime. can the cranial nersves cause hair loss? my hair stay sore in that area and i find myself massaging that area, ### REPLY: Hi, Not, not at all. Damage to cranial nerves does not cause hair loss or damage to hair structure. The disease may be halogen effluvium.  So, consult the dermatologist for the perfect diagnosis and proper treatment.  He may examine thoroughly and investigate to find out the cause of hair loss. And accordingly, he may give treatment. Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello doctor, recently i have been diagonised by low AMH levels for infertility and in laporoscopy i found my tubes were blocked.Tubes got cleared but in this i got infection and found that have a abdomanal Tuberculosis.Soi have to take 9 months medicine for TB.really worried as low AMH level on top of it i cannot go for IVF for 9 months because of TB.what are chances of me getting pregnant? ### REPLY: Hi, Thanks for asking. Based on your query, my opinion is as follows.1. If both tubes are patent, post treatment, the possibility of pregnancy are good. Even with one patent tube, the chances are still good.2. Good nutrition to improve immunity and regular medication is essential.3. Complete the course of treatment. Avoid any weight gain or any nutritional deficiencies. Hope it helps. Any further queries, happy to help again. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi im curious to know how much protein does gram of nose contains.. I have nasal allergy and I blow out my nose a lot. I am also into exercising and planning to gain muscle. But I don t know if I am losing proteins through blowing out nose so much.. if this wasn t the right section, please move me to proper specialist who can help with. Thank you ### REPLY: Hello, The nasal secretions that come out is a filtrate and not actual proteins like albumin that are important in maintaining weight. So there is no need to worry that you will lose weight if you have rhinitis. However, you lose weight in untreated rhinitis and rhinosinusitis through a round-about way in not having good nights sleep, fatigue in the morning and unable to concentrate through the day. If the rhinitis is bad, I would suggest getting allergy testing done to exclude the triggers and treat with Flonase nasal spray 2 sprays per nostril twice daily for 3 months at the first instance. 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: So when i was 3 i was diagnosed with growth hormone defciency and i took daily shots in my stomach until i was 14 and my doctor said if i didnt get my period by 16 i have to go back and see whats wrong. i am 16 and still no period. so i was wondering what could be wrong? what tests they will run? if it will be awkward? if its normal? ya know just so im not freaked out about this! ps.. i really dont like going to my doctor. its a guy and i just think its awkward talking about period stuff. ### REPLY: Thank you for posting your query in  .com.....see first, talking to a doctor about anything is not awkward....but for proper diagnosis and treatment, you should tell your doctor everything...anyway, primary amenorrhea is said to be present when there are no periods and no secondary sexual character at age 13 or no periods but presence of secondary sexual character at age 15...so irrespective of your secondary characters like breast growth, pubic hair etc. you are suffering from primary amenorrhea....well there are various reasons behind primary amenorrhea, most common being genetic and uterine developmental defects...so in my opinion, you should definitely visit your GYNECOLOGIST and he/she would run some tests like USG, laparoscopy or hysteroscopy and might be karyotyping also depending on your features...also definitely some hormonal studies also....it might not be very serious till now, so don't worry but visit your doctor immediately...hope this was helpful....come back to me for further queries...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, im concerned about my 9 week baby girls left eye. It seems to go in towards her nose quite often as though she cant focus. We have also noticed that she always tends to lay on the same side of her head when shes laying on her back - right side ? ### REPLY: Dear, Welcome to ChatDoctorWe understand your concerns went through your details. These are training issues and the child should be trained to look straight and trained to lay on the other side. Please use some toys or other things to train. Hang a toy which rattles or makes some sound and moves above the child and frequently encourage the child to notice and watch the toy. Make the child to lay on the alternative side using the same toy techniques. You can train your child in any way you want provided you follow the correct training methodology. 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 detail possible. Hope this answers your query.  