Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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! On my left year two years ago i fell bad on my left knee in badminton. It left an indentation on the right on my left knee cap and brused really bad and fast. It also messed some nerves i think because i would touch on part of my knee and feel a tingly feeling somewhere else on the knee. I didnt do anything other than ice it and take pain killers. Recently i have fallen on my knee a lot and got hit right in the knee twice in a soccer game. Ever since i have been having pain near the bottom of my knee cap and the indent is sensitive. I have something small but lose like maybe a bone near the bottom of my knee cap near my indent. Lately i have been limping and my knee constanly pops, has pain around and under the knee cap, hurts when running or walking and feels like it gets tight around my whole knee area. I can run on it but after running im in more pain. What could this be and what should i do? ### REPLY: Hi, thank you for providing the brief history of you. First I will recommend taking up an MRI scan of the injured knee, and then we can come closer to any decision. Because injury again and again may lead to something else and better to visualize the joint from inside rather inspecting from outside. Also, post MRI reports the next rehabilitation plan will be designed. Which will include physical therapy and medication. 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: 4 days of tooth pain... root canal tomorrow... dentist prescribed t3s today with a couple of antibiotics. t3s helped for about an hour but pain is coming back. Can i take naproxin with t3s?I have Gilberts syndrome and am still on meds for DCM although I do not have a low ejection fraction any more. ### REPLY: Hello and welcome. Thanks for sharing your concern. It is best to see your dentist for root canal. As the pain arising from the infected tooth can be relieved only after undergoing the root canal opening procedure. This is done under antibiotic and analgesic coverage for three days and a maximum of five days.Therefore, in my view please see your dentist and do not start any self-medication. Hope it helps. Thanks. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I think i may be suffering from mild depression. I have a lot of serious problems weighing me down at the moment and for the last few weeks i havent been sleeping, had terrible headaches, loss of appetite, been getting very emotional (either angry or upset) at tiny things and lashing out at all the people I love. I have never really considered depression but my mum has suffered on and off for years and i seem to be following those tendancies at the moment. However i have a doctores appointment tomorrow but dont know how to approach the subject, i dont feel comfortable saying that i think im depressed. Please help. ### REPLY: Hello and thanks for your query. I understand that you are wondering whether you may be depressed. You have mentioned that of late you are feeling more irritable, having sleep and appetite disturbances, etc. These symptoms could indeed be indicative of a depression. Also considering the fact that you have a family history of depression, it is more likely that you could be slipping into a depressive episode. Since this seems to be affecting you quite negatively, it is necessary that you seek professional help. Earlier the intervention, better will be the outcome and recovery. Treatment for depression is available in the form of medication to relax your mind and lift your mood (antidepressants) as well as counselling. So, I would suggest that you ask your doctor for psychiatric consultation so that you can have a detailed evaluation and further treatment. Best wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, My self Priya from vadodara,I recently had a HSG done and the results are as follows:Both fallopian tubes are normal in course and caliber. Normal free peritoneal spill of contrast medium is seen right side only. Intravasation of contrast is seen on left side.IMPRESSION: Patent right fallopian tube?Blocked left fallopian tubeWhat does the HSG test result mean? ### REPLY: HelloPriya welcome to  as per the HSG report of you. Right side Fallopian tube is normal and extravasation of contrast seen in left side. This condition shoes as right tube is completely normal. And in left side we can not say as fully blocked, but in such area its pressed or contracted from inner side, so it can make difficulty to ovum path. In this condition, I like to advise you to consult Ayurveda doctor who is working with infertility and in this condition Ayurveda medicines and Panchkarma treatment like "Utter Bast" is very effective to solve this condition without any side effects and without any hazard too. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, My 2 yr old son is suffering from stomach infection for 2 weeks now. Initially he was not given any medication except Enterogermina Oral Suspension (5ml/day) and Z&D DS 20 (1 ml/day). However, now there is mucous in his very watery smelly greenish stool. Doctor has prescribed CEFOLAC 100 (3ml twice a day for 5 days). Is it safe to use this antibiotic for a 2 year old kid? ### REPLY: Hello, I understand your concern. I am , infectious diseases specialist, answering your query. Yes the prescribed antibiotics is good one. You can give it to your baby. I also advice you to maintain the optimum HY . Please maintain the hygiene, as this will also help curing the stomach infection as a antibiotic do. Please give a boiled or RO filter water to baby. If other members are infected their treatment is also essential. Curd is beneficial in stomach infection, you can give this to your child ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,I was diagnosed with Bells palsy about three weeks ago.  I took all of my medications like the doctor told me to put I dont see any change on the left side of my face.  Also about three days ago the left side of my face (bells palsy side) is in a lot of pain like a Mack truck hit me.  It starts at my eyebrow and ends at the end of my jaw line.  The whole side is so tender to the touch.  What is going on?  I am trying my best not to go crazy but man.  I cant even sleep and I am suppose to wear an eye patch but even that is to much to bear.  Please help ### REPLY: Hi, Thank you for posting your query. Bells palsy may take a little longer to recover. In addition to medications (acyclovir, steroids, etc.), physiotherapy (facial exercises and current stimulation) may be continued. Pain over the face may occur during recovery. However, if it is severe, you may take pregabalin capsules or tramadol tablets. If symptoms persist, you may get an MRI of the brain done. Please get back if you require any additional information. Best wishes, . 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: For about 3weeks Ive been experiencing lower left abdominal pain, nausea, vomiting, dizziness, fatigue. When I try to eat, the nausea is gone until I finish and its back to being nausea again. Nothing ease the pain but moving makes it worse. Could you please tell me what is going on. ### REPLY: Hello, welcome to ask- a- doctor. Read your query carefully and understood your concerns. My thoughts are as follows:Nausea is a symptom of something wrong with body, and you have pain in lower abdomen and other symptoms as you have mentioned.Hence, I would advise you the following. Consult a General Surgeon for clinical evaluation. Investigations of blood, urine and stool. Ultrasound of abdomen and CT Scan to know the exact diagnosis. A proper diagnosis will guide for proper management, either medical or surgical as the need demands. Take care. I hope this answer helps you. Feel free to ask for further assistance. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 father is 80 years old and suspectedly suffering from Idiopathic Parkinson Disease. The thyroid test is awaited. He has been recently discharged from hospital and brought home and is bedridden. He was walking and doing his chores some 30 days back when he suddenly started hallucinating and falling. During hospital admission he was found to have some delirium, acute constipation, lack of orientation but had no tremors. His heart, blood, urine , X-ray, MRI and USG (Abdomen) reports were okay and doctors were very hopeful that with physiotherapy he will walk again. Accordingly, after discharge, I am giving him care, prescribed medication and physiotherapy at home. He has now following problems:- (a) Passing green stools, (b) Unable to walk and has to be assisted by two persons. His left leg seems weeker and accordingly right step wobbles left and front of left leg, (c) Orientation has returned and irrelevant talks have reduced. He had a brief episode of non-physical aggression (unlike before when he was physical and longer lasting). I want to know how can I help him to walk again and if it is correct that he can walk? His medication is Syndopa 110 TDS, Fludrocortisone 1mg OD, Metoprolol XL 50 mg OD, Urimax 0.4mg OD, Shelcal 500mg OD, Pantocid 40mg OD, Amantidine 100mg BD, Donepezil 5mg OD, Pramipexole 0.25 mg HS, Folic Acid OD, Capsule Autrin BD, TAb Escitalopram 10mg HS, Losartan 50mg BD and Quetiaprine 25mg + 50mg BD. ### REPLY: Hi, thank you for providing the brief history of your father. As you mentioned he is having idiopathic Parkinson disease it is possible that the reason is unknown. But as per my knowledge of understanding, since you mentioned his age as 80 years, it is aging related process which is stopping him from being comfortable. I have seen Parkinson cases and been providing physical therapy to them at doorsteps. Focussing on each and every aspect of the patient is very important, and I was able to cope up well with recovery of them. Usually, medication and physical therapy are The support system to the patients. For my patients I use to provide the oxygen therapy as to help their metabolic function to be at optimum. Oxygen is the primary source of energy required for the cells to recover and function normally. Along with exercise the use of oxygen has added an advantage of the physical therapy I provided since the oxygen helps the neural tissues to be functioning well. Also, exercises are a must to improve the metabolism and the . As continued reading the history, I could understand that the condition is progressive, to control the progression the absorption of the  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Me and my boyfriend had sex but he wore a condom. probably 5-10 minutes after he took it off and wiped off his penis we started again but he didnt finish because we stopped realizing we were getting carried away. Is it possible I could be pregnant from the clear fluid that comes out because it pushed left over sperm into me? Should I be worried? ### REPLY: Hallow Dear, Ejected clear fluid also contains some amount of sperms which are capable of impregnating a woman. You should take emergency birth control pill ideally within 24 hours but not later than 72 hours of such unprotected intercourse to protect yourself from the pregnancy. The other option is to get intrauterine device like Cut inserted within 5 days which will give you protection from pregnancy due to this intercourse along with continued ongoing protection for many years to come. If you miss period, please get the urine tested for pregnancy. If you happen to be pregnant, you can terminate the pregnancy up to 9 weeks of gestation safely and successfully by medicines. Hope this helps you, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello doctor,I had an itching problem in and around anus . After 3 days suspecting it as a case of piles I consulted a surgeon . He after examination with proctoscope found nothing of piles. problem of pinworms and fungal infection. He prescribed  Allworm one tob taken at night and Flucose150 one tablet to be taken for a day.along with Tribenplus skin cream to be aplied in the area.aafte 2 days of application since i didnt get much relief I tried Zole F  , which gives some better relief but not completely cured. My question is should i continue Zole F alone or should I take Flucose 150. If so how many more  doses i should take to get rid of the fungal infection completely ?Kindly advise me. ### REPLY: Taking tablets without proper diagnosis is like throwing arrows in dark. My advice that as you have consulted the surgeon & surgical cause is ruled out, you must take a proper dermatologist consultation as many dermatological problems can not be diagnosed unless and until visual impression is made. The causes of itching in said region may be fungal infection or any worm infestation most common of which is round worm. Considering round worm infestation as you have already taken all worm tablet my advice would be wait for days or two as the clearing of worm may require few days after having tablets. If there is relief in few days You should repeat the same tablet (albendazole chewable Would be better choice) after one week. If the itching is not relieved in a day or two you must consult a dermatologist he would prescribe you proper antifungal for oral as well as topical use. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have been experiencing some pain in my hip lately. I first noticed it about 2 weeks ago when I would lay down after being on my feet all day. A few days ago I noticed that it started hurting just walking around a little bit. Last night in particular it was bothering me. It seemed to be right at the joint of my right hip. I was thinking it could possibly be either a labral issue or a flexor strain, that s where the pain is located. Both internal and external hip rotation seem to make the pain a little worse, as well as applying pressure with the weight of my leg against a solid surface. I would rather not visit a doctor if it is unnecessary, but I was hoping to get an opinion on if I should or what that may even sound like. ### REPLY: Hello, Thank you for contacting me at "Ask a Doctor". I will try to answer your question to the best of my ability. There are several causes for hip pain.  I do not know how old you are but certainly the possibility of some arthritis in the hip needs to be ruled out.  The way to do this would be to obtain a standing x-ray. If the discomfort is mild, then we can certainly treat this as a simple hip flexor tendinitis.  I would apply some ice to the area and take some simple anti-inflammatory medication such as ibuprofen.  Do not exercise. Sometimes, physical therapy can help. But again if the pain is worsening he probably should have an x-ray to look at the RIGHT hip.  An MRI is not necessary at this time. I hope this information is useful for you. Please do not hesitate to message us back if you have any further questions. Best wishes, A .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 1 mo old baby s breath smells like urine.he is breast fed and supplemented with soy based feed. he had projectile vomiting once last night and has been puking up. sometimes it comes through nose as well. he does not appear sick.what will cause this? ### REPLY: Hi, Bad smell from mouth might be because of vomits sticking in the mouth post puking. Normally newborn babies will have physiological GER (Bringing up digested food or stomach contents to mouth), which can also cause bad smell. It's not necessary to treat it, but if vomiting is frequent, then I would suggest you to keep the baby head up after feeds for 15 to 20 minutes and also burp the baby. Also, can try a trial of risperidone after consulting with your pediatrician.  Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have a very small raised red mole on my neck that I ve had for years. I scratched the mole two days ago and now it has become swollen and white on the end. I guess that would be normal since I have scratched it, I wonder if I should seek medical advice or give it some time to heal first? ### REPLY: Hi, Thanks for posting in . Infection of mole is quite unusual. However, since you have scratched it, it could have become infected. You can take the following measures.1. Wash the area with mild antiseptic solution like Salon twice daily. 2. Apply Tobramycin skin cream on the wound following washing.3. Take. Tablet. Ibuprofen + Paracetamol combination after food twice daily for 5 days. Keep the wound .  The wound should heal in about 3 to 5 days. 