Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 bf and I got intimate on 14 december 2014 and he rubbed his penis around my vagina and not inside it. But just for precaution I took Plan B after 28 hours. I had blood spotting (very less) on 30 december 2014 till 2 Jan 2015. My first day of last period was on 6 December 2014 so I am due on 3 jan 2015. I am confused if it was light period or just blood spotting? Also How can I be sure if Plan B has worked? ### REPLY: Hello, I have gone through the query and understood your concern. You had the intercourse during the fertile period. You took the emergency pill at 28 hours and this puts you at about 70-80 percent protection. Furthermore, you also had some early spotting around the date of your expected period. In this scenario, I would ask you to go for the estimation of the serum beta-ChatDoctor titles and if positive for pregnancy, go for further management with your consultant. You also need a trans-vaginal sonogram for further clarification of pregnancy, the location and the age of the gestation sac and the viability. 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: sir,my father&law have a cycatric or mental problem in which , they are very hyper any time , they beat anyone at that time . and after some time they realaised there mistake. this process is repeated many time in a day . this problem is almost 10 years old but now a days it is in regularity. so please suggest a treatment or best doctor for this. ### REPLY: Hi, Thanks for using . I have gone through your history. Your father-in-law has impulse control disorder. Stores, depression or bipolar mood disorder should be ruled out. I hope he is not having addiction. You should take him to psychiatrist for detailed evaluation and management. Doctor may advise for some investigations including CAT scan if needed. He might be benefited with .  He also requires anger management. 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 recently went to the emergency room for Chest pain and I fainted briefly but after several heart test nothing found . They did find an enlarged lymph gland in my chest but no one seems concerned but me. What should I do and who do I see. My friend said this is what they found I. Her husband during a routine gallbladder surgery it turned out to be lymphoma. I am 69 years old ### REPLY: Thanks for your question on . I can understand your situation and problem. By your description I think you are having isolated mediastinal lymph node. In old age (your age group) causes for this are1. Benign enlargement2. Infection3. Calcification due to old age4. Rarely malignancy (lymphoma) etc. So in my opinion you should not worry much. As single lymph node is benign mostly. But better to get done repeat CT scan after 6-7 months. If lymph node is decreasing or static than it is benign. And if increase in size than you need to consult pulmonologist and get done bronchoscopic ultrasound guided biopsy of the lymph node. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 16 and have pains in my chest  im a smoker it hurts when i push on this area, i thought for a long time it was from smoking but whenever i massage the area it goes away. some of my friends said it was becouse im growing idk if thats feasable though i also have had a pretty bad shoulder injury and recently started working out after i thought it had stabilized back into place and my shoulder started hurting to after my routines im currently not working out and it feel like my shoulder went out of place again it hurt and i feel my tendant moving and my chest  could the shoulder and the chest pains be connected due to a misplaced tendant? what could the pains mean? should i get an mri? ### REPLY: Hi thanks for contacting .... Your age is just 16. Although here your pain might not be related to smoking, but you should stop smoking as smoking release elastane and that lead to lung tissue damage and fibrosis dear.... So stop smoking... Here chest x-ray done to rule out bronchitis and fibrosis... Now move towards your shoulder injury. Yes as secondary to injury you might have damage tendon that can lead chest pain. Your physical examination done for it... And if you need MRI is the best one.... If you have severe tendon injury then surgical management or bandage might be needed.... Rest done.... Take care...... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have edema on one side of my body, the left side. It tends to get serious at times. Therefore, I cannot sleep or rest on this side because I cannot breathe if I do. I have gained 60+ pounds in the last yr. All bloodwork normal. What might be the problem? I do not own any form of credit card. If you can`t continue, that is ok. As the old saying goes; we all gotta die sometime. ### REPLY: Thanks for your question on . I can understand your situation and problem. Since your all blood reports are normal, we need to rule out cardiac diseases and Pulmonary causes for your whole body edema. Congestive cardiac failure (CCF), cor pulmonale (Corp) and Pulmonary embolism can cause edema a breathlessness. So get done ECG and 2d echo to rule out CCF and cor P. Get done CT Pulmonary Angiography to rule out Pulmonary embolism. Diuretics and isotropic .  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: hi I have a servire shooting pain from the bottom of my jaw to my ear on the left side I get it every time i eat something cold or too hot stays there for 2 to 3 hours. I have only 4 teeth at the front and 3 stumps on the right side on the bottom no teeth on the top. Ive been to the dentist and he has said i need to have all my teeth taken out but cant get this done for 8 to 10 months im on the waiting list but he sid that had nuthing to do with my jaw pain so what can it be ### REPLY: Hi, Thanks for asking the query, Pain can be infection of the tooth that had spread to the periapical tissues leading to formation of abscesses, this pain can be radiating to the jaw and ear. You need to take x-ray before extraction , better an OPG x-ray. Since you cannot do the treatment right now take tab amoxiclav 625 mg twice , tab Aerosol twice all this for 5 days . Use lukewarm saline gargles 3-4 times , Avoid eating hot and spicy food, use antiseptic mouthwash gargles like chlorhexidine or Betadine twice daily. Root stumps need to be extracted, Depending upon the condition of the front tooth determine the treatment , discuss with your dentist, It will be better if you go for complete mouth extraction as there are no teeth on the upper arch.  After healing of both the jaws you can go for complete dentures upper and lower. Hope this helps out. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: For the past week I have been what I think is explosive diarrhea.  It all started with me waking early one morning with pain in the upper part of my stomach which eased during the day but still do not feel quite right after one week.  I am not sure what to do.  Could you suggest some course of action please?ThanksSylvaine ### REPLY: Hi, Thanks for writing in. Pain in the upper abdomen can result from problems is the digestive system, including stomach, liver, gall bladder and pancreas. I suggest you get an ultrasound scan after getting yourself examined clinically by your doctor. Pain can also be there due to gastritis which is suspected, may require an upper gastrointestinal endoscopy. You could take some proton pump inhibitors (pantoprazole, omeprazole) 30 minutes before food and avoid spicy food for some time. 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: hello all, i m too uch concerned for my cousin who s 20and was miss diagnosed for mild cp and later went for a EEG , MRI for lumbar spine and MRI Brain all seemed normal.. and even nerve conduction studies were normal .. but she has been lacking balance rom her birth. her speech is stuttereing some times and even she had bed wetting habits till the age of 8 years and thumb ,finger. calf (thigh) sucking habts till 8 years ..her weight is 46kg and height is 157 cms.. dr.. pls.. reply ### REPLY: Hi, By what you say I feel that this particular patient may be having ataxia-telangiectasia. In this particular problem, there will be an accumulation of blood vessels in the eyes along with balance problems, developmental delay and most probably seizures also.  I suggest that let her be evaluated in these lines and appropriately managed, please. 