Further clarifications are welcome. Good luck. Happy New Year. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, I am 20 years old, male, rock climb frequently and work out. Recently, I noticed this small ball on my front left collar bone that I can move. It can be moved under the bone so that it disappears from sight. It does not really hurt or anything. Can you tell me what it might be? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may be supraclavicular lymph node enlargement or some soft tissue tumor.  Lymph node enlargement may be due to reactive hyperplasia, tuberculosis, lymphoma or metastatic carcinoma.  You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a brain anyurism in 1993. I used to have severe migrains then after the anyurism I had no more.I am now experiencing some shooting pains off and on in my head and severe memory problems I forget what Im trying to save and that happens daily .Had a spell the other day and I couldn t speak at all. Do these symtoms tell of maybe another anyurism or brain tumor that. I appricaie any help ty. ### REPLY: Hello Brain tumor may present in various ways. It may present as headache, seizure(generalized or focal) etc. You may need detail neurological examination and investigations. Investigation include CT scan of brain, EEG etc. MRI can be done if needed. Contrast CT scan or MRI should be done as you have history of brain aneurysm. I advise consulting neurologist for detail evaluation. Get well soon. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: have pretty severe upper abdominal pain. Have seen Gi doctor. Had endoscopy and biopsy results are normal, but It showed some irritation. Blood test for h pylori are negative. Put on PPI, eating bland diet with no relief. I am losing weight and suffer with pain every day. It has been going on since March 1, 2013. Can I have H Pylori even though my test came back negative? ### REPLY: Hi there ~The abdominal pain and weight loss may be related to your H pylori tests coming back as negative.  I think that you have seen a GI doctor and the endoscopy and biopsy results are normal.  I am sure the GI doctor prescribed medications that were related to assumed gastritis as it is the most common cause of your symptoms.  Furthermore, I think you might need more investigations if the symptoms do not get better soon.  Furthermore, I also think that you might want to try some pain medications over the counter.  Sometimes symptoms are psychological and relieving your anxiety might make things better for you.  I believe you should find a good doctor that will help with treating your anxiety with psychotropic medications.  I hope this helps. Take care and have a lovely day! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been taking tuberculosis drugs (Neck lump) for 4 months. I didn t feel pain in lump when I press it before, but nowadays after 3 months, I feel pain and the lump seems like moving. Does that mean during drug taking, is there any chance that the size of lump changes or is it the adverse effect of medicine or is it the new lump? Please help. thank you ### REPLY: HI. Thanks for your query. This is a very good questions you asked as there are many reasoning:The Lymph nodes in the neck due to tuberculosis may respond differently in all the patients. In some patients they may not be noticeable after a proper treatment. In some patients they may regress, become small and remain so. In other patients it can show variation as in your case that they become mobile and tender: The reason of tenderness can be secondary infection spread from the oral cavity or hypopharynx and nothing to worry about if you have increases weight gain, better appetite and so on. Moving means a good sign, that they are responding to Anti-tubercular treatment. This is not an adverse effect of the medicines you are taking. Please continue the medicines. You may need an additional routine antibiotic for a week or so, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 just turned 40 in March. A week ago my left inner thigh was warm and starts to swell to 3x2 inch wide area. My right inner thigh too but a smaller swell 1x1 inch area. After 4 days, the swelling area decreases in size. Now, My left inner thigh has a painless hard lump sized 0.5x0.5 inch and my right inner thigh lump sized of abt 0.1x0.1 inch.. it now a small lump under my skin. . i m quiet worried because i also noticed a small painless pea sized lump on outer area of my labia, 0.5 inch from the hair line. So now 3 small sized lumps on lower part of the body.. ### REPLY: HiT hanks for your query. Based on your query, my opinion is1. Lumps/ swelling in thigh is less than 1 cm and decreasing in size. These are probably enlarged lymph nodes secondary to infection in the labia.2. Since the lump size is reducing, not to worry, it will come down with the treatment for primary lesion which is on the labia.3. Labial lesion could be a Bartholdi cyst which is infected, or just folliculitis. If the lesion is painful, take analgesics and a course of antibiotics, it will settle. You may apply antibiotics over the lesion if it starts discharging.4. If the lumps over thigh do not decrease/ there is a further increase in size, get a fine needle aspiration cytology done to rule out lipoma/ soft tissue lesions as they are known to occur there. Hope this helps. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi sir,my husbandssperm concentration is 18 millions/mlsperm count=64 millions/ejaculationrapid forward progression is 10%motility with straight forward progression 20%slow forward motility=30%morphology:normal forms=45%abnormal heads=35%abnormal mid pieces=10abnormal principal pieces=10excess residual cytoplasam=0agglutination =nilleucocytes=1-2vitality=65can i concieve.plz suggest me . ### REPLY: Hello, The sperm count and motility is near to the normal range. So it might not hamper in getting pregnant to you.  However, if you can't conceive then you can consult nearby urologists for getting prescription of multivitamin and Mazola L like tablet.  Take green leafy vegetables and fruits more. Smoking and alcohol should be avoided.  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: I have a roomate that must have everything in order in the dining room and kitchen, if there are papers or anything on the dining table she must remove it, she has to have nothing out of place out of the ordinary, things cannot be left on the kitchen counter, sink etc. is this a form of OCD? ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. Obsessive compulsive disorder is being compulsive towards something obsessive. Obsessive thinking leads to compulsive behavior. You shall get every symptom's if you look up in google. But Don't get carried away. Differential diagnosis is very much important in psychology. Only an experienced psychologist / psychiatrist can diagnose correctly and therefore, I request you to consult a psychologist / psychiatrist. If you still need my help, please describe the whole problem in detail and post a direct question to me. I shall definitely help you with psychotherapy techniques to overcome your problems. 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: E-CTA chest w/wo cont showed positive for pulmonary emboli - thrombi seen within pulmonary arteries extending into right lower lobe, right middle lobe, right upper lobe, left lower lobe. some are near occlusive. thoracic aorta shows atherosclerotic changes present. Would this rule out pulmonary hypertension? ### REPLY: Thanks for your question on . I can understand your situation and problem. You are having pulmonary embolism in your report. And it is involving major pulmonary vessels. So this can definitely cause pulmonary hypertension due to back pressure changes. So you will likely have pulmonary hypertension and the cause for the same is pulmonary hypertension. So better to consult pulmonologist and discuss all these. Start treatment as soon as possible. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi there, I had my bottom left wisdom tooth removed yesterday and today have noticed I have skin which seems to have been sewn falling over the tooth infront of where the wisdom tooth was. I cant bite down or close my mouth properly as my top tooth keeps biting on it! What shall I do? Is it normal? Will it go away once swelling goes down? I dont know what to do :-( ### REPLY: Thanks for your query, I have gone through your query. The swelling is due to inflammatory response. The damage to the lymphatics during surgical removal of the wisdom tooth. The damaged lymphatics will be repaired in 48hrs, so swelling comes down after 48hhrs. The opposing wisdom should be removed along with the lower/upper wisdom tooth to prevent future complication. Take anti-inflammatory .  Take soft diet. I hope my answer will help you. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my 2.2 years boy slipped down from my lap when i was sitting in the floor. after half an hour when i gave him antibiotics tablets for his illness - vomiting & loose stool, he vomit the evening fed apple. soon after i fed him rice & at the end i again fed the antibiotic tablets along with the food. after 3 hours of his dinner he vomited his total food which i fed. is there anything serious on his fell down? ### REPLY: Hi, Thank you for asking question on . The vomiting may be due to gastroenteritis as you have already stated. But vomiting within 48 hours of head injury indicates brain injury, and it needs consultation of neurophysician. Brain scan may be required to rule out vomiting due to CNS cause. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care . V. Subrahmanyam MD;Disassociate professor of pediatrics ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: As an infant I suffered from rocky mountain spotted fever & meningitis at the same time...I have been told by my mother when she was alive that my fever went so high it scorched my membrane, I do suffer from memory loss, also my maturity level is very low for my age , I am 50 now and seems I act immature not meaning to...I say all the time , my brain hasn t caught up with my age yet jokingly.....could this be possible from my fever going so high as my mom has told me my fever went so high it busted the thermostat...is that possible? ### REPLY: Hello, When the fever is not controlled effectively, and it rises high- it does affect the thermostat of the body and when brain tissue is involved-can lead to permanent damage.I'm sorry to say, but yes, your mother has informed you right (though she used a layman language, as, she must have been told by the treating team that time). Due to such dangerous side effects of uncontrolled fever-doctors advice public to take even simple fever more seriously and treat it effectively with proper antibiotics in time. The damage once done to the brain tissue cannot be reversed. Even person can develop epilepsy or handicap along with memory loss or lowering of IQ. However, the way you have written the question and the narrative, I must say that you have a good mind which has power of coordination. You are slow as you mentioned but with persisting efforts you are able to do things. Hope the reply helps you. Wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have joint pain and numbness in both hands when I wake up . I have not had a diagnosis yet but all tests for ESr etc and rheumatoid factor were negative. All joints hurt and my shins have started hurting in the last week like the bone hurting. I am 58 and past menopause and have cholesterol of 8.6 and on atrovastatins 40mg but had pain before started them, my joint pain been going for 5 yrs now and not getting better. ### REPLY: Hi you have joint pain for 5 yrs and numbness in both hands when you wake up. ESR And RA Factor are negative. You had pains before starting statins. In my opinion Since you are 58 and post menopausal, the cause of your pain could be osteoporosis / osteomalacia. I would recommend you start taking regular calcium, It D3 and get Bone Densitometry, Se It D3 Estimation. Also let me know how are your knee joints particularly. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: what is the name of MRI scan for cervical spondolysis? It was detected 2 years back in xray but doctor rejected to accept that. I was not sure what to proceed on this. Later somehow  i get to know that the ache in back, pain in spine and needle pain near to showlders and sometime pain to right ear is a symptom of cervical spondolysis. I cant sleep in any postulate for long time like I used to in childhood. I am 29 years old. I do have to make relief to my neck in every 5  to10 mins with some crackling sound. I am bearing this from long run let say 12 years. Please suggest. ### REPLY: Hello, If you want to check for cervical spondylosis by MRI, the scan to ask for is MRI of the cervical spine. It usually occurs in people who are older than you. It can occur at younger age if you have any congenital problem of the spine or had any trauma or injury to the spine like in footballers who head the ball often. Furthermore, it is also seen in young people who carry weight on the head or has had a whip lash injury in car accident etc., The symptoms you describe can fit in for cervical spondylosis and MRI of the cervical spine would give an answer to whether you have it or not. I shall be happy to answer if you have further queries. 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: Pin hole surgery done on 11aug 14 at Apollo hospitals chennai for removing 22mm stone from right kidney.after 8 months for checkup one usg done and found that again 2nos stone devolap in the same kidney size 7mm &10mm. Now what shall l do . Is it recovery with medicine? ### REPLY: HelloThanks for query. Based on your statement your mother has recurrence of stones in her Rt kidney of a size of 7 mm and 10 mm as revealed in Ultrasound Scanning. Since the stones are located in kidney they can be fragmented by a procedure called Extra Corporeal Shock Wave Lithography (E.S.W.L.). Send the fragments of the stones for analysis so that necessary dietary measures can not be taken to prevent the recurrence of stone. Ensure she .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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...for a few days i have numbness just above the toe to halfway to the knee and the upper part of my toe itself.this has happened on my right leg only. im a student and i sit alot with one leg on another,by habit.im kinda freaked out now since my lower right leg has no sensation and i want to know any cure+preventive measures.thanks. ### REPLY: Hello dear, The symptoms as mentioned in your post can be attributed to:1. Compression of nerve fibers at the knee region due to maintaining inappropriate sitting posture.2. Inadequate HY .  