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: Sir/Mam, I have noticed a lump that is little smaller than a pea on the head of my right testicle. I googled it and found, it is the area where epididymis meets the head of the testicle. I have no pain or any other symptom below my belt. Also, the lump is hard to feel. It is laying there for about 8 months. I am little worried about cancer. Please help...... Rachit Narindra (Male, 18 Years) ### REPLY: You 1st need to be certain that it is in your scrotal skin or inside . That is in the testis. If on skin it is usually a sebaceous cyst. If inside... Get and ultrasound done for the testis. Any good radiologist can easily diagnose its origin and also the cause of it. This way u can be sure that it is not a cancer. Testicular cancer is one that appears in adolescent males... So better get it checked. Hope I helped. Do get back to let me know what it turned out to be. Mostly they are epididymis cysts.... But better get a USG done. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my name is Anika and i have been having unprotected sex for over 3 years with my partner. I have taken Postinor 2 and Pregnon several times but its been a year since I have taken any and i have been having unprotected sex using the withdrawal method and sometimes my boyfriend cums in me and I have not gotten pregnant. Could this mean im infertile? ### REPLY: Thanks for Query on . Pregnancy is possible only after unprotected sex and even after using with . Fertile period is from 12th to 16th day of cycle. If you are trying for pregnancy for 6 consecutive months during fertile period and not conceiving then it is considered infertility. You have to go for gone consultation and further complete investigations for you and your partner to find out the cause of infertility. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 bronchitis yesterday and was prescribed amoxicillin. Today I feel a hard bony bump about 2 inches below my collarbone on the left side. There is a bit of swelling and it is painful to the touch. Should I be concerned? I m generally healthy otherwise, am 24 yrs. old and 98 lbs. ### REPLY: Hi, Dear,Good Evening, and Thanks for your query to . I went through your query details in depth.-In my opinion, in relation to the facts told by you, its infra-clavicular TB-lymphadenitis-and you should be concerned about it, as you may have to rule out the sufferings from ?TB bronchitis with TB of the apical lung segment.-Remedy-Consult ER-Chest physician who would do CBC, ESR,CXR and would treat it with anti-tb . Hope this would resolve your worries about the lump. Wellcome again for many more queries to  online Clinic-from you and your friends ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a hiatel hernia , gastritis , duodenitis & a gallbladder that has stones, polyps & is diseased. I have to contact surgeon tomorrow about gallbladder. GI dr is reluctant to have hernia repaired surgically. Have had hiatel hernia for years, but gastritis @ duodenitis were recently diagnosed. I dont know if it is related or not, but I am a Celiac, have slready had 7 abdominal surgeries and have many medication allergies. Whatwould you recommend? ### REPLY: Hi and welcome to . Thank you for the query. Of course that gastritis, duodenitis and hiatal hernia are related. Hiatus hernia is probably the cause of all it. And only surgery can improve your symptoms if medicines aren't helpful. But surgery in your case may be complicated since there is probably excessive adhesions' formation. So you need to consult with your gastroenterologist and surgeon about all thievish you good health. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi am anuj i have a pimple in my face ### REPLY: Hi, Anuj thanks for query. This is a common problem of growing adult. Pimples happen because of pores of skin are blocked by dust or something, and then they get infected. Hormonal changes, too much of fat in diet, poor hygiene all triggers development of acne. Please wash your face with good antiseptic soap after coming from outside, avoid too much of fat in your diet. In case of infected pimples please visit your doctor for course of antibiotics. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my name is Ellen I m very concern about my husband he s my life he has had 5bypasses 3yrs in June. His blood pressure 88/69 and his pulse is 140 his blood pressure had been like this since his surgery but is heart rate had been up for about a week what is the danger? ### REPLY: Hi welcome to ChatDoctorI understand your query and concern. Persistent palpitations in your case are suggestive of any arrhythmias of heart which means abnormal conduction abnormality of heart. I advise you to get an ECG,2 D Echo of your heart immediately to confirm the diagnosis. I also advise you to get lipid profile, complete blood picture, chest x-ray immediately as a part of routine check up .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, For the past 3 months or so every time my wife and i have had sex my penis has become bruised, with scabbing and some blistering. At times during intercourse i can feel a pinch sensation on the right part of my glands penis and shaft.  The bruising only happen seems to be happening on the right side of my shaft and head of my penis. My penis has a slight curve to the left. Ive used lubrication and still still happened to a lesser degree. I dont think its a lubrication problem on her part as she is normally well lubricated. I have stopped and let it heal properly and then tried again and the same thing happens again.  It really frustrating cause this was not an issue 2-3 months ago. What could it possibly be? Our sex is not rough or overly physical but there is some passion involved . My penis looks to very bruised and scabbed over like a bad abrasion. Help!!! ### REPLY: Degree understand your concerns went through your details. The scabbing and blistering could be due to some allergen, and could just be for the time being. Ask your wife to keep good hygiene, and you too do the same. At the same time, make sure that your wife is not having lubrication problems. Tilted penis definitely not the cause and cannot cause discomfort. That is in a way blessing in disguise. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am married 9 months back.Trying to get pregnant but dont know where is the issue .I have all my physical checkup and reports clear.The only thing is taht we both work and live in different cities and we get a chance to meet only on weekends.can you pls help in this regard and maintain the confidentiality of this issue. ### REPLY: Hi, Your health check up and report are clear. But may be problem in your partner. I would suggest going for semen analysis and health check up for your partner to rule out male factor infertility. If any abnormality needed then it should be treated specifically. I would suggest to unprotected sex daily in your fertile phase of period. So you can live together during your fertile phase of period. The 10th to 18th day of cycle considered fertile phase in regular cycle of 28-30 days. You can also take Ova care forte cycle as it will help to form quality egg and maintain reproductive health. Avoid stress, take healthy diet, .  Avoid smoking and alcohol. Hope this may help you. Contact further if follow up needed. Best regards, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I stopped breast feeding over 1 yr ago, but still have a lump. I went to my dentist to have a tooth removed and he said he would not extract my tooth with out approval from my GYN... I m in the Philippines and I think the Dentist is way behind the modern world.. Is he right? I m afraid to have a biopsy as complications from such surgery happen way to often here. Sincerely, MM ### REPLY: Thanks for your query, I have gone through your query. It is advisable to get an opinion if you have any family history of breast cancer. If it is a small lump, it goes in favor of benign lesions like lipoma or fibrous. Nothing to be panic, Consult a good oral maxillofacial surgeon and explain your problem, he will examine and give a right suggestion whether to consult a gynecologist or you can go ahead with extraction. No need to go for biopsy, you can get an ultrasound or FNAC done to confirm the diagnosis. 