Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 72 and had a shingles vaccine 2-3 weeks ago...around that same time he found a tick on him which left a bulls eye rash on his arm. A few days later he broke out in a rash on his trunk , back and legs it will not go away. He has taken benadryl, we have bought laundry detergent for sensitive skin and changed to ivory soap. Nothing has helped . Yesterday the rash on his back around the belt line was worse and he said it hurt. ### REPLY: Hello, It looks like your father is having allergic reactions (hives) due to the vaccine or blistering rash due to shingles, these rashes cause itching, burning & pain that hurts. You can give him defense .  He can apply Capsaicin cream. For pain Acetaminophen (Tylenol), Naproxen. Take him to ER, let him get physically examined, he may need antivirals (Acyclovir), etc. Get evaluated & treated at the earliest.  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: My sister has gone to the doctor twice and had tests. Have not found anything but are treating her for diverticulitis. She has a lump in her stomach. Now she has bruises on her left side of belly, ribs and low back left. She is very tired. She wakes up then needs 2-3 hours of sleep. She has lost 65 lbs in 8 months but had a baby at the end of July. I don t have a lot of other details. She is thinking of going the hospital route this weekend to see if they can admit her and figure out what is wrong. ### REPLY: Hi, Dear,Thanks for the query to . I studied your problem in depth and I understood your concerns. Treatment for lump in stomach-Your sister has recently delivered a baby. In this background the diverticulitis diagnosed by your doctors, needs to rule out the unresolved Uterine lump which needs second from ER Gone doctor and from ER Surgeon to rule out the diverticulitis with lump in abdomen. Other causes of the lump would be ruled out by the ER Surgeon. So take these pre-cautions before admitting to hospital. This advice is based on the facts from the history you give and needs further clinical check. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to  and be comfortable to resolve your health issues. Welcome for any more query in this regard to . Write good resume and Click thanks if you feel satisfied with my advice. Have a Good Day. . N. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hey i am mrs kar;i am 8 weeks pregnancy now and in sonography test it was found that my baby was okay bt a clear luteal cyst in left ovary noted and a fibroid present in posterior wall near fundus.i just wants to know there is no matter of fear on above all these on both my child and me ### REPLY: Hello dear, I understand your concern. In my opinion the luteal cyst in ovary is a common finding seen in early pregnancy. The dominant follicle in ovary releases ovum. After the release of ovum the follicle forms into corpus luteum. This corpus luteum forms into luteal cyst. And this releases progesterone and other hormones which are very essential in the maintenance of early pregnancy till the placenta is formed. After the placenta is formed around 6 weeks the function of corpus luteum is taken over by the placenta. And coming to fibroid small asymptomatic fibroid might be there without causing any problem. Fibroids cause heavy and painful bleeding during the periods sometimes. If you don't have any such symptoms prior pregnancy you need not worry about the fibroid. Intramural fibroid might rarely cause miscarriage but fungal fibroid doesn't cause any problem. So overall there is nothing to worry about the corpus luteal cyst and fibroid. Relax. Avoid stress. Hope this helps. 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 have lower back pain that shoot straight across my back. It doesnt radiate anywhere. If I sleep on my back or stomach the pain is so bad when I start to get up it takes my breathe. I also have this pain when I start to stand   I am also very swollen right at my belt line in the middle of my back. Does this sound like a disc issue? ### REPLY: Hi, Welcome to  forum.  You have got back pain, when you get up it is more, appear swollen on the back at belt line.  It appears to be the arthritis, or spondylosis. I advise you to consult an orthopedic surgeon, for diagnosis.  You may need to have M.R.I, for confirmation.  I usually advise my patients with such symptoms neurotrophic symptoms for 10 consecutive days, ofloxacin, diclofenac sodium, and paracetamol.  Avoid taking potato, other tubers, tomato, egg, chicken and seafoods for few days.  Wishing for a quick and complete recovery. 