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: Hi,y y I answer your health queries right now ? Please type your query here...my two year old drinks excessive amounts of water and food though out the day. He is a very active child. He hasn t put on weight nor lost any. But with the amount of food he eats I would of thought he would of. His nappies aren t as heavy as they should be with the amount of water he consumes. He sleeps well. 12 hours though out the night and 2-3 during the day. But when he wakes up from his day sleep he wakes up in a very bad mood and doesn t stop crying until he is feed and has a drink. What do you think? Is it normal? ### REPLY: Amount of fluid intake and excretion by urine may not be equal as there are other ways by which fluid comes out-of-body most important being sweating and evaporation from respiratory tract. This is called insensible water loss. As your child is very active then he must be sweating a lot. If he doesn't develop edema or swelling, decreased weight gain etc., you need not worry about decreased urine output. Give him lots of juices, fluids, nutritious diet to maintain good physical and mental growth. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: The bottom of my stomach was hurting than it worked to the right side of my body. so when i lay down it hurt and so many prositions unless i lay on my back. Than it would go up to my shoulder making a sharp pain down to my chest . than it would move over to my chest. I thought i might been pregnant at first . but now i have bleedin from my vagainal area for like a month. ### REPLY: Dear Miss, there are many conditions that can cause the symptoms that you described, but It seems to me like abdominal or gynecological "story". First, it would be helpful to know your age and your medical history. Pregnancy must be always excluded, but it can also be some kind of missed or early abortion that causes vaginal bleeding. Pain that you are describing seems like position-dependent pain, and it can be signed of serious abdominal infection (including pelvic infection) such as intra-abdominal or tuboovarian abscesses. The most common vaginal bleeding is benign, and it is called dysfunctional uterine bleeding, but without more information I cannot give you the right answer. I should know does it bleed after intercourse, during menstruation or all the time? Shoulder pain is usually referred pain from other place like abdominal cavity (for example abdominal infection as I've mentioned before) and also you can feel it associated with abdominal discomfort(especially when you're feeling bloated because bloated stomach makes pressure on Phoenix nerve).  My opinion is that there is high possibility that you suffer from endometriosis... So I advise you to do this: 1. Laboratory findings (red blood count to look for anemia, inflammatory markers to look for infection, urinalysis- reinfection, vaginal microbiology tests-STDs, estrogen, progesteron and steroid hormone levels) 2. Ultrasound-abdominal and Gynecological !- to search for intra-abdominal abscesses, tumors, cysts, endometiosis etc. 3. CT scan if needed Also you should obstinate till your symptoms disappear. 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: I have bladder cancer and about to have surgery. My liver enzymes are high and the doctor wants me to have a bone scan before he does the surgery. Should I be worried. My onconogist wants me to also have a cat scan of my head because of extreme nausea. ### REPLY: Thanks for your question on . Bone scan is done to rule out bone metastases if present. PET scan is done to rule out metastases present in other organs like liver, lung, brain etc. or not. And surgery is indicated or advisable only if cancer is localized or not having distal organ Mets and bone Mets. So if either in bone scan or in PET scan, metastases are found than surgery is contraindicated. So get done bone scan and PET scan before surgery. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I was jogging and after about 4km/ 2.5 miles I started walking and suddenly got severe back pain and could not take deep breaths . Bending over helped a bit and it passed after a couple of minutes. I have asthma but take foxair twice a day which keeps it under controle. I am not fit at all just started running . Any help will be great. Thank you. ### REPLY: Hi, If you have begun jogging after a long break, then you should prime your body. Don't start directly with 4 km. Start with 1.5 km for a week, and increase your distance slowly over a period of 2-3 weeks. What has happened is that because your muscles are in continuous need of oxygen during such sudden, strenuous exercise, and your body is not able to supply it, it switches to anaerobic mode of energy production (wherein oxygen is not needed)? Kind of like taking a detour from the usual path. The problem here is that because of this alternate mode, a lot of lactic acid gets produced in the body as a by-product and gets stored in your muscles. This gives rise to pain, because lactic acid gets separated from your muscles very slowly. Your back muscles have gone into a spasm. Do some hot fomentation, take rest from jogging for 2-3 days or till the pain subsides. Then begin slowly. Don't worry, you'll get back to your 4 km run slowly, albeit, a bit slowly. All the best! . Com ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi! My name is Angie and I m a 30 year old single mom of 3 kids. I was in a car accident about 6 years ago where I sprained my neck and my shoulder. While that injury is not terrible, the accident as well as events following have created a lot of problems for me. I was diagnosed with 2 bulging discs in my lower neck (I don t remember exactly where they are) and I went to a chiropractor for some relief. After that visit I ended up in the ER unable to twist or bend my neck/back and since then I have had chronic pain. I ve gone through physical therapy, done cold and heat therapy, etc.. Every time I talk to a doctor I hear the same thing You re too young to have this many problems. Um..I KNOW! I m tired of getting treated like a drug seeker, yes, I AM looking for pain medicine because I AM IN PAIN! No one will listen to me, no one will help me! It s not just my back though..it s virtually all of my joints. My knees hurt so bad at times walking up and down my stairs in a problem, my lower back pain has caused me tremendous problems at work because I can t stand for long periods of time, and I m a waitress/chef, or I was, I just lost my job because of this. My fingers hurt, my wrists, my elbows in the morning..and my big toe. I have medicaid so I don t have many options when it comes to medical care and I can t find a doctor to listen to my concerns and help me without judging me. I m sick of this. I can t keep living this way! I m missing out on so much with my kids because I can t play with them the way that I should. My quality of life is terrible! Please help! ### REPLY: Hello, I am sorry to hear that you are kind of upset with what you are going through. It is sad and frustrating that the medical team is not able to help you have a good lifestyle in ADL. Coming to the point, there will be injuries due to accidents. Some will be shown that time and some will come to a later stage of life Now bringing the fact that you have spine issues and also the pain in multiple joints which includes the knee, shoulder, elbow, fingers etc., I can tell you that you need to first start your day while taking a good hot water bath in the morning. Post that you should start doing basic and simple exercise to keep the muscle active as much as you can. Something like Pilates, aerobic exercise and some basic strengthening exercise. Also, will advise you to buy one pocket TENS machine, which can help you reduce pain without taking much of the painkillers. Having too much of painkillers will only make you more trouble in the upper stages of life. So the non-trouble option will be buying the Pocket TENS machine which is widely available for commercial and personal use. Now as your job profile is about standing and working more, that means you need to improve your stamina to withstand the day. Well, currently we do not have any medication to improve the stamina, but exercise is the option which can help you regain the stamina to pass the day. As you had an injury with an accident and having too many muscle weakness with pain, the only solution I See is to keep the body as much possible active you can with exercise. I have seen many cases with such issues and most of them are better with regular exercises. Having accept to the fact that every human has their limitations and so does medical.  