Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 smoker for almost 10 years. I almost consume 20-30 sticks per day. Recently, I got back pains and started to smoke little less, almost 10 sticks only for the past 3 days. I noticed that Im coughing out phlegm with blood. What can be the cause of this? Need help. ### REPLY: Thanks for your question on . I can understand your concern. You are having hemoptysis (blood in sputum). Common causes for hemoptysis are bronchitis, lung infection, tuberculosis, lung cancer etc. And all these diseases are predisposed by smoking. So your smoking habit is directly associated with your symptoms. So better to quit smoking as soon as possible and consult pulmonologist and get done chest x-ray, sputum examination and PFT (Pulmonary Function Test). Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i had my gallbladder removed in 2010 due to really sharp pains in my stomach, which they said i had major gallstones and blockage. well i am still having major pain and the no one can tell me what it is. they ruled out my appendix, and want me to go have a biliary tract ultrasound . what could be wrong with me, i can not get any answers from anyone. tyl9onal and ibprophen do not work for the pain and the doctors will not prescribe me anything saying they want to treat it not mask it whatever that means, but my pain is so bad at times i am literally bald up in a ball and can not breathe and feels like someone is taking sharp knifes and stabbing me in my right mid adomin and stomach ....what can i do for pain? please some one give me answers ### REPLY: Dear ...! Many thanks for the mail. I have gone through the details for your mail and could grasp its contents. The pain in your stomach may or may not be related to your gall stone operation. The causes in relation to your operation may be a stone in the common bile duct, a narrowing of the CBD, a stone in the cystic duct remnant etc... Cases unrelated to the operation include, chronic pancreatitis, ulcer disease, sphincter of Odd dysfunction etc. Either way you need to have some definite investigations before making a certain final diagnosis. Please see a gastroenterology physician and get going with the tests. 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: aesthema ### REPLY: Hello laeeqchughtaiWelcome to ChatDoctorErectile Dysfunction or inability to achieve desired erection is a common problem in youngsters. It causes a lot of distress, and it hampers martial life. The causes may be a lot-- Most likely cause is Psychological ED, its very common, due to stress, some cognitive distortion individuals fail to achieve desired erection than they used to achieve before. In most of the cases all tests come in normal range still they have problem. Depression, anxiety further increases the risk. Work load, stress is also a risk. In most of the cases sometimes the poor erection occur once or twice, but after this individual start thinking again and again about same problem and this increases stress and cause development of performance anxiety, and ultimately it again causes erectile dysfunction, and individual enters a vicious cycle of stress-impotence-stress. Best way to deal with it is to talk to your partner regarding your problem, be assured that you are not having any problem, foreplay before intercourse will help.- Second cause is Hormone dysfunction, kindly get your Testosterone levels checked in a number of cases of real erectile dysfunction testosterone levels are in lower range. But as you were having normal erection previously, it is rare to have this cause.- Erectile dysfunction may occur due to chronic illness, prolonged . So dear friend as your age, height and weight is in perfect range so be assured most likely there is not a big probable try to deal with it smartly. Treatment options include Management of associated depression and anxiety, newer medicines as Sildenafil, Tadalaphil have promising results (But to be taken only by advise of a doctor). Thankshope I cleared your doubt. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Veronica I have had this symptom of a feeling of being chocked or a lump in my throat and it also feels like my chest is tight I do not have any difficulty in breathing but when I Bend I feel a rush of pressure to my head now I am most worried about this tightness of a feel on my chest and throat, might you know what can be a cause and how I can alleviate the symptom as I wait for my appointment? ### REPLY: Hi. Thanks for your query. Noted the history and understood your concerns. The commonest causes of feeling something in throat, feeling something or heaviness in chest and heaviness in head on bending are:Globes is a psychological condition wherein one feels something in throat. Chest pain can be due to Costco . Headache on bending can be due to sinusitis or hypertension. All these in turn can be due to stress and anxiety.Hence, get a clinical evaluation by your Doctor, examination and investigations to prove clinical diagnosis or rule out. May need medications for the psychological problems and symptomatic treatment 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. I am a 15 year old female and weigh 145. I am 5-3 ft. and everyday i am very irratable. When someone gets me mad i lash out. I also sleep for long periods of time at night and when i wake up i dont have motivation to get out of bed. I also feel lonely becuase we moved 7 months ago and have made no.friends. I think i have some sort of depression and my parents are sick and tired of my behavior and moods. They think i have a chemical inbalance. How can i find out if its depression or a chemical imbalance? ### REPLY: Hello, Depression is due to chemical imbalance in brain itself, so, they are interlinked and not different. Your symptoms reflect depression as, you mentioned being sad, lethargic, irritable, increased sleep but no quality or freshness after sleeping, having reduced interaction. There are certain other features which I will mention and see if you have them then -you should seek an appointment with a psychiatrist and get well. The other main features of depressive disorder are-lack of energy, lack of interest in previously pleasurable activities (like playing, watching TV, listening music, etc.) they can differently with different people. The feeling of hopelessness, helplessness and worthlessness may also come up from time to time, with ideas of doing self harm (which means early intervention is a must). If you have first three of these even in some proportions, then it is likely to be depression, and you will benefit immensely from treatment. Please ask more questions for clarification. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had pain in the center of the upper abdomen on and off for 3 days.  It felt like contractions and lasted 5-10 seconds each time.  A few days later I had an abdominal sonogram which shows hepatic parenchyma that is homogeneous, no evidence of intrahepatic biliary ductal dilation, no hepatic mass seen, the right lobe of the liver measure 18.1 cm, no ascites, gallbladder is normal in apprearacne and no gallstones or sonographic evidence of cholecystitis, the common bile duct measures 8.9 mm, the pancreas has a normal sonographic appearance and the abdominal aorta is normal in caliber. It was recommended to have an MRI/MRCP to evaluate.  Do you have any thoughts abou this?  Thank you. ### REPLY: Hi! Good afternoon. I am  answering your query. Everything in the ultrasound seems to be ok excepting for the size of the CBD, which is slightly more than the normal upper limit. However, there is no evidence of any stone or obstruction in the CBD. If I were your doctor, I would have advised you for a liver function test, serum amylase and serum lipase estimation more so if you consume alcohol, to rule out any chances of a pancreatitis. In case this is inconclusive, then I would like to go for an MRCP. Till then, I would advise you for a proton pump inhibitor with an anti-spasmodic . I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.] Thanks for choosing  to clear doubts on your health problems. I wish you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been dizzy for several days...off and on. For the last six months I have been watching my weight and only eating 1200 calories per day.. Would this affect my blood pressure at all? Plus,, I have just finished a series of prenesione pills for a bad case of poison ivy. Would this affect my blood pressure. I took my pressure within the hour and it was 101 over 51 ### REPLY: Hi, Welcome to  .com I am . Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you.101 over 51 is low BP Please eat properly Please do not reduce your food intake without consulting a dietician or a doctor Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in  at http://bit.ly/ask ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doc, I have a terrible pain in my lower abdominal muscles. I hurt them as I continuously strained them before two months by playing. I also reckon not warming up properly. The pain is not normal soreness after a hard workout as it is ok when i cough or sneeze but when I shoot a football or try to change direction quickly from stationary position, it pains a lot. ### REPLY: Hi! Due to irregular exercise by an unprepared or non-warmed up body, possibly there is a repeated tear of muscle fibers with accumulation of small amount of ooze at places of unsuspected trauma. You have to give sufficient rest for these to heal and have to have some anti-inflammatory .  If this does not solve your problem, then you may have to go for an ultrasound of abdomen to rule out any other organic problem. Thanks and good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have what feels like a bony lump on the inside of my lower gum line, I thought it may be an impacted wisdom tooth but my dentist said I have my wisdom teeth and it is just the oblique bridge? Sometimes it feels tender/sore , i only noticed it in the last 6months or so. I am sure at my last dental visit when having X-ray for root canal that I seen a horizontal tooth, could this be the problem, do I need to see another dentist? ### REPLY: Pimple on gums can be because of gingival abscess which can occur because of impaction of foreign objects such as tooth brush bristles or some hard foodstuff on gums or can occur because of periodontal abscess which occurs because of spread of inflammation from gums to the periodontal tissues. Bump on gums can also occur because of infected tooth adjacent to the gums. Abscess or infection if present in the tooth can move from tooth to bone and surrounding tissues and can cause bump on gums. It might be a canker sore. If bump on gums is because of gingival abscess, then the cause of abscess is removed.  .  If pimple on gums is because of periodontal abscess, then scaling, root planning is done. Periodontal surgery may or may not be required. If bump on gums is because of infected tooth, then root canal treatment of infected tooth is done to remove the infection. If it is a canker sore, then it will heal on its own in 7-10 days. Without clinical examination, it is difficult to give definite diagnosis. You have to visit your dentist for definite diagnosis and treatment. By the time you visit your dentist, you can do warm saline rinses and maintain good oral hygiene. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 made spirometry and the results were as following:fvc       4.56               93%fev1      3.22               79%fev1/fvc%    69 i am 26 years oldmaleheight is 69 174 cmweight is 100 kgfrom above data i want to know if i have any pulmonary problems? ### REPLY: Thanks for your question on . I can understand your concern. I have gone through the spirometry report you have mentioned. FVC means, forced vital capacity. FVC of 93% is normal. In your report, FEV1 is slightly low (79%) and FEV1 /FVC ratio is low (69%). This is suggestive of obstructive Airway defect which is commonly seen with bronchitis and asthma. So if you are smoker then you should immediately quit smoking. Consult pulmonologist and start treatment for obstructive lung disease. You will need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My friend Faith has been on Chemo for all most 4 years, she has pancreatic cancer. this last 4 weeks she has had many problems, first Pancreatitis, then she got a flu shot, which created all kinds of sickness, then on last Thursday got her Chemo and got really sick., kidneys hurt, low back pain, stomach  hurt, low grade fever, really bad headace on left side of head worse than migraine she says and how has orange pee and poop... what does this all mean. ### REPLY: Hi!welcome to !CHEMOTHERAPY has side effects, but their management has improved considerably over the last twenty years. Many side effects that were once inevitable can be either prevented or well controlled today. There is no reliable way to predict how patients may react to chemotherapy. Some experience very mild side effect, others will have none at all, while some people will report various symptoms. You should talk to her doctor and mention these side effects, so that he can manage these. Hope this will help your friend! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I really really need your help.My partner has suffered from the same problem for around 4/5 years maybe longer now. His problem is he overthinks...about the same stuff all the time. things in his past...did i do that?? what actually happened? when he knows he hasnt done anything wrong his overthinks it an questions whether he has. When we go out if he talks to a girl (even when i am there) he will think about it for months after what if i tried kissing her...was i chatting her up? what if i had cheated? even though i am with him the whole time and he knows he hasnt done anything wrong!He wakes up thinking about it and goes sleep thinking about it. He says he cant even feel his own feelings anymore, hes always tired from it, we havent had sex in 2 months i just dont know what to do! he saw a physciatrist 3 years ago and they prescribed him tablets but they just turned him into a zombie. Please can you help and tell me how we can get through this. Thank you x ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. From the description it is very much clear that your husband is a victim of obsessive thinking. It is a personality disorder and treatment is necessary. First he must be made aware that he has this problem and should be explained reasonably. This is a psychologist can do. Then he should be motivated to follow a lifestyle which is engaging. Called occupational therapy. Then his thinking (cognitive) style should be changed using positive techniques which is coming under Cognitive Behavior Therapy. A psychotherapist does this. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. 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: My age is 24, height is 5ft 3inch,weight is 88.Sir my name is salman, i am very weak my penis is not getting hard,my penis is always been small i always been involved in masterbuiting, and my feets paining every time, my full body is week, no power in my muscles. sir kindlly help me please ### REPLY: HelloThanks for writing to ChatDoctorTrue erectile dysfunction is unlikely in your age. Your problem may be due to stress or psychological causes. You should avoid stressful situation.Don't take alcohol or cigarettes if you take these things and try to lose your weight. Masturbation is normally practiced by many persons, but its obsession is bad. You should concentrate in your activities. You should avoid provocative literature and videos and try to keep busy yourself in your job. You can also try yoga and meditation, this will help a lot. 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: i have been diagnosed with hip arthritis. I have no pain in the joint but my outer leg(where trocanter(sic) bone is hurts and I can hear a tendon snapping over it? also, my SI joint seems to bother me. Is there anything I can do short of a THR or resurfacing? ### REPLY: Hi You have been diagnosed as having hip arthritis and are having pain in trochanteric region and SI joint. In my opinion the treatment of Hip arthritis depends on pain and difficulty you have an activity of daily living. If you are able to carry out these activities comfortably then you can wait for Total Hip Replacement. Apart from painkillers(to be taken only for short duration), Total Hip Replacement is the only answer. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Mrs is in Pakistan and i have come back to the united kingdom, she is 3 months pregnant an she has had a high temporature the doctor has told me she has typhoid i am very worried, the have told me they would immunise her 3 times a day for 3 days, is their anything serious to worry about? ### REPLY: Typhoid in pregnancy, is not a dangerous episode. Hope the doctors have confirmed the diagnosis with a Tidal Test, Blood and stool culture, Ty phi dot and Tube tests, the last two are very sensitive tests and confirmatory. The essential thing is u must have the family members also tested and immunized against typhoid if they are all right. Your wife needs to be treated with an appropriate antibiotic which depends upon the local strains, Usually Augmenting at 625 / 4 times a day for 3 weeks is adequate. As she has already crossed 3 months the effect on the baby of these medicines is not reported. Also, typhoid, will not cause any damage to the baby. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 did not have sex with my wife for 6 days because she had periods and on 6th day i had a night fall (not much) after this i waited for 3 days and went for a semen analysis and i got a very bad report 90% non motile and 0.2 million sperm count . did i choose a wrong day for semen analysis please help ### REPLY: Hello, Your sperm count and motility affected very much. You should repeat your semen analysis again after three days of exposure. If it is still abnormal, then further work up done to rule out causes like hormonal problem, vitamin and mineral deficiency, smoking, alcohol, diabetes, thyroid, . Your random glucose, serum FSH, LH, Testosterone level should be checked. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had breast cancer in 2003. I have been cancer free for 10 years. after my cancer my white blood cell count became extremely low and I have been taking IVIG treatments for 8 years. Until 3 months ago it was at a good level but then I started having all kinds of infections an my Dr. increased my dosage of my IVIG meds. and instead of every 28 days  moved me to every 21  days. I had some labs run the last wk. and was told that my white cells had dropped to a chronic low and I would probably have to have a bone marrow biospy within the next 6 months. The nurse said she was sorry to have to give me such bad news. I dont understand exactly what is happening. Can you help me to understand? ### REPLY: HIT hank for asking to ChatDoctorI can understand your concern, the low WBC counts indicates so many etiologies from infection to hematological condition and that need to be differentiated from each other the first step would be hematology test, and the bone marrow is the only way for this to find out the exact cause, let us hope for the good you can ask any further question without hesitation have great day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi sir, i had 3 release in a single intercourse but i released for the 2consecutive ejaculation..but for the 3rd and last ejaculation, i released inside.Its my wife ovulation that time.I think my last release is already weak..is there still tendency that she gets pregnant? ### REPLY: Hello and thanks for the query, I understand the problem, and it happens commonly with coitus interrupts. Unfortunately there is nothing like a weak ejaculate. The sperms are stored in the male genital tract in large numbers and small number of good sperms are sufficient to cause pregnancy. So it is best if she uses another method like an emergency contraceptive pill [plan B] within 72 hours of sex, preferably within 12 hours] to avoid any unwanted pregnancy. I hope that this was helpful. Thanks for the query and feel free to ask anymore. I would be glad to help. ChatDoctor BagdeConsultant Ob gone. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, whilst changing may 20 month olds nappy tonight I felt two small hard lumps, which weren t there last night! They were hard and didn t move, didn t seem to bother him. What are they? Really worried so will be taking him to drs ASAP. Any info appreciated. Thanks ### REPLY: Hi, Thanks for query to My  virtual Clinic. I studied all details of your query. I understood your health concerns about causes of lump on buttocks -Causes of lump on buttocks of your 20-month-old baby-After reviewing your query facts, In my opinion these 2 small hard lumps are from insect bites or mosquito bites, as you did not notice these lumps last night. I would still suggest Second Opinion by consultation from your family doctor. Hope this reply would help you in resolving this complex query and anxiety with it.Don't forget to hit thanks and write excellent review comments to help needy visitors at . Welcome for any further query in this regard. . N.M.S. Genl- CUTS. Senior Surgical Specialist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my boyfriend has type 1 diabetes and he just recently got terminated from his medical insurance.  the doctor  told him he cannot work anymore because of kidney failure and he has not insurance now.  he cannot afford his insulin. i cannot see him suffer like this ### REPLY: DEAR OVERTHINKS FOR WRITING TO ChatDoctorI UNDERSTAND YOUR CONCERN. BUT THE MAIN TREATMENT IN PATIENTS WITH TYPE 1 DM IS INSULIN WITHOUT WHICH YOUR BF TREATMENT OF DM IS INCOMPLETE APART FROM THAT YOU TALKED ABOUT FAILING KIDNEY. I WOULD LIKE TO KNOW IF HE HAS ANY SWELLING IN BODY, HIS GREAT LEVELS. REGARDING THE AFFORDABILITY THERE ARE DIFFERENT SCHEMES FOR PATIENTS NOT AFFORDING COSTLY TREATMENT THAT THE GOVERNMENTS IN VARIOUS COUNTRIES ARE PROVIDING CAN TRY TO FIND ONSHORE I ANSWERED YOUR QUERY CAN MESSAGE ME FOR ANY FURTHER CONCERNS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 underwent live related donor liver transplant 1 year ago for early HCC(2 < 2cm lesions ) and am on tacrolimus 0.5 BD  ,EVerolimus 0.5-0-0.75 ,and Azothioprine 50 OD. Latest LFT was near normal  except for SAP of 650 IU. Transaminases are of 50-70 range. How often must LFT be done? When can I be considered free of recurrence?Should I undergo Biliary stenting for posterior sectoral ductal obstuction as  i am feeling alright right now? Wil continuing UDCA  be helful? I am 42 at present. ### REPLY: 1) Your should continue doing LFT very regularly than other liver transplant patient as you have posterior sectoral ductal obstruction.2) If bilirubin levels are not increased then you can wait for stenting, but you must continue LFT to watch for transaminase and bilirubin.3) You can discontinue UCA from perspective of liver protection.4) To state as free of recurrence from HCC, you also need to do serum AFP (Alpha Veto Protein) level every time with LFT. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Santosh, I am experiencing slight heart pain in lower part of left chest and on the left side of the chest. I have undergone stress test and 3 ECG in last 4-5 months and all yielded negative results. The pain in the chest is still on and i m worried about the same. ### REPLY: Hello Santosh, your chest pain is definitely non-cardiac in origin as your 3 ECG's and stress test were normal. It is likely that you may have muscular pain or dyspepsia.I suggest you to get X-ray chest PA view and ultrasound of upper abdomen done, to rule out any pathology in lungs, ribs and one upper abdominal pathology.Meanwhile, you may take simple analgesic like diclofenac 100 mg twice a day along with Pantoprazole 40 mg once a day for 5 days. This may relieve your 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: i HAVE NOTICED NUMBNESS AND EXTREME SENSITIVITY TO THE COLD IN MY LEFT FOOT FOR ALMOST A YEAR NOW. OVER THE LAST FEW DAYS IT HAS SPREAD, FIST TO MY HANDS AND THENWORSENED THE PAIN IN MY BACK (ALSO LEFT SIDE ABOUT 8 MONTHS OR SO) Today I woke up and my right ear cheek, AND TONGUE and rib area were too. ### REPLY: HIT hank for asking to ChatDoctorI really appreciate your concern, this could be non-specific type of complain and might be due to some functional elements if I would be your doctor then I would treat you with "Tab Amitriptyline with Diazepam twice in day then reduce to once in day after a week" try to keep your tress level low if this fails to respond then see the