Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 hematoma from a tooth extraction that occurred on tuesday. the dentist took me to the ER and they called an oral surgeon who said there was nothing they can do about it, except what I ve already read, heat, compression, etc. The hematoma is not getting smaller like they said it probably would. This morning I woke up and it has come down into my lymph node. I can feel that the swelling is now under my chin when yesterday it was just on my cheek. Should I go back to the ER? I hate to do that if there s nothing they can do. What do I do??? ### REPLY: Hi, Thank you for the query. Usually traumatic extractions lead to complications such as hematoma formation which is due to collection of blood outside the blood vessel. Palpable lymph nodes are due the infection. Treatment of hematoma is done by applying cold packs to produce vasoconstriction which helps to decrease the hemorrhage and swelling. I would advise you to see your dentist to rule out the exact cause for the infection as your lymph nodes are palpable. A course of antibiotics and analgesics will help in reduction of pain and infection. Hope this information helps you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am Diabetic II and have Hemochromatosis -I take warm fresh lemon water for breakfast and lemon on anything I can- it has cut my Accucheck (SUGAR READER-PIN-PRICK DEVICE) from 163 to 68 in 2 weeks !! So the lemons and meds are working. However, the Hemo may have brought on the Diabetes, Im told.  SO- the lemons have helped reduce my blood sugar, but are they helping to keep or get rid of the Hemochromatosis? ### REPLY: Hi, dairy have gone through your question. I can understand your concern.  You have hemochromatosis and it leads to diabetes.  Your lemon diet or .  For hemochromatosis, you should take iron cheating agents like desferoxamine or defiperone. All these are prescription based medicine so consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my father is 75, he had a bypass surgery at 65 and a stent at 73 . a week ago he had shortness of breath and high bp and sugar. after angiography the doctors suggested ballooning and stent placement again which was done and he felt better for one day. after that he has been breathing heavily and having water in his lungs. this has been going on for 3 days. please suggest what to do. ### REPLY: Hello rearward welcome to .come have gone through your concern in depth.* There are various reasons for the pleural effusion as - fluid overload - infection with susceptible pathogens - prolong bedridden condition - acute respiratory distress - manifestation of previously untreated or partially treated lung pathology - low immunity of the lungs - others . Hope this will help you. Welcome for further assistance. Regards dear take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my son was born with wet lung syndrome the doctor then told us he will have problems with his chest for a long time because of this, he has been sick since 2 weeks old. He has been diagnosed with asthma and allergies he has been hospitalized with broncho pneumonia, adenovirus and parainfluenza 3 and mycoplasma pneumonia. He has had grommets one due to wax that does not drain.he is always sick he has never been 100%. We have taken him to numerous peadiaticians and now we have to take him to a neurologist as his development is delayed. He had a ct scan at 8 months that was normal. Had EEG and reflux as well as heart test done not to mention all the chest X-rays. He is now 2. Why can I do to get him 100% thanks ### REPLY: Hi, I had gone through your question and understand your concerns. You should be worried but not too much. You may get back him to normal range. I see similar cases amongst young people who visit my clinic. In the first meeting, I advise my patients to go on lifestyle modifications for three months:- you should strictly follow hypoallergenic diet;- hypoallergenic environment;- absorbents to absorb allergens-Charcoal 1 tablet daily 10 days;- hepatoprotectors for cleaning liver -LIV 52 syrup 5ml twice a day, after 15 min before meal;-antihistamine if he has allergy now;-vitamin D and Calcium;-proper diet:4 meals+fruits or fresh juice, meat,fish, egg;-walking 2 times for 2 hours in the morning and in the evening;-massage, exercise every day, development of speech. Start on these changes and get back to me in 2 to 3 months. Wish you and baby 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: Basically I went on a bike ride this morning at 10am, got back at 11am. Its now 20:45 and when I breath in significantly it feels like someone is lightly pressing on the top of my chest. I ve never been on a bike ride this long so is it normal and it ll be fine after getting used to the bike ride? ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, you are mostly having bronchitis (inflammation of airways) due to wind inhalation while .  Bronchitis can cause similar kind of pressure feeling in chest. So consult pulmonologist and get done clinical examination of respiratory system and PFT (pulmonary function test). If this shows obstructive Airway defect then you should avoid long  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 34 year old female, I m 5 5 , 120 lbs., active (especially since I have a 3 year old-haha). I have been having pain intermittently since before I was pregnant with my son, on both sides of my stomach in the kidney area. It is a sharp pain that comes in waves, no blood in urine . I have had a history of UTIs, but haven t had one in maybe two years. I went to a general practice doctor last year about the pain, and she ordered an ultrasound of my right side (I am not sure why she didn t ultrasound both sides), and she said that I had kidney stones , but they were small and they should pass, she didn t request that I follow up with her. I have continued to have pain on both sides, though not as often. I have recently been experiencing a fluttering feeling on the left side of my back, almost like a muscle spasm , but I know it s not a muscle spasm. I am fairly certain it is my left kidney. Why is this happening? ### REPLY: Hi, Welcome to , After going through your history it is possible you had small stones on right side, now you have some ureteric colic on left side as you suffered kidney stones, if you have tendency to have stone formation. Please check with Pro surgeon and get your Ultra sonography repeated to find if you have it sometimes it is possible clot is there or stricture is there. You should also check Uric acid and calcium level Urine R&M. Please take plenty of water and avoid dairy products for time being till you get result of investigations. Please do not worry if anything is there it can be treated easily. Take Care. Good Luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 34 years old. my blood test result is absag-positive, abseag- negitive, hbcab(total) - positive. SGPT- 18. what is my status whether it is accute, chronic, active carrier or inactive carrier ? can u estimate the age of disease ? I got married in 2002. I have two child. my wife and child are have absag- negetive while thier lft are normal. is it possible since the hsv is a dna type virus. please advise me what type of medicine is avaialable to my disease. ### REPLY: Hi Welcome to  .com Bag + denotes acute HBV hepatitis. It may occur before citrus is clinically evident. Persistence beyond 6 months defines a carrier. Anti-bug - rises once the acute disease is over and convalescence has started. These two indicate you are a carrier. This can also happen with vaccination. I can not estimate the duration of the disease.  Regarding treatment options, there are certain indications. Viral DNA should be >20,000 IU/ml+ ALT should be elevated or ID you have liver biopsy there should be significant histological disease. Head negative indicates you are infective and virus is not replicating. 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 15 month old daughter she fell off a chair she did have a toy in her hand but as soon as I picked her up I noticed her mouth and nose was bleeding she stopped crying and started playing just fine, she fell on the back of her head should I take her to the doctor or be concerned? ### REPLY: It is never wrong to have a doctor look!  Statistics show that if a child hits her head but never loses consciousness, never throws up, cries right away or returns to play right away, and doesn't seem sleepy or unusually out of it after a head bump, then the chances of a serious injury being present are extremely low.  Most likely the nose/mouth got hit somehow on the way down or right when she hit, and that lead to the bleed.  If it stopped right away, it is usually no cause for alarm.  Again, if anything at all seems off, it is always right to have the doctor take a look. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I am a very avid cyclist and I recently just had what i felt like a heart attack was after a nice and easy ride. I went to the hospital and was diagnosed with viral myocarditis. I was there for five days due to very high white blood cell count as well as troponin at a level of 1.8. I did all the test echo... cardio mri, and everything came back with no sign of inflammation or trama. They found trace amounts of the anti-bodies that combat strep; therefor they believe it is the viral myocarditis. They told me i could go back to sport at any point just listen to your body . I have been reading many articles they say i could do sever damage if I return to early. I miss my sport but do not want to do any damage. Do you have any suggestions? I also use cannabis as prescribed back medication they also said this should not matter but i want a second opinion. I have seen articles that are starting to link cannabis use to heart problems. Thank you! ### REPLY: Hello, young man! I have gone through your case history.First let me explain to you that majority of viral infections are self limiting.,so also myocarditis. Sometimes it leaves behind sequel and may result in weakened pumping ability of heart. But in your case your echo report is normal which suggests that your heart has no residual dysfunction. So as rightly advised ...you may resume sports. Since you have recovered, no role or need of any medicine including cannabis. My best wishes for your sports .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 yawned three days ago and the right side of my jaw cracked very loudly. Shortly afterwards I felt some discomfort and when I moved my jaw, it felt tender and made a sort of squishy sound. Woke up in searing pain the next day and have been feeling it ever since. Should I go in any get seen? ### REPLY: Hello dear, This sound is due to stretching of muscle at jaw joint (known as TM joint). This usually happen during loud yawning or other activity which lead to excessive mouth opening. This disorder is known as MPDS in dentistry.  In most cases it resolves in 3-4 days by doing following -- avoid mouth opening as far as possible-eat soft food-avoid eating on affected side-analgesic and muscle relaxant medication for relief of symptoms In extreme cases such yawning may lead to joint dislocation which causes excessive pain. But in your case there are the least chance of dislocation. If your symptoms does not improve in next 2-3 days even after following above-mentioned advise then you should consult dentist. I hove this will help you. My best regard for early improvement. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 had sex with a sex ,well i put a condom on but cudnt get an errection after i put it in her vagina so i took the condom n masterbated can i get hiv from that? i have had flu like sypmtons and a sore throat and white dots on my toungue and throat please help its been 3 weeks since this happened ### REPLY: Hello As you mentioned that there was no penetration, so no chance of any HIV infection. As far as concerned about sore throat, white coating on tongue, flu like symptoms may be due to viral infection or allergy (cold) . So take some Tylenol, 10 mg /kg body weight whenever require. In my opinion no need of any tension about HIV. It will take some 7-10 days for complete recovery. Hope this will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 25 year old girl, I have been facing the vague and unexplainable symptoms like shortness of breath, mild headache, dizziness, blurred vision, vertigo, sensations all over the body, numbness in extremities, sometimes nausea, stress eating, confusion, anger, memory loss and some others. I got myself tested and it was revealed that my B12 and D3 levels are extremely low and even my prolactin levels are high. I want to ask what is exactly my disease? ### REPLY: Hi Thereafter going through your query I understand your concern. I would like to tell you that your problem is due to stress. And now you are suffering with stress induced hyperprolactinemia. Medication for hyperprolactenima, Vitamin B12 and D3 supplements should be started immediately to avoid further complications.It's advisable for you to improve your diet. Take Vitamin B12 rich Diet and D3 supplements. You should also consult a psychologist personally so that he can help you with your stress that will help in control your symptoms. Hopefully this will answer your query. Kind 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, myself is Rekha patil. mu mom is 56 yrs. she s suffering from terrible pain in her abdomen . we did blood tests and sonography of her abdomen and pelvis . ct scan of the same is done but the reports are still to come. sonography report shows 3 solid mass lesions on her liver . can u plz tell me what is it and is it curable. i am quite nervous sir. ### REPLY: HelloUnfortunately this looks like some metastatic tumors to liver (can't be sure until a liver biopsy is done). It is very important to find the source tumor (of course it this is really metastatic tumors). Regarding the symptoms and age of your mother it could be an ovarian or a large intestine cancer, but it can be also something else (not cancer as well). The CT should tell about the localization. Thus, tumors as well as the main tumor can be treatable, but it depends on localization and a stage of disease. Hope this will help ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I had a car accident about 18 months ago and am still having pain have been for a MRI scan which showed l4l5 right peri neural nerve root cyst of 20mm l4 l5 right disc protrusion that incringes upon the thecal sac also l5 S1 para central downward migrated disc hernia encroaching on the emerging S1nerve root Conclusion T12/L1 right nerve root sheath cyst L5/S1 disc hernia with S1nerve root compromise The conus medullaris ends at L1/L2 Fibrolipoma of the filum terminale Could you explain what this means ### REPLY: Hi, I had gone through your question and understand your concerns. The lesions found by MR scan are of two types: 1. Nerve root cyst at T12/L1 and fibrolipoma of film terminal have nothing to do with your accident, but are incidental findings since they didn't gave you symptoms.(they have been there before the accident). 2. The cause of your pain is migrated hernia at L5/S1 that could have been created after the accident or not. I would suggest that you have to deal with the hernia first(consult a neurosurgeon), and after that clinical and imaging follow up of cyst and fibrolipoma. Hope this answers your question. 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 Think I ve Just Gone Into Labour. I Have Felt Some Water Trickle Down My Leg. It Happend When I Wan On My Laptop And I Havent Moved Since. It only just happend 5 minutes ago, i cant get to the phone to call a ambulane either. I feel the urge to push but i dont know weather to push or not. I Can Hardly Move and i was wondering if i could get some live help from you to deliver it? ### REPLY: Dear Mom, If you are getting pains, you are in labor. However, the water trickling down your legs suggests that your bags of water have been ruptured. If it is without any pains, you have risk of infection if the labor does not start. If you are full term, you should be delivered ASAP. If you are premature, doctor has to do something to stop the leaking. From your apprehension, it appears that this is your first pregnancy (prime). After the initiation of labor, it takes more than 16 hours to deliver for the prime. So you need not worry. Please keep your laptop aside, get up, get your phone and call the Obstetrician. Your baby will not get hurt. By just sitting in a place, you are increasing the risk of complications of your delivery.  .  I hope you have got the message and will take prompt action to move to the maternity home.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. I m 26 weeks pregnant, and this morning after sex with my boyfriend, I went to the bathroom and noticed a tiny bit of bright red blood on the toilet paper. I wiped again but there was no more. I just went to the bathroom again, and experienced the same thing. Should I be concerned? ### REPLY: Hi there, I have gone through your question, and I think I have understood your concern. I will suggest you the best possible treatment options. Please do not panic. It could be due to erosion of cervix or cervical polyp.  Also, possibility of placental site bleeding needs to be investigated. Please get USG done, to look for placental bleeding. And get gone check up done to rule out cervical problems. I will suggest you to use Tab Pause 500 mg 3 times a day and Tab Colin 500 mg twice a day for 5 days.  Take rest. Avoid deep penetrative sex in the future. Use of condom is advisable. I hope this answer helps you. Thanks .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been having a squeezing feeling that comes and goes on the left side of my stomach about 2-3 inches from my breast, what can this be. It doesnt hurt, just is annoying. About a week before I was miserable with gas and woke up with sharp pains in my left side, then this stared. What is going on? ### REPLY: Hi. Thanks for your query. The typical history of gas and sharp pains on the left side about a week back is indicative of a condition called colitis, meaning inflammation of the large bowel in this particular area. I would advise getting a clinical examination by a Surgeon and then also to go for a course of an antibiotic and metronidazole and probiotic with anti-spasmodic medicines under a Doctors prescription for 5 days; see the response. If you get alright, nothing more is needed. If there is less response or no relief, I would advise you to go for a colonoscopy, biopsy, contrast enhanced CT scan of abdomen. This is to ensure that you are not suffering from cancer or any other disease of the large bowel. Earlier the diagnosis, better is the prognosis (outcome of the treatment). ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi What does it mean... I will to to bed 10pm and  sleep through the night maybe get up for the bathroom once or twice. I start work at seven thirty am so I would get up at six thirty. so i got to bed and every morning i wake up and  by just opening  my eyes and all of a sudden my heart is beating fast, then i will do some breathing and it goes back to normal. what does this mean and what should i do. I had  a sleep apnea test and that was fine but i;m wondering if i need to get another. ### REPLY: Hi, when you're about to wake up, your sympathetic system is most active just before that. that's the reason a person may feel fast beat while waking up.  Moreover, in REM sleep your heart rate is faster, and we have . don't worry. I suggest you take an ECG just to have a baseline. And do yoga and meditation.  If it's causing you too much trouble, then consult a cardiologist.24 hrs holder or stress test may be advised. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 1. Moderate to severe hepatic steatosis, progressed from the prior study. 2. No sonographic evidence of cholelithiasis or acute cholecystitis. 3. Stable right renal cysts. 4. Gallbladder duct is dilated, increased from prior. This finding is of uncertain clinical significance. Correlate with laboratory values. ### REPLY: Hello, You are suffering from a fatty liver condition. For that continuous lifestyle modification needed. Alcohol intake should be restricted if you have a habit. Fruit juice, lemon juice, Apple juice, guava, grapefruit etcetera can be taken more. Avoid high fat and saturated fat-containing foods. Pizza like food restricted. Adílio tablet containing ursodeoxycholic acid tablet can be prescribed. Consult physician or gastroenterologist for examination. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello I am a 46yo male and recently noticed a small, squishy ball on the inside of my navel about the size of a dime. There is no pain associated in this area however I do have chronic lower back pain and for the past 2 weeks I have had alot of numbness and tingling feeling in my left foot around my toes. What could be causing this and could the 3 be related? ### REPLY: Hello and welcome to ask a doctor service. I reviewed your query and here is my answer. The ball like mass in your naval will be most likely lipoma if it is movable and not attached to the skin and will be soft which is completely unrelated to the other two symptoms. However, the other two symptoms may be related as the chronic back pain may cause nerve compression if there is disc problem. Do you have problem in standing from sitting position or vice versa? Have you done x-ray of your spine? While lying down, and raising your left leg straight, does it cause pain in your spine area? You may have sciatica but can be confirmed on investigations. But for now you need to do exercise of back. But for now avoid all the activities which involves bending forward frequently. Hope I answered your question.  Feel free to ask if you need further assistance.  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: Hey. I ve been experiencing some fluttering under my belly button recently. I am a 21 year old male. I also have skin discoloration on my inner elbow (it was reddish at first, it has been 3 weeks now and it is now a very light - almost faded - brown). My eye also has a constant twitch. I have no idea if these three are all related, but my inclination is that it might be all from stress. Is this possible? ### REPLY: Hello and welcome to . Thanks for your query. Your symptoms such as fluttering of the Nelly button and twitching of the eye could be anxiety-related. Anxiety can manifest itself with not only psychological symptoms, but with physical symptoms also. If you are having recurrent such symptoms or having difficulty managing your stress, then I would advise you consult a psychiatrist for a detailed psychological assessment and further treatment. There are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome your problems. Wish you all the best. -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I HAVE A SCRAPE ON MY RIGHT ANKLE AND IT IS INFECTED. IT HAS BEEN 3 MONTHS NOW AND IT IS STILL NOT HEALED. I AM NOT DIABETIC. IT IS SWOLLEN AND RED . AND I HAVE A WATERY CLEAR SOMETHING OOZING OUT OF IT CONSTANTLY. I HAVE BEEN ON 8 ANTIBIOTICS NOW AN NOTHING IS TOUCHING IT. I AM SICK AND TIED OF THIS AND WANT IT GONE. HELP ME PLEASE. ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have infected wound on ankle. Well there can be many reasons for symptoms you mention in query like infection, hematoma, fracture or soft tissue injury. Sometimes in case of low immunity when we left wound open and untreated it gets infected or sometimes some foreign body get inside the wound and infection occur. I would suggest you to consult general surgeon for proper examination and treatment. Doctor may order X-ray along with physical examination. Doctor may open the wound to extract the foreign body and give stitches along with that prescribe antibiotics and anti-inflammatory. For now wash you wound with Betadine, apply warm compresses and keep your leg elevated while sleeping. Take ibuprofen or acetaminophen for pain. 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: sir, i am studying b.tech 2nd year. i want to study well.my problem is i want to participate in sex with anybody without disturbing my study.my age is 20 years.i love sex. so i want to enjoy it at this time. because i dont want to lose it at this young age.i am ready for not only uncle but also anybody.but i cant contact girls and i dont have any sex experience. so , am fearing of pregnency for girls.and why am interested in uncles means because i experienced some incidents at the parks, cinema theatres, busstops. they are trying to erect my penis.i asked what do you want.they said that, come and enjoy with me.i will suck your penis and discharge it. i said that it is the habit of homosex and  if i do it, i will become a gay.sex from backside is injurious to health because it is very sensitive part. i dont want to spoil my study because my parents have many hopes on my study and we are very poor.but  iam trying my best but i cant control.please understand my problem and suggest me.sorry for the improper writing ### REPLY: Hello, You should not indulge in such type of homosexuality. You need to keep away from such persons and focus only in study at such a young age. You can use condom whenever you will practice sex in future to prevent pregnancy. The homosexual relation can harm anal area and chance of HIV or hepatitis also increased. Practice yoga and exercise. You can take help of sexologist for detailed counseling. 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 have been diagnosed with malaria, the dr prescribed coartem and antibiotic (tetracycline 500mg). is it wise to take this antibiotic? i could not find tetracycline on the market. Can i substitute tetracycline with ciproflaxin 500mg (which is on the market) ### REPLY: Dear Friend. Welcome to . Hi, I am , I have read your query in detail, I understand your concern. Neither tetracycline nor ciprofloxacin are used for treatment of malaria.First you have to be sure that it is malaria or not. Many kits available in the market for detection of malaria show false positive result. So, tell us your main symptoms. If you have high grade fever with chills and rigors with low platelet count and there are cases of malaria in your area, then go to a qualified doctor to take proper treatment of malaria that includes wide range of . This is my personal opinion based on details available here.  If you still have any other query, you may please ask me. Stay Healthy. , 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: When I yawn, my legs tingling nearly to pain or collapsing. I have this pinching feeling in my lower back also. I ve taken an MRI and have been told that they see nothing at all. I also have fibromyalgia But these pains are nothing like my usual pains. Please help ### REPLY: Hi I understand your concerns believe the best treatment for you would be pregabalin tablets as lyrics 150 mg per day bid. Always take the medication at same times each day, one in morning and other in evening. I am sure this pain will feel much less after 1-2 weeks course. However, it is better to take this medication under your local doctors guidance. Also, daily exercise and healthy sleeping habits will help you in overcoming your problem hope this yellowish you all the great health ahead in life. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Mr. Jackson, age 65, comes to the doctor s office complaining of a sharp pain in the right side of his chest. He says his chest hurts when he breathes deeply or coughs. This is a problem, he says, because he has been coughing a lot, has difficulty drawing breath, and feels a tightness in the center of his chest. What condition or conditions might the doctor suspect? What methods of diagnosis would the doctor use, and what specific signs would the doctor look for to pinpoint the cause? ### REPLY: Thanks for your question on . I can understand your concern. According to his symptoms, possibility of bronchitis or lung infection is more likely. He is having pleuritic pain (pain on deep breathing). Pleuritic pain is characteristically seen in pneumonia and bronchitis. So doctor will auscultate his lungs. If it sounds like wheezing then bronchitis is more likely and hence PFT (Pulmonary Function Test) is needed. If it sounds like crests then pneumonia is more likely and hence chest x-ray is needed. Hope I have solved your query. I will be happy to help you further. Wishing good health to your patient. 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 has multiple symptoms of prinzmetal s angina. His family doc told him everything was normal, yet he continues to experience symptoms. As a last resort someone gave him some nitro pills and the chest pain subsided. His doctor has him on metoprolol and we have read that drug can increase the severity and frequency of the chest pain. Tonight he has mild chest pain and a headache that he claims is nearly debilitating and coming in waves across the left side of his head. He also claims his vision in the left eye is intermittently blurred with the headache. Please advise ### REPLY: Thanks for your question on . I can understand your concern. No, metoprolol is not causing worsening of symptoms or chest pain in printzmetal angina. In fact, metoprolol is one of the treatment option for angina. Honestly speaking, I think your friend is having uncontrolled stress and anxiety related symptoms. Since his heart work up is normal, no need to worry about angina or other heart related symptoms. In my opinion, he should consult psychiatrist and get done counselling sessions. Try to identify stressor in his life and start working on its solution. He may need anxiolytic .  Don't worry, with counselling and anxiolytic  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my son inhaled a piece of glass, when we went to hospital it showed up as being in his lungs, the following morning it was still there, then the next morning a CT scan has shown its gone, is it possible he coughed it up when he had a bit of a coughing fit this morning ### REPLY: Thanks for your question on . I can understand your concern. Yes it is quite possible. See any foreign body (glass) in lungs will irritate bronchial mucosa. This irritated mucosa will cause coughing to remove that foreign body. This is the main mechanism or you cat say protective role of cough reflex. Coughing expels small foreign bodies like peanut, glass pieces, dentures etc. And this is confirmed by CT scan. So no need to worry now. Coughing spells have removed foreign body from lungs of your son. Hope I have solved your query. I will be happy to help you further. Wishing good health to your son. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been suffering with abdominal pain for about a week, I was admitted to hospital where they found a blood filled cyst on my right ovary. That has now gone but i am still having pain on my right side...The hospital have blood tested me to make sure that i didnt have infection in my appendix. I am now starting to get back pain on my left side. Also prior to this a water sample indicaated i had puss cells however this was not picked up on a following sample ### REPLY: HelloPreviously pain was on the right side due to blood filled ovarian cyst, that resolved (according to you). Now pain recurs but on both side (pain in back also on left side) . Such type of pain on both side may be due to these reasons, This includes.1 Poly Cystic Ovarian Disease (pod) . Once again get in ultrasound of both ovaries because recurrence is very common in ovarian cyst, particularly if proper treatment is not taken.2 The next reason of such pain may be due to renal calculus on both side or on one side. So get in ultrasound of both kidneys as well complete urinary tract system.3 The next reason such pain may be due to salpingitis (infection in fallopian tubes) Gynecological examination will rule out the disease. In my opinion consult a surgeon / gynecologist and get their opinion. Hope this information will helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I need your advice. My mom has a block which was confirmed during an angiogram and Docs have advised to go for Angioplasty. I happened to hear that there is a treatment where Docs remove block by injecting I V 2 medicine by drips. Could you please advice if this treatment is more effective than an angioplasty. ### REPLY: Hello. Thank you for your question and welcome to . I understand your concern. PCI (percutaneous coronary intervention) is a procedure where a stent is placed in a coronary artery, after balloon inflation. This is a safe and effective procedure for treating a plaque that is narrowing or blocking the blood flow in the coronary artery. It is accompanied by a small percentage of minor and/or major complications, which you were provided before the procedure, in your informed consent. This is what happens in my experience, and I would recommend that she should go on and do it. As about the injections, I will assume that you are referring to the agents that lose ("melt") the thrombus in the coronary artery (such as, streptokinase, release, alternate, tenecteplase). These agents are used when a patient suffers a heart attack, in the acute phase, caused by a total blockage to the coronary artery caused by a thrombus (blood clot). They are usually used to "buy time" until a healthcare facility to perform primary PCI is available. I hope I was helpful. Take care. 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 daughter has a recurring cyst on her buttox she is 2 1/2 now the doctors tell us its staff infection an give us antibiotic an a cream it goes away for a while then keeps returning 4 times in the last 8 months she drinks a lot of milk an eats a lot of dairy could this some how be effecting this if not what should I do I ve disinfected our home an we have all been taking bleach baths directed by the doctor ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have recurring cyst in the buttock. Well there can be many reasons for symptoms you mention in query like bacteria or fungus located on the surface of the skin can cause a boil. Boils are quite common and are usually caused by the bacteria Staphylococcus aureus, the most common bacteria found on the skin. When the hair follicle is damaged by a scratch or other break in the skin, the bacteria is able to move deeper into the follicular tissues, causing an infection and resulting in a boil. If cyst is appearing again and again then there must be other underlying problem like low immunity and diabetic condition. I would suggest you to consult dermatologist for proper examination. Doctor may prescribe antibacterial like cephalexin, clindamycin or erythromycin, antifungal like fluconazole or vitamin supplement to boost immunity. For now apply warm compresses and eat healthy diet. Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doctor, one of my family member had suffered from tuberculosis two years back and used the the tablets as prescribed by a doctor and it is cured now, but there is some problem like asthma /brochitis which is there always and the doctor gives the course for years and months ,is there no permanaent remedy for this do we need to take the pills every time ### REPLY: Hi dear, The Tuberculosis is absolutely curable if the treatment is taken regularly and completely as prescribed by the treating doctor. You have already said that its cured. Regarding Asthma, it is not a curable disease, though, it is a preventable disease, that is, its progression can be halted on a regular treatment. Moreover, deep breathing exercises like Panama are known to have beneficial effect in asthma. Avoid cold and dust including household dust and pet animals to avoid asthma attacks. Have a good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a lump near the top of my spinal fusion scar. 16 levels were fused in july and sept. X-rays indicate titanium instrumentation is intact, and show no break in bone. Waiting for assessment from surgeon who received copy of xrays. What could this lump be? YYYY@YYYY ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some soft tissue tumor like neurofibroma, dermatofibroma or scar problem.  If your x-ray is normal without any fracture then no need to worry. You should go for biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Dr.i made love with my husband last night and after that we realised that the condom was out.i am scared of contraceptive pills.i dont have any plans to be pregnant right now but yes after a year or so.would you be able to suggest me what do I need to do now....I heard that bitter guard and papaya will help to avoid it .i wan something with no side effects.pls advise. ### REPLY: Hello dairy understand your concerns. I will give suggestion stepwise: 1. First you should take unwanted 72 within 72 hours of unprotected sex. (BETTER TO TAKE AS EARLY AS POSSIBLE)It is highly effective (95%- 96%) to prevent pregnancy if taken within 24 hours.2. If your period will delay by the 12 days from the normal expected period date then you have to think about the pregnancy. You should go for urine pregnancy tests and or blood  to confirm the pregnancy. If above tests will come positive then you should terminate it by abortion pill (MIFEPRISTONE FOLLOWED BY BISOPROLOL) under the advice of gynecologist. Bitter guard and papaya will not help to prevent the pregnancy. Avoid stress, take healthy diet and do regular exercise. Hope this may help noncontact  for further health query Best regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I give birth last august 2013 and I have myoma subserous the size is 7cm. After I give birth I did not come back again to my obgyne to check if my myoma shrink. I still look prego because my tummy still big. my questions can I still get prego even I still have myoma ### REPLY: Hallow Dear, Subserous MoMA usually does not affect the pregnancy. You can become pregnant even with the subserous MoMA. Your abdomen is looking large which makes you think that you are pregnant. In fact the MoMA you are carrying in your uterus could have grown big enough to distend the uterus. The best way to resolve this dilemma is by finding any evidence of the pregnancy. With enlarged uterus, the pregnancy is also quite advanced and hence can be easily detected by ultrasonography. Ultrasonography also will inform you about the size and number of MoMA in your uterus. I hope this helps you today.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 35 years old male, with sperm count of 0.05milli, underwent scrotum doppler test. The test shows grade 2 variocele in the left part. Please advise i this can be treated without surgery and how soon can it be treated with medications. I dont feel any major pain in the scrotum. ### REPLY: HelloThanks for your query, based on the facts that you have posted it appears that you have grade 2 varicocele. Varicocele is result of incompetency of non-returning valves present in these veins that prevent column of blood from falling down and there by cause dilatation of these veins (Varicocele) There are no medicines that can cure incompetency of these valves Since it leads to temperature imbalance in testis and thereby impair production of sperms (Spermatogenesis). It has to be treated by surgery of ligation of these dilated veins. This helps to improve spermatogenesis and sperm production and increase sperm count. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my 10 months baby has a noisy chest cough he has stopped drinking milk n only few eatables r takin ...i took him to the doctor she gave me claritek syrup and bronchilate syrup then my husband took him to another doctor he gave us clithor , acefyl respiratory, rigix ,and britanyl syrup . now m confused what to do which medicin should i give ? ### REPLY: Hi, I am sorry for the chest infection your 10-month baby is going through. Claritek and slither SYR both contain the antibiotic chlarithromycin. It will fight upper respiratory tract infection caused by bacteria. You should give one of them to your baby and not both. The other meds should continue giving as prescribed by the second doctor. If the first doctor prescribed bronchodilator, then, should not give Brittany SYR as this contains terbutalin as bronchodilator. Wish fast 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: hi..my grandma( age 79, residing at chennai ) is suffering from serious pancreatic infection...she was hospitalized fr 10 days in icu n now being rested ..but she is suffering from illness n pain...can u give some  control measures to prevent it..it would so much helpful if any any information is provided..thanks ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. As the infection is severe it is likely that the infection is spread in the blood circulation. I advise you should do blood culture and sensitivity. Once the report received taking the . If you have placed the line in the pancreas fluid from the line can be cultured and  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i was stung by a bee for the first time 3 weeks go on my finger . It swelled very badly and i threw up. The swelling is better now but it still really hurts, feels numb in parts, and the skin is peeling. I am 28, female, 5 10 , 150 lbs, history of allergies and asthma , which has been pretty bad every day since the sting. How can i help my finger? ### REPLY: Hi Gigi.Harrison, Thanks for writing your query. Bee sting can result in secretion of histamines in our body leading to an allergic response, which can be aggravated if the body is allergic. Pain in finger will subside in due course of time. You can do hot fomentation for relief. If the pain is unbearable, you can take painkiller like Ibuprofen one tablet twice a day after meals along with an antacid. This will also help in reducing the swelling. Taking antihistamines like Fenofexadine 120 mg once a day will help to control the symptoms of your allergy. I hope this is helpful to you. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi....i m 23 years old.... i hv sm tension about period......my period date exactly 29 bt last time i became down 31 dec...i did nt completely sex but my period did not come till now...dats why i m feeling hv sm problem ..nd getting confuse i m pragnent or not....so gv me plz right solution wat i do by whch i get right result ### REPLY: Hello,First, you should undergo one home pregnancy test at the earliest to rule out pregnancy and clear confusion. In absence of pregnancy, there are several reasons of missed period like Ovarian Cyst/ POD, hormonal imbalance, over wt/ extreme loss, mental stress, emotional upset, eating disorder, thyroid problem etc. You may require one USG lower abdomen and hormone test to confirm the diagnosis. Then you must consult with your gynecologist and take advice according to test reports. Progesterone pill may be given to induce period. Control body wt by regular exercise, avoid stress, take healthy diet and sleep properly. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had a fever for several days, some nausea, and a lot of ashes. Sometimes just my skin hurts. My biggest complaint and the one that worries me is the severe headache, and intense stabbing pain around my bellybutton. Mostly to the right, about for inches over. I am only an eighteen year old girl. What is this ?? ### REPLY: HI. This looks to be generalized disease causing varied problems. I would suggest such a patient to undergo:Blood tests - particularly for typhoid, malaria and so on. A clinical examination by a Doctor is most important as high / low blood pressure, other clinical findings and their correlation with the lab report alone can give you the perfect diagnosis. Ultrasonography to see for the cause of pain in abdomen. To start an antibiotic like definite and supportive medicines as per Doctors advise and on his prescription. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my husband is a landscaper and was shovelling sand yesterday, he suddenly got an acute pain in his upper back and had great difficulty breathing. he described it as having a wrestler squeezing his stomach. he could not stand straight and when he moves he is finding it difficult to breathe. he cannot walk without pain or sit or lie. this has been going for 24 hours and not easing. he is 6ft 2" not overweight and usually good health ### REPLY: Thanks for your question on . I can understand your concern. Sudden onset chest pain and breathing difficulty is commonly seen with heart diseases like coronary artery disease (CAD). So better to consult doctor and get done ECG and 2d echo. If both these are normal then no need to worry about heart diseases. Sometimes, musculoskeletal pain due muscle spasm can also cause similar symptoms. So ask him to follow these steps for better symptomatic relief in musculoskeletal pain. 1. Avoid movements causing pain. Avoid bad postures in sleep. 2. Avoid heavyweight lifting and strenuous exercise. 3. Apply warm water pad on affected areas. 4. Take painkiller like ibuprofen. Don't worry, he will be alright but first rule out heart diseases. 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 last period was Jan 21 ended Jan 27 2013 i have REGULAR 28 cycles, never missed a period, never late, its early sometimes not late.I was suppose to start Feb 19 2013 if i count 28 days from my last one am i right? I haven t gotten my period, i had pregnancy symptoms all week, exhaution, tender nipple breast , breats grew, can fit in clothes, gas, bloating , dizzy, moody. And i dont get these symptoms wen im getting my period, only tender breasts. But symptoms stopped yesterday and today, i just saw red clumpy discharge today Feb , i never see clumps i get thick blood when i start and through out my period. Did i calculate period time correctly? Am i pregnant?, Miscarrage? (if u could c pictures i send u how it looks) ### REPLY: Hello, Your calculated period due date will be 17th February. Late period with red clumpy discharge has some possibilities like early sign of miscarriage or hormonal imbalance with co-existence of old endometrial tissue. Therefore, you should undergo one home pregnancy test with urine initially to check pregnancy status. One blood test for beta  & TVS scan is required to confirm product of conception. After that, you can consult with gynecologist for next line of investigation & management. For direct consultation with me, you may visit my profile on http://www.ChatDoctor .com/doctors/ .  Here, you can upload image for more suggestion. Be well. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am A 57 YR. old woman who had to have a Hysterectomy 15 plus years ago, after having # s of Female problems. I was left with one ovary for purpose of hormone. I haven t had intercourse for years and when I Attempted it was IMPOSSIBLY was painful. I have been having profuse sweating ,abdominal pain Spastic Colitis and bouts with Cold Sores primarily in & on mouth. Now I have had sores inside the nose felling similar to the cold sores on the mouth. I Have not noticed any discharge or odor. ,The Abdominal Pain isn t the same as Diverticulitis either Having several bouts with that..I don t have any income or insurance so I ve gone untreated at this for very long time So what do you think? Shall I call the HEARST!! THANK YOU FOR LISTENING TO MY PROBLEMS. Sincerely BEVERLY GAYDOS ### REPLY: Hi Ms Beverly, Thanks for your query. Firstly, painful sex was apparently due to .  Hormonal replacement therapy will certainly be of great help. Further, excessive sweating and abdominal problems are apparently due to Irritable bowels, which is commonly due to mental stress/anxiety. However, colonoscopy (if you can afford the cost) will confirm the diagnosis, while ruling out inflammatory bowel diseases and diverticulosis. Eat high fiber diet or, add psyllium husk/powder 20gms/day to your diet, which will be of great benefit. A regular course of anti-depressants + antianxiety  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 wife is having moderate pain on her right side abdominal. It hurt enough last night that it work her. Her appendix has been removed as well as galb bladder. I listened to that area and it was very gurgling and active. She has also had more bowel movements than normal. She is 40. ### REPLY: Hi. Thanks for your query. Read and understood that your wife is most probably suffering from Gastroenteritis. I would advise her a course of an antibiotic and metronidazole and probiotics along with symptomatic and supportive treatment. Get the blood and stool test. Ultrasonography to rule out any pathology like a diverticulum and lymph nodes and colonoscopy to rule out colitis or ulcer and cancer. She may need a CT scan f the abdomen if the colonoscopy is showing some changes. Ruling out the primary cause and getting treated accordingly is very important. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Have little like bumps which I assume are varicose veins on my scrotum amd today on eof them broke oen like a pimple and bleed profusely.  I called my family dr. and he told me to apply pressure to it for 10 mins  it did stop bleediig which was brigth red blood.  I asked about following up on it and he just said watch it-lol.  I have a few of ths on my scrotum but none have ever bleed.   Is this the normal process.  I am overweidgt but not extreme nad have a rather lg scrotum .  Can I excpet more of these to burts? ### REPLY: Hi, Dear,Thanks for your query to . Dear I read facts of your query and reviewed it in context to your health issues submitted in your query. I understood your health concerns and feel Concerned about them. Based on the facts of your query the reply of your query is-Your current health issues seem to be due to -Long Standing and Advanced Varicose Veins of the Scrotum-which was not noticed / or was not cared unknowingly. This needs to be verified with other causes of large Scrotum-which could be due to accompanied- Inguino-scrotal hernia/ or accompanied Filial Scrotal enlargement. The Cause of this in your case needs to be investigated. Other causes need to be verified, as discussed above. For this you need to consult Surgeon and Urologist from Surgical Department. Remedy-Dos in your case-Check With Doctor-Rest-for few days-4-5 days-with head low would help you to strengthen the Varicose rupture site and would avoid recurrence in time to come.you need to Urgently plan Micro-Vascular Surgery for correcting the varicose veins in Varicocele which many need ELVT-endoscopic laser ablation of the engorged communicating vessels and Foam chemotherapy to reduce the engorged mass, as your case is advanced Varicocele. Bleeding from the Scrotal Varicose Veins - is not a normal process, and indicates long-standing Varicose veins with thinned out skin over it, with minimal trauma causing bleeding -as happened in your caseReduce on obesity by strict dieting plans from nutritionist and family GP. Check Testosterone / LH/ FSH and thyroid and blood sugar levels, which could be low due to long-standing Varicose Veins of the Scrotum-Varicocele and fix if diabetes/hypothyroidism is the cause of obesity in your case. Get physical check with Urologist who do USG and Color Doppler studies to assess the severity of Varicocele / with accompanied testes atrophy -if it's there. There are many causes which need to be verified amongst the causes discussed above before planning specific surgical remedy in your case. High protein low Calories/low fat / high fiber diet to built up body muscle mass and loose obesity. Proper Gaming and walking exercises would help you a lot but under guidance of Physician-as to avoid more ruptures due to uncontrolled exercises, due to increased abdominal and venous pressure. Vit B12 and Folic Acid- to stabilize aid BMR rise and reduction of obesity.Thus, You should consult Urologist and Physician. This would resolve the complaints of yours. Constant follow-up with local family or specialist Urologist and Physician for long term would give you long remissions of such pains in time to come, which would depend on meticulous follow-up treatment of your health concerns. Just don't worry and be patient and co-operate with your doctors, till you verify with your attending doctors. For early recovery-please follow above dos which would resolve your complex health issues. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard to following link-http://doctor. .com/Funnel?page=askDoctorDirectly&docId=70229Wishing Good Healthy Life!! . N. Senior Surgical Specialist. S. Genl-CVTS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Age 38 yrs, Height 5ft 5 inch, 70 kg. I have checked my blood platelets on advise of doctor and it have been found 71000 and 4 days later after having medication, it has gone up to 87000. doctor has advised me for 3 month medicine. Should I go for further investigation for the reason of downfall in platelets? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Your platelet count is low.  There are many causes of low platelet count. Even simple viral infection can lead to this.  Malaria, dengue, viral fever are some cause.  Your platelet count is increasing so no need to worry.  You should repeat your count after a week.  If it becomes normal then no any further investigations are required. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have turners syndrome and have often suffered with lower back pain. Over the past two years in grad school it has gotten worse. I had a chair that was too big for me and often had to just lay on the floor in pain stretching out on a hard surface. Currently I am thinking it has to do with watching television on my laptop in bed at awkward positions. I also have sciatica. While these symptoms often disappear with proper exercises to strengthen the lower back I am interested in why the pain is somewhat relieved after using the bathroom and wonder if I should book an appointment with a chiropractor. ### REPLY: Hi, I had gone through your question and understand your concerns. Problems with the growth and development of bones increase the risk of abnormal curvature of the spine (scoliosis) and forward rounding of the upper back (kyphosis). Women with Turner syn .  When you have full bladder it may give some over pressor, so you have pain but after urination it will resolve. You can consult physiotherapist or chiropractor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 guess I have penis candid yeast infection for last 4 years, several treatment went in vain, symptoms are : white patch in penis skin, foreskin gets cracked if trying to pull it back, white and swollen fore skin from inside. Test report says : Skin smear :(A) Positive for multiple fungal hyphae and spores seen in 20% KOH smear.(B) Multiple gram positive cocci seen in gram stained smear in hpf.Tzanck testNegative for tzanck cells.Please help, and recommend specific medicine to cure this. Doctor also suggested to go for circumcision but Im reluctant, if no other remedies then at last i will go for it. Thanks in advance. ### REPLY: NamastheWelcome to ChatDoctorGreetings of the day I would suggest you the following which will definitely help relieve the fungal Balanoposthitis1. Hot Sat bath: Add a handful of salt in a small tub of warm water. Sit in it for 15-20 minutes, before taking bath. Pull back the skin gently and clean the whitish secretion known as Sega. Repeat it twice a day. Take a good bath after it2. Rule out Diabetes mellitus by getting Blood sugar level done.3.  .  Replace the prepuce to its normal position after thoroughly applying the ointment4. Good personal Hygiene and maintaining area clean and  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im planning for pregnancy, Im undergoing regular follicular scan, yesterday I had a follicle measuring 15x18mm, its 21th day of my cycle, Im having regular intercourse, so I want to know the chances of releasing the egg and getting pregnant this month. ### REPLY: Hallow Dear, I can appreciate your keenness in getting pregnant. If the egg is around 18 mm in diameter, you do stand a good chance in ovulating in next 24 hours. So utilize these days for sexual relations maximum. If this cycle it does not work, please follow my advice. From day 9 onwards, submit yourself for ultrasonography for ovulation monitoring till the evidence of ovulation is noted. In this monitoring, please note the following conditions:1. Note the size of the follicle just before the ovulation. Follicles of diameter between 18 mm to 21 mm in size release the best quality eggs and have the best of the chances to get fertilized and complete a successful pregnancy. 2. Note the thickness of the endometrium (uterine lining). Endometrium of 9 mm to 14 mm thickness is most conducive for successful implantation of the fertilized egg (blastocyst). The life of an egg is 14 hours while the sperms are active for 72 hours. Keeping these facts in mind, you may plan your sexual relations. Around the day of ovulation, have intercourse at least alternate day. I hope this helps you.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, my daughter has a split uvula and was not able to have her adenoids removed as they felt, that it might affect her pallate.. can this condition cause problems with teeth development, she only got broken fragments as baby teeth now her adult ones are coming and there coming threw rotten? ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concerns. As per your complaint it seems that your daughter has a IFID uvula, and it occurs when there is a developmental disturbance leading to incomplete fusion of the two sides of the palate leading to a IFID uvula. It is true that it adenoidectomy is performed in this case and if there is incomplete fusion of the palate there can be an opening formed between nose and mouth and can further deteriorate the condition. The other problem that you are facing is that as she has only broken fragments of baby teeth present that means that she has a condition of aggressive cavities or caries known as Rampant caries and when the infection progresses from teeth to the roots it can also effect the underlying growing permanent tooth buds leading to permanently stained, deformed or malformed teeth. It is a matter of concern because the child has to continue with the permanent teeth throughout life. So I would suggest you to consult a Periodontist and get evaluated, and he can do a thorough clinical evaluation and x-rays of the teeth and can advise appropriate treatment like Fluoride application, fillings r capping of teeth depending upon the condition of permanent teeth. 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: My father in law is 70 but was walking all along until about three weeks ago. His right leg is swollen from the calf down. He is in so much pain he can t walk now. No history of diabetes. He is a smoker. He has had history of throat cancer 3 year back but was cleared of cancer after taking radiation. He did get radiation poisoning. What could the possibilities be that would cause him to not be able to walk? I m not sure what to ask the doctors to check for. ### REPLY: Thank you for your question. Kindly rule out deep vein thrombosis, that is, a condition where blood inside the veins deep below the skin surface gets clogged due to clots. Him being a smoker and having history of cancer in the past are risk factors. Your doctor will most probably do a Doppler venous study of his right leg to rule out the same. He may require blood thinning medicine for the same if confirmed. I would advise you to get an appointment at the earliest.I hope his helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello! When I woke up this morning I noticed sornness between my jaw and teeth. When I looked in the mirror, I noticed that there were redness and that my gum around my teeth was swollen. What could be causing this? It has been sore all day, and this is the first time this has ever happened. ### REPLY: Hi! Welcome to . I read your query. Is this soreness restricted to one particular tooth. Is there any cavity or history of trauma in that tooth? It seems like periapical abscess. I suggest you to visit a dentist. After examination and x-ray, he can decide if it requires RCT etc.Meanwhile, you can start antibiotic and painkiller course after prescription from dentist. Do warm saline rinses. Maintain oral hygiene. Avoid acidic and spicy food and beverages. Hope the answer helps you. 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,I have a swolen gum at the right hand side of my mouth at the back, I called my dentist and  was advised this could be a wisdom dentist and left it at that. Tonight ive flossed and cleand alsso mouth wash used. I can bear it but im concerned as I have an operation for gallbladder removal on monday the 3rd of November and dont want anything to go wrong.Marie :) ### REPLY: Thanks for your query, I have gone through your query. The swollen gums can be because of the deposits below the gum resulting in gum infection, or it can be from the erupting wisdom tooth causing gum infection(peritonitis). If it is because of the deposits, get your teeth cleaned. Consult an oral physician and get a radiograph done to rule the amount of space present for the tooth to erupt if space is there for the tooth to erupt then the gum covering over the wisdom tooth can be removed. If the space is not available then you have to get the wisdom tooth removed. Meanwhile you can take a course of antibiotics like amoxicillin and metronidazole for 5 days (if you are not allergic). Do saline gargling. I hope my answer will help you, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mom has been diagnosed with RA just a week ago.The liver shows an inflammation too.She is not able to even walk.Every passing day a new pain is appearing.Yesterday it was the shoulder.Today she feels her hands are getting tilted.The doctor says that he has started medicine for the liver and only after that the real treatment will start.But she is getting worse everyday.I am very concerned and feeling lost.Kindly guide. ### REPLY: Hi, Without an exam, I can only give general information. RA tends to affect small joints and not the shoulder. However, it often involves the spine at the neck and this can cause nerve pain going out to the shoulder and can have a serious risk of neurological damage to the spine in this context. X-rays of the spine are good enough to see if there is a serious problem there. And there are a lot of minor and major reasons for pain. But cannot but give general information without actually being there. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello,I was recently turned away from a colonoscopy because my blood pressure was too high (170/110). I understand there is a proper way to take blood pressure readings and improper ways to take them.I am taking my blood pressure daily and logging it for my next doctors visit. What is the proper procedure for taking my blood pressure?Thank you, ### REPLY: Hi welcome to  Dear, You may need to take your BP at home if you have hypertension (high BP) or hypotension (low BP). High BP increases your risk for stroke, heart attack, or kidney disease. Low BP may cause you to feel dizzy or like you are going to pass out. This usually happens when you stand up quickly. You may need to take medicine to keep your BP at a normal level. Start the procedure with few dos and don'ts for accurate reading Do not check your blood pressure within 30 minutes of smoking, .  These may affect your BP reading. Do not take a BP reading in an arm that is injured or has an IV or a shunt. Sit and rest for 5 minutes before you take your BP. Extend your arm and support it on a flat surface. Your arm should be at the same level as your heart. Both of your feet should be flat on the floor. The device has a built-in pump that inflates the cuff. Put the cuff about 1 inch (2.5 cm) above your elbow. Wrap the cuff snugly around your arm. The BP reading may not be correct if the cuff is too loose. Turn on the BP monitor and follow the directions. Write down your BP, the date, the time, and which arm you used to take the BP. If possible, take your blood pressure twice and write down both readings. These BP readings can be 1 minute apart. Let the air out of the cuff. Turn off the monitor and take off the BP cuff. Take your BP at least twice a day. Take your BP at the same times each day, such as the morning and evening for accurate reading.  Hope this helps solve your query. All the best.Don't hesitate to get back if you have any further query ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I was having lower back pain and MRI report gives that L3-4 disc shows dehydration, bulge with small osteophytes causing mild impingement on theca. What causes this problem? What is the cure for this? Can I do spinal exercises? My pain sometimes recedes but comes back.I am having this problem since the past 4 months.Started taking doctor s help since a month.Do advise. ### REPLY: Hello, Thanks for your query. It seems you are suffering from degenerative disc disease & it occurs due to repetitive overload or stress to the disc & it increases the risk of disc herniation & spinal canal stenosis. The main treatment of such pain is bed rest along with painkillers and muscle relaxants. Muscle relaxants can help with your symptoms if used in appropriate dosage in combination with a potent analgesic. You can get the appropriate . Meanwhile, you can follow these measures:- If the pain is severe, you need bed rest till the pain resolves. - Get some analgesics prescribed and apply analgesic spray or ointments.- While resting, keep a pillow under your knees if it doesn't bother you.- Avoid lifting heavy objects.- Back strengthening exercises and stretching exercises daily as advised by a Physiotherapist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 on the 27 March 2010, my boyfriend and i had sexual intercourse without a condom but he didn t ejeculate inside me, he withdrew before ejeculating (well hopefully) about 2 weeks after i felt little abdominal cramps,not painful at all, but took a home pregnancy test whicChatDoctore out negetive. well after about 3 weeks i got my periods, which were about 3 days late, they took longer than usual and experienced contraction like pain with things like blood clotts coming out, is it possible that i was pregnant? ### REPLY: Hi, .  I welcome you to  VIRTUAL CLINIC. I have gone through your question, and I think I have understood your concern. Furthermore, I will suggest you the best possible treatment options. 1) First do not worry. 2) As you said, you had your periods although a bit late and heavy. It suggests that you were not pregnant.  And your urine test also supports this.3) secondly, even if your partner has not ejaculated inside the vagina, pre ejaculation secretion does contain enough sperms to cause pregnancy.  4) I will suggest you to get proper sex counselling done.  Use of condom will help to prevent unwanted pregnancy and STD. I hope this answer helps you. Thanks.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi.....I have not had my period in almost 2 years. It came a couple of days ago very lightly for 2 day and I usually get it for 5 days. I thought I was pregnant so I took a pergnancy test and it came back positive, but I have the bloating, running back and forth to the bathroom, and also eat alot what can be wrong with me. ### REPLY: Hallow Dear, At the outset let me congratulate you on your pregnancy. Let me solve your queries one by one:1. Frequent urination is one of the cardinal symptoms of pregnancy. This is due to the pressure of growing uterus on the urinary bladder. Therefore, if you do not have any other urinary problems, you may ignore this issue. 2. You are eating very frequently and that too sumptuous amount of food. This is naturally leading to bloating due to gaseous distension. Please modify your eating habits. Have small feeds 6 times a day at the interval of 3-4 hours. As far as possible have bland diet. Avoid spicy food. This should take care of your gaseous distension. Moreover, for immediate relief, you may take some carminative like plain Soda or Gases tablets. During first three months, I would not press you for any specific diet or any medicines. Eat what you like and what you can digest. If you can tolerate take Folic acid tablets. After 3 months, you will be advised about the diet and medicines when your nausea and vomiting will go away. I hope this helps you.  ### END