Hope you understand that the solution is with you, and you need to do regular exercise and make your muscles strong and stronger. I assure you that if you follow a regular general exercise then your pains will come down, and you can have an active lifestyle. Hope I have answered your query. Let me know if I can assist you further. Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor,My name is narayanReddy age:27, i am having back pain since 9 yrs , it was started with lower back after some years it was spreaded all over mybody including shoulders,Knees,neck i got 1.6 yr back neck surgery that is bonegraft after that my neckpain got severe and I took MRI ,Blood Test RF(Rhumotide Factor), B3 and D12 that report everytihng is normal, pls adivce me ### REPLY: Hello, I have studied your case with diligence. Ankylosing spondylitis typically involve spine and hips with other large joint also in young age. There is reduced chest function in this disease. Stiffness in spine is increased do you have such stiffness in spine? When such patients come to our hospital I advise them blood test like, CCP, ESR, complete blood count, HLA B27. I can help you for your chronic pain, For further details you can contact me on my profilehttp://doctor. ChatDoctor .com/doctors/ .  If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a hernia repaired in april with mesh and a week later had it removed bc my body rejected it. i had been doing fine until about 3 hours ago, i got this intense pain in that same area when i picked up my husbands tool box to move it. i am alot of pain, non stop vomiting and it is extreamly hard to walk. could this be serious?I am 26, 5.3 and 110 lbs also have had 11 pelvic surgeries due to endometriosis. ### REPLY: Dear Ma'am, Hi & Welcome to . You need to be examined by a surgeon IMMEDIATELY. From the given history you seem to be suffering from acute intestinal obstruction resulting in non-stop vomiting and intense abdominal pain at the site of previous surgery for hernial repair. I therefore advise you to visit a surgeon preferably in the ER for immediate evaluation and treatment. Hope this will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Yes, I have a client who is 50 years old, mild mr, who is about 510, 260 lbs.  She is on abilify.   She has been attacking her staff, she is unable to sleep at night, she has episodes of constipation and diarrhea.   I am looking at the side effects of Ability and it seems as though it may be exacerbating some of her symptoms.   The list of side effects is rather long, and I am rather sleepy, can you tell me if Ability could be causing some of these symptoms?  I am her Dieititan, of course trying to assist her in losing, without success. Sorry I did not know that there was a charge for this service.  I have Teledoc for myself.  This question is for a client.I will withdraw the question. ### REPLY: Hello and welcome to . Thanks for your query. Abilify (Aripiprazole) is an anti-psychotic medication, which can be used in patients with MR who have psychotic symptoms or aggressive / violent behavior. Now, regarding the side effects of Abilify, constipation, dyspepsia (indigestion) or other bowel disturbances are relatively common. So, it is likely that the worsening of your clients bowel disturbances could be related to Abilify. Usually, these side effects are temporary and tend to subside withing a couple of weeks. I would suggest that you ask her to take plenty of fluids and a firebrick diet. In case her symptoms are persistent or worsening, then you have to discuss with her doctor about considering other options. Wish you all the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my name is Amy I just got my depo provera shot five weeks ago. And i have been bleeding for four to five weeks now its stopped for two day now. I want to have a baby so I need help!! My breast been feeling sore and i took two hpt came up neg.I been taking cephalxin pills to boost the chances..What should I do? ### REPLY: Hi....looking into your case history...depot proverb is an injectable contraceptive, and prevents the egg release and irregular bleeding is a known side effect. Its effect lasts for 3 months.Also, your menstrual history is important as women with irregular menstruation, prior to this injection are not given this in demo proverb. Fluid retention happens with progesterone, so your breast symptoms are probably related to this. Regarding cephalexin :it would only help to check infection due to persistent spotting and prevents to perpetuate the vicious cycle of spotting....infection...spotting... For conception wait for 3 months till the effect goes.Also, what is your obs history:any prior conceptions and child . .any prior work up for infertility? Done, if not the basic work up includes age, Menstrual history:is it regular, Ultrasound uterus and adnexa, semen analysis of husband’s TSH’S Prolactin, Tubal patency test:SG, ovulation study. Hormonal assay: SL, S FSH and further follow up as per results of these tests ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: age 19. height 52. weight 54. pcod last period on the 13th and had unprotected sex on the 29th and had an emergency contraceptive on the 29th. had unprotected sex again on the 5th. what to do? i normally take regestrone. can i just take a 5 day course ### REPLY: You did not mention whether you have regular cycles or not. Since you have POD I am answering your concern resuming you have irregular cycles. With irregular cycles it is difficult to predict the timing of ovulation and hence fertility period. So 5th could still be your fertile period. Therefore, you should take emergency contraception again to avoid pregnancy. Even intrauterine devise can be inserted within five days of unprotected sex as emergency contraception. It is more effective than emergency contraceptive pills and has the advantage that it can be continued as contraceptive method If you wish to avoid pregnancy I advise you to discuss with your doctor and use regular contraception like intrauterine devise or hormonal contraception. These are more effective in preventing pregnancy than emergency contraceptive pills. In addition, please use barrier contraception like condoms to protect yourself from sexually transmitted diseases. I hope I have answered to your satisfaction. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 new patient who returned from Pakistan 6 months ago with cough and was reportedly treated in hospital for 3 days. Pt still complaining of chest discomfort at lower 1/2 of sternum that radiates through to back , cough but no fever or phlegm. No other family members sick and smoking hx. Trying to get hospital records and sending for CXR. WBC 11.1, lymphs (abs) 3.4 and ESR 34. Thoughts? ### REPLY: Hello dear, thanks for your question on . In my opinion your friend should get done 1. Chest x-ray to rule out lung infection. As chest pain can be due to infection.2. Another possibility is HERD (gastroesophageal reflux disease). In this because of laxity of lower esophageal sphincter, acid of the stomach tends to come up in the esophagus and cause discomfort in center of the chest. So TRT to follow these for better symptomatic relief.1. Avoid hot and spicy food.2. Avoid stress and anxiety.3. Avoid large meals, instead take frequent small meals.4. Start proton pump inhibitor.5. Go for walk after meals. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, We are trying to conceive but now my husband has what seems to be balatinitis or a yeast infection and I wonder if it is safe to continue trying? The skin on the top of his penis is red, sore and sometimes itchy. He will see the doctor tomorrow, but I would like to know if it is safe to try to conceive while he is being treated for this?Thanks. ### REPLY: HelloThanks for query, Based on what you have post I would state that your husband has what is called as Much Cutaneous Genital Candidiasis probably due to uncontrolled Diabetes. In presence of infection it is advisable preferably not to have sex to avoid infection being transmitted to you and impending complications to the fetus. Get him checked by Urologist or Physician and plan the conception only after his infection is well controlled. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I just had an mri of the brain, they had read the results before I had even gotten back home. I am concerned that I may have ms or lupus. My mri results read that there is mild bilateral scattered foci of increased FLAIR signal are identified within the periventricular and subcortical white matter. Now I had the mri because I have been suffering from headaches and loss of vision in right eye. I have had blood work for auto immune diseases but don t follow up with Dr til next week. Could this mri prove Ms or lupus? I also have symptoms of both and Ms runs in my family ### REPLY: Hello! I understand your concern. In my opinion your symptoms may be caused by multiple sclerosis. Loss of vision in one eye is a very common finding in early ms. It is also called optic neuritis. Not typical for lupus. Your family history and the MRI findings are other arguments in favor of ms diagnosis. Multiple sclerosis can coexist with other autoimmune disease like lupus. Your complaints do not support lupus diagnosis, but your blood analysis will determine the diagnosis. Hope to have been helpful, Thank you for using ! .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 intense itching on top & sides of shoulders. Had it since April/May after mushroom hunting in woods in IN & MI. Little red marks & swell if scratched. spread from 1-2 bumps to 6-9. worse at night. some problems now with spleen & body seems to try to get rid of poisons/toxins. Some thyroid issues. Dermatologist thought bug bites but not sure without test & weren t actively itching upon appointment. Also get itchy all over including head, but the intense itch is shoulders. ### REPLY: Hi, Thanks for posting your quarry on .  After reading your symptoms, I feel that it is some kind of allergic reaction as it is not limited to just shoulders. I would recommend you to take any anti-allergic medication for 2-3 days as it may solve your problem. You can also apply calamine lotion topically in the areas of the red marks and aloe via gel for symptomatic relief. If your condition does not improve then you must visit your dermatologist and undergo allergy tests or any other tests he deems necessary.  Wish you a speedy recovery. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Am Poorna, 30 yrs and am 62 days pregnant. I have a boy of 6 yr and had two medical abortion through tablets and now am pregnant. I already have thyroid taking 25 mcg and I checked during 5th week of pregnancy and increased dose to 100 mcg. Also during 2nd month(59th) day I checked my bp having high bp and taking labebet from 60 th day. Having cyst in right ovary. Also am advised to take hucog 5000 injection once in a week and susten 200 orally and vaginally. But I experience red discharge along with white discharge only once in a week and one or two times. Kindly suggest whether this pregnancy will give a healthy and normal baby or any defects or complications will be there for me or my baby as my health issues create lot of fear. Please guide. ### REPLY: Hi there, I have understood your concern and I will suggest you the best possible treatment options.First do not panic. I will suggest you to continue with the treatment that you have been advised by your gynecologist. Secondly, please get USG done to know about the exact gestational age and viability of the pregnancy. Also, It's advisable to get per spectrum examination done, to look for any lesion on the cervix like erosion or polyp as a cause of red discharge. With normal growth suggested by USG, baby should be fine, and you need not worry about the pregnancy. Please get 12 weeks scan and 18 weeks anomaly scan done to confirm normalcy of the pregnancy. I hope this answer helps you. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had an iv in my left arm on january first since theN i have two Hard lumps where the iv was. Theres a small lump like ball and a longer one right next to it. They bruise and seem to get a little bigger and get sore very often. If you can answer my question it would beofgreat help. ### REPLY: Hi,Reply-1-its post-iv venous infection-thrombophlebits-Adv-Treat-chronic problem you have-1-Tb-HSAID-1 BD x 5 days,2-Antibiotics-5 days time, 3-Arm Elevation for 7 days.4-Mail the photograph-for fixing the diagnosis -pre and post treatment-5-After it -further treat is advised-may need 2 -3 was time with follow up-as it's a chronic-Thrombophlebits-since jan-15.6-ALERT-Warning-Take it seriously -to avoid big complications-Thnks. Wellcome for follow up for next few was/ myths. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 43 yrs old and i want 2 get conceived i hv been trying fr a long time but no results my periods were regular but since last month my periods started on 6th nov with light bleeding but as per my regular period date ie.12th i got my normal period for 5 days after that 2 days my bleeding was very heavy till 25th nov but now I get drops of blood which is like choclate brown colour so i have started with Pradarantak Ras n Nashtpushpantak ras frm 2day pls advise ### REPLY: Hi, Thanks for your query will have to do many investigations to see that every thing is OK including ovulation confirmation, tubal patency confirmation, husbands semen analysis etc. In your case age is an important factor as ovarian reserve decreases with increasing age. Irregular periods are common in premenopausal period.However, some tests may be required for to diagnose the exact etiology like USG, D and C etc. I will suggest you to consult a good infertility specialist soon. Best of luck and take care... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 31 year old female. Recently I have been having pinprick pain, aches and just a general strange feeling in my legs. Mostly my right leg. This happened about a week before I had a really bad backache which lasted a few days. I have this back pain in my lower back a few times a year and with rest it goes away. could it be affecting my legs this time? I have heard that lower back problems can affect nerves in the leg. ### REPLY: Hiwelcome to  forum as per your history you have pricking pain in the leg, you have not mentioned whether it is in the thigh or in the calf, this time the back pain you had what triggered, like you had fall, or you had lifted the weight, or you were travelling in the bus or any other cause, but you have said that you had the back pain whicChatDoctore and went on the rest. Anyway, the history that u gave I would like to rule out AVDP or malaria paresthesia, I would advise you to meet an orthopaediccian who will examine and treat accordingly. For the time being you can take rest, not bend forward, not to lift weight and analgesics wish you 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 Gud mrng    I m Reetu,1 mnth back i had root canal in two upper side tooth ,left side.Since last 2 weeks my whole gum was paining badly i visited a dentist,he said acute Gigivitis and did cleaning ,even after a week of taking antibiotic & pain killers my right side is fine but acute pain in gums ,both crowns & left side is badly swollen.i went agn ,he showed me 2 surgeon ,he put me on mobizox, flexon for 7 days. i ve 1 kidney,in a lot of pain .the dentist is not ready now 2 clean my lower teeth which was supp 2 be done today. Kindly help. ### REPLY: With your query, first no need of antibiotics for gingivitis just mouth wash is good enough with thorough scaling is more than enough, and you have also mentioned you had two crowns so why don't you check those with a prosthodontist for a better treatment because sometimes these crowns if they are not properly placed or impinging on gums/gingival lead to gingivitis with bad pain. PLEASE DO NOT USE ANTIBIOTICS FOR EVERY SMALL REASON IT IS NOT INDICATED you have already used two doses of antibiotics. And ask him why he is not willing to do scaling in the lower jaw. Hope this 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: my son has some lump below his toe he feel some stretching doctor told it is a kind of isap his blood report shows llittle less hemoglobin i.e 12 and increase in eosinophil kindly advice me his age is 16 years and this is occured 5 months back but till today he is not fully cured ### REPLY: HI, Luke,Dear, Thanks for the query to .1-I have studied your query in depth.2-DEar,IN my opinion, the lump below toe with raised eosinophil increase in 16 yr son with 12 he, unhealed since 5 myths, may be Eosinophil granuloma of the foot pad, with stretching feel.3-Treatment could be planned by orthopedic surgeon for the foot pad lump-or by the general physician who would correlate and treat the anemia associated with eosinophilic.3-a-Empirical treatment-to control cytoplasm infection -with doxy-200 mg, to take care of chronic infection,3-b-Diclofenac-treats to reduce local lumpy growth,3-c-Anti-eosinophilic . 