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 feel a slight dizziness, and a little shaky when I walk, it seems to be on the left side of my head, I tried the simple test of razing the arms and smiling, no drooping or sagging of the arms or face, took a excerdrin recently, any suggestions? Thanks ### REPLY: Howell come to ChatDoctorI really appreciate your concern, such symptoms could be due to general weakness, hypoglycemia, neurological disorders, and as a matter of fact symptoms of dizziness and tremors demands the clinical examination and all the concern investigation, here you have not mentioned the basic information of age and gender, still I would suggest eating healthy, underlying cause of this is matter of concern, but the common cause could be labyrinthine hope this information 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 doctor samuel. i am shalini. recently i had a vry high hypertensive attack. i am on medication for the same since a month now. however,my problem is that there is a feeling of shrillness in my ears which ofcourse is faint now. i also feel sense of tremendous uneasiness in my head , a dizziness when i yawn, or stretch or move my head down  a bit . I had tinnitus in my ears . i had an mri of my cervical vry recently and there was a degeneration between c4, c5, c6 and c7. loss of lordosis n so on . this uncomfortable feeling aggravates in the evenings.i recently had i guess an attack of vertigo. when i turned to the right while sleeping. but now i feel my left side ear onward is causing. what should i do ? ### REPLY: Hi Sharing, Thanks for writing in. The MRI cervical spine says that you have degenerative changes at vertebral levels C4, C5, C6 and C7. This means that you need to or may have already consulted a neurologist for your problems. If needed, the neurologist will suggest you to wear a collar and guide you for the services of a physiotherapist. Please avoid sudden neck movements and always move your neck slowly. 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: My 3 years old son has loose stool since yesterday. His stool report says: RBC 1-3 hpf, WBC 1-3 hpf, pus cells 1-3 hpf, no protzoal parasite, no helminthes parasites, no occult blood, no mucus. What is the likely diagnosis and what should be the treatment? ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query your son have symptoms of loose stools which seems to be due to acute gastroenteritis which is a type of viral infection. It could be due to electrolyte imbalance in body. Need not worry. I would suggest you to take proper rest. You should have plenty of fluids to rely .  You should take diet rich in multivitamins. Furthermore, you should do tepid sponging as well. Avoid intake of outside hot and spicy food substances. Visit pediatrician once and get it examined. You should get blood tests done to find out underlying cause of your condition whether bacterial or viral and start treatment accordingly. You should give child diet rich in fibers and proton pump inhibitors. Your symptoms will resolve in 3-5 days. Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My blood pressure is up, nausea, heavy in center of chest, stiff neck, i do have copd, i take diovan 160 mg plus 12.5 hct, i ache all over, fluid retention, but i still can eat and drink, urine out put is low, could you help me with could be going on? ### REPLY: Hello! Welcome and thank you for asking on ! I understand your concern and would like to explain that you that your symptoms could be related to possible heart failure. You should know that COPD in its later stages leads to heart failure. I recommend you to consult with the cardiologist for a careful physical examination, a resting ECG and cardiac ultrasound, a chest x-ray study and some blood lab tests: - complete blood count-kidney and liver function tests-blood electrolytes- blood osmolarity. A diuretic (like lasix)may be needed. You should discuss with your doctor on the above issues. Hope to have been helpful! Best regards! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,I am Ali Ahmad from Afghanistan, i am 24 year old i feel like my penis is not much strong to stand, i think thats because of masturbation. My sperm does not have full speed to travel, would you please let me know that does it have a treatment to make it strong again? ### REPLY: Degree understand your concerns went through your details. There is no need for you to worry. Masturbation is a normal act, and it is natural and not at all unhealthy if done within moderation. You can masturbate thrice or four times a week without health problems. Ejaculation never means spraying of semen. Ejaculation is just getting the semen out through your penis opening. Do not confuse about the semen strength and speed. Penis has full erectile strength just before ejaculation. Check your penis just before ejaculation, and you will see its actual strength. Don't be anxious. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a feeling of discomfort and slight pressure under left breast/rib cage area. When I gently push on the area, I feel a clicking or popping sensation, and a  feeling  of  a release of slight pressure.No extreme pain at all, but sometimes extends to upper chest area. ### REPLY: Thanks for your question on . I can understand your concern. Your pain is relieved by gentle pressure, so possibility of musculoskeletal pain is more. But since it is left sided chest pain better to first rule out cardiac diseases. So get done ECG and 2d echo. If both are normal then no need to worry about heart diseases. Musculoskeletal pain is more likely in your case. So avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Avoid bad postures in sleep. Take painkiller and muscle relaxant .  Apply warm water pad on affected areas. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, i am a female, 20 years old, and i have been experiencing sharp needle - like pain in my heart, or it feels like it is being squeezed, for the past year, however, recently i have been experiencing couple times a day every day. It lasts for about 5 - 15 seconds, but it hurts to the point that i instantly freeze and cant move or brethe. I am a smoker, and i do consume alcohol sometimes when going out. Should i be concerned? Thank you. ### REPLY: Hi, Pain in chest due to heart disease is very rare at your age. Chest pain due to heart disease is non localized, squeezing type & increase on exertion. Still you need to do an ECG & 2D Echo for cardiac evaluation. Chest pain at your age can be simple muscle pain or Costco .  Both are treated with painkiller. You should also go for a chest X-Ray to rule any associated lung causes. 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 Doc, Im 24 years old.. 2 yrs back i was affected by Pulmonary TB and I was put on medicine for 9 months then I cured but last Aug I had lymph node TB here lower neck (Pus collection) the same was removed by surgery and Im continuing the medicine since 5 month.. Now I have planned to get married..can you please let me know if ill have any problem in relationship. ### REPLY: Hi & Welcome. I can understand your concern. Incomplete data ? Gender. Tuberculosis of the lymph node does not affect the marital relationship. However, the anti TB medications like Pyrazinamide & Streptomycin are not safe during pregnancy as they are known to cause harmful effects (spina bifida by Pyrazinamide & neonatal or congenital deafness by Streptomycin) on the growing fetus (unborn child). Hence, they are contraindicated during pregnancy. Hope this answers your query. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Two days ago, I was rushed to the local hospital with my first kidney stone. I am in good shape, non-smoker, drink very little alcohol, and work a physical job. The pain from the stone hasn t been as acute today, but now I have a 100.4 degree fever. My average body temperature is usually in the low 97 range. I have been screening my urine; nothing, and no blood. The stone is just over 2mm. What do I do now? ### REPLY: Hello, Dont worry. Stones below 5 mm may pass in the urine. Use syrup catwalk 2 teaspoons twice a day in a glass of water take orally. Use tablet paracetamol thrice a day for five days. Use nitrofurantoin tablet 100 mg twice a day after food for five days. If symptoms not improved please consult with your physician he will examine and treat you accordingly. Take care. 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: I am currently 28 weeks pregnant, at my last ante-natal appointment I had + protein in my urine. They sent it off and results negative for a uti. I have another antenatal appointment tomorrow and am worried they ll find protein again and that I could develop pre-eclampsia. Have a got anything to worry about? ### REPLY: Hi, Pre-eclampsia is a condition where you will have high blood pressure, protein in urine and significant swelling of limbs (called Edema). So if you just had one episode of protein in urine, you need not worry much if you have not had high BP and edema. Also worrying will increase stress and anxiety, which in itself may raise your BP. They will check protein in urine in every antenatal appointment, as if at all any is picked up appropriate care can be given to you and your baby. Do not worry and go regularly to the appointment as to help prevent any complications. Hope this helps. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 78-year-old female who broke my toe next to big toe when I was age 8 or so. It healed in a bent position like a hammertoe. Now I am having a difficult time with swollen ankles and inflammed fat pad on both of my feet. I weigh 138 lbs. and am 5 1 . I have this foot pain flare up several times a year. I usually ice and take ibuprofen and in three or four days it settles down, but now for the past few months my feet have been very sore and the other day were so painful, I could not step. I have been icing for the past few days and feel someone better but fat pad still red and looks swollen. Could you please give me an idea of what I am dealing with. Thank you so much. ### REPLY: Hi, thank you for providing the brief history of you. A thorough neuromuscular assessment is needed. As mentioned by you the brief history there are 3 possibilities coming in my mind for which a thorough neuromuscular assessment is needed. The first is a vascular insufficiency, the second is the increased uric acid levels and the third is the neuropathic pain.to rule out the factors here - performing a urine test will help us determine is the pain and swelling is because of the increased uric acid levels and by medication and physical therapy the pain and recurrence can be avoided. For ruling out the vascular insufficiency the Doppler test for both the Lowe limbs will be performed post which is the test is positive - rest, Medication and physical therapy will be advised for better results. You need to use even stockings of lower limbs to ensure the venous return. For the neuropathic pain, your blood glucose levels and MRI of lumbar spine will be guided. Post which based on the possible positive test the treatment will be planned. As due to aging factor - there is even a possibility of lower cardiac output and slower venous return can lead to swelling of ankles. Understanding that the body needs mobility more at this age to allow the venous return to occur and improve the metabolism as well. After a thorough assessment the root cause can be found and post which the treatment will be planned to avoid the future recurrence. RegardsJay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am a 32 yr old male, have been taking lisinopril 5mg for last 7 years for high blood pressure. have been told my gamma gt is 103 following a blood test. It was 39 , two years back. I do like a drink in the evening but am not a alcoholic. What do you suggest ### REPLY: Hello and thanks for writing. I can understand your concern and would try to help you in the best possible way. Lisinopril usually does not cause significant liver injury. If your GGT is raised only and ALT/AST is more or less normal, it can be explained by alcohol. Any amount of alcohol will raise your GGT levels so number of .  Cessation of alcohol at this stage would bring these parameters to normal. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 35 year old , I could not have sex with my wife due to my penis stiffness not enough to penetrate and also my penis loosing temper, hence i could not have sex with my wife. . please help us to rectify this issue in without side effects by any exercise and food styles or anything else... ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much.  Most of the erectile dysfunction cases are due to anxiety issues over sexual matters. Sex is supposed to be passionate. If you are unable to have proper erection for penetration, there could be underlying causes. If it is due to mental issues, you should consult a sexologist. Otherwise, please consult an infertility specialist. Do not become anxious about it. Try having sex once or twice in a week when both partners are relaxed and happy. You will succeed. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a mass just under my ribs on the right side and it feels like it is spreading it is starting to cause issues with my breathing when I try and sleep. I have had 5 surgeries since 2010. 3 of them on my spine I have a time distinguishing the pain from my back and my ribs ### REPLY: Hi, Good Morning. I am . S.CUTS -super-specialist- From India-attending your health query to  virtual-online Clinic--I studied your query in-depth and Understood your concerns.-In my opinion -Remedy would be-a-Consult a Surgeon-who find out the cause of it-? Gall bladder disease? Hepatitis-as mass is under right ribs and increases while sleep and presses on your breathing.-b- I would advise -CXR/USG /MRI to fix the cause of the painful lump?c-To distinguish from the back pains, trial treatment with Tb NSAID -if pain reduces-possibility of back pain ?related to spine is more. IF the pain remains still, possibility of Liver / Gall bladder/ Lungs disease-is more.-Wish you early recovery. Wellcome for any question if it worries you still. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 fell into a door casing and hit my right side and right back rib cage. It marked right away. I can breath okay and have been trying to relax all day. If I walk a lot or do a lot of things , my back starts to hurt and my lower right abdomon . I have been trying to sit and relax and its very tender to the touch and sore. should I be concerned or do you thing that it could be just a bruise ### REPLY: Hi. Thanks for your query. The history is obvious, and it is good that you are moving around without much problem. The pain you described is suggestive of a muscle spasm, so you are getting a typical pain. An anti-inflammatory medicines should help. Take a full rest. If there are more signs and symptoms with time like black stools, changed urine color, pain in abdomen, bloating, vomiting please get a Contrast enhanced CT scan of the whole 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: My 20 month old daughter is currently on antibiotic for strep throat. She is coughing a bit and had afever yesterday. Today her temperature is normal. She had a peculiar pimple like rash on her bottom last week .he rash has cleared up now. I noticed today that she has a great deal of mucous in her eyes. Is this a symptom of strep? Should I be concerned about this? ### REPLY: One day fever with sore throat and multiple systemic symptoms is more in favor of viral infection. Skin infections are more commonly due to staph and most of them heal with topical antibiotics. Mucous discharge in eye is not always a sign of infection. Excessive animation during sleep can cause eyelids to stick together. Similar viral conjunctivitis can cause watering and mucous secretion. As there is no fever, symptomatic treatment of the above conditions is more than enough. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a blister on my nipple. I am 19 weeks pregnant. Before pregnancy I had black discharge coming out of this nipple as well. The doctor did an ultrasound on my breast (before I was pregnant) and said he had no concerns at the time. Now that I m pregnant I am still getting black discharge and I now have what seems like a blister right beside my nipple. What should I do? ### REPLY: Hi. Blisters on the nipples or around them (in the areolar region), most commonly occur due to 2 reasons, either due to friction (from clothing, sexual activity, etc.; or what we call a milk blister which occurs while breastfeeding. As for the black nipple discharge, this could be associated with a hematoma in the breast, an abscess, etc.; and will require more concrete investigations into finding the cause as you will soon have to breastfeed. Best wishes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: there is mild exaggerated lumar lordotic curve small aterior marginal osteophytes noted there is early dessication at L4/5 AND L5/S1 discs At L4/5 level, there is a mild annular bulging of the disc causing flattened anterior thecal sac with very minimal bilateral lateral recess narrowing without any significant neural foraminal stenosis. At L5/S1 level, there is posterocentral tear with mild annular bulging causing flattened anterior thecal sac with mild bilateral lateral recess narrowing without any significant naural foraminal stenosis. Rest of the vertebrae and intervertebral discs are normal in morphology, heights and signal intensity. Early changes of facet arthropathy is seen at L4/5 and L5/S1 levels. The spinal cord and rest of the nerve roots are normal in structure and exhibits normal pattern. No soft tissues abnormality is seen. ### REPLY: Hello dear Your MRI report is suggesting early and minimal lumbar spondylosis. With this report you need not worry. You have not mentioned your symptoms. As far as back pain is concerned you can get benefit with physiotherapy, avoiding stooping forward, lifting heavy objects, squatting. Treatment can be taken in the form of euro modulator for pain like pregabalin, amitriptyline or gabapentin. Local pain reliever ointment can also be used. You will recover early if you follow the advice. You may visit a neurologist. Hope you found the answer helpful. Wishing you good health .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband has been having lower abdominal pain...pain sometimes sitting and standing...pain shooting down the back of his leg. We just had a CT scan to rule out a hernia...and everything came back great. The urologist said possibly could be something w the nerves so we should see a neurologist??? Would that be the next step...??? ### REPLY: Hi, Is your husband having a lower abdominal pain or low backache. Usually low backache pain radiates down to the back of the thigh in sciatica. I think he is suffering with this.  So, I suggest you to consult an orthopedic and come to a diagnosis. Usually MRI is taken to see for any nerve compression. Usually symptoms will be relieved with physiotherapy. Hope this information is helpful. 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: mai apani bibi ke sath sax karta hu to hast methun ke karan mera sax kartesamey jaldi ho jata h aur mai aapni wife ka sax ka maja bi nai de pata huiskan mera ling bi jada samay tak tait nai rahta h aur mai aapni bibi ke sathsax bhi nai kar pata hu ### REPLY: HelloThanks for writing to ChatDoctorYour problem may be due to stress or over excitement. You should take time before attempting repeated penetration. You should try to be calm and before penetration spend sufficient time in foreplay. This is very important in intercourse. You should avoid cigarettes completely. You shouldn't take alcohol. If problem persists then you can consult your doctor for proper evaluation. Hope I have answered your query. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello,I have been experiencing pain in both knees for the past 3 years. It is a shooting pain, whicChatDoctores and goes. When I walk down steps both knees tremble considerably. I also have stiffness at the bottom of my back, which is especially bad in cold or wet weather, and sometimes a throbbing pain in the left side of my lower back.I have been diagnosed as having mild osteoarthritis in my left hip. The X-Ray showed slight wear at the hip joint, but nothing too severe.For pain relief I take on average 800 mg Ibuprofen per day.Your input would be appreciated. ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have persistent pain in knees. Well there can be many reasons for symptoms you mention in query like anterior cruciate ligament injury, torn meniscus, knee bursitis or patellar tendinitis. I would suggest you to consult orthopedic surgeon for proper examination. Doctor may order CT scan or MRI to confirm the diagnosis. The is also a possibility of condition like sciatica. Doctor may recommend physical therapy, certain exercises, prescribe muscle relaxant, calcium supplement, corticosteroid injection or knee replacement surgery. For now apply warm compresses, take rest and continue ibuprofen.  Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I just had laparoscopic gallbladder surgery yesterday (about 36 hours ago now) and I m in unbearable pain. The Percocet they gave for pain isn t helping and I m not even taking it. I have no complaints of pain aside from not being able to take a deep breath without pain in my upper right torso area. Is this normal? I ve read it can take years to go away and sometimes it never does go away. Anyways, second question, would I be okay smoking marijuana two days after surgery? I know smoke in general isn t good for the healing process, but would there be any chemical reactions? I m joining the Marine Corps in October and I need pain relief so I can focus on getting back on my feet. ### REPLY: Hi! Good morning. I am  answering your query. Even though you might have some pain and discomfort in the operated area, it should not be unbearable with the dose of analgesia prescribed. If I were your doctor, I would avoid recommending you to smoke marijuana and refer you to your surgeon for a review check up for the unbearable pain. Till then, I would consider prescribing a proton pump inhibitor and an antispasmodic . I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. Wishing you an early recovery.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my 3 yr old was playing with my handbag. she was putting on my lip balm when i found her. i had tablets [half inderal 80 mg] in my bag, she said she didnt touch them and i dont think she did, but if she did how long would it take to affect her? this was nearly an hour ago and she is fine ### REPLY: Hello, I have read your query. Inderal can cause variety of symptoms ranging from difficulty in breathing, wheezing, double vision, blurred vision, irregular cardiac rhythm, shock to coma, confusion and convulsions. You should keep a close eye on your child. If anything suspicious occurs please take the child to hospital immediately. The symptoms develop in 30 minutes to few hours depending on the amount of . I hope your query has been answered. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Good Afternoon,  I had a total hysterectomy in December and am now expierencing episodes of upper stomach pain.  The pain will last a few hours to a few days.  People have commented that I may be expierenceing gallstones.  Is this common ar completely unrelated? ### REPLY: HI. Hysterectomy done is a pelvic organ hence to have a pain in the upper abdomen after some months looks to be unrelated. I would advise you to get the upper GI endoscopy, an opinion of the gastroenterologist and Ultrasonography to start with to get to the root of the problem. This can then be treated accordingly. Till then, you can have PPI, soft bland diet, and avoid foods and beverages which cause this problem of upper abdominal pain. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir. I ve had jaundice twice in the last 3 years and it happened this year but with lower magnitude of billirubin and a prolonged enlarged liver. I was so much occupied with work that I couln t take proper rest, but I took ayurvedic medication. Its been 2 months now and my medicines are still going. My jaundice is better now but the weakness is so chronic that I can t even stand on my own. What should be my diet to cope with this weakness? I m consulting an ayuevedic doctor. Should I switch to an aloepathic doctor for better results ? ### REPLY: Hello, The ayurvedic medication not showing benefit in your case. So you should rule out the underlying cause for jaundice and then treatment done accordingly. You have to investigate with Bag ELISA, Anti HCV ab Elisa, Anti HAD ab Elisa, USG abdomen, CBC with peripheral smear examination report, urine bilirubin and urobilinogen for primary workup. Kindly revert with reports once done.  Take low-fat diet and fruits more.  Sugar cane juice and apple juice beneficial in such case.  