physician, hope this information helps you have nice day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been suffering from what I believe is acute bronchitis, I have quit smoking since I started having shortness of breathe due to the bronchitis. I can barely breathe most of the time and just walking makes me go out of breathe, I have been taking omega 3 and eating raw onion, fruit and vegies and lots of fluids and rest. But it is not getting better, I have been in my back when I breathe and my ventolin puffer only works for a very short period of time before I want to use it again but heard ODing on ventolin causes heart problems... I am not sure whether this is bronchitis atm or pnuemonia... what is your diagnoses? ### REPLY: Thanks for your question on . I can understand your concern. You are not improving in breathlessness because you are not taking proper treatment. Ventolin is having albuterol. It is short-acting beta 2 agonists (SAGA). Its action lasts for only 1-2 hours. So you are not getting Complete improvement. Treatment of bronchitis is based on severity. So better to consult pulmonologist and get done PFT (pulmonary function test). PFT will tell you about severity of the disease. You should start newer longer acting beta 2 agonist (LAB) (albuterol or formoterol) and inhaled corticosteroids (ICS) (fluticasone or budesonide). Don't worry, you will be alright with all these newer .  Consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter has lupus and is complaining of severe stabbing pain around the belly button, which extends to her back. For the past two weeks she complained of having poor appetite, and last week she was having severe nausea which affects her ability to eat. What is happening? ### REPLY: Good evening mam. The kind of pain you are describing is classically seen with pancreatitis. It is condition which causes inflammation of the pancreas organ. It can affect her appetite, and it can cause severe pain in the tummy which radiates to the back. Pancreatitis can be seen in lupus due to the disease itself or if she is on medications like Azathioprine or high dose steroids. Do consult your doctor at the earliest. Kindly get Ultrasound abdomen, serum amylase lipase done, but don't ignore. Hope the information was useful. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, i started on the Visalus Shake several weeks ago to get more vitamins and shortly, thereafter, developed what i believe to be a mucus cyst in my mouth. It fills up with fluid and then it pops and this pattern has continued for weeks. It only, recently, dawned on me that it all started when i started up with these daily shakes. Any possible connection between the two...(Im 51, 57, 125 pounds, not on any meds) thanks... ### REPLY: Hi dear, The mucus cyst can occur due to various reason like biting, accidental rupture of salivary gland, adjacent teeth causing chronic damage or cheek biting. It has no connection with shakes. Treatment is based upon the severity of the mucous cyst. Sometimes cysts may not require treatment and will heal on their own over time. Superficial cysts heal in very short times. But there are other treatment options available for severe cysts like laser therapy, cryotherapy and intraluminal corticosteroid injection. So I would suggest you to consult oral surgeon for proper treatment. Doctor may use a scalpel or laser to remove the salivary gland. Local anesthesia numbs the pain. Marsupialization is also one of the treatment option. 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: hello doctor,i am 55 yr old and had approached a orthopaedic surgeon for my severe backache problem. After 4 sessions of physio therapy and some medication i was told to take gemfos 35mg. I took the first dose and after abot 12 hrs i got severe musculorskeletal pains. It is so bad that i cannot get up or bend or walk straight. Even heavy breathing or any kind of movement hurts me severely in the abdomen and chest region. It has been going on for the last 36 hrs and is still continuing. What should i do? ### REPLY: Hallo dear friend i he studied your case Memphis does not cause musculoskeletal paint strengthen your bone follow instructions of taking Memphis[hope you know] there might be lumbar disc prolapse leading to articular pain you need some neurotrophic like pregabalin and calcium supplement with it D take rest, take some analgesic, hot or cold fomentation avoid lifting weights sit with taking support to your back continue spine extension exercises you need MRI SPINE for further query contact on . Com ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have a fibroid as big as a orange in my abdomin and it is causing extreme pain. i cant sleep, eat or do anything and my surgery isnt until dec. 10th of this year. which prescription pain medicine would you think would work the best? thank you and please help ### REPLY: Hi ! Good morning. I am  answering your query. If I were your doctor, I would prescribe for you some kind of anti-inflammatory .  However, in case of increase in the severity of symptoms, the chances of the fibroid getting twisted or hemorrhage into it has to be excluded by an emergency ultrasound as these conditions might need urgent surgery. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. I wish you an early recovery.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: had a back injury at work last year.  have tried nerve block injections, steriods, prednisone pills, oxycodone pills, physical therapy, nerve stimulation...you name it.  No relief..other than briefly while on prednisone.anything I can try non traditional that might help? ### REPLY: Hi, welcome to our site. I am , MD. Read your query. That is a very significant question and I appreciate your problem. I will try my best to answer your everyone of the best methods to relieve backache is physiotherapy and hot fomentation. These techniques help relax the muscles and also relieves the undue tension on the muscles. Besides, physiotherapy also helps in building the muscles. The stronger the muscles are the better they are able to support the body weight and the strain of the activities that you have to performs I would suggest that you look at it seriously.(I am unaware from the query as to the exact cause of pain, so discuss it with your treating doctor- physiotherapy is not advisable in some circumstances)I hope this helps you. Inform the reports mentioned above/if any other, so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)Best of luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. I recently injured my back and suffered from compression fractures in t4 and t5 area.  I had a vertebralplasty in December.  Since the surgery my back pain is better, but still there, at least I can breath now. But I am having trouble with my hands.  My ring and pinky fingers are VERY numb and my hands are so week.  I am only 36 years old. Will this pain in my back ever go away? and will my hands get back to normal?  I have been off work since December, I had emergency surgery, now it is almost impossible to find a neurologist or neurosurgeon who will touch me. I am at the end of my rope!! ### REPLY: Hello, I have studied your case. I will advise you MRI spine and if there is any cord compression with lower limb weakness then you may need decompression. If there is cord compression then you may need fixation. Decompression is necessary if neurological deficit or bladder involvement is there. If there is no neurological involvement then conservative brace or rest is sufficientLater on follow rehabilitation and physiotherapy. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a kidney removed 4 years ago..cancer.  I feel terrific but in the back of my mind I keep asking myself...how do I keep my other kidney healthy since I only have one. ...In other words...what is the best type of diet to keep my remaining kidney healthy.  . ### REPLY: Hi, I can understand your concerns. There is no need to worry too much about the health of your kidney. Any food which is healthy for your heart will be good for the kidney also. Just take care of the following things in your diet:1. Eat food rich in antioxidants. These include red pepper, red cabbage, red leaf lettuce, cauliflower, cherries, strawberries, cranberries, blueberries, plum, apple, red grapes, onion and garlic. Try to take as many colored food items as possible.2. In animal protein, try to take egg white and fish instead of meat.3. Use olive oil and vegetable oil instead of butter, lard and shortening.4. Make sure you take regular and adequate fluids. Prevent deny . 