3-d-Treatments-would be decided by an ortho-Surgeon-for the lumps below the toe, after foot X-ray studies in various planes.4-Hope this would solve your query to your satisfaction.5-Wellcome for more queries to me On .6-Thnks once again for your inquisitive query. Have a Good Day.!! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my name is XXXXXX and I m 15 years old. I have a question about this wierd thing next to the left side of my jaw bone. It is to the inside of my jaw. It hurts sometimes when I m not touching it but it is sore to the touch. It has been like this for at least 3 months and I m not certain but it seems to have gotten bigger. It is fairly high up from the skin under my chin so I can t tell if it is solid or somewhat squishy. Also due to its position I cannot tell if it attached or seperate from my jaw bone. It is positioned to the centre of the left side of my jaw bone again not to the out side, but to the inner area of my jaw. I am very worried of the possibilities of what it can be. Your knowledge of what this thing could be would be greatly appreciated. ### REPLY: Hi, The description that you have given for your lesion in the lower jaw, if it is correct then it is a matter of urgent concern. You should immediately contact a dentist or a facio-maxillary surgeon. In the meantime if you can take two x-rays 1) an OPG (orthopantomogram) 2) a lower causal x-ray and send its photo or scanned copy to me in this site, I may have given you some idea of your actual problem. But immediate visit to a local dentist is always preferable. 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: my brother is taking Tab dicorate er500mg 1 bd (divalproate sod), tab sizopin(clozapine) 200mg hs, Tab topaz 50 mg 1 bd (topiramate), Asenapt 10 mg S/L(asenapine), Oleanz 5 mg hs since 1 month f for mood disorders with psychotic elements, since 1 month but he is getting cramps in hands and legs and is sleepy all the time , please help by altering the dose so that he can do his daily routine well. he is 23 and is getting treatment since last 7 years ### REPLY: Hello, Thanks for choosing  for posting your query. I have gone through your question in detail and I can understand what you are going through. The routine dosage of decorate is 15-20 mg / kg and for spin it is the dose range of 250-350 mg. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 83 yrs. young. I have Spinal Stenosis in the lower lumbar area. I have had two spinal shots (August & Oct..) in my home state of Wisconsin. Each was effective for only 5 weeks. I have had Acupuncture in the past for shoulder pain (about 30 yrs. ago),and it was 100% effective. I would like to try Acupuncture to relieve the pain in my back which radiates to my upper legs. Who would you recomend? Lois Geiger, Gold Canyon RV & Golf Resort, AZ. Site 505. 414-614-7252 YYYY@YYYY ### REPLY: Welcome to . Acupuncture is an alternative medicine option and definitely try that option. As such no harm in taking that treatment. Lumbar canal stenosis is a mechanical problem and is due to the compromised nerve space. So the definitive treatment is surgical decompression however it is reasonable to consider all other options before considering surgery unless you have significant weakness in legs or issues with bowel and bladder habits.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 suffer from RLS also cramp. I was told about the bar of soap, so I duly placed one under my sheet, and I can honestly say I have experienced great relief , and a good nights sleep. My problem now is - I travel to Australia every year, and have to endure this very uncomfortable complaint, and I would like to know if there is a cure during travelling - 20 long hours is a mighty long time. I would be grateful if you have an answer for me. Many thanks ### REPLY: Hi I am . .  In my opinion you may avoid longstanding times, try to wear comfortable shoes or even slippers and elevate your legs during your trip as much as possible.  You may take a NSAIDs painkiller like Tylenol tabs or muscle relaxants in case of severe pain or emergency will be fine. Please click and consider a 5-star rating with some positive feedback if the information was helpful. Wish you good health, Any further clarifications feel free to ask. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: ive been told i dont hav a wee infection but im still wee a lot and have a little grumbly pain in my lower back to the left side of my of side yet not when i wee but when i do wee i wanna keep going almost pushing myself to wee more yet there is no pain during it ? ### REPLY: you may see a physician/urologist. It could be some infection in urinary tract/kidney. An ultrasound for kidneys and urine tests, culture are needed and complete blood counts too. Your doctor may give antibiotics and urinary anti-spasmodic accordingly frequency of urination, pain in side of back are related maybe to infection. However, a physical check up of spine and back may also be required to rule out other causes best wishes, 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: five year old daughter going on third day of high fever. she complains of neck pain and right lower back pain. she is not eating but taking little fluids also she is not out putting any fluids. been to doc twice this weed but say just viral infection but to me something just does not seem right. ### REPLY: However and malaise (body ache) are initial presentation of viral fever. You have to see if she is fine in between fever spikes. If she is sick even when fever subsides it is a reason to worry. See if on bending neck forward is possible, or it causes pain. If these signs are positive immediately seek medical attention. If she is happy and playful when fever subsides you can wait as doctor said it is most likely viral fever. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 49 years old, and i am suffering some food allergy past 2 to 3 years and i am not sure whether it is food or blood allergy, some red rashes, itching and red boils occurs on my body, skin, eyes and feel vomiting, acidic. Please tell me what would be the course, tenure and fees for this type of sickness and also what exactly this illness is? ### REPLY: Cellophane You for contacting . Some people are allergic to particular food. So when they take such food then allergic reaction occurs causing rash, swelling, etc. sometimes it goes away with the passage of time and sometimes it persists forever. In that case you simply need to avoid that particular food.I would suggest you to take montelukast one daily for one month. Research has shown that it decreases the allergic symptoms considerably. I would also suggest you to undergo allergy testing at allergy clinic as you have chronic allergy problem. It will tell that you are allergic to what specific thing. The results will help an allergist to prescribe you immunotherapy to that specific allergen, and it will improve the problem. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 57 year old female who is in pretty good health except for major depression for which I am being treated. My problem has been going on for at least a couple of months. Out of nowhere this thing that I guess you would call it a micro organism has taken over my home. It just shows up in almost anything especially foods that have not even been opened. This thing can get inside just about anything that hasn t been used. It is getting inside of my cat s unopened cat food cans and altering the content of the food in a gross way. The food turns into a totally different product which I have been observing with a magnifying glass. I have even double bagged stuff in ziplock bags and this stuff still gets into it. Do you have any suggestions as to what I can do to get rid of this stuff? If I hadn t been witnessing it I wouldn t believe it could be true. Help!!! I can hardly eat anything at home because of this and I am losing quite a bit of weight. ### REPLY: Hi Lynda, Welcome to , and thanks for your question... I understand your concern about the strange things that seem to be happening at home. I know how distressing and difficult it can be if you are feeling constantly concerned and afraid about this.  Lynda, firstly I want you to understand that as doctors, we are here to help you get out of your distress, and I am here to do precisely that by giving you the most appropriate advice. Now, having that in mind, I also want you to understand that sometimes, when we are suffering from a psychological disorder, we may tend to have excessive fears, beliefs or concerns which may actually be a result of the psychological disorder itself.  You have mentioned have been suffering form depression and are on treatment currently. Based on my experience of having seen many patients presenting with similar problems like yours, I feel that these are part of the psychological disorder only. I know and understand very well that to you these things may appear absolutely real, and it may be difficult to accept the fact that these may not be entirely real. But, sometimes, the psychological disorder can influence our minds and cloud our thinking so much that we may end up believing things which may not be entirely real. This can then result in excessive and irrational fears. Now, again, I want you to be very clear that I am in no way trying to say that the distress and suffering that you are going through is unimportant... I fully agree with you that it is very upsetting and difficult. But, it is also important to be aware and open to the fact that your beliefs / fears may be as a result of the psychological problem you are going through... I would strongly suggest getting a review appointment with your psychiatrist. I'm sure he would be able to assess you more in detail and adjust your medication accordingly to control these fears. Wish you all the best. -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I currently am on an antibiotic: Ceftin and a steroid: Prednisone for treatment of pneumonia . I have asthma and have an inhaler as well. Im having some sort allergic reaction to something. My face is swelling up, and my breathing feels restrained. Ive already taken my inhaler and need to know if I can take benadryl as well or if the combination of these medicines will have adverse effects. ### REPLY: All these are side effects of prednisolone you follow my advice if asthma is not healing with all the options it means you are allergic to food mostly milk followed by wheat potato rice egg nuts advise you to go for blood serum tests for milk specific antibodies .if you can do it also for other foods described above go for elimination diet and slit therapy if you want to subside present condition i advice you to take tab singular 10 mg sand can add tab fexofenadine OD, Syp tossed(Codeine plus CPM)combination in low dose can help you also also stop milk and diary products immediately ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Yes, hello. My daughter is 15 and has Chiari malformation. she recently started with chest heaviness and discomfort. she says it is not pain but discomfort feeling. The Dr doesnt seem concerned however I am very concerned and I notice her abilitly to focus is not the same as a month ago. She has a vp shunt and an Lp shunt and has had 14 operations since may 25-11 I feel we are still at square one and she is still having problems. Any suggestions/ Is the heaviness soemthing to be concerned with? I brought her to her pedtician yesterday to have her heart checked but didnt suspect anything but that was not her Neurosurgeon. ### REPLY: Thank you for writing me, actually chest heaviness is due to neurogenic, and it will resolve when her neurogenic problem will resolve, but from my side take a chest X-ray PA so that chest is clear or not should be clear. Another thing that, she will be on multiple medication it will surely cause HERD that may cause chest discomfort so use anti acid like spy deficient 10 ml TDS, cap Gomez D OD, it will surely help you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HELLO! MY MRI SCAN REPORT OF LUBOSOCRAL SPINE SAYS 1. DISC PROTRUSION NOTED AT C-5,C-6 LEVEL CAUSING INDENTATION OF THECAL SAC . 2. DISC BULGE NOTED AT D10 D11 WHAT DO WE MEAN BY THIS,AND WHAT ECERCISESSHALL I DO SO I COULD GET MY BACK PAIN REDUCED.,, MAINLY PAIN IS MORE IN NIGHT WHILE SLEEPING,,PLS ANSWER ME,,IT WOULD A A GREAT HELP,, ### REPLY: Hi, From report it shows that you are having degenerative changes in your spines causing prolapse discs causing indentation in spinal canal. This can give rise to irritation or pressure on nerves giving rise to backache, pain in shoulder, neck. Consult orthopedic surgeon and get examined. Physiotherapy, short way diathermy and cervical traction will give you much relief. Take calcium, vitamin A and D supplements. Ok and take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had a cough for six weeks. I have been to the Doctor twice and he does not know what it is. First he thought it was a bacterial infection it was not then he gave me a drug called fluticasone 50mcg and I still have the cough my nose is clear,my lungs are clear, my ears are clear and I am able to exercise without coughing. What is this crazy thing. ### REPLY: Thanks for your question on . In my opinion you should undergo chest x-ray and PFT (Pulmonary Function Test) for the diagnosis of chronic cough. In your case causes can be1. Chronic infections like TB and fungal infection. 2. Bronchitis. 3. Allergic cough. So chest x-ray is needed to rule out infection.PFT is needed to rule out bronchitis And if both of them are negative than allergy can be the cause. So avoid dust and smoke. So consult your doctor and discuss these things. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a large slice/cut on my chest. It goes from my upper left brest area diagonally down all the way to my right pelvic area. The wound is about 2 feet long in length and the depth of the cut varys. At the worst part theres about a 12 inch area thats probably a quarter inch deep and spread apart by about a half inch. Ive been doing my best to keep the wound clean but i cant seem to keep it from infection. I also havnt eaten in about 4 days and i have been sleeping very spiradically for the last week. My biggest worry is that i have been hallucinating over the last 2-3 days, can anything ive described cause me to have hallucinations? ### REPLY: Hi there ~ I understand your situation as much as you describe, however you need to see a doctor immediately since this is something that needs to be looked at.  I hope you walk into the nearest emergency room and see a doctor.  You may have hallucinations due to having infection of your blood that has spread to your brain.  I hope you understand, also I have the faintest idea as to why you have not eaten for 4 days or the cut or the sleep issues.  If you see a doctor in the emergency room please be frank about what happened, even if it was abuse. Take care and have a good day! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 8 month old baby over the last two days has had her tongue turn black, starting in the back and moving forward.  She does not breast feed, has not recently taken medications.  She seems to be in no pain and the tongue feels the same temp as her body. ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concern. As per your complaint black discoloration of tongue can be due to a condition known as Black Hairy tongue and can be due to a number of causes like lack of proper oral hygiene maintenance, overgrowth of bacteria or fungus, food debris accumulation, taking medication etc. I would suggest you to maintain a good hygiene status of your infant like cleaning tongue with a tongue scraper, using a soft toothbrush to scrape your tongue, feeding with ample of fluids. It can take a few days to resolve and in case if it does not resolve consult a Periodontist and get evaluated. 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: High Blood pressureI am a 31 year old femal. For the past three days i have had stabing pain in the left  side of my rib cage. The pain travels up to my armpit and numbs my left arm. I have been dizzy and almost fainted on the first day of the pain. I have a pinching feeling on the left side of my chest. My blood pressure was 137 over 65 with a pulse of 83. What is wrong with me? I never felt so weak and tired in my life ### REPLY: Thanks for your question on . I can understand your concern. Your chest pain is characteristic of heart diseases. So we should first rule out cardiac cause. So get done ECG, 2d echo and stress test (trade mill test). If all these are normal then no need to worry about heart diseases. Sometimes undiagnosed stress and anxiety can also cause similar kind of chest pain and elevated blood pressure. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You will need anxiolytic .  Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: What causes shingles (other than the compromised immune system)...poor nutrition, stress, lack of sleep? My 76 year old man friend just broke out and he will see a doctor tomorrow, but I would like to know the why and how we treat it. Am I liable to become infected if we are intimate? What is the incubation period? What is the standard treatment, please? Is the condition likely to return again? Thank you. Gina email: YYYY@YYYY ### REPLY: Hello, Thank you for asking at . Shingles generally happens due to a virus that sleeps in the neurological system on a person that has had chicken pox before. This is very common especially in cases you mention, but elderly age is a reason also. It is generally self limiting but very uncomfortable meanwhile. There is oral acyclovir he might use to speed up healing, it should be started as soon as possible and there are .  Local cold compresses can help with pain also. As for you, you are not in risk if you are not in contact with the fluids that come from the vesicles. Very little chance it will spread to you by contact, it generally comes from the inside of the patient (the sleeping virus) but to be safe please try to avoid contact with the area that has the vesicles. I hope this is helpful and answers to your question, but please feel free to write us in case more clarification is needed on this. Kind regards, Antoneta Total, 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: Hi Doctor,I have PCOD and I have been trying to concieve since the last 3 months in vain.I have been taking metformin tablets 500mg 3 times daily since August.My last menstrual period came on 26th August after taking modus 500mg.I am 27years old.411 height-57kgs weight.How can i get pregnant as soon as possible? ### REPLY: Hello....thanks for trusting the  doctors for your health related queries. Firstly I want to tell you that PCs can be treated with the medication, but it takes long term medication. But don't worry it is treatable that's why your treating doctor given u the medication. According to the information given by you your weight is more regarding your height. The medication metformin given mainly for weight reduction in PCs patient.advice-1. don't worry, relax. We can get pregnant with the help of medications.2. Try to do as much than coitus during fertile period (it is from 10-16th day of cycle).3. If u r in hurry then visit to nearby infertility specialist. He/she can help you. Good luck 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 hard lumps on both rib cages and all test show nothing dr said inflammation may be hiding it it not soft like a limpoma very large and hard and make me tired and in pain now should I be worried and what Dr can I see I been to several and they have no clue what it is ### REPLY: Hi, Noted your short and specific history about hard and large lumps on both rib cages, makes you tired, and in pains, your Doctors have no clue as to what these are.Hence, I would advise you the following:Consult an Orthopedic Surgeon for clinical examination. Insist for CT scan of the affected area and guided FNAC that is fine needle aspiration cytology. Also go for X-ray of pelvis and skull bones, these bones being flat. All these will surely lead to a proper diagnosis and then only a proper management is possible. Till then take an anti-inflammatory medication with painkiller properties for control of inflammation and pain. Hope I have answered your query. Let me know if I can assist you further.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi..i have just confirmed that i m pregnant. Since i had two miscarriages and one tubular pregnancy, my doctor asked me to take duphostone 40 mg per day. since i go thru the side effects, i have consulted another doctor. She has confirmed, 40 mg is too much, i can tae susten 200 twic a day. Pls advuse on thia. ### REPLY: Hello, In view of your previous history of unhealthy pregnancies, the chance of hormone defects as a possible cause should be considered. Thus, you have a possible need for progesterone supplementation. Vaginal supplements are better than oral medication in order to avoid side effects. Your doctor is the better judge on the need of the dose. Regular follow up with a clinical exam and sonogram should be helpful. Please take a healthy diet, adequate rest and avoid stress. Hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi..dis is dr nafees here...my son 14months old n he is sufferin frequently from cough n cold..n dis is third time doctors have given him bronchodialotors..(with in period of six months) n he is still not ok..want to kno wht he is sufferin from..is thr is ny chance he may devlop asthma..durin dis period he also had SOM ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query your son have symptoms of recurring cold and cough which seems to be due to chronic upper respiratory tract infection due to poor or compromised immunity of body. Need not worry. I would suggest you start taking diet rich in vitamin C. Take multivitamins. You should take proper course of antibiotic Amoxicillin along with anti-inflammatory medication Minaret. Avoid intake of outside food and cold carbonated beverages. You should do warm saline gargles on daily basis. Visit pediatrician once and get it examined and start treatment after proper examination. You should go for X-ray chest and pulmonary function tests as well and start treatment accordingly. You should . Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI. I have numbness and tingling in both hands. the 5th finger on both hands is fine. I suspect carpal tunnel but, I was wondering if a shoulder problem could possibly be the cause. I get alot of popping and cracking from them just moving my arms. and also the symptoms get better or almost go away completely after stretching my arms and wrists. Thank you for your help! ### REPLY: Hello, I have studied your case. Due to compression of this nerve root there is tingling numbness in your arm and fingers pain associated with it. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you are satisfied with answer do not hesitate to rate this answer at end of discussion. Wishing you good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My father was diagnosed in 2001 with Multiple Sclerpsis. He was born in 1955, 4 days ago he was told he has a LARGE kidney stone on top of all other pain. He has no pressure and cannot pass his urine well. Will he have trouble peeing out this kidney stone, since it is hard for him to urinate already? ### REPLY: Hi, More is the size of kidney stone less likely till will be pass spontaneously. As you not mention the size of stone, we can't predict the probability of passing this stone spontaneously. However, more importantly, your father is 60 yrs old and have multiple sclerosis (MS). So both the "Old age" and "MS" can present with lower urinary tract symptoms. The older patients have prostate related problem and MS have urinary bladder related symptoms which .  You need to discuss your Neurologist about this and require urologist opinion for all these problem Hope, this will help you in clearing your doubts ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was listening to music while jamming with the guitar when all of sudden from my left arm I feel this rush of electrical like current rush up my neck to my face. Any idea what can cause such thing to happen? What is the outcome if I don t seek medical attention? I have also an ADHD nuero disorder I don t know if that s the cause. Is it ?? ### REPLY: Hello dear, The electric current like sensations as mentioned in your post are Neurological in nature. It can be due to:1. Para-spinal muscle spasm or compression of nerve fibers due to incorrect posture.2. Entrapment of nerve fibers at the Axillary region.3. Dietary deficiencies of certain nutrients like Iron, Calcium, vitamin D, vitamin B 12, Folic acid, etc. which help in blood formation & nerve conduction.4. Peripheral neuropathy secondary to any fluctuation in blood pressure or blood sugar levels. Symptomatic relief can be obtained by intake of cervicogenic agents (like Vitamin B6, vitamin B 12, 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 woke up and i felt like something was wrong with my heart cuz i was feeling a weird sensation in my upper breast bone/ throat so then i got up and felt like i had trapped gas so i treid to burp it out and after a while a huge burp comes out and then i feel better for the time being and then when i get up again the same thing happends. i dont know if its just like heartburn becasue there is no burning sensation or if its something to do with my heart. what should i do! ### REPLY: The symptoms you have mentioned points towards the presence of gastritis. I would have advice my patient to make lifestyle modifications like having a well-balanced food at regular intervals. And also would recommend sleeping on your left side to avoid regurgitation. If this doesn't reduce the symptoms, then medications like pantoprazole can be prescribed for 1-2 weeks. I would also advise for a general check up including ECG and assess cardiovascular disease risk to rule out any cardiac related causes. Hope this helps. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a 11 mm stone at the junction of my kidney and ureter with some hydronephrosis . I don t know how long it has been there but I have been pain free concerning typical stone symptoms of pain in general I have lower back stiffness , muscle twitching, and tingling sensations in feet with a sense of just not feeling well which has persisted for approximately 5 months or so. Could this be due to the pathology described because of chemical imbalance Due to the certain amount of kidney failure and can it be resolved by elimination of stone? ### REPLY: Hi, the size of the stone and associated kidney necrosis might warrant a more invasive a serious care. Tests to evaluate kidney function in this case are so vital. Serum creatinine levels, a complete serum electrolyte panel (Potassium and Calcium especially) and kidney ultrasounds are of great importance, Considering that the stone is clinically symptomatic with pain, is greater than 6 mm in size and with an associated HY .  Left undone could be a serious threat to the affected kidney with a high risk of kidney failure. Removal of the stone could be through open surgery or endoscopy or another modern method, called Lithography using Laser. The choice is always made by the urologist depending on the clinical Eva;station and financial readiness of the patient.It's reasonable to book urgently to meet a urologist. Thanks as I hope this helps, 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: I have sores on my body which started 3 years ago. Now at this stage they are full of worms. Every time I remove the worms there are two worms guarding the sores.  They place more worms in the sores as fast as I remove them.  This is the third stage of these worms.  Everytime it is different. This started when I found little black paraticles in my carpet. They got on my skin and immediately got into my blood.  They slide into my skin like you would not believe.  Every time now when the sores open and bleed many many eggs come out of the sores and get on my body causing them to be more and more sores.  Sometimes these parasites will close the sores with who know whos skin and they will heal but these places are very sore.  When these sores bleed they have a blood clot that looks like liver that is full of eggs.  They are so small it is impossible to kill all of them.  It seems like you cannot kill these thing.  I know you will think I am crazy but it seems like a Alien stopped in my yard and dropped these paraticles and they are coming into my house and they got on my skin and caused all of these sores.  I know you must think that I am crazy but I have saved many of these particles to look at on a microscope to see where they came from.  An Infectious Dr. sent these samples off to the Univ. of Florida and of all things they seem to think they are cat fleas.  Well I have never had a cat and never in my house......  I will let you read this and write you more as you read ### REPLY: HIT hank for asking to ChatDoctorI really appreciate your concern I agree that you must be having worm infestation but not in the way that you have described here, this seems more functional thinking and could be hallucination, you need to control your thoughts because the way you stated your complaint is not the real sign it is just your hallucination, hope this information helps you have nice day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am very badly suffering from running nose and heavy sneezing. I used to take actifed and that is very effective. Since actifed is not available in market please suggest a good replacement. I tryed recofast, montek lc but no proper results. Please help me out of this. ### REPLY: Hello, Thank you for your contact to . I understand your health concern, if I am your doctor I suggest you that your problem is related to allergy. I advise you to take nastiest tablet three times a day. It is good alternative to active tablet. Please take the . I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 ,am 34yrold, & got married in Nov19th 2010, got ma 1st period on 23rd nov 10 2nd period on jan 26th 11 ,3rd 5thmar 11, 4th april 11,& 5th on may 5th 11 and 6th on may 23rd 11 and doctor suggested me to take carnisure500mg for 20dys .... will it harm in getting pregnant doctor had prescribd 1st with fertly super100mg ,clomid progestrone , levtol 2.5mg& now carnisure ....and my husband is taking tablets for depression as follows Parkin ,Azur , Stalopam, Telma-H, Amlip-5, Matilda,Glizard... and my hubby done semen analysis was Nrmal ... and 2day had gone for pregtest it appear 2lines should i await until 23rd /24thjune to confirm whether m pregnant..... had consulted a doctor and she had prescribed me again with Miprogen , Fol123 , ulgelsyrup ,&nosic tablets... m worried whether m really got conceivd or not .... one of my friend told Miprogen shouldnot be taken .... is it true please let me know as soon as possible had already taken 3tablets... m quite worried about my pregnancy... got some little flow and done pelvis scan & transvaginal ultrasound on 3july 11 and it got stop & again it flowed on 6thjuly continuosly .....tilll 9th july.. is ma pregnancy had vanished ... had done agn scan but couldnot find gestation ring (sac) under gone ChatDoctor on 7th,9th,&12th of july .... it was Nil... doctor had advice me to take All9 tablets now for 2mnths .... is it possible to get concvice agn.... i dint get ma periods this month of august 5th .... and m not sure when is ma cycle also .... had intercourse 2dy ....is there any chance ofconceiv shall i go for pregtest .... if so when ... and m nt takin ny tablets now.... and hd agn intrcourse on 7thAugust.... & yet idint get ma period...... willl i get conceive.... if so when should i go for pregtst...... please me eager awitn to receive ma baby to this wrld.... ### REPLY: Welcome to ChatDoctorRead your prob, first you should rule out the cause of infertility by getting blood test for gonadal n thyroid Mormon. You should mention sonography have you POD or not. You should get sonography for follicular study so that you come to know about ovulation, as per its report you try to conceive. As you will come to know about your fruitful period. So discuss all of it with your doc n do as per his advice. Do not worry it is curable n you will get pregnant. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Got a flu shot yesterday at first OB visit (8 wks pregnant). Within 3-4 hrs of vaccination ears feel completely stopped up and I am unable to relieve the pressure by tilting my head and gently blowing. Driving me nuts! No other cold or allergy symptoms. I m 29 and weigh 108, ht is 5 3 ### REPLY: HI, Thanks for the query. I understand your concern.  If there is no fever / cold signs, cough . You can try- - Vapor inhalation - Press both palms on ear openings while your cheek are inflated. Wait for few seconds. Deflate the cheeks & gently pull palms from ear.  * The exercise is contraindicated in infection of ear, nose or throat.  Never pull off palms while the ears are still closed.  - This should help you. If not visit an ENT doctor for further advise.  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: My 4 year old son has never been for a normal poo. Flare ups of abdominal pain in agony then the next minute its gone. Very swollen tummy since he was a baby .always mess in his pants. Sticky messy mess! Been on movicol for 9 months, it gave him extreme diorreah but back to sticky mess again ans cant control his poo. Celiac test came back negative (normal) do you think this is crohns??? Thankyou ### REPLY: Hi.... I understand your concern. I have a few questions and will suggest few possibilities. Questions:1. What was the birth weight and what is the current weight?2. How is the attaining of developmental milestones?3. Is the stool oily and floats in the pan?4. Is there any color change in the hair or skin?5. Is there any history of recurrent serious infections? Possibilities:1. Chronic diarrhea - ? Fat malabsorption2. Micro Nutrient deficiency3. Immunodeficiency either primary or acquired. Regards -  ### END