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: Hello, I am 32 weeks pregnant and 25 years old. During my urine test 2 days before pu cells were 25-30/hpf. I am concerned about my baby s health snd my kidney related issue my doc has suggested me to go through higher tests. During sonography my baby weighted 1825gms which is good and my baby is safe. Need to know if I can have a normal delivery or will be there any complications in my health or during pregnancy. ### REPLY: Hi, Recurrent urine infections are very common in pregnancy especially during the last few weeks. Since you have already identified the infection and have now undergone other tests which I am sure include urine culture sensitivity and renal scan a renal function tests. You should take antibiotics to treat the infection immediately as urine infection can lead to preterm labor, and it is early at 32 weeks. Once the infection is cleared, you will not have any problems. Normal delivery is very much possible for you and cesarean is done only if there is a problem to fetal or maternal health during labor. So please take antibiotics depending on the culture sensitivity report. Hope this helps. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello. I just got a few blood tests back and I m concerned about my liver . It came back as 53 in ALT and 153 in GGT. I am overweight , 5 7, 220 lbs, just had a baby 4 months ago, my first. One year ago, when I had a physical, my liver testing was slightly high as well, I took another test and it was normal, i was pregnant then about 6 weeks. Now i just took another test and the results were high. should i be concerned? ### REPLY: Hello, Your liver enzymes like GGTP is definitely very high, although ALT is just marginally raised, and it is definitely a cause of concern. The most common causes for high GPIS chronic consumption of alcohol. The other common cause is being obese and overweight. You must reduce your weight. Take fewer calories. Do regular exercises. If taking alcohol, then stop it completely. Take more of fresh fruits and green vegetables. Avoid junk foods like burgers and pizzas. Avoid sweets and deep-fried foods. Get your enzymes tested again after 3 months. If they are still very high, then consult a gastroenterologist and look for other causes for high GGTP levels like hepatitis, cirrhosis,pancreatitis, viral infections like CMV etc. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have had a hard lump just under my left bottom cheek for several years, it was dark brown in colour, firm to to touch but not painful. When i sat down on it however it was excruciating. In the last few years the pain has gone so i haven t worried about it anymore but today i noticed the skin there is softening and becoming concave. I can feel a dip if i run my fingers over it. Do you know what this could be? ### REPLY: Hi, dear. I have gone through your question. I can understand your concern. You may have some salivary gland lesion like tumor or infection.  Or may have lymph node enlargement due to some reactive hyperplasia or tuberculosis.  You should go for fine needle aspiration cytology to diagnose the cause.  Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my mom had a pain on her right side she took xray. the xray showed gallstone . she has very bad pain. the doctor talked about a blockage, the doctor want her to wait until september  1. she is on vacation in another country. i told her  to come back what do you think ? ### REPLY: Hi thanks for contacting .... Here your mother having gall stone....USG done for gall stone for proper evaluation... If needed CT scan might be needed... Because of obstruction if muscle like condition there then surgical management needed.... If stone multiple and symptomatic with frequent pain then cholecystectomy needed.... Udiliv tablet taken that is made up of ursodeoxycholic acid .... It dissolves cholesterol in bile.... It affects cholesterol absorption in intestine ...so useful in gall stone...Meanwhile, low fat diet taken.... Green leafy vegetables like spinach, bitter gourd, mustard green taken more.... If fever occurs and cholangitis there then antibiotic needed..... Take care... Avoid alcohol.... Consult gastroenterologist for proper examination and accordingly treatment .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi My momis heart patient with CAD disease now having recently the ultrasonography showed she had 4 stones of 4mm stones in her gallblader and she is complaining that her stomach is coming out and there is swelling around her liver and bile area.Please suggest what we do  Thanks Farhan ### REPLY: Hello and thanks you for your query. I am  and I will try to help you as much as I can with my answer. The best solution would be cholecystectomy which is a routine procedure today and may lead to permanent disappear of symptoms that you've mentioned. However, before this, he should rule out possible liver lesions and disorders with ct scan and liver markers check. I hope I have answered you query. If you have any further questions you can contact us. Kindly regards. Wish you a good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i went on holiday on the 3rd of july till the 10th. i have been bitten by mosquitos in alot of places they have come up in big white lumps with a little red spot in middle i am hitching like crazy. should i speak to my doctor as i am pregnant ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concerns. As per your complaint it seems like there have been infection at the site of mosquito bites leading to formation of abscesses at the site of the bites and white lumps seems to be pus filled lesions. As you are pregnant taking any medication without proper diagnosis and consultation with a Physician can be harmful, so I would suggest you to consult a Physician and get evaluated and in case of abscess formation he can advise you to take a short course of antibiotics like Amoxicillin which is considered safe in pregnancy and apply an antibiotic ointment over the bumps. Doing cool compresses will also help in faster resolution. Hope this information helps. Thanks and regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: ok i have social anxiety but my therapist keeps saying it might be a medical problem, cause i feel like my head gets tight feels like my brain is swollen and my eyes also feel swollen and it feels like behind my eyes it hurts like a aching pain, whenever i go to public or speek with someone anyone, this happens to me and i cannot control anxiety i need help??!! what should i do?bco ### REPLY: DearWelcome to ChatDoctorWe understand your concerns went through your description. I suggest you not to worry much. I sincerely feel that you do have social anxiety or agoraphobia, which needs cognitive behavioral therapy and Gestalt therapy. Furthermore, I don't know how your therapist brushed it as it is a medical problem.  You need to find a psychologist and confirm that you have social anxiety. Visit a psychotherapist who can provide you the above therapies. You need relaxation techniques also. I can help you in all these aspects. Feel free to contact me through customer care at www.healthcaremgic.com. Good luck. Happy new year. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 goin to marry next month but i am afraid of doing sex because when i am in sex pre ejaculation will come fast thats why i cannot satisfy my partner is there any medicine to control pre ejaculation or musli power will help to do long sex and many sex ### REPLY: HelloThanks for query. Based on the facts that you have posted you are facing problem f early ejaculation and unable to perform intercourse. This is very common at the beginning of sexual life and mostly due to what is called as performance anxiety. Following measure will help you to boost up your confidence and getting good erection and delay ejaculation. 1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning. 2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc 3)Take anti oxidants like Almonds 5-6 everyday4) Avoid alcohol and smoking. Taking Sildenafil (Viagra) or Calls as on demand will help to get good hard sustainable erection and to have enjoyable sex .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 large lump on my right thigh just above the knee and slightly to the left it is 2 inches across. It came up suddenly overnight and was quite painfull the pain has since subsided but lump remains my doctor has no idea what it is and I am waiting on ultrasound scan. Could you give me an idea of what it might be as I am very confused ### REPLY: Welcome to . 1. History suggest most possible cause could be - ganglion which arises from the joint space.2. Could be from tendon, synovial, nerve - most often after a trauma. Its pain less around the joint space. Other possibilities vascular pathology.3.However ultrasound will help to find out the nature of the lump (solid, cystic, mixed) and source of the lesion and where all it is extending.4. If anything related to joint MRI is excellent tool to evaluate the pathology.5. So please wait for your scan - things should be clear after that. Good luck. Hope I have answered your query.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: Five years ago, a soccer teammate kicked my leg instead of the ball with the toe of his cleats. At impact I heard a pop and the next day I couldn t walk on it and it was very bruised and swollen. We went to urgent care and they bandaged it up after X-rays showed no broken bones and sent me home. I elevated it and waited to be able to walk on it. It s five years later and it s still hurting. It has a very noticeable dent in the inside of my left calf as well. It is sensitive to any stimulus, such as cold and touch, and I need to wear an additional layer in the cold to prevent it from hurting more. I ve tried physical therapy and medicines but nothing has worked!! I ve seen multiple doctors who are all confused about the longevity of my injury and are not sure what to do. I really don t want this to affect my the rest of my life!! Sometimes it just hurts to walk!! Help!!!!!!! ### REPLY: Try this test stand on your heels with toes up (dorsiflexion of ankle) while leaning forward, maintain this position for 1 min, if pain goes away then you can fix it by sustained stretching of your calf muscles and strengthen your ankle dorsiflexors, also by achieving posterior pelvic tilt if it does not work and after this one min pain increase then you may need surgical nerve releases as it would indicate you had internal bleeding from the injury that caused fibrous tissue formation around posterior popliteal nerve Good Luck ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have DDD and also myofascial pain syndrome. On my left hip there has been a knot there for years. I do have to wear a Flector patch daily or else it is horrible pain. The knot seems to mess with my left leg at times. My left leg is very weak and even a year ago i fell and broke my left ankle. I am fed up with having to sit certain ways because if not I feel like i am sitting on a rock. It does not move around and feels hard. any advise? ### REPLY: Welcome to  I have gone through your query and understand your concern. You are having degenerative joint disease. You are likely to be got benefitted by glucosamine. Furthermore, you can take analgesic such as ibuprofen for pain relief. Diacerine is helpful. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a son year 10 days old have a lose motion and he is going 5-6 times a day .my mother says home remedy that give the boy water separated from milk and o.r.s please advice further what are other thing that can work and food s requires in this case ### REPLY: Hi, welcome to . Your child has loose stools five to six times a day, this suggests that your child has probably acute gastroenteritis. In acute gastroenteritis, we need to take care of fluid content in child and look for deny .  So, you should give ORS solution about 250 ml each time the child passes a stool. Also, antibiotic needs to be given in acute gastroenteritis like tablet oflox-ornidazole two times a day for 3 days. You should also do stool routine microscopy test in child. Review back after 2 days. I hope this 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 have back pain, right side, above waist, no symptoms otherwise of kidney infection nor do I get them. Its getting worse since last night when it started suddenly, Advil didnt dent it. Trying to figure out whats causing it. Im physically active, no problems. Thanks! L ### REPLY: Quite often the cause of back pain is musculoskeletal. You may have slept awkwardly, or incurred some other gradual physical trauma. Topical ice would help control the stiffness/spasms. You also could apply topical pain cream such as Aspercreme. If there are no other symptoms, the just a matter of rest and pain control until it heals and resolves. But if over the counter pain meds aren't cutting it, then you may need to see your doctor to get something stronger, and/or a muscle relaxant. Another quick option is chiropractic. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hai...i am 26 year old...i misscarrige 6 times...we done genetic tests of us...result was normal...on my 5th pregnency we done carryotape of misscarried one its 18th crromosome was abnormal....now am taking ecosprin 75.now planning for next pregnency  .advice me sir... ### REPLY: Hi, I think if you want to try naturally, do a first trimester screening. Do a NT scan between 11 and 14 weeks. If everything is fine, you can be sure it is a normal pregnancy. Also do a APA profile and thyroid levels to rule out other causes of abortions.  Also, you may need daily injections of heparin. Discuss with your doctor regarding this. If it doesn't work, then you can go for IVF with a per implantation genetic diagnosis of the embryos.  Hope I have answered your question. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My local doctor has prescribed Rinifol as well as Nutrolin B plus capsules both 1 each morning and night after meals. would like to know if i have to take both as one of my friend said that both are same. Is there any side effects if both consumed together. I have to take these capsules for a month. Please suggest ### REPLY: Hi, Age, gender, purpose of taking these medications, etc. not mentioned. Info and Nutrolin-B plus contains same active ingredients of probiotic and multivitamins and commonly prescribed in the treatment of mouth ulcers, diarrhea, antibiotic associated diarrhea, and irritable bowel syn .  Either of these may be used alone. Their common side effects include headache, allergic reactions, nausea, abdominal distension and bloating. 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: I just recently started taking lo loestrin fe birth control with 24 blue pills, 2 white and 2 brown. I have taken 9 blue pills allready. Today I had unprotected sex twice. He pulled out both times but I know I can still get pregnant. I havent been taking my birth control long enough for it to be effective yet. So I did some research and saw many questions of people asking if lo loestrin fe can also be used as a emergency contraceptive pill ( otherwise known as the plan B pill) they said to take four all at once or 2 together and 2 12 hours later. Instead I took 4 now, and Im going to take 4 in 12 hours. Does this work the same as plan b? Am I safe from not getting pregnant? Please reply soon Im very anxious. ### REPLY: Hi, It is true that you may not be well protected if this is your first cycle of use. You should have used additional protection. The pills have not been suggested as emergency contraception as there are no studies anywhere about their efficacy in this regard. I cannot assure that the pills can be effective as emergency contraception though to some extent they could be useful. If you are worried about conception, you may go for proper emergency contraception. You may have menstrual disturbances during this cycle due to the excessive pill usage. Hope your query has been clarified. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Have you heard of parasites that can clog arteries?  I have symptoms of a possible blocked artery (pain in left arm, in neck) and am going for some tests (echo, etc).  However, I have been tested 6 months ago on standard tests and all were fine.  Ive been taking a parasite cleanse as a 2 were identified in a previous test. ### REPLY: Hello, none of the routine parasites you are considering can clog the coronary arteries per se.However, parasitic infection of lungs or stomach may mimic chest pain. So if you have risk factors like hypertension, diabetes, smoker, family history of heart disease. Then its wise to rule out underlying heart disease. A Treadmill stress test and 2 d echocardiography would be the combination test to rule out any significant heart disease. Regards .  ### END