Dietary deficiencies of certain nutrients like Iron, Calcium, vitamin D, Vitamin B12, Folic acid, etc. which help in blood formation & nerve conduction.4. Peripheral neuropathy caused due to any fluctuation in blood pressure or blood sugar level. Symptomatic relief can be obtained by intake of cervicogenic agents (like Vitamin B6, Vitamin B12, Folic acid) as well as multivitamin & multimineral supplements including iron, calcium & vitamin D needs to be added in your diet. Physiotherapy & postural exercise will also be helpful. If symptoms still persist, kindly consult a Neurologist & get a complete Neurological examination done. Certain investigations like complete blood count, serum electrolyte estimation, fresh estimation of blood pressure & blood sugar levels & nerve conduction studies will be helpful to rule out any pathological cause for the symptoms. Wishing you a Good Health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have been having a very dull and erratic pain in my lower abdomen area, it surely is not continuous. it maybe happens like 3 or 4 times a day at the maximum. i had it for the past two weeks so i consulted a doctor and i was asked to get an x-ray and ultrasound scan to rule out stones in my kidneys and my bladder. i had frequent urination at that time (it could have been because i was afraid i had stones so i had increased my water intake ). no fever no head aches. no bloody urine. well, at last the doctor told me that i had acidic urine and gave my some medication to neutralize that. the pain s gone when i dont think about it, but sometimes it appears all off a sudden and i cant stop thinking about it. is this problem psychological or could something else be wrong. there were two occasions over the past month and a half when sometimes i had the urge to pee very immediately and i couldn t for sometime but after a few seconds i did and at that time i had this small area in my balls where it bulged but returned to normal once i peed. ### REPLY: Hi, It is probably NT serious, but I suggest you have a test called Uroflowmetry, followed by estimation of post void residue which is normal would mean that we can comfortably start you on a medication belonging to a group of . If these tests show up a problem, there is a chance that you might develop retention of urine if you are started on these medications, so I suggest you take time off, get these tests done, and IIF you have any doubts, you are welcome to get back to us. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 22 yrs old. My foreskin doesnt retract over glans. If i do it forcefully, i am able to stretch it till half of the glans, when i leave it, returns back to the tip of glans. Is it normal? Will this affect me later in life during intercourse? Please help me. My friend had tje same things. He did circumcision. Is there any need need to do it? Dont we have any non surgical methods? Should i forcefully stretch it? ### REPLY: Hi, You have to apply significant force to retract foreskin over glans. Hence, it is suggestive of fibrosis condition.  For that topical steroid can be prescribed which is helpful in relieving mild fibrosis.  But if problem not solved then you have to undergo circumcision operation. Circumcision is the minor surgical procedure and doesn't worry about that. I suggest you consult the urologist for an examination.  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: While on duty at the hospital one night a patient is brought in who had been in a motor vehicle accident which caused a hemi-section of the spinal cord at T12 level on the right side. What are the clinical manifestations of this injury and why? ### REPLY: Hello, If a patient is having a right side venisection of spinal cord at level of T12 then the effect will be at lower limb starting just above the groin level. There will be following effects- 1. Injury to corticospinal tract on same side produces spastic paralysis on the same side of the body below the level of the lesion.  At the level of the lesion, there will be flaccid paralysis of the muscles supplied by the nerve of that level (since lower motor neurons are affected at the level of the lesion). 2. Injury to fascicles gracilis or fascicles creates (dorsal column) results in ipsilateral loss of vibration and proprioception (position sense) as well as loss of all sensation of fine touch.  3. Injury to the spinothalamic tract leads to pain and temperature sensation being lost from the contra lateral side beginning one or two segments below the lesion. 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: my baby is 11 months old, about 29 inches tall and about 19lbs. he had a fever for 2 days ranging from 100 degrees to 103 degrees, his fever is gone but his appetite hasn t come back yet. he eats less than half of what he used to at meals and when he takes a bite of food he cries and grabs his tongue. he ll also sometimes grab his tongue and cry at random times. at his last doctors visit they told us he was anemic, when i looked up symptoms of anemia one was a sore tongue. is this a sign his anemia is getting worse?? or something else?? ### REPLY: Hi... Usually during recovery form viral illness or any other illness like this the kids take at least 2- 3 weeks to regain their full appetite. Nothing to worry about it. If he is active otherwise do not worry. The anemia is not related to appetite. The tongue soreness could be due to multivitamin deficiency or stress ulcers due to the illness. I suggest you use multivitamin supplements for this. 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: two days ago I had a small pimple on my clit. I popped it, white stuff came out, and then it was sore for a little bit after it popped. It has been EXTREMELY hot outside and our air conditioner is broken...so i was sweating and dirty alot. I didn t want the bump to get infected, so I put triple antibiotic ointment on it. Turns out...I m allergic. It started breaking out and getting really itchy, so I kept scratching it. The more I scratched the more it hurt, itched. I was taking a shower last night and had some really fragrant soap on a loofa, and needless to say, was scrubbing the hell out of it, because it itched so much. This caused tears in the skin, which burned/itched. Then, I got the bright idea to put aloe on it...which then made it feel like it was on FIRE. now, it is day 2, and it feels slightly better from yesterday, but is still itching/burning. What can I put on it, to relieve the pain/discomfort? I do not want to have another reaction to another cream/gel/ointment....I just want these cuts to heal without getting infected. ### REPLY: Hi I am concerned about your issue and your weather condition. I would suggest soaking in cool site baths. After intercourse, apply ice or frozen gel pack wrapped inside a hand towel and try relaxation techniques. Do not use any creams and consult a gynecologist or dermatologist for further investigation and examination for treatment. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son had blood drawn from his right arm about 2 weeks ago, since that day he has had a large lump under the skin, now tonight..he is complaining of pain moving up his right arm and into his neck...could this be a blood clot resulting from the blood he had drawn? He takes Lisinopril for high blood pressure too, he has been on this since the week after Christmas ### REPLY: Hi. Thanks for your query. Noted your history about your son. There is no known case where the blood clot can present with pain in the arm radiating to the neck. But since this is happening I would advise you the following:First to consult a General Surgeon/Doctor to get a clinical examination to see if the problem is due to the blood clot or due to cervical spondylitis. This will help us to go for further investigations like MRI of the neck, hematological investigations if warranted and so on. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here... Very dizzy and light headed when I got out of bed. Nausea followed by severe vomiting.  The vomiting was so forceful that I also had a bowl movement at the same time.  This happened first thing in the morning on an empty stomach.  The vomit was smooth and a yellowish and greenish colour. ### REPLY: Hi, Thanks for posting in . I understand your concern. The problem what you are facing of dizziness and vomiting could be due to vertigo. It is an inner ear problem. You can take tablet containing Linearizing.  If vertigo is caused by an infection or inflammation, antibiotics or steroids may reduce swelling and cure infection. It can be also due to benign paroxysmal positional vertigo (BPPV). It occurs when tiny calcium particles (canalizes) clump up in canals of the inner ear. Furthermore, it is recommended to do a series of specific head and body movements to move the calcium deposits out of the canal into an inner ear chamber, so they can be absorbed by the body. Hope the information provided would be helpful. All the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Good evening doctor, i am sagunthala ,i felt back pain in left kidney,Doctor suggested me IVP test and IVP report showed that partial left pelviureteric junction obstruction causing grade 3 hydroureteronephrosis and prompt contrast excretion from both kidneys.Doctor reported me go for surgery.What is the problems with that, if surgery is necessary or any other test is required or due to prenatal PVJ or due to pregnancy.please suggested your answer. ### REPLY: Hi, as per your reports there is obstruction at pelviureteric junction leading swelling of kidney which now level 3. Surgical intervention is needed asap. Otherwise, kidney may become non-functional due to back pressure of urine. Obstruction needs to removed. Medical treatment is of no use in this case. If there is subsequent pregnancy then both nephron surgeon and obs/gun need to be consulted. 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 friend was recently diagnosed with having myrsa, a staph infection.. He was put on an intravenous antibiotics when initially diagnosed, along with taking an antibiotic in pill form. My question is how long after starting antibiotics is he still contagious? ### REPLY: Hello, I understand your concern. I am , infectious diseases specialist, answering your query. MRSA us the methicillin resistant staphylococcus aureus. This type of bugs are resistant to routinely prescribed antibiotics. Vancomycin is the choice of . Such a patient are contagious to others if other uses their belongings like napkins, towels handkerchief etc. Once the gross infection is treated by the vancomycin, mupirocin is used to clear up the residual flora. Once the patient is all clear up with the mupirocin they are free of their contagiousness. I will be happy to answer your further concern, you can ask me on 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 m having painful cramping in my left toes and it feels somewhat like a charlie horse. It is difficult to get them to straighten back out. They are staying more bent than normal when not experiencing one of these cramps and I m unable to fully make a fist or bend them. With this my left leg is experiencing tingling in the back right above the knee down into the calf. What could this be and should I make an appointment that may takes weeks or go to an emergency room? ### REPLY: A neurologist consultation is a must.I'd advise neuro-physiological testing of leg and foot nerve distribution. Hot packs, massage with vitamin E oil, calcium,vitamin B complex and minerals like magnesium, may help. Toe raise exercise I.e.standing on toes n ball of foot sole with heel high in air is good exercise walk bare feet on sand. Another exercise is tried to pick small objects by toes. Blood sugar testing to r/o diabetes ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 54 yr old female nurse. I am experiencing painful dequervian thumb to dominant hand, and a couple of weeks ago, woke up with my middle finger locked /bent. I was able to just move it on my own, so I looked up these symptoms, and sounds like possible stenosing tenosynovitis....I do not have any chronic medical problems, or take any prescription drugs. Both on my right hand. I take a lot of systemic enzymes, and serrapeptase......what do you recommend? I do not want allopatChatDoctoredicine, ### REPLY: **1. De question is more common in women and tends to occur during pregnancy and after Menopause [54 years] and is also associated with other conditions like diabetes, rheumatoid arthritis, and hypothyroidism [so please check with necessary Examination and Investigations to rule out the same] although there is history of no chronic medical problem. Avoid repetitive motions: constant gripping, forceful bending of wrist, engaging in lifting or pinching activities without sufficient rest periods or stretches. Avoid or limit the activity that aggravates the pain. [place the affected wrist in a removable splint to immobilize the thumb and prevent further irritation and inflammation.] . Applying ice at the styloid process may decrease inflammation and symptoms. . When symptoms start to improve, add gentle stretching exercises (Myofascial release techniques) to prevent recurrent inflammation. . Prescription medicines for the same are: Rheumatic forte, rheumatic liniment, Mahavishgarbh tail, Maya vast vidhvansan RAS, Shoddy Kuchla.PS. An ergonomic assessment and training to prevent further damage, along with recommendations for optimal ways for you to continue your activities of daily living. If conservative management fail to give relief, then surgical management becomes appropriate. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: L2-3: Small left lateral disc protrusion relating to the left L2 nerveroot laterally. This is noncompressive and is of questionable clinicalsignificance. This is new from the previous.L3-4: Mild facet hypertrophy. No focal disc protrusion or foraminalencroachment.L4-5: No disc protrusion, nerve root or thecal sac compression.L5-S1: Mild diffuse annular bulge. There is mild facet hypertrophy. Nothecal sac compression. There is a mild degree of encroachment L5foramen bilaterally. Pattern is unchanged.Conclusion: Developmental fusion T11-L1. No acute fracture or acutebone marrow edema.Small left lateral disc protrusion L2-3 with minimal encroachment leftL2 foramen laterally, new from the previous. This is of questionableclinical significance.Degenerative change L5-S1 with mild diffuse annular bulge and facethypertrophy. There is mild encroachment L5 foramen bilaterally. ### REPLY: I read your query and I understand your concern. As you can read on the report that protrusion is considered of questionable clinical significance, meaning it's not causing your symptoms and is a coincidental finding. Since it causes no compression there is no need for invasive management like surgery. So your management (for I guess back pain) is conservative, with physical therapy and analgesics. Usually improvement is a gradual one, doesn't occur overnight. I hope to have been of help. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I just had a session of sclerotherapy this morning, and I have felt nauseous and a litte dizzy all day with a headache. This is my second session and the first time I was also dizzy for a little while after. Is this normal? Is this a sign of an allergic reaction? ### REPLY: Hi, Considered to be a safe procedure for the treatment of varicose veins, the common side effects of chemotherapy include bruising, raised red areas, darkened skin in the form of lines or multiple tiny red blood vessels. Although less common, based on the history you seem to have developed air bubbles in your blood stream resulting in headache, nausea and dizziness. Consult your doctor for further evaluation and appropriate treatment. 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 get a red blotchy rash on my chest after drinking alcohol, and also in emotional situations like when I feel upset, angry or stressed. I also get red marks on my skin easily, like after hugging someone, if a dog scratches me, if I scratch my skin etc. I first noticed the rach on my chest about 10 years ago but it only seems to be getting worse. A doctor recently suggested that I have dermagraphia. I have psoriasis and therefore very sensitive skin. My wedding is coming up and I dont want to be having to worry about red rashes all over my skin! Can you suggest anything that may help?! ### REPLY: HelloWelcome to  I can understand your situation. I appreciate your effort to seek online support. Dermatograhic urticaria is a condition which involves inflammation of skin when it is scratched or rubbed. It is a type of allergic conditions. It mainly involves young ones. Its treatment involves antihistamines. Psoriasis is a chronic autoimmune disease, and it needs long and continuous treatment. I advise you to consult a qualified dermatologist for proper evaluation and, management. Meanwhile, try doing relaxation techniques like deep breathing, yoga or meditation to alleviate stress and anxiety. Hope it helps Good luckRegards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 doctors! I had unprotected sex 4 days after my period at about 11:30pm. I took 4 white pills of Nordette Pfizer 8 hours after the deed and 4 white pills again after 12 hours.  Then I took another 4 more pills in the next days and took again after 12 hours. So in all, i have taken 16 pill of nordette.is that ok? Will i get pregnant consume too much pills? What are the chances. Thanks. ### REPLY: Hi, Welcome to  forum.  Actually the tablets Corvette should be taken in 2 doses, of 12 hours gap. If excess of the pills are taken, there may be no use, but they may interfere with the effect of the first 2 doses.  When pills are taken out of the schedule, the effect may be indefinite, and may depend upon so many factors.  Still the possibility if getting pregnant in your case are very less. The day of the sex is in the safe period. The first 10 days after the period are safe, because there won't be the release of the ovum to become pregnant.  11th to 20th day from the day of the period are unsafe, as during these days Ovum may be released on any day and ready for conception for 24 hours.  21st to 30th day again safe, because ovum is not available.  If period is late by anxiety or something have a home pregnancy test.  Wishing a good time. 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 hav allergy problem since almost 4 years...i usd a nasal spray 4 2 years... i almost stopd my treatmnt bt nw i again gt d problem currently m using novoliser n nasal spray i hav been using both since 2 months... n m stil using dem. wud dere  b side effects? answr ### REPLY: Hello As you mentioned that you are having allergy and for this used nasal spray. You got relief and now symptoms recurs, this is an indication of allergic rhinitis and your doctor prescribed novelized i.e. albuterol. These symptoms are due to bronchoconstriction and novelized (albuterol) is bronchodilator, hence you got relief. You can use this medicine, even for years without any side effects.However, in the beginning few patients feel fine skeletal muscle tremors, palpitation, tachycardia hypotension but once medicine adjusted in body, patient don't feel such side effects. So you can take this . Coffee (hot) and steam inhalation also provide relief. Good luck. ### END