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: Dear Sir, Good morning. Since 2 years I have the problem of panting for breathe while walking briskly. But absolutely there is no pain anywhere in my body. I am a female aged 35 years and from NJ USA. And recently I have also developed cracking sound in the upper part of my spine just in the neck, back portion of my head. I can hear and sense the sprain of a nerve while i turn my head to another direction. Please reply. And also suggest a good government hospital in Edison, NJ Awaiting your reply. Daisy ### REPLY: Hello! Welcome on ! I carefully read your question and would explain that your symptoms are related to chronic degeneration of the cervical spinal columns. You should know that occipital nerves originate in this region and occipital neuralgia can also occur. I recommend consulting with your attending physician for a careful physical exam and perform a cervical spine X-ray study. A cervical spine CT scan or MRI may be needed to examine better this portion of the spine.  Hope to have been helpful! 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: HI! I HAVE BEEN DIAGNOSED WITH BORDERLINE PERSONALITY DISORDER AND BI-POLAR DISORDER AND AM REVIEWING THE MEDS I AM TAKING FOR IT WHICH ARE TOPAMAX 75MG/DAY, CIPROLEX 20MG/DAY & LAMOTRIGINE 50MG/DAY. 2 OF THOSE, I LOOKED UP ARE TO TREAT EPILEPSY OR MIGRAINES?? ### REPLY: Hello! Thank you for asking on ! I read your question carefully and understand your concern. I would like to explain that both tokamak and Aborigine are antiepileptic .  But they have also another effect, which is mood stabilizer. Aborigine is more famous for this effect than tokamak. Other antiepileptics very effective in your medical condition are carbamazepine and valproate, although they have more side effects than topiramate and Aborigine. Regarding circle, it is an antidepressant, helpful in treating negative signs of bipolar disorder (depression, lack of hope, etc.). If your condition has not got better with this therapy, I would recommend consulting with your psychiatrist to consider the possibility to switch into another antiepileptic (like valproate or carbamazepine), or start Lithium therapy, which is very effective in bipolar disorder if no contraindications and well tolerated. Hope to have been of help! Best wishes,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had an heart attack on 6th august, 2010. A stent has been placed ( 3.5 * 28 mm Xience stent ) on 9th of August. EF is 35- 40 . I am back home now and on medication as advised.Question 1: How and when can i start exercise ? Question 2: Is my damaged heart likely to improve from 35-40 EF? ### REPLY: Hello, Regarding your concern, I would explain that it is OK to exercise regularly, but it is also important to avoid straining physical activity.  You can start to exercise after a month from the stent placement.  Regarding the EF, it can improve, especially if you follow your doctors' advice about your lifestyle and your medication.  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: My son is 6 years old. He used to catch viral infections frequently which resulted in him having wheezing , cold and cough. Now he is having bad coughing if not given Montair LC kid syrups, levolin inhaler & nebulizer . I consulted pediatric and he said this problem usually get better with age of 8-10 years if we don t have any family history of such problem. Fortunately, we don t have. But still I m really worried how long this is going to be? Is it a beginning of Asthma? Do this montair LC kid if started give strong side effects or is it completely able to cure or just Preventive? ### REPLY: Hi thanks for contacting  for health query. This is . Your son has wheezing issue for which he has been given anti allergic and inhalers. You do not have family history of asthma. Your child might not develop asthma, but then he might have things persistent too, so help to increase his capacity to overcome it. Give him nicely balanced diet rich in protein and fat. Take him for breathing exercises. Monteleukast and cetirizine combo can be changed to plain cetirizine which is good for long term. Hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband just went for a sonogram because his creatinine is 1.9. They said he has fluid by his kidney and asked if he had any implants. He had two hip replacements over ten years ago. I am checking all of his medication and supplements to see if they can be the cause. The sonogram data will be forwarded to his doctor ### REPLY: Welcome to . It is better to go for torch test before planning of pregnancy if you have history of miscarriage. Now don't worry this condition is also easily treatable at this stage.CMV is under control but according to me, you have to take kanamycin for at least 20 days to control the rubella infection under guidance of your treating doctor. Regular follow up with USG for fetal well-being is must. Take b12,folic acid, calcium,DHA and other supplements. Avoid to play with any pet animal (cat, dog) if you have. Be relax, go for morning walk. Keep in touch with your doctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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,she is 5years old, hit her head to another girl yesturday at school, and she had a very big soft lump on her forehead,I kept on eye and she was fine, but this morning she have a 39.9 temperature  and I dont know or I need to worry about it, or is just kind of infection. Thank you very much.Regards Asta ### REPLY: Hi... I think your kid has got a viral illness. The trivial head injury which she has undergone doesn't seem to be related to this fever. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. 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: iregular periods for me i checked to the doctor i have taken ultrasound pelvis (tvs) in my report the uterus are measured 5.1x2.7 cms myometrial echoes are homogeneous.the endometrial thickness is 6mm right ovary 2.8x2.2x3.0 cms volume of 10cc left ovary 3.9x3.8x1.9cms volume 15cc both ovaries are enlarged and show multiple small peripheral cysts parameteria are free impression:=polycystic ovaries they said to no problem reduce ur weight it will alright but we r trying for baby is there any possible for that anyone please tell me clear uh ### REPLY: Hi, I think you should take some medicines for growth of your eggs.  Track your follicles' growth by repeated ultrasound and take an injection for rupturing the follicles when they become more than 17 mm. Be in contact with your husband for next 2 to 3 days. Take some progesterone for supporting pregnancy. You can try like that for 3 cycles.  If it doesn't work then you can go for GUI.  Only folio tablet will not help. Hope I have answered your question.  If you have any other query I will be happy to help you. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my names Louis.I think i have a male yeast infection? As i have a faint white ring around the tip of my foreskin and daily white discharge under my foreskin, and i think ive passed it onto my girlfriend.My girlfriend has a lot of white discharge from her vagina, itching and burning. ### REPLY: HelloYour findings may suggest fungal infection. You and your partner need clinical evaluation. You may need antifungal agents like clotrimazole cream for local application. Culture and gram stain of discharge material can also be done after evaluation. Your partner may also need clotrimazole tablet 100 mg for vaginal use. One tablet to be inserted deep in the vagina at night during sleep time for five consecutive nights. She may also need perineal wash. It will correct local pH in vagina. Get well soon. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had urticaria for 6 weeks which only resolved with the use of prednisone (oral). The rasChatDoctores and goes on my upper legs and my arms and is accompanied by small bruises on my legs, I am concerned because I have always had asthma and under active thyroid but with the rash I have has an increase in joint pain and am concerend i may have an autoimmune disease or vascultiis ### REPLY: Ou have allergic problems only you are taking Thyroid medicines titrate with TSH levels and after long time asthma, the other organs are getting involved like allergic arthritis have to manage your allergies to control all organs these normally happen in food allergies get blood serum tested for food specific antibodies like milk wheat potato, rice nuts you will get answer go for elimination diet you will recover from all allergies with minimum medicines ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i was taking micronor after giving birth in all ive had 3 children can micronor make my boobs disappear i stopped taking them for about a year and now my doctor gave them back to me but i got no boobs i went from a normal size bust to nuffin theres nuffin there just a little lump with nuffin in side them could this be the pills or is it having 3 children they are not saggin put when i lean forword they just hang because theres nothing in side them is there any thing i can take or do to get them normal again ### REPLY: Hello. Thanks for writing to us. The birth control pills do show a different effect on the breast size. It can both increase or decrease the size of the breast. If there is a major change in the size then you can consider changing your birth control pill. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i am suffering from weird tensions of study and my family . My father degrade me and my family usually consider me dumb and seldom laugh at my activities . i cant share my problems with them and i think because of that i lost in my thoughts because of all that i cant concentrate on anything please advise me what should i do i am in great problem. ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. I do not think that there is anything wrong with your concentration. You must introspect yourself to know this more. You are able to watch a comedy movie for two hours. Furthermore, you can play a video game or any other indoor games continuously. This means you have good concentration level. What is troubling you is your lack of interest in studies. That is normal. But you cannot go on like this. Change the way you see the learning process and enjoy learning your subjects. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have now experienced a dull pain on my left side of my chest 3 times and each time it lasts for at least 7-12 min. The first time I had this pain I went and got an EKG and nothing was wrong. I got another chest pain in Oct 2013 and another one in Dec 2013. I went and got checked out again and this time the results were a pinch off. The doctor said something about tests being inferior. I dont know what he meant or what this all could mean.Thanks for your help. ### REPLY: Hello dear, thanks for your question on . In my opinion your doctor might be telling about inferior leads changes in ECG. In ECG, there are many leads and waves. But lead II, III and AVF are representative of inferior wall of heart. So if you have ischemia of inferior wall, ECG changes will reflect in leads II, III and AVF. So your doctor might be used word inferior in regards with inferior lead abnormalities on ECG. So better to reconfirm this by repeat ECG and 2d echo through cardiologist. Also show him your previous ECG s for competition. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: As of recently I ve been suffering from some very scary chest pains, typically at night. Tonight for instance I had such an episode that lasted almost 2 hours. I was just lying in bed when I began to feel weird. I had a rapid heartbeat, my chest felt heavy, I felt woozy & was really shaking. I almost called 911 but a friend I called assured me it was probably just a panic attack. I am afterall a somewhat healthy 26 yr old male. I exercise regularly, eat somewhat healthy & quit smoking just over a year ago. However, while looking into causes for chest pains on WebMD I read up on Myocarditis which sounds very similar to my current symptoms. Last November after having unprotected sex I showed symptoms of chlamydia such as pain while urinating & a milky discharge. I was given medication through Planned Parenthood. Symptoms appeared to stop for several weeks & then returned very mild, to the point where it took months to notice. This concerns me very much because Myocarditis, an inflammation of the heart muscle can occur when a viral infection such as chlamydia is left untreated. It reads to seek medical attention immediately. However as a server with no insurance I am reluctant to see a heart doctor immediately so I have requested an appointment with planned parenthood to have a blood test asap & then go from there. Any addition advice would be tremendous. I am somewhat concerned. ### REPLY: Hello dear, thanks for your question on . I can understand your situation and problem. In my opinion you are having anxiety and panic disorder mostly. But better to rule out cardiac cause first for your symptoms. So get done ECG. If ECG is normal then no need to worry much for myocarditis or other cardiac causes are mostly having anxiety and panic disorder related chest pain. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. Avoid stress and tension. You may need anxiolytic .  Don't worry, you will be alright. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 29 years old man and i have problem with sex the problem is in normal time my penis stand properly but when i want to do sex with girls it does not stand and some water comes in my penis and it is difficult to stand ...because of this my sex activity is become weak..so can u tell me a... ### REPLY: Thanks for asking in  forum I understand your concern. Do not worry, it may be due to performance anxiety. If you are getting normal erection during sex and early morning you are normal.  You just need practice and patience. And the fluid whicChatDoctores before ejaculation is called pre-cum and is completely normal and helps in lubrication during sexual activity.  So, be cool and if possible visit a psychiatrist for counselling on sexual intercourse. 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 been taking Effexor 150 mg for two years now.  I take it for Chronic Pain from a Car accident which gave me depression and anxiety.  I have got tested to see if I have Asma and I dont.  I think is could be my medication the Effexor.  How can I find out ### REPLY: ! Your question is that if Effector can give you anxiety and depression? This medicine is used for treating anxiety and depression. At present, you are on 150 mg and if thee is still some anxiety left, you need to hike the dose. Effector is a good medicine of this disorder and one needs to go up to high doses in many cases. So, had I been treating you, I would ask to hike the dosage and see if that helps you. If not, one may need to again interview you in detail and check the diagnosis, maybe you need the counselling session and relaxation exercises also in order to get well. Hope the reply is useful please ask more questions for clarification  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am A 36 year old male currently with four kidney stones in my left kidney.  I am also trying to quit smoking and have been using the patch for the past week. I have been having some odd chest pains and tingling in my left upper arm.  Should I be concerned?  My blood pressure has been checked weekly and is slightly higher than normal but not much. ### REPLY: Dear patientWelcome to this forum shall help you as much as I can. Firstly if your blood pressure is constantly on the higher side.....I suggest you consult a doctor who will start you on antihypertensives. You must restrict your salt content in diet. Now coming to chest pain......I suggest you take an ECG to rule out any heart disease and echo also to rule out any conduction abnormalities. If your ECG is normal. You do it when you get the chest pain. See that you do it twice with a gap of 4 hours. You could check on your enzyme levels by doing blood tests .so you can consult A cardiologist. If heart disease is ruled out. .then it could be a simple thing like gastritis causing pain ....for which you can have an antacid and eat less of spicy food. Please continue using patch to quit smoking .that's a good thing to do cause smoking itself can cause a lot of other diseases. If your weight is high, i suggest you must lose weight and your diet must contain lots of fruits and vegetables. Hope I could guide you and 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: On Thursday I decided I needed to scrub the floors with diluted bleach. I think I spent too much time cleaning because since then Ive had a bad headache and vomited a couple of times.  My dr is not around, is there something natural I can do from home to eliminate the toxins? ### REPLY: **1. The main component of bleach is sodium hypochlorite and most of the adverse effects are seen when it is ingested [and since no history of ingestion is there, as such aspiration, sore throat, abdominal pain, diarrhea will not be encountered] while headache/vomiting could be symptoms of prolonged exposure2. You may want to consider taking to your doctor for an assessment.3. Deep breathing, cleanse your body naturally while having plenty of water/fluids flushes toxins out of the system by helping both the kidneys and the bowel to maintain their normal functions. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Grandchildren ages 2-1/2 and 1-1/2 started with fever and runny nose of two days duration now both have developed bumps but only few on arms, legs, especially behind knees and 1-1/2 year old has them on the buttocks and especially the anal area. No insurance to take them in, any ideas what this may be? ### REPLY: Hi... I feel by what you quote he should be having a - Hand Foot Mouth disease. This is one viral illness among all other anthems which can cause fever followed by rash over palms and soles. It is a self-limiting disorder and itching can be really worrisome. I suggest you use any over the counter antihistamine if you have one with you now. You can use HY .  This can even cause some peeling of skin in the next 4-6 weeks and do not worry about it. 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 3 year old son wasnt well last week cough and runny nose he broke out in a rash all over his body the doctor said it was an allergic reaction to something and to give him anti histimines. However yesterday I noticed his ankles looked red swollen and looked bruised. Today the rash is gone but his wrists now look red and swollen. What should I do? ### REPLY: HelloCough, cold and rash followed by fleeting swelling of joints in this age can be due to infection(Lyme disease, streptococcal infection), rheumatic fever(post streptococcal infection) or vascular disorder like Enoch- Schooling purpura. There can be other uncommon causes for this condition. The exact diagnosis can be made by clinical examination and few investigations. The management depends on the diagnosis. I would suggest you to consult a pediatrician for proper clinical evaluation and management accordingly. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have heart burn it seems like all the time. my stomack feels tight on top but empty on bottom. I have uncontrollable shaking at times like being cold . When i try to get erection it takes a lot of efforert and hard to climax. Currently i am taken welburtion been on it for to days i have had my thyroid checked and other blood tested. I have no appetite and feel nausa when i make myself eat. i am at my wits end i have been to the doc.3 times and was told it cold be depresstion and anxity but why do i wake up and start to shake and is hard to stop it. ### REPLY: Hi, From above description, It appears that you are having anxiety problem. Anxiety also leads to increase acid secretion which need assessment and treatment. Sexual problems also common with anxiety. Continue treatment with Wellbutrin as it is good for it but may take 3-4 weeks to show effects. You can visit specialist like psychiatrist or psychologist (if not visited before). Cognitive behavior therapy from trained therapist also help in these cases. I hope this information has been both informative and helpful for you. Wish you Good Health.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Is it okay to ride a roller coaster if I get occasional pvcs. I have never been able to feel them before and have never felt any discomfort. As a separate question would it be fatal or harmful to ride a roller coaster with the same condition under the influence of marijauna ### REPLY: HiT hanks for using  At low or moderate doses, cannabis leads to an increase in sympathetic activity and a reduction in parasympathetic activity, producing a tachycardia and increase in cardiac output. Chances of PVC, arrhythmia, sinus bradycardia, second-degree atrioventricular block and atrial fibrillation etc. could be possible with cannabis use. In your case, PVC could be due to cannabis. 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, im in excrutiating pain. Seems like i have an impacted wisdom tooth. I have a really bad ear ache my left tonsil hurts (feels like it is) and my jaw hurts. Basically my left side. The pain is 9/10 ive never actually cried in such a long time due to pain. Would this tooth need to be removed? ### REPLY: Hello, You are suffering from the spread of infection. Take some anti-inflammatory medication at regular intervals until you can seek care. If possible, try a combination of two Advil and two Tylenol. You can be prescribed an antibiotic to control the infection spreading and decide the best treatment after a clinical diagnosis. Schedule a visit with the oral surgeon. Consider a visit to the emergency room if you have a delay in getting an appointment since you are experiencing such a high degree of pain. You may need to visit an ENT specialist if the tooth is not the source of the pain. A surgical extraction will most likely be recommended if the wisdom tooth is infected. Get the correct diagnosis as soon as possible to make the best decision and stop your infection from getting worse. Thank you for your inquiry. I hope that my suggestions are helpful, and you have some relief soon. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Doctor, for a patient aged now 64yrs old,undergoing dialysis for the past 5 yrs, need kidney transplantation.For this patient, The HB was very low during 2004 and the reason for the same was identified in Feb 2005. It was circumferential ulcerated growth at the region of hepatic flexure in the Colon. Endoscopically it was found malignant. So hemi-coloctomy was done in April 2005, removing all lymph nodes along with ileo colic, right colic and right branch of middle colic, gall bladder and appendix. Histopathology report on specimen sent after colon surgery showed TMN stage as T2 N0 M0. Can kidney transplantation be done for this patient? ### REPLY: HiT hanks for the query. The most important thing to be considered prior to a kidney transplant is to ensure that there is no recurrence of the cancer. Once this has been ruled out with appropriate imaging like a CT scan, you need to consult your nephrologist. He will do further extensive evaluation of the patient to see if his general health condition is fit enough to tolerate the surgery and the anti rejection pills which need to be taken lifelong post transplant. Hope this answers the query. 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: One week ago I had a Microlumbar discectomy on 4-5, My biggest concern before surgery and now after is the continually discomfort around my ankle, and back of the leg. It is less now than it was before surgery; however is still there. Is this normal? Or might it be a different issue? I do have an Autoimmune disease. ### REPLY: Hi there, thanks for your question at ChatDoctorIt is not uncommon to have ankle and back of the leg discomfort after L4 L5 discectomy. It does give get better as time passes, usually relieved by 3 rd month. So it should not concern you at present. However, it needs to be looked into if you start getting pain or numbness in a different part of your leg, or the intensity keeps increasing or its persists beyond 3/months. Hope this helps. All the best, with 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 6 year old child has been sick with a fever and flu like symptoms since Monday..took her to the ED Wednesday and they said it could be flu but didn t test her (we have had an acute wide spread flu epeidemic in my county...I also work at the hospital and we had to quarantine a wing of the hospital due to several flu cases).the fever has become manageable without meds since last night but now she has nausea and diareah...also severe nasal congestion and ear pain..she has also been sleeping a lot...I m pushing fluids still but worried about complications from the flu...since the fever is gone and she s drinking should I have her seen again or try and wait I think out another day? ### REