Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been experiencing shortness of breath more frequently lately and excessive sweating even when Im just sitting around.  I am a 40 y/o/f, smoke approx 3/4 pack a day, and recently (since February) started working out and running.  For the last 2 weeks, on top of these symptoms, I have been extremely tired to the point that I dont feel like working out or doing anything.  This afternoon I took a nap.  I was woke up in the middle of my nap feeling like I was suffocating.  I just couldnt catch my breath.  I sat in front of a fan coughing and trying to breathe.  Since then I still continue to feel like I cant take a deep breath, Im having heart palpitations, and at times have what I think are chest pains.  Sometimes theyre sharp and sometimes it just feels like someone is squeezing my chest.  Also for the last few days when I breathe, it sounds like I have bubbles when breathing.  What could these symptoms mean and should I go to the ED tonight or wait to see my family doctor tomorrow? ### REPLY: Thanks for your question on . I can understand your concern. Since you are a active smoker, we must rule out heart diseases like Coronary artery disease (CAD) and lung disease like bronchitis in your case for your symptoms. So immediately consult emergency room and get done 1. ECG and 2d echo to rule out heart diseases. 2. Clinical examination of respiratory system and PFT (pulmonary function test) for the diagnosis of bronchitis. You will need cardiac supportive .  In any case, smoking cessation should be done first. So don't wait at home, immediately consult ER and start appropriate treatment. 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: Dear Sir,Good Morning This is Venkat Satya from Chennai. My brothers son aged around 17 years.  He has a Skin problems with regards to Psoriasis and still sufferring the same since 12 years. Recently he ates Non-Vegetarian food then the problem came out with more complicated.  He is not able to stand and sit becoz he is getting blood out of broken skin throughout the body. Awaiting your kind valuable reply. Thank you very muchVenkat Satya,+91 - 0000 ### REPLY: Hello. Thank you for writing to us at  Psoriasis is a chronic skin condition characterized by red, scaly plaques on various body sites particularly extensor skin surfaces like elbow, knee, lower back, scalp etc. Nevertheless, It can involve widespread body areas like the whole of arms and legs and the whole of torso. The disease may relapse after a seemingly complete cure. Extensive psoriasis requires systemic treatment apart from topical treatment. Systemic treatment options include Oral Methotrexate, Oral Cyclosporin, Phototherapy, Oral retinoids e.g. Accretion etc. These systemic treatment options can be used either solely Or may be combined to produce the desired results. Topical treatment modalities for treatment of psoriasis are Emollients, topical potent steroid creams/ointments/lotions (with or without salicylic acid), topical vitamin D analogue ointment/lotions (with or without topical steroids). I suggest him to visit a dermatologist in his region. The doctor will be able to assess the severity of his skin condition and advice accordingly. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have right abdominal pain keeps coming and going got an ultrasound and X-ray and nothing showed up have it on and off for bout a yr but use to only last bout a few days every month but have it for the last two wks now it went for a dat or two but when I went back exercising today it came back when Im standing for a while it gets worse am waiting to get a colonospy done what do u think it is ### REPLY: Hi, I think you need to be examined for your back also. Kindly see an orthopedic surgeon at times pain from back also shows up in the abdominal region. Ultrasound of normal rules out kidney or gall bladder problems. The other possibilities are Flatulent Colic, Colitis-infection of colon, Pyelonephritis, Salpingitis etc. depending upon the levels of the right abdomen. You need to take up the following tests: 1. Complete Blood Count with ESR2. Stool Examination- Physical and Chemical3. Urine Examination- Physical and chemical4. Colonoscopy you are already taking up.5. X-Ray Lumbosacral spine-AP and Lateral. You can also consult Homeopathy, it is also quiet effective.  Wish you a speedy recovery to health. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have acne all over my face . I have tried proactive, Clearasil, clean and clear, Acne Free.; all acne products and nothing works. please help! it hurts so much to shave ### REPLY: Hi Anonymous, acne on face are due to many reasons, like oily skin, inadequate diet, improper eating or stress. Here to help u, I would say u need your own help. Correct your diet. Eat regular n healthy food, wash your face 5-6 times a day with just water, once a day wash your face with a mild face wash. Plenty of water intake. By plenty of water i don't mean glasses full of water at a time. I mean by this 4-5 sips every half-hourly. Good sleep. Sleeping at regular time and waking up at regular time n feeling fresh is a sign of good health. Along with this u can have homoeopatChatDoctoredicine Hear self 200 once in a day for a week. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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,Last week my frnd was bitten by a streetdog, he forgot to take vaccine and after a week he had Arv nd rav vaccine nd now hes undergoing with dog vacines wich is of 5 doses wich is given evry week.so can he hav alcohol during this course.?Please tell is drinking alcohol during this course affect him? ### REPLY: Hi & Welcome to . I can understand your concern. Alcohol consumption may reduce the efficacy of the anti rabies vaccines. Although there's no dietary restriction as long as the anti rabies vaccine is given, however it is advisable to stay away from alcohol because of the following reasons:1. There may be unexplained interactions between efficacy of the vaccine & alcohol intake.2. Rabies vaccination provides immunity against rabies infection while consumption of alcohol decreases the body immunity.3. Individuals who receive the anti rabies vaccine may experience symptoms such as headache, nausea, dizziness, etc. which are similar to the symptoms experienced by intake of alcohol.4. The symptoms of alcohol intoxication can mimic the symptoms of rabies infection: confusion, agitation, anxiety, muscle issues. It would be hard to tell if your symptoms are from the alcohol or due to rabies infection itself. Based on the above-mentioned facts, it is better your friend should avoid alcohol consumption. Best of your 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 hit my head about a 3 weeks ago, quite hard on a glass shower door, on my forehead above my eye, i did not knock my self out but went to the hospital a week later and was diagnosed with concussion still.  I now have a dent there and still feel like i have concussion. ### REPLY: I read your question carefully, and I understand your concern. It is unclear though what do you mean by feeling to have a concussion, what symptoms do you have to make you think that. The presence of the dent is not indicative of concussion, it is an external manifestation, doesn't provide any information on what is happening inside the brain. Speaking in general it is possible for concussion symptoms like headache, fatigue, lack of concentration, sleeping difficulties etc. to last for several weeks even months. To say whether that is your case though as I said you should provide more information. I remain at your disposal for other questions. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doctor my son just called me and is troubled with a wart like bump lump cyst on his upper that is flat while sleeping and becomes raised thruout the day ,it very annoying and impossible to keep from touching with tounge, lips ,ect. He is in a halfway treatment program and te NURSE on is calling it a cyst and wants to inject it with teroids. I am afraid for him and am thinking about everything from herpes mersa to oral cancer and ant him to see a specialist if they allow it. thankyou for your time ### REPLY: Hi, thanks for sharing your sons' problem with ! Well, not to worry about this and if I were his family physician in this case, I would just think about a retention-type of cyst or in worse case a hematoma/lymphangioma type of swelling! In fact, thee is some loose collection within its cavity, and it is very prone to get infected. I would like to suggest confirming the diagnosis first by FNAC test/ultra-sonography and accordingly go for treatment as suggested by your surgeon! The treatment could be just aspiration of its contents or excision or just wait and watch under conservative treatments! But never it is some serious condition! See you again with feedback and 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 really need some answers my ex-husband which we have 3 small children was diagnosed with bile cancer a year ago but i think he had it before he was diagnosed, he had a stent put in and that was removed months ago and was receiving chemo and that was stopped 2 months ago, I saw him today and since the last time i saw him he lost a sufficent amount of weight his skin was very yellowish and his fingernails were all discolorized I think he does not want to tell me if he is close in time but what is your thoughts to this so If I need to prepare our 3 small children for this tragedy if their father passes ### REPLY: Dear Ma'am, Sorry to hear about your husbands condition. It looks like he is suffering from pancreatic or bile duct cancer, which is leading to jaundice (yellowish discoloration). The fact that surgery was done, done, and only chemo was given, suggests that it is in an advanced state. That is the reason for his weight loss as well. It is difficult for me to tell you exactly how long does he have, but it certainly has a poor prognosis. Hoping for 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: Doctor, im suffering with chicken pox scars all over my face, body & palms also. now one & half month has passed. doctor gave me vitamin E tablets to take. but it doesn t show better results. im very afraid of applying any cream. so can you please recommend me any effective food or beverage to dissapear these marks very fastly? thanks alot. ### REPLY: Hello and welcome to  forum diluent, I am glad you wrote in, first, I would like to inform you that chicken pox scars usually fade away on its own, but only the ones which get infected leave a scars but, as you mentioned your scars are at least 45 days old, therefore I will recommend you a few home remedies for you to follow, vitamin K & E are very important for maintaining a smooth skin texture and lightening scars,1. Consume more of it. K rich foods(dairy products, cabbage, broccoli, tomato, spinach,etc.),2. Apply It. E oil over the scars (twice/day),3.  .  Honey + lemon application will lighten the scars,5. Coconut oil/ sandalwood oil or even lavender oil application will help. These are a few measures for you to follow, I hope I answered your query, i wish you good health, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello. I am a 19 year old male. In past 3 years sometimes i have had problems in breathing. I used to get a little pain in chest while bteathing inside. I used to give a pause and then breathe again slowly and it used to get okay. My chest size is little large and i am a little obese. From last 2 days i got an armpit lump that is not very big and not very swollen and is red in color. I felt weakness in fingers of both my hands today and feeling little weak today overall. I feel good after using neosporin powder in armpit iver lump. I dont know if its just a bacterial infection and gynomaetecia or im suffering from some type of cancer like lymphoma or male breast cancer..... ### REPLY: Hello, Thanks for the query to . Forum. Since you are feeling difficulty in breathing form last three years. So first consult a physician and get in blood and X-ray (chest) to rule out any disease in lungs or not. You mentioned that size of your chest is somewhat large and obesity is also present. Your age is 19 years and obesity is common and due to this obesity size of chest may look large. Before making any diagnosis himself consult a doctor and let him decide what is wrong. Enlargement of lymph node at these 19 years age may be due to acute infection in the . So please get in blood for sugar examination, because of, obesity,pyoderma (inflammation of lymph node)breathlessnessNumbness in fingers. 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: PLEASE EXPLAIN THE USE AND SIDE EFFECT OF THE TABLET HOMOCHEK? IS IT ADVERSLY EFFECT THE FUNCTION OF KIDNEY? BECUASE I AM IN SINGLE KIDNEY, BUT I AM FACING TINGLING SENSATION IN LEFT SIDE AND BRAIN AFTER MY KIDNEY OPERATION, WHICH HAS BEEN DONE ON 01 MARCH 2012. PLEASE ADVISE ME DOCTOR. THANKS ### REPLY: Hi, Homocheck is a multivitamin (mecobalamin, pyridoxine and folic acid) combination commonly prescribed to treat their deficiency states such as anemia. Generally it is well tolerated however it may cause nausea, vomiting, stomach upset, headache, and allergic reactions, although not everybody gets them. It is considered to be safe in persons with a single kidney. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: gud-day sir, my name is lizzy, please i had 2 miscarriages, August 9th and October 9th 2013, i washed my stomach d first time, then d second time, i didnot wash my stomach, since then, i have not took in, and i have been having hotness of the body immediately after my ovulation, i have gone for pelvic scan and its confirm that i am ok and i have been taken series of infection drugs just for me to conceive. pls could you help? ### REPLY: Hi. I am sorry if I misunderstood, but did you say you are taking antibiotics (to fight an infection) to help you conceive? Or did you mean you are taking a couple of injections to help you conceive.? Please discontinue self-medicating with any kind of . As for your fertility status, it does seem that yours is a complicated case, but I am sure a specialized obstetrician and gynecologist can help by correcting your hormone levels and providing you with fertility  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 developed a swollen upper lip last night, and it was gone again this morning however he had a lot of pain in it and was verydistressed he has been complainig of a sore mouth for a few weeks now and we are wondering is it hi teeth which are very small or would it be a gum problem he has ### REPLY: Thanks for your query, I have gone through your query. The swelling over the lips could be because of the allergic reaction, or it can be extension of the tooth or gum infection. Consult an oral physician to rule out these conditions. If it is tooth or gum infection you need to take a course of antibiotics and treat the causative tooth. If it is an allergic reaction, then it has to be treated with anti-allergic agents like cetirizine. I hope my answer will help you, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello sir, I am having multiple bumps in whole body, some time i scare like cancer, i had consulted surgeon 1 year back in bangalore he told those are lipomas, we cant stop those,  but now it increased more and more alover body mainly buttocks and weist and shoulders. kindly suggest me how can make sure these are not cancer and it wont impact. For this kind of things sugeon is the right person or skin doctor? kinldy suggest me. and also suggest me best hospital for this in Delhi and Indirapuram. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have multiple lipoma on your body. Most probably it is pure lipoma and chances of cancer is very rare. Still for confirmation you can go for FNAC or biopsy of one of your lipoma. Generally no treatment should be taken for multiple lipomatous. If it increases in size, causing pain or cosmetic problem then only surgery is indicated. Skin specialist has no role in lipoma. You should consult surgeon for that. YOU can consult any general surgeon. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my brother is 16 years old.He is suffering from chronic kidney since august. now his heart has been enlarged and functioning is reduced to 20%.now he is doing home dialysis i.e., capd. please tell any method or treatment so that his heart functioning may improve ### REPLY: Thanks for your question on . I can understand your concern. Chronic kidney disease patients are tended to damage their heart in long run. This heart damage will reduce heart functions. So we should give following .  1. Cardio selective beta blocker (metoprolol). This will prevent heart damage. 2. Angiotensin converting enzyme (ACE) inhibitor like Enalapril or captopril. This will prevent remodeling of heart tissue. 3. Digoxin. This will improve force of contraction of heart muscles and hence improves heart functions. So discuss starting these  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 took Lutera for a year, and my last pack I took was August 2012, my husband had a vasectomy reversal November 2012, and now we re trying to conceive. Before Lutera, my cycles were normal, every 28 - 30 days, for 5 day cycle... and now I m only going for 3 days and in December I didn t even have a cycle, it was 45 days before I started again. Is this normal? ### REPLY: Hello, thanks for using . Lutera is an oral contraceptive made up of two active hormonal ingredients:levonorgestrel and ethanol estradiol which are progesterone and estrogens. Later works by preventing ovulation and consequently prevents pregnancy. Reduction in the amount of menstrual bleeding is very possible with hormonal pills and irregularities in menstrual have been noted in some cases. However, fertility is maintained and on your part there should be no problem.  On your husbands part, his fertility would not be 100% as before but if the vasectomy reversal was done accurately and within 10 years from the time of the vasectomy he still has a more than 50% chance of his initial fertility. Thanks and if you do have more questions, do not hesitate. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Hepatitus B is positve cutoff value is 10, SGPT is 105. And there is permanent heaviness(hardsness) near my liver, no hunger, food digestion is very slow. I want to confirm is it Hepatitus problem or a stomoc problem. If it is stomac problem how can i confirm. ### REPLY: Hi, Thanks for posting your query. I am . K and I am pleased to assist you. Your SGPT is more than 2 times the upper limit of normal, and it is significantly elevated. Since you are also positive for hepatitis B, I would advise you to get a complete work up done including Head, HBO DNA etc. To know whether the heaviness is due to stomach problem, you can get an upper GI endoscopy done. I hope that answers your question. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I just hit the top of my head pretty hard, my friend was lifting me up and we didn t realize how low the ceiling was and my head hit the ceiling pretty hard right on the top. I don t have any pain on my head but my neck hurts really bad, especially on the left side right at the top of my neck and towards the bottom of my head, and it hurts worse when I look to the right... This literally just happened so I don t know if I should be concerned.. I ve had concussions and I don t think I am concussed I m just worried about the neck pain... What should I do??? ### REPLY: Here you should use cold pack and hot pack frequently and check if you get any relief.  Here I must suggest if your pain is intense and high in intensity then do visit doctor and do MRI of cervical spine and brain to check there is no internal damage as well disc problem. Later you must take visit with orthopedic as well as with Physiotherapist for further treatment management.  Specially if its only soft tissue pain then physiotherapy will help you lot for soft tissue relaxation and pain relief.  As well, you can also take some stretching and strengthening exercise program from physio therapist as per your problem which will help you again to have some more pain relief. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here...I have a problem with body odors, no matter how much I wash..it  comes back in the wrong area of my body..I was told that I have something called Trimethylaminuria and that when I eat certain foods, like eggs, fish or liver I stand the risk of smelling like rotten fish...well when I dont eat these food I have an order...leads me to believe that its my skin just (it smells)? are there special soaps or medicine for this? How can you help point me in the right direction for help with my problem.  Thank yo. ### REPLY: Hi, Welcome to , Causes can be skin infection (bacterial or fungal) lead to replicate themselves and create bad odor,sometimes genetic or bad hygiene. Most excess sweating could be due to excess sweat glands or their hyper-stimulation. Here are some tips to stop this sweating or its odors.1) If you have eczema or dermatitis or allergy then first take proper antibiotics or antifungal as per your dermatologist opinion.2) Always take balanced diet and .  3) Avoid tight-fitting clothes rather wear loose clothes.4) Wear cotton material clothes and avoid synthetic silk.5) Bath with antibacterial soap like detail,savlon6) Always clean groins or armpits, twice or thrice with brush during bathing.7) Use antiperspirants and deodorants together like aluminum chloral ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 one of my friend she is 22 years old had sex on 9th may not full intercourse just slightly for precautions she took I pill...her periods date were 5th every month ..in month of June she missed her periods. Now again she had protected sex on 15th June ..is it necessary to take pill again? Will it affect her periods cycle ### REPLY: Hallow Dear, If she had taken I-pill within 72 hours of the unprotected intercourse, she is well protected form pregnancy. Few days after taking I-pill like emergency contraceptive pills, little with .  Moreover, the menses following these pills can get delayed by few days to a week or so. So such delay in menses should not cause any concern. However, your narration mentions that she missed her period of June. It is not clear whether it was delayed by few days or she has missed it and did not get after May. If she has missed her period, she has to assess the pregnancy status by one of the following:1. Pregnancy test on overnight first morning urine sample a week after the missed period; done earlier, there is a possibility of false negative results.2. Beta  test on blood: Values more than 25 mid/ml are diagnostic of pregnancy while values under 5 mid/ml denote no pregnancy. Now whether she should cover her unprotected sex on 15 June depends upon her status of pregnancy. If she is pregnant, there is no need to cover this intercourse. If she is not pregnant, she may take I-pill; however, it has to be within 72 hours of the unprotected sex. She should get with ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Ok my daughter is 13 amd was at field hockey camp. When she came back she came back sating her thighs hurt and were burning. There are red patches and a little bumpy. I think maybe thighs hitting together when running but not sure. Please help anything i can do ### REPLY: Hello, It might be due to underlying Muscle injury. The red patches & Swelling could be Erythema and sudden sprain at the thigh area. Treatment- 1. Ice Pack Application (Twice/Thrice a Day) 2. Rest (For a couple of days) 3. Avoid Sports/Strenuous Activities 4. Loose clothes to avoid Wear & Tear of sore area. 5. If the pain persists for another 2 days, then take these Medicines-Tab Signora - 1BD, Tab Pan 40- 1OD (Empty Stomach), Tab Enzymic - 1OD (Empty Stomach). Take these .  6. If the Symptoms persists even after 1 week of the treatment, then visit a local Orthopedics Specialist and might go for further Investigations. Hope I have answered your query. Let me know if I can assist you further. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was diagnosed with mild encroachment of the spine on my left CV4-CV5 IVF....the pain became unnoticeable after a bit so I didn t follow up with an orthopedic doctor but not the pain is back and is becoming more noticeable...what are the procedures for relieving the pain, etc.? ### REPLY: Hello, I have studied your case. Due to compression of c 4-5 nerve root there is tingling numbness in your arm and pain. In cervical spine muscle spasm there may be loss of lordosis. 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. 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: Hello Sir,My name is Anup,and i am 25 years old,i had a bad habbit of leakage of semen during sleep for the past 2 to 3 years.And some of my friends advised me to consult Doctors,but i am little bit shy to face them,also i too used to saw some sexy dreams,i thought that`s the reason may be for this leakage.And by the next 1 year i am getting married.Hereby i want to know that is there any defect occur during bisexual after marriage?please advise me to get escaped from this.Also is there any side effects affected because of this?Please advise me how to get out from this issue and be free... ### REPLY: Dear ANMP, Thanks for writing to . I understand your concerns regarding night emissions during sleep (Semen leakage as you said). This is absolutely normal and not a disease. There is no need to consult doctor or to take any medication for this. This is not going to affect your future sex life with partner after marriage. I will explain why this is happening. Semen is being manufactured by genital organs continuously; it has to be expelled by some means. This situation is just similar to a glass of full water to which you add more water, with the logical result that it overflows! This happens to semen too. If one neither has sex nor masturbation for long time, semen gets accumulated in its pouch, semen gets expelled in the form of night emissions, which is normal.  When one engages in regular sexual activity with partner or masturbation, the night emissions will be decreased or disappear. Hope I have answered your question. If you have any further questions I will be happy to help. Wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my husband is 46.his ultrasonography of abdomen shows slightly enlarged liver mes:16 cms and radiologists impression is that mild hepatomegaly with grade 2 fatty changes.gallbladder,pancreas,spleen,kidneys,bladder,and prostate are normal.his triglycerides level is 218mgs/dl.what is his condition? is it serious? ### REPLY: Hi I can understand your concern... Noted your husband having fatty liver with high cholesterol. So care must have taken now otherwise he might develop hepatitis and after long time chronic liver disease also....here are suggestion for him... Take low fat diet. Use less oil in cooking. Use only good oil in cooking like sunflower oil. Fruits taken more like papaya. Trans fat food taken very less like butter, ghee, cheese, meat, junk food etc... Regular one hour exercise needed. Avoid alcohol and smoking... One tsp licorice with honey can take. If still cholesterol not controlled then lipid lowering . . 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 sores in my mouth that wont go away, very painful. I recently took 2 strong antibotics for a spider bite that became infected. what are the sores any why are they so painful and persistant? did not realize I had to pay for this . sorry but NO THANKS ### REPLY: Thanks for using . Read your query. Mouth ulcers are indeed painful. If I were the treating dentist, I would advise you to apply mucosal/denote ointment on the lesion two or three times a day till the symptoms subside. Paracetamol can also aid in the pain relief. Antiseptic mouthwash can be used. Avoid spicy food and take the antibiotics on full stomach. The ulcers should heal within a week or so. If still persistent, consult your local dentist. Hope this was useful. 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: Hi...I am a gay man and I had an encounter with an HIV positive person 20 days ago. The condom broke during penetration and i was not aware for a few min...I withdrew when I had a doubt and did not ejaculate and there were no fluids exchanged. However I did perform oral sex . Is there any chance of getting infected. When can I take the PCR qualitative test? ### REPLY: HelloThanks for your query, based on the facts that you have posted it appears that you had incomplete protected sex with an HIV positive person. Though you claim to use condom it can be considered protected sex as your condom was broken down during encounter. In such situation possibility of acquiring HIV can not be ruled out. Please get your screening test for HIV done now and repeat the same after 4 months to be rest assured about the possibility of acquiring the same. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 recently (the last 2 days) had bad nerve pain in my back when sitting and walking, particularly when standing after bending. The pain is constantly there and is similar in my buttocks and back of thighs.I am also experiencing strange feelings of extreme hunger, even shortly after eating and I feel a little like I have the flu but without a temperature.Getting a little concerned now but it is difficult for me to get to a doctor, do you have any suggestions of what it might be? and if potentially serious then I will have to make the necessary arrangements to see my GPAlso feeling nautious ### REPLY: Hello, Thanks for your query. After going through your query I came to know that you are probably suffering from lumbar disc prolapse. It is confirmed by MRI scan. There are two treatment options. First option is rest in position of relief(generally lateral position with both knee bend), neurotopics such as mecobalamin and analgesics (Diclofenac three times a day after meals is effective). Sometimes strong analgesic(such as tramadol three times a day after meals) is required. Omeprazole before meals prevent acidity caused by analgesics. This method needs patience as it take longer treatment times sometimes up to 6 months. Second option is go for surgical operation(Discectomy). If you have also fever than you should consider possibility of flu also, so if you develop fever immediate attention will be needed. You can discuss with your treating Doctor about it. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I am experiencing pain in my right lower abdomen. The pain is very tender, dull, aching, and I am also experiencing bloating. It has been going on for 48 hours, and I m wondering if these are ER worthy symptoms. I have a history of reflux and IBS as well, however, I usually experience pain on my left side -- so the right side is a very new symptom. When I usually get pain on the left side, it is usually a sign of gas. I have very little gas associated with this pain that I m feeling now in the lower right abdominal pain. I have had diarreha today as well. Thanks for your guidance. ### REPLY: Hi, thanks for posting your concern in the . If you have IBS, pain can actually occur at any point of abdomen. So, it is not uncommon to have pain in right lower abdomen. But, there are possibilities of enteritis or enterocolitis too. Even guardian infection should also be ruled out. My understanding is you should have the following tests done-1. Blood for complete blood count, CRP, fasting TSH, HbA1c, fasting LFT2. Stool for routine examination and After sending the sample, you may start on1. Tab Rifaximin 400 twice daily for 14 days2. Cap Enterogermina twice daily for one months should also consult a local gastroenterologist at the earliest for further evaluation. Continue having good oral HY . Hospitalization may be required in case of fever, deny ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 super numerary problem.In the upper jaw between 2 front teeth exactly in centre line i have a small cone shaped teeth.its perfectly stable and i have no problems with it except the smile.What solutions do your team has for my problem and what is the estimate cost and time. ### REPLY: Helloo...read through your query...and accordingly I must say that best treatment esthetically is removal of that supernumerary tooth(residents).and closure of space will occur either automatically or you can go for orthodontic treatment...estimated costs depends on the place and local rate of extraction cost and orthodontic correction rate(if at all required).extraction is better because it can't be crowned or bridged because it will make an awkward smile...that's my opinion.UI suggest you to go to a dentist and get it treated based on clinical presentation and X-rays...be cool it's just a usual procedure(won't cost much).hope your benefitted something from this reply.have a healthy 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 x-ray result bothers me a lot because the radiologist suggested me to have an alv and i am really worried because she said i might have a tb but i never experienced any symptoms of it. i feel so healthy and now i am getting depressed as i am waiting for the results. ### REPLY: Hello rearward welcome to .come have evaluated your query in details .* There is narration as you might have TB, it is not said that you have confirmed TB.* So on the basis of just possibility do not panic and wait for the results as there is very less possibility of yours having TB in absence of symptoms at all. Hope this will help to clear your doubt . Wishing you fine 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: for a month or so i have had blackhead like pimples on my upper lip line. i know i get pimples because i have a problem with bitting my nails and inside cheeks. but one has been painful and swollen. the others are hard little dots, this one is risen and looks like a bee stung me there. will this dissapear or should i try removing it. i have squeezed it after a shower but i made it angry. i could not break it through skin but i can see the white puss like stuff underneth. im worried that if i do pop it my lip may get worse. i feel like i got hit on the lip. thank you for your bussy time, miss wallace. ### REPLY: Hi, miss palace. You seem to have comedones acne on upper lip that might be infected due to bad habit of squeezing the lesion. You seem to have mental upsets, as there is habit of nail and cheek biting. There may be anxiety related problem. I would like to advise you to become calm and cool. Have faith and be positive. Never rupture the lesion anywhere on skin. The lesion on upper lip may be simple acne and may be treated with oral antibiotics like azithromycin and topical clindamycin gel. You may take anxiolytic .  I hope you would be benefitted. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my son jsut truned 16months and ive noticed for a while now hes had a bump between his eyebrows it doesnt feel soft in fact it almost feels like bone i dk maybe he hit his head there once and never went away i dk. is it something i need to be worried about? ### REPLY: Hello, I can understand your concern. It seems that your son has developed a Desmond cyst between the eyebrows. Desmond cyst is a cavity under the skin that is filled with dead skin and other cells that usually make the outer layer of the skin. The cyst might be present at the birth, but it grows slowly so may have caused swelling after increase in size. The treatment of this swelling includes surgical excision, though the decision of when to do the surgery depend on the children, extent of the cyst, children expected tolerance of the procedure and your own preference. You should consult a pediatric general surgeon for the clinical examination of the swelling and for discussion regarding the diagnosis and course of treatment. I hope this information helps you. Thank you for choosing . Take care. 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 doc, we are married for 2 years now and now planning a baby. my periods were due around the 4th of march and did not happen till date jan. but i had been facing been in the lower belly for many times in these days. In fact i checked for the pregnancy test but it was negative. but yesterday evening the periods started which was much lesser than regular. i took meftal spas for relieving myself from pain. it was later followed by a strange material outflow for once. this was a mix of thick brown blood and some white substance...kind of the layering substance which i couldn t understand. kindly suggest. ### REPLY: Hi, Thanks for query.  As you say your period are not regular, chances of pregnancy are also uncertain because your ovulation time is not fixed.  Pregnancy test sometime be false negative, but maybe you are pregnant.  May be metal spas cause contraction and may be that white material is early sign of pregnancy.  But don't worry, whatever happened is happened, go to some gone, get USG done.  Took treatment for your irregular periods Everything will be fine.  Good luck take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Since past 4 days my throat is so tight its like blocked iam suffering from shortness of breath i feel lots of pressure in my both ears and nose and cheeks when i liying down either side i cant breath....i get pain in my tummy or abdomein because i cant get enough breath i have to take it deep and when i take it i feel pressure in my ears i went er they said i got acute sinutisis and gave me azithromysin for 6 days she also found so much wax in my ears and tried to clean it butit was so dry they couldnt get much out should i see ent for this or whatelse should i do???can you tell me what is going on with me??? ### REPLY: Thanks for your question on . I can understand your concern. In my opinion you are mostly having viral upper respiratory tract infection (URI) and complicated by bronchitis. You're all ear and throat symptoms are due to viral URI and your shortness of breath is mostly due to bronchitis. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS).  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 went to the dentist last week and had x rays and a thorough cleaning/check up.  My jaw has been sore ever since and I came down with a terrible cold/sinus infection.  Could these be related to having my mouth open for so long or to the bacteria that was released during the cleaning? ### REPLY: Hello and thanks for consulting .I have read your query. Sometimes a dental infection from a decayed tooth can lead to sinus infection. Opening the mouth for long can not be the cause for this. But during cleaning sometimes bacteria can enter the sinus and cause sinusitis, but this is also not very common. You can get your teeth checked for any decay. For sinusitis antibiotic like amoxicillin plus clavulanic acid can be taken. Hope this and your query. Take disregards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a deep rooted wisdom tooth removed but they gave me amoxicillin after instead of before. The root is very infected I went back to the dentist and he gave me metronidazole. I am now taking both but I have had numb mouth since which was 4 days ago is this normal ### REPLY: Hi. Thanks for the query. Numbness in mouth after wisdom tooth extraction is commonly due to nerve injury post extraction as the inferior dental nerve lies very close to the roots of the wisdom tooth. It can get injured while extraction causing numbness. If the nerve injury is not severe then the numbness can resolve in a few days to a few weeks. But in case if nerve is completely severed then the numbness can be permanent. You should consult an Oral Surgeon and get evaluated so that appropriate scanning can be done to see what is the condition of the nerve. Depending on this you can be advised further. Hope this helps. Regards. . Dentist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my son 25 years old was diagnosed with a necrosis on his brain its swollen and have some pain he got a stereotactic Radiation procedure and after a year he got the surgery all because he had an AVM he was on steroids before for a prior necrosis after the radiation and before the surgery now again he has necrosis after almost 3 years what do you think this is happening all his life this necrosis is going to come back and forth I do not understand. He is an A student on his college and work as a tutor there he saw his Neurosurgeon and he told him that he has 2 options start again with steroids or take Avastin pills for cancer my question is why my son has to take those pills he does not have cancer what we can do why tis this happening maybe was too much radiation  I do not know what to think. he was ok doing his normal life.  Please help me I need your advise. Thank you very much. ### REPLY: Hi, Thank you for posting your query. Based on the information provided by you, the diagnosis in your sons' case is not clear. I would request you to upload the MRI pictures or the report, for us to understand better. Regarding necrosis, it refers to a damaged part of the brain. It is like a scar, which may remain for long. However, edema or swelling should not remain for long, so, the need for taking steroid also should not be there for long. One need not take cancer medicines, if there is no cancer. Presence or absence of cancer can be confirmed by doing a biopsy of the brain lesion. I hope it helps. Please get back if you require any additional information. Wishing you good health, . 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: Dear Sir, I am 46 diabetic. I was diagnosed with Jaundice. Initially Belirubin total eas 2.7 and now after 5 weeks it is 1.3. Initially When the scaning done 5 weeks back the impression was Hepatomegally with coarse echotexture with splenomegaly. How serious is this? Doctor says I am normal. ### REPLY: Hello, The underlying cause for jaundice at that time needs to be known to comment further. Jaundice could be due to hepatitis like inflammation of the liver or some hemolytic anemia.  So for that further investigation with CBC, USG abdomen, viral hepatitis profile testing, relic count, peripheral smear, serum LDH has to be done.  Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 10 year old daughter started getting a cold two days ago.  Right away before she even started getting congestion she was complaining of a pain in the middle of her chest.  She only feels it when she breathes in real heavy.  She is not running fever and has been pretty active.  Should she be seen by her pediatrician? ### REPLY: Respected user, thanks for using .come have evaluated your query thoroughly.* This seems viral infection of the respiratory tract.* Suggestions at present - Inhalation with Karol capsule added in boiled water with blanket over head 2 times a day gives excellent congestion relief.  - Gargles with salted lukewarm water added peppermint oil 3 times a day - Avoid exposure to cold.  - Avoid cold .  - Syrup Paracetamol 2 times a day accordingly weight.  - Consult later pediatrician if required not right now. Hope to clarify your query. Welcome for further questions. Thanks for using  .com & giving opportunity to assistWishing fine 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, I have a question regaeding my penis...about a week ago, small brown like spot started to apear on the left side of my penis head (they are flat and are not spreading, barely visible, and about 2mm in diameter and my penis head feels like its burning). yesterday I noticed a white line appearing just under the penis head (behind) that is about 1.5 cm long and runs straight down. Also, for about 2 months or soe, I have noticed, that every 3-4 days I start pealing off skin on the penis shadt, just underneth the head. Is there any advice you could give me? Thank you ### REPLY: HiT hank you for asking ChatDoctorI have gone through your query. Your problem can be most likely due to fungal infection. If you send a picture then it will be more helpful to identify. For fungal infection I recommend ointments witChatDoctorbination of antifungal like fluconazole and corticosteroid like quinolone for local application. Avoid soaps and irritants to wash the area. Instead, you can use saline or warm water. Hope this may help you. Let me know if anything is not clear. 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 roommate seems to have Histrionic personality disorder, though i am not 100% sure its bothering me. he tends to copy what i say and what i do in almost every aspect of regular living, and because of this i distanced myself from him, which resulted for my roommate to cling onto my other roommatebut he still seems to do what i do, its almost as if he has no mind of his own ### REPLY: Hello and thanks for your query. From the description of your friends' behavior, it appears that he could be having a Dependent Personality Disorder. Persons with this personality disorder are excessively dependent and clingy on another person. They often revolve their activities around the person they are dependent on, and they become very anxious and uncomfortable in the absence of that person. Personality disorders are generally difficult to treat and unfortunately, persons with personality disorders often find it difficult to cope up with social demands. The only available treatment is psychotherapy or counselling, but this is often a long term process.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear doctor. Good morning . I have PCO and have been trying for a baby for the last 2 years. My weght is norwmal, but had irregular periods. 2 months before did IUI, but due to hyperstimulation of the medicine given for ovary maturation, I didnt become pregnanent. My age is 32 and want to know about the chances of IVF in my case. Which treatment is good for me IVF/IUI. ### REPLY: Hi I think you can try one more cycle of GUI. If it doesn't work then you can go for IVF. The chances of pregnancy with IVF is quite high as compared to GUI. In GUI it is 10 to 15 percent only while in IVF it is 40 to 50 percent.  As your ovaries are getting hyperstimulated on GUI cycles you will get the good number of eggs in IVF cycle. So chances of pregnancy is pretty food for you. Hope I have answered your question. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am just trying to see if there is a cause for my step mothers pottassium to drop.  She is undergoing the process  of finding out where her cancer has originated but they cannot do any surgerys, etc. until her potassium is in normal range.  I t will come up with medication, but then drop again.  I was just looking for what might be the cause. ### REPLY: Thanks for your question on . There are many causes for potassium loss in cancer patients.  But the most common ones are.1. Poor oral intake.2. Excess loss in urine.3. Excess loss in stool (diarrhea). Cancer patients tend to have poor appetite. So their oral intake is low. If cancer has spread in kidney than this can alter the function of kidney and cause excessive loss in urine. Cancers patients are prone to gastrointestinal infection as their body defense is weakened.  So diarrhea can be the cause. Better to start potassium supplements. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 8 years ago I had a radical hysterectomy for endometrial cancer. I ve recently had lower abdomen discomfort, achy and sensitive to the touch in spots. I just noticed a few bruises below my belly button. I realize I need to see my Doctor, but does this sound like something serious? ### REPLY: Hello have gone through your question and understand your concern. Presence of bruise is suggestive of internal bleeding underneath the skin or subcutaneous tissue. It may or may not be related to your previous cancer history, but caution is the word. Fix an appointment with your treating doctor at the earliest as various diagnostic tests have to be conducted to find out the cause and initiate the treatment. Good luck. Hope your concern is answered. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: h/o bachache x 1.5 mth,at night pain is more,3 kg waight loss age-42y, doctor MRI report abnormal ivolvenent of D11 vertebra-posterior part of body and both pedicles,lamina- spinous process with posterior epidural soft tissue compressing spinal cord.similar involvement of L2 vertebra and C6 vertebra. BIOPSY-LEVEL D11-tuberculous osteomyelites. CRP-30,HB-10%. QUESTION-pt.is 4 drug AKT+LEVOFLOXACIN ,now what is advise about management of this case inclued treatment,rest,diet,prevention of complication,check up schedule,investigation.can pt.do his routine practice? ### REPLY: Hello, I have studied your case. He should take absolute bed rest to avoid vertebra collapse. Diet should be high protein with high antioxidants. Complication include access formation, paraplegia,bladder incontinence. For preventing complication regular 1 month check up and rest is very important He will check clinically regarding any persistent infection. We advise blood investigation like Complete blood count, ESR, CRP, 3 phase bone scans. And if required MRI again. Depending on state of infection medications can be given in form of antibiotic, or if required debridement can be done. I will advise you to improve your immunity to combat against osteomyelitis by high protein food, and some herbal immunity boosters. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI, I am having trouble with sucicdal actions and thoughts. My doctor knows i am depressed but I am worried to tell her that I need to change medication again. I suffer from a seizure disorder that I cant recall how it started.. and my doctor cant get anyone in this area to see me for tests I need. I makes me feel like I am less of a person. I know she trys so hard to help me. But I dont think I will ever get better. ### REPLY: Hello and welcome to . Thanks for your query. I understand that you are going through a difficult time with your depression and suicidal thoughts. Since your depressive symptoms appear to be persisting despite taking medication, it is very important that you let your doctor know about this, so that further management plans can be made accordingly. It is common to have hopelessness during depression and have thoughts like you won't ever get better. But, please remember that this is just a passing phase, and you will soon be able to come out of it. I would also encourage you to keep taking to someone close to you - a close friend or a relative - so that you can share your thoughts and feelings. This will make you feel less burdened, or more supported and hopeful. 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: I have asthma and chronic bronchitis . I have an constant cough all day, everyday . I also have trouble swallowing my saliva. It hurt to swallow it . Sometimes often, I have a lil trouble breathing every time I try to swallow my saliva . It feels like Im going to choke . Why is this happening ? ### REPLY: Hello, Welcome to , Your allergic conditions have lead to decreased immunity and has made you more vulnerable for bacterial infection. You may be having secondary bacterial infection which as lead to infection of the throat causing difficulty in swallowing. As you are having bronchitis it has lead to irritation of the mucosa of the throat and causing the symptoms like cough and constriction of the bronchus. Chronic irritation of the throat can also lead to difficulty in swallowing. I would suggest you to avoid the triggering factors which precipitates the episodes of asthma. I would suggest you to follow1. Salt water gargling2. Oral antihistamines3. Oral bronchodialatorsYour symptoms will improve with these remedies, if it is not improving you may require chest X-ray and blood examination. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. Im 17 years old and live in new zealand. Lately i have found a lumpy sort of veiny thing leading off my right testicle. I think there is also a small one leading from my right one and i am really really scared i have cancer. Sometimes it hurts when i urinate ### REPLY: Welcome to  .1.Don't worries its not a cancer / not expected in your age group and symptoms are not corresponding towards it.2. It looks like inflammatory / infective etiology which is causing the lumpy feeling.3. An HY . 4. If you are my patient I would have examined and ask for the ultrasound scrotum to identify the nature of the lump its source and extensions.5. Depending on the findings - most probable treatment in your case could be antibiotic treatment. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, My wife is vomitting 4-5 times in a day and Doctor prescribed Pregnidoxin 3 times a day. Please confirm is it safe to use these tablets in this dosage as I see it contains caffine. please also suggest if there is any natural way to control vomittings. Prabhaakar ### REPLY: Hi, Yes, it is safe for the treatment of vomiting. Purpose of taking pregnidoxin is not mentioned, is she pregnant? Pregnidoxin is a combination of meclizine and caffeine commonly used in the treatment of motion sickness and nausea, vomiting, light-headedness associated with vertigo. This medicine may be used to treat nausea and vomiting in pregnant women (morning sickness) as well. However, if she is pregnant I would have preferred her dopamine with vitamin B-6 twice daily for the treatment nausea and vomiting associated with early pregnancy. It is also safe during pregnancy. The best way to control vomiting is to avoid triggers such as strong odors, excessive fatigue, spicy foods and foods high in sugar. Alternative natural ways to control vomiting like acupressure, acupuncture, and use of ginger. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, my names rida i wanted to inquire about thalassemia, my husband has it minor but the problem is that he is facing a lot of weakness and is sort of scared of having sex , can you help me? i wanted to find out that having intercourse once or twice a weak is dangerous in any way for him or is it just his fear?secondly , he gets fever at times due to viral infections like sour throat and so on, what are the reasons ? i hope not because of thalassemia? ### REPLY: Hello and welcome to , Thallasemia minor is a very mild condition. It is most often asymptomatic, is associated with mild anemia and does not require blood transfusion. Thus, thalassemia minor does not interfere with normal activities of the person. Having sex will not affect the health of your husband and sex can be practiced safely. The other symptoms of sore throat, fever do not seem to be related with the thalassemia minor. These symptoms may be due to viral infection only. Thanks and take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have crohns and am anally bleeding bright red blood and dark clots.  I am trying to figure out the source of the blood and therefore its seriousness. Is there a difference in color between blood that is coming from my internal system and blood from hermorrhoids? ### REPLY: Hello, Thank you for your contact to . I understand your health concern, if I am your doctor I suggest you that yes there is difference between the two. One whicChatDoctore out of the hemorrhoid are fresh and bright red blood. One can out from the internal system as a Crohn's disease in you can cause black and partially digested blood. This difference will help you to diagnose the condition exactly and so help you in management. 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 i am praveen,i had masturbation habit of more over three years. i do this every may some time two or three time for  a day. This is affect my future life?i had a another problem also i additited to sex. i want a solution to get relieve from this. ### REPLY: HelloThanks for query. Based on the facts that you have posted it appears that you are indulged in masturbation since many years and worried about future sexual life.First there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body. All the problems that you are facing now are mind related and due to anxiety. Though it is harmless, excessive and frequent habitual masturbation does affect quality of erection and delays ejaculation. Please try to reduce the frequency of masturbation by keeping yourself busy in activities like sports, reading, social work etc. so that you will not get free time to masturbate. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: when i was a child i had an operation on my kidneys i dont know what/why it was for and also how much it would have cost i have a 6/8 inch scar on my left side above my hip and two closed over holes in my back like a small crater the only information i had on the operation was my waste was leaking back up into my kidneys ### REPLY: HelloThanks for your query. Based on the information that you have posted I would state that you had what is called as Mexico Ureteric Reflux.(OUR). Normally when one passes urine during micturition urine does not go back upwards due to competent mechanism that prevents reverse flow of urinal to ureter. But in OUR disease this mechanism is deranged due to weakness in intramural portion of ureter causing urine to flow retrograde in ureter and kidney causing UTI and damage to kidney what is called as Reflex Nephropathy. Since you have been operated in childhood and based on the description I think you have undergone anti-reflux surgery. You can get present status of your kidney function by doing following radiological tests 1)MVP.2)MCU and DMS scan. Thanks and Regards. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am newly married, and had sex for the first time with my husband yesterday night. It was really aching while he tried to enter and after the intercourse, i saw some spots later in my innerwear. And also i feel pain in the lower abdomen. Feel this is because of the broken Hymen....Please tell me whether it is fine to have such symptoms and any precautions if i need to take in future and now also ### REPLY: Hi. Thanks for your query. This sort of pain after the first intercourse and spots on the underwear are normal, although the pain in the abdomen may or may not be. The precautions to be taken are: have proper foreplay for the vagina to get well lubricated before the next sexual act; ask your husband to be slow and careful, not harsh till you and your body gets accustomed to the new life. Do not worry, everything gets OK with time and wishing you both a great married life, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i m 28 year old female. my gums have started bleeding from last 3 weeks. i disd start using medicated toothpaste for bleeding gums- emoform. but now my gums have blackened and are swelling. i do feel a lot of pain sometimes. and brushing my teeth has become a painful exercise for last one week. last 3 weelks have changed my whole dental health. kindly suggest what to do. ### REPLY: Thanks for your query, I have gone through your query. Thanks for query, i have gone through your query, the bleeding gums are because of the gum inflammation. It occurs due food debris getting accumulated and becomes hard forming calculus which contains microorganisms which infects the gum...so a thorough oral prophylaxis(cleaning) is sufficient for this problem.following that maintain proper oral hygiene, rinse your mouth after eating anything. The other possible cause could be because of the pulp polyp or any bleeding disorder like thrombocytopenic purpura. Consult an oral physician and get a complete blood hologram done to rule out bleeding disorders.I hope my answer should help you. I hope my answer will help you, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I just noticed a purple/yellow circular bruise on my right upper arm with a while lump in the middle...feels like the size of a pea.  The entire bruise is about the size of a quarter.  It doesnt hurt!  I know it is not a bug bite, no shots and nobody has grabbed my upper arm.  What could this be?  My Grandmother on my Dads side had breast cancer. ### REPLY: Hi, Dear,thanks for the query to  virtual Clinic. I studied your query and understood your health concerns. The worry of the lump on your right upper arm, is only due to the fear of it being cancer, as your grandma had breast cancer. I reassure you, after studying the details of your query, that you should not worry about possibility of cancer in your right upper arm. Your lump appears to be an unknown insect bite. Possibility of it being boiled or sebaceous cyst is not there as the history is short. Hope this would resolve your query. Welcome for any further query in this regard. Write good review and hit thanks, if this reply helps you. Have a good day. . N. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 girlfriend and i were messing around during foreplay she gave me a hand job and i kept wiping the precum off with my hand then wiped my hand on a blanket. a little later i touched her vagina skin to skin but never penetrated her (she is a virgin and not on birth control) could she get pregnant? later she gave me another hand job and i cummed when i did i put it in my underwear and stayed away from and then we went and washed our hands after words. now we are worried she is pregnant and she is just a little bit later on her period. HELP! ### REPLY: Degree understand your concerns went through your details. There is no worry about your girlfriend getting pregnant if the given information is factual. Sperm needs moist conditions and prerequisite temperature to survive. In room temperature and without moist atmosphere, sperm cells die within some minutes. In your case, while having the hand job, you kept wiping the pre-cum off with your hand then wiped your hand on a blanket. A little later you touched her vagina skin to skin but never penetrated her. In the second instance, you never even came near your girlfriends vagina. From the given information, there are no chances that your girlfriend can become pregnant. Don't worry. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query.  Further clarifications are welcome. Good luck. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello, dr samuel. i am alex 26 year old male. today while having shower, i tried to push the foreskin of my penis. and now its head is out of the skin. do i have to worry about anything?? or initially do i have to take any precautions or anything like that??? ### REPLY: Good Day, and thank you for being with  ! If you are uncircumcised, you should be able to expose the head of your penis and to clean it during showers to clear out the Sega and prevent infection and cancer. What is important is you have to return the foreskin back to its original place or else it will swell and be hard to get it back. It is a condition called PARAPHIMOSIS. For more details you can ask me through: http://www.ChatDoctor .com/doctors/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 name is Tacia, I m a diabetic and was recently placed on Medrol dose pack in which my blood sugars sky rocketed over 450, I ve noticed blurred vision, sluggish, and a lack of appetite. My doctor is aware and states if my blood sugars are over 350 to come to his office, unfortunately I m a Registered Nurse and working 3-12 s this week and won t be able to see him then. I no longer take Insulin, I take Metformin 2000 mg daily. What do you suggest. ### REPLY: Hello, There are micro and macro vascular complications for uncontrolled diabetes. Micro complications are retinopathy, neuropathy, and nephropathy leading to visual disturbances, numbness and burning sensation, and kidney failure. To stop these complications, one's glucose levels should be in control. Please consult planetologist for adequate control of sugar levels and ophthalmologist for retinal examination. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: leaking heart valves on a 89 woman recently diagnosed taking atenolol, statin and thryoid are her medsand a water pill...seems to get tired no other health problems until this...what symtons are their to watch out for if condition changes? She has a cardiologist...this is the daughter asking. Thanks! ### REPLY: A leaking in one of the heart valve is a common finding in elderly patient because of calcium deposition at that level. The amount of regurgitation might vary, and the majority of the patients have only a mild problem. If the problem worsens, symptoms of heart failure might occur, like shortness of breath or swelling of the legs, and they can be managed by increasing the amount of water tablets in most of the cases. I hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, my boyfriend had incisional umbillical hernia repair almost 6 weeks ago.  4 days after surgery he was admitted to hospital with an absess.  he is now seeing a home care nurse to get his dressings changed, to help clean the wound and change the bandage.  this week he delivered what looks like blisters.  the doctor sad they were not blisters but some of kind of infection.  he is using flamazine on the blisters.  the nurse mentioned today that one of the bliisters looks like more of fungus and the other blisters are RED and raw and painful.    Are these blisters?  what are they?  and how can we get this solved ? ### REPLY: Hello, i can understand your concern. Does your boyfriend have fever??? Does he feel lethargic??based on the symptoms and the history mentioned it definitely seems to be post surgical infection. The best thing would be to send the pus from the abscess for a culture sensitivity and an appropriate antibiotic to be used orally or intravenously depending on the report. Daily sterile . Keep the area  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 a seemingly healthy 35 yr old woman. I am currently taking mercilon 20 mg which as I am nearly 100 kg is too low a dose. I have been having some very light spotting outside of menstruation for the past two months. I recently had a series of blood tests including thyroid, liver, kidney and general blood count levels. All cam back within normal limits except ers which was 50. I experience severe anxiety re: health issues and this is causing me a great deal of worry. I have also been getting some abdomen discomfort and what feels like ovulation pain. Please help! ### REPLY: I appreciate your concern and asking on . Based on your history I would suggest the following:1. There is need of evaluation to ascertain the details of anxiety. Has the anxiety started after the start of the merlon? If yes, it may be a side effect of the . 2. If it can be excluded that the anxiety was present before as well and not related to the medicine that you are taking, steps can be taken to reduce the anxiety.3. You may discuss with your doctor and consider changing merlon to some other class of contraceptive pill, for reasons discussed above, if present.4. For anxiety, you need to work on your thinking and find out if there are some particular thoughts or events that are triggering them? Self-help cognitive behavioral therapy (CBT) or professional CBT are particularly helpful for anxiety.5. You can practice deep breathing exercises to reduce the symptoms of anxiety.6. Reduce caffeine intake as it promotes anxiety.7. If self-help does not work, seek professional help and there are certain medicines to reduce anxiety as well. I hope you find this helpful. ### END