5. Limit sodium intake (about 2.5 g/day). In addition to these aspects of diet, please note that hypertension, diabetes and hypercholesterolemia can worsen kidney function. You need to get checked for these diseases regularly and control them if you already have any one of them. Regular exercise is important to prevent and control these three problems. Regular medical check-up (as per your Urologists advice) is important to diagnose and treat any precipitating factors early. Checking 24 hours urinary protein can show early damage to kidney. Proteinuria is a marker of kidney damage. If this is found in follow-up, it can be treated with specific  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Just yesterday I realized I have a lump in the middle of my chest. Its right in between my breasts. It hurts when i press it and I even get pain in my back directly behind it sometimes. I did not have the lump before but that area did hurt starting last sunday and then I was even short of breath or whenever I would breath it would hurt, and the deeper I would breathe in the worse it hurt. Im not sure what is going on. ### REPLY: Welcome to  .1. Lump with pain radiating to the back and shortness of breath seems like an infective etiology (bacterial infection - Abscess, infective cyst).2. If you are mu patient I would have examined and ask for the ultrasound lump / lesion. (helps in assessing the nature of lesion, its source and extensions)3. After that depending on the nature - an FNAC - fine needle aspiration cytology to evaluate the kind of cells (benign / malignant / infective)4. If infective a small incision and . 5. If mass lesion - depending on extension removal will be planned. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i would just like to know if I should go to my primary Doctor for mild chest pains as the emergency rooms charges a lot more than my doctor I am 26 years old I have been having pains for about 2 months  now but it seems like the more I stress the worse it gets what should I do? ### REPLY: Hello rearward welcome to .come have evaluated your query thoroughly.* This seems in relation with different possibilities as - muscular ache - reflux of stomach acid - stress or anxiety related.* No need to rush to ER to pay handsome bucks, just consult your family physician by appointment only.* Suggestions till then - . - Soft, light diet with avoidance of oily, spicy, non veg stuffs.- Avoid weight lifting.- Avoid stress, anxiety.- Have adequate sound sleep of 8 hrs.- Regular walking in fresh air, exercises with deep breathing, YOGA Hope this will help you for sure. Welcome for further questions. 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 Doctor,I had 3 abortions in last 3 years and one ectopic pregnancy..I am going for IVF now but 2 time failure implantation so doctor has advised to AKT4 for two months will I be able to concive after 2 months is this treatment safe in pregnancy?are there any side effects of this treatment? ### REPLY: Hey thanks for your faith in the .I have gone through your question and understood your problem. Yes, it is sometimes possible to have tuberculosis, and yet test negative on the conventional laboratory test. Evidence of tubercles directly seen on DL and hysteroscopy is the best proof of genital tuberculosis.She is right to recommend anti-tubercular treatment for you, based on the directly visible evidence. It is definitely possible to conceive a baby while on AKT. Just wait for the initial two months of AKT 4 to get over. Then you can start trying for pregnancy. If the tubes are open, there should be no hitch there. There is no complication to the baby while you are on AKT 3. Hope I have answered your query. If you like my answers and wish me to answer in the future, bring it to my attention ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 that I am suffering from depression.The main reason is that I had a bad childhood due to un-understanding parents. Felt that I was  always misunderstood. When i was 15 I got into the habit of cutting my hands with blade due to the trauma faced at home. My parents believed that it was due to some guy I was in love with. Then an year late I found a friend with whom I could talk and share about my family problems and when my parents found out that I have such a friend they labeled us as lesbians and told me to stop talking to her.Even 9 years later, situation is still the same. Am 25 now and have been working in an MNC since past 2 years. I had a fracture in my leg 5 months ago where my left tibia snapped into two, and had to go home. Now am back and my mother has come back with me. Not just to help but also to take a look at my lifestyle because before the fracture there  was an incident with a guy + drinks. Although nothing had happened and that incident was no way related to the fracture but still I get to hear a 100 times in a day that I am a characterless person and I destroyed my life and that my mother will keep on staying with me till she marries me off respectably.I am from India and here in my city I could not even find a decent psychiatrist to consult with. I feel suicidal because there is no reason to go on. I am writing here maybe because am looking for a hope to live. ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. I do not know why are you thinking bad about your parents. They always tried to keep you better. You know them after 5 years or so. Before that you do not know. They always tried to give you a better life. They are still doing it. Furthermore, they want you to prosper and that is why they always advise you. If they were your enemies, why should they advise you? Why should your come with you to look after you? You are misunderstanding the whole story. Please understand them, they are your parents. They know you better than you yourself. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. 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: Good Evening,My husband has been suffering from hiccup for 3 days now and on going. He tried anything that he could think of but none of them work. He hasnt been eating a proper meal for the past 3 days because of it. At this moment, he is in so much pain in his chest and sweat a lot. Please advice.Regards,Mrs Oliver ### REPLY: Thanks for your question on . I can understand your concern. Chest pain, hiccups and sweating are seen with heart and lung diseases. So better to take him to hospital and get done blood pressure monitoring, ECG and 2d echo to rule out heart diseases. Get done chest x-ray to rule out lung diseases. If all these are normal then no need to worry much. Give him could water to . Baclofen twice Daily should be started for hiccups.Don't worry, he will be alright. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. 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: Can you help me please.I have very big problem with my teeths,I didnt treat them right from my early ages.They are in a mess now. I was reading about dental implants so I am about to explore more about it. If you can tell me something what can help me to decide. Is it good or bad? How long the implants can last.I am 20 years old and my bad teeths make me feel so uncomfortable to be in my skin,I really want new teeth so I can have always a big smile and confidence. Also I would like to know does the implant look naturaly? And how much would it cost ,I would like a total treatment  ? ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concerns. As per your query in case if you have bad/ decayed teeth then treatment is decided depending upon the severity of decays as well as whether there is need to extract the teeth to place the implants or the teeth can be conserved with treatment. As far as implants are concerned, yes they are among the best treatments in case if you lose your teeth and looks more natural as compared to other fixed treatments like bridges and crowns. The charges depend upon the type of implants as well as the region where you are put up. It is however in a range between about 10,000 to about 15,000. In case if you do not have any medical conditions or bone elated problems, implants tend to last for long durations of about fifteen to twenty years. My suggest for you would be to consult a dentist and get evaluated and if you have multiple decayed teeth get a full mouth x-ray done. Once the x-ray is done you will be advised appropriate treatments, and it will be better to get your natural teeth conserved with treatments like root canal treatment. In case if any of the tooth needs extraction, then considering your age it will be best to go for implant placement. Hope this information helps. Thanks and regards. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a low grade fever, constant nasal discharge (sometimes clear, sometimes green), I have been tested for allergies and they say I have none. I have muscle aches and pains, headache, low IgG treated with exogenous IgG (have been on for 5 months. I have had a recent CBC and everything is normal. I am constantly tired/exhausted. I play tennis 3-5 times per week and have 3 boys so I stay very active. However, I feel like I am dragging myself around. I have had nerve pain which has recently gotten worse. It s down the back of my legs. I have had a herniated disc/L4/L5 for 20 years and have received steroid/epidural injections. In the past year, they only last about 8 weeks or less. Before that, I would only get 2-3 per year, max! The nerve pain is unbearable. I have been to my primary care doctor who found nothing (she did a basic lyme test which was negative), an immunologist who said I have low IgG and prescribed the exogenous IgG, a chiropractor, a vision specials to see if my eyes were bad (relating to headaches). I don t know where else to turn or whom else to see. I am getting to my wits end!!! Please let me know what you think. I have an appointment with an Infectious disease specialist in a month as I thought that might be a good next step??? YOUR AD SAID YOUR DIAGNOSIS AND HELP WAS FREE!!! NOW I SEE ALL OF THESE OPTIONS FOR CHARGES!!! ARE YOU A SCAM??? ### REPLY: Hi, If I were your treating Doctor for this case of kind of immunodeficiency, I would say that as per your description, fever, constant nasal discharge, muscular cramps and headaches are all possible in such cases and related to recurrent infections only! In fact, this is one of the characteristics / presentations of immunodeficiency diseases... Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have a minimal to moderate disc disease at C4-C5, produces minimal central canal stenosis and up to moderate left foraminal stenosis. question: can I continue swimming ( free style ). Does this bulging get worse as you age and how can you stop it from getting worse ### REPLY: Hello! Thank you for asking on ! Regarding your concern, I would explain that swimming does not usually worsen this clinical situation. Correcting your posture is the best way to stop the progression of this disorder. You should avoid weight lifting and straining physical activity. A cervical collar can help for the pain time after time. But, as this condition is progressive and can cause gait difficulty and pain in the future, it is necessary to periodically follow up with cervical MRI and consult with your neurologist or spinal surgeon. Surgery would be the only way to definitely solve the problem. Hope to have been helpful! Wishing all the best,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi.. My son who is about 24 years of age is been having recurrent pain in the back. He was diagnosed to have stones in the kidney. He has had about 7 episodes of such events in the last 1 year. Can any one suggest methods to prevent this.. It hurts every time to see my son suffer with pain.. Please help.. ### REPLY: 1. when he was diagnosed to have kidney stone, that too with 7 episodes, do tell about the TYPE/SIZE of kidney stone which your Physician has told you?2. Avoid: spinach, milk and milk products, tomatoes, capsicum, watermelon, guava, brinjal, lady finger, chocolate, beets, Beans, and peanuts.3. Avoid using too much salt and sugar, antacid tablets containing calcium and vitamin D4. Increase your intake of potassium and magnesium but avoid phosphorus rich food (cashew nuts, almonds,cumin/poppy seeds) 5. Eat fiber rich diet whicChatDoctorbines with calcium in urine and is excreted in stools. 6. because RECURRENT episodes are there check you calcium level and seek opinion of an endocrinologist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: can you have a burst blood vessel on your tongue? I noticed it after brushing my teeth on the top toward the left front may have bit down on my tongue during dinner but dont remember doing so. doesnt hurt just discolored and has a slight sensation when I rub my teeth across the area? ### REPLY: Hello, Read your query, as you have bite injury on your tongue don't be worried so much feeling of burst blood vessel can be due to trauma on tongue inflammation can be there, for this you can apply ointment like Mugel or McCoppin on tongue, you can take vitamin B and Zinc supplements by consulting with your doctor. If you won't get relief you can Consult dentist and go for visual examination of tongue, and treatment. Hope this will help you.  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 I am a 52 y/o woman, I was bitten by a dog on my leg I have a huge hematoma and I would like to know how to care a hematoma when you are a diabetic.  I was diagnosed with type II diabetes a couple of month ago and I am still learning about the condition ### REPLY: Hi, Thanks for asking. Based on your clinical history and query, my opinion is as follows:1. Hematoma is collection of blood outside the blood vessel.2. Depending on size, it will take up to two weeks to disappear. 3. Diabetes, if not under control, infection risk is high at site of dog bite.4. Rabies vaccination is essential, especially if dog is not vaccinated. Antibiotic cover is necessary due to diabetes infection risk. Hope it helps. Any further queries, happy to help again. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: sir, i have a gap in my upper teeth. and my tongure always touches the upper teeth. so please tell me how to keep tongue away from upper teeth. age 22,male ### REPLY: Hello and Welcome to , Thanks for writing to us. Training of proper swallowing pattern and exercises for the lips and tongue. In situations where the habit is severe, a removable appliance may be necessary to block the tongue away from the front teeth. Unfortunately, some are never corrected due to lack of parental support or lack of cooperation from the patient. Hope this helps you. Wishing 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 My Daughter is 1 year and 3 months older.She is having constant pain in Teeth. I try to apply Zytel Gel on her teeths but still no go. Can u refer me any medicine that is good for her teeting pains.DOc has reffered Caldikind Zinconia Syrup for 1 year. Also T minic.Can you guide us how we can help her from Chroinic Pains, Vomit and Slight Fever in this agePuneet Anand ### REPLY: Hiwelcome to ChatDoctorpain in teeth at this age could be because of teething or some calcium deficiency or underlying infection. For calcium deficiency you can give her CARFAX (Range) and for pain you can give her ibuprofen syrup, but it should be avoiding to give painkiller at this age for long. So I will advise to visit your pediatrician (dentist) and get an OPG ray done to reveal underlying problem and get treated for same. Thank you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have constant lower back pain and pain and numbness to my right leg. I have had an MRI Scan, the results show that the Left L4/5 disc protrusion impinging upon the left L5 nerve root. The disc protrusion is impinging upon the thecal sac and upon the left L5 nerve root. I have been told that I will not have any surgery to sort out this problem. I have to take gabapentine for the rest of my life. Can you recommend any alternative therapy ### REPLY: Hallo dear friend, thanks for writing to ChatDoctori have studied your case do you had any injury to back what is your age ?there is lumbar disc prolapse with nerve compression leading to articular pain you need some neurotrophic like methylcobalamine [reserve forte]add calcium with it Take rest, take some analgesic, hot or cold fomentation avoid lifting weights sit with taking support to your back continue spine extension exercises physiotherapy - SD, IF TWILL HELP if all these doesn't relieve pain then you can undergo spine surgery, and you can remove pressure on your nerve minimal invasive spine surgery will give early mobilization for further query contact . Com ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My boyfriend has a tear about his anus. Its literally an open wound. We have been treating with neosporin and disinfectants. It will heal up and then reoccur. It happens when he strains to go to the bathroom. I need to know if this could be an anal fissure? and what we can do about it. ### REPLY: Welcome to ! I appreciate your concern for your beloved one. Age and duration not mentioned.However, I am of the opinion that he is suffering from Fistula in ANO. It is an abnormal tract found around the anus with its internal opening in the anal canal. It is due to an improperly . He needs to be examined by a surgeon and maybe he needs a histogram to confirm the diagnosis, once it is diagnosed the fistula can be removed surgically. I hope I answered your query. 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 had a check with my dentist last week regarding my gum heaviness in upper right , they took OPD & told me that there is no problem in tooth but your gum has gone up by 1 to 2 mm & they suggested me to take STOLIN GUM ASTRINGENT  & massage gentley on gum twice a day for a month or two . Sometimes pain vanishes ...& sometimes it starts again.. ### REPLY: Hello there, Thanks for writing your query, Swelling and heaviness in the gums is the sign of gingival inflammation known as GINGIVITIS. It is caused due poor oral hygiene, improper brushing and flossing that leads to accumulation of bacterial plaque and calculus deep in the gum pockets and root surfaces of the teeth.  Gingivitis presents with symptoms of redness, bleeding gums, swelling, pain, recession and sensitivity. It needs to be treated by thorough professional deep scaling of gums and root planing of the teeth to remove all the irritants, this will help in resolving the symptoms followed by a course of antibiotic and analgesics.  I would suggest you to go for symptomatic treatment at home like gargling with lukewarm saline water or antiseptic mouthwash like chlorhexidine or Betadine.  I hope this helps, 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: Its been over 10 days since I found small sores on my left wrist. Doctor said my toddler had poison ivy, put him on meds and I took steroids.  The rash continues to spread. My left arm is now swollen at the elbow to the point that I cant bend it.  What should I do to reduce the swelling?  Ive iced, elevated... ### REPLY: HI, You might be suffering from irritant contact dermatitis. It is a type of necrotic reaction because of some irritant exposure and are frequently painful. Topical and oral antibiotics are needed to treat the condition. Please consult any good dermatologist in order to get proper medication send us the photograph for proper evaluation and treatment. Hope it helps If you have any other question. Please do not hesitate to contact us. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i cant sleep, i am so scared to sleep, i keep my whole family awake everynight by crying or doing things around the house. i worry about sleeping all day and when i get so so tired and want to sleep so bad i force myself to stay awake becuase i am so scared ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. From the given symptoms I can say that you are suffering from anxiety disorder and apprehension. Of course, that diagnosis can be taken by anybody. Therefore, I suggest that the given description may not be enough for a correct diagnosis. You need to consult a psychologist / psychiatrist and give a detailed description to assist in proper diagnosis and treatment. 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 h ave also of allergies - went thru testing= main allergy was to dust.  But there were slight reactions to most foods.  Actually years ago I even got allergy shots.  Anyway, I have a new primary doctor- he wants me to use a netipot (Ive been using saline spray (similar in effect) but he also wants me to take fish oil, I think 1-2 grams daily.  Once years ago I had an allergic reactions to salmon al well as shrimp (vominting) but they are very large portions.  Am some what hesitate to try the fish oil- I do take flaxseed tablets, but he really wants me to take fish oil.  What do you suggest?  Also he wants me to take B12.  ( I am 61 years old, a retired nurse, interested in nutrition, but do have BP problems.  Any suggestions? ### REPLY: Hello! Welcome to . Thanks for your query. Since you have a long history of allergy, and you feel that taking fish oil will precipitate allergy, you should avoid it and take other supplements such as walnut, Sardines and soybeans. These supplements are rich sources of omega -3 fatty acids. Because the psychological feeling of allergy about the fish oil could probably cause problems. For your blood pressure reduce your salt intake, do walking or cycling daily and if possible you can practice meditation. Check your blood pressure after practicing these lifestyle modifications after 2 weeks. If your blood pressure is high consult a physician for hypertensive medication prescription. Consult a general physician and take further suggestions. Wish you a good health. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been on tri sprintec for about 6 months the now, I have started bleeding for the 3 rd time in 2 months. I have been taking amoxicillian for a sinus infection. And today I was put on sulfamethoxazole-trimethoprim and I began bleeding 6 hours after taking it. What could be the issue here? What can I do to fix it? ### REPLY: Hi Hope this message finds u in good health. I have gone through your msg and understand your concern.it may be due to some sort of hormonal imbalances or variations in the body, though there may be other reasons as reclothing to worry about, You should eventually get back to normal. Take multi vitamin and calcium supplements Do consult a gynecologist if symptoms worsened back to me for any FOLLOW-UP QUERIES anytime. . .(MBBS, MS,MCH) ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doc, my name is synn, im a female and currently 28 years old. Im suffering from a back pain since february and i have been consulting a general doctor, he said is a common backache wihout any disc slip symptons, hence i consult another doctor again and he said it is because of the tight ligament and claimed that the ache will go away some time. However i dont see any results of recovering. I have been doing exercise, yoga and even went for massage. Please help me. Thank you ### REPLY: Hello, Thanks for writing to us. You are suffering from what we call the industrial backache. The first step is to ensure that you maintain an appropriate posture while working on the computer. Take frequent stretch breaks and .  Discontinue using pillow while sleeping straight. Do not lift heavy objects, especially after bending down. Eat a healthy wholesome meal which should satisfy your minerals and proteins requirement. The most essential and long-lasting remedy is exercises. There are certain back strengthening and neck isometric exercises that you must learn from a physiotherapist and perform them at home or work whenever possible. Hope this helps you. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been graded as GRADE1 Fatty Liver (Age-32yrs,Total Cholesterol=205,Triglyceride-495) after Ultrasound scan. Please suggest whether this condition is highly dangerous.Kindly Suggest me the medication and Food habits,Please provide me the list of Foods to be taken. ### REPLY: Hi, Thanks for posting your query. I am . K and I am pleased to assist you. Fatty liver as such is a harmless condition. There are many causes for the development of fatty liver which includes alcohol intake, obesity, diabetes, high cholesterol etc. Treating the underlying condition/predisposing factor will resolve it. Medications like s adenylyl methionine will help to resolve it. You need to avoid fatty food and alcohol. If you are obese, you need to reduce weight. I hope that answers 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 a 56 year old female with an ast of 42 and an sgpt of 59, I drink 2 to 3 glasses of chardonnay 5 times per week , my primary care doctor suggested I quit consuming etoh for one month and retest , all my other labs are normal ...... is this amount of etoh per week the most likely reason for this elevation? ### REPLY: HelloFindings suggests borderline increased SGPT, and it indicates liver injury. It may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes etc. It may be related to Eton intake, and you are rightly advised to quit it. You need few other investigations like random blood sugar, liver function test, lipid profile. You may need to take some medicines after proper evaluation. I suggest my patients to take tablet ursodeoxycholic acid 300 mg twice daily for three months. It helps in regeneration of liver cells. It may take 4-6 months to get SGPT to normal level, but you should avoid alcohol completely.AST in non-specific, and it increases in many conditions. Get well soon. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 55 year old male with degenerative disc disease. I have had a fusion of the L4, L5, and S1 with a cage. I have also had a neuro stimulator implanted in my spine. I have sever pain in my left hip, it feels like there is grinding going on in there but the specialist says there is nothing wrong with the hip. I have frequent muscle spasms. Sometimes when walking, my left leg stops working and it spins me around. The neurologist says there is nothing wrong. I am currently going to a pain clinic and am taking buprenorphine. Any thoughts as to what may be causing the grinding feeling in the hip or why my leg quits working. I don t know what to try next or who to go to for more help. ### REPLY: Hello and welcome to ChatDoctoryour condition could be due to FAI. Memory acetabular impingement syn .  Usual test results and X-rays are normal. Some MRI Scans might also be labelled as Normans this requires to be specialized MR orthographic investigation. Condition requires physical examination and detailed history prior to writing such test, my recommendation is to visit an orthopedic for the same. Follow me at  for further query/ second opinion 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 on a birth Control pill and have been on it since the end of June...about 15-16 days ago i was suppose to start my period. I was roughly a day or two late, but had very light bleeding...1-2 tampons a day bleeding...three days ago my lower back started hurting really bad. It felt/feels like a fist is being drove into my lower spine near the tailbone...when the back pain started i also started bleeding again with a lot of blood clots...am i having a miscarige? ### REPLY: Hi and thanks for the query, You need not worry of the bleeding in case this is the first time you are on birth control pills. This is a common side effect experienced by some women on birth control pills. Your doctor shall carefully examine you to be sure that there is no other condition is causing this. In case nothing is seen, the pills could be removed or replaced with another carefully discussed and accepted upon birth control method. The pain in the tail bone area might not actually have to do with the bleeding at times. However, conditions more serious like some cancers of the uterus could spread to nearby bones and cause such manifestations. I strongly suggest you consult your gynecologist for a complete physical examination, ultrasound, uterine biopsy to exclude any cancerous process and get a spinal x-ray done around the tail bone area. Thanks and hope this helps as I wish you the best of health. Kind regards. Bain LE, MD ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i AM AN INDIAN LADY OF AGE 27 AND MARRIED SEVEN MONTHS BACK.EXPECTING AN ISSUE BUT THERE IS NO IMROVEMENT AND I AM HAVING A SONOGRAM REPORT FOR YOUR KNOWLEGE.PLEASE TELL ME IS THERE ANY PROBLEM..? SONOGRAM REPORT DATE 19/03/11 Name ; Vijayasundari (age 27) WHOLE ABDOMEN 1.The liver is normal in size and shows uniform echotexture with no focal abnormality. 2.The gall bladder is normal sized and smooth walled and contains no calculus. 3.There is no intra or extra hepatic biliary ductal dilatation. 4.The pancreas shows a normal configuration and achotexture. 5.The pancreatic duct is normal. 6.The portal vein and the IVC are normal. 7.The spleen is normal. 8.There is no free or loculated peritoneal fluid. 9.No para aortic lymphadenopathy is seen. 10.No abnormality is seen in the region of the adrenal glands. 11.The right Kidney measures 10.3*4.1 cms. 12.The left Kidney measures 11.3*4.6cms. 13.Both Kidneys are normal in size,shape and position.Cortical echoes are normal bilaterally.There is no calculus or calyceal dilatation. 14.The ureters are not dilated. 15The bladder wall is mildly thickened (4mm) .There is no intravesical mass or calculus. 16.The uterus is anteverted,and measures 8.6*3.0 cms. 17.Myometrial echoes are homogeneous.The endometrium is normal. 18.The right ovary measures 4.5*2.0*4.4. cms(22 cc). 19The left ovary measures 5. 4*2.4*4.4 cms(31cc). 20.Both ovaries are enlarged and show multiple,small,peripheral cysts. 21.Parametria are free. 22.Iliac fossae are normal. 23.The post void scan shows 88cc residual urine. IMPRESSION: = Polycystic ovaries. = mildly Thickened bladder with significant post void residue ### REPLY: Hellos clearly mentioned in the ultrasound report that you are having Poly Cystic Ovarian Disease (POD or PCs). Since you are having pod and I want to explain few things about POD. Please read it carefully:Signs & symptoms:1 An . 2 Menstrual irregularities, dysfunctional uterine bleeding or amenorrhea.3 Obesity with glucose intolerance.4 Alteration in LH/FSH ratio.5 Elevated serum testosterone and an ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 just told me that he has Hepatitis C. We have been together for 4 years. Not knowing that he had this I used his glucose meter and the same needle. We also have unprotected sex. Can I contract it from both of these actions. What should I do? ### REPLY: Hello, Welcome toChatDoctor, Hepatitis C is a disease caused by hepatitis C virus. It is transmitted by parental route like sexual contact and by sharing the same needle of the individual having Hepatitis C. As you are at risk of these you would have contacted the disease from your husband. But it should be confirmed by the lab investigation. I would suggest you to undergo serological tests to confirm the presence of infection in you, which you would have got from your husband. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my daughter was diagnosed with a non specific cortical cyst in her left kidney, upper pole when she was 6yrs old, she is now 15 yrs old and yearly US was done to monitor the kidney. In 2011 both kidneys were found with cysts, and last yr s result showed smaller cysts on the left. We just had our result for this yr and it showed only 1 cyst on the left upper pole , and new mild right sided pelviectasis decreased post void. Question: Is it normal for the smaller cysts to resolve over the yrs? Cyst size is 1.3 cm. Thank you. Would appreciate your response. - ### REPLY: Hi, Thanks for writing in. Cysts in kidney are to be monitored in child .  This is to consider any condition associated with multiple cysts which may require early intervention and treatment. Small cysts which are less than a centimeter in diameter can resolve over years. The larger ones do not resolve usually. Since your daughter has cysts in both kidneys earlier, it is important to follow up regularly keeping in mind conditions which can cause multiple kidney cysts in early adult years. A single cyst 1.3 cm in diameter and pelviectasis on left side which decreased on post void is not a concern. Knowing if any family member on either parents side is important. This is because few conditions causing multiple cysts in both kidneys is transmitted through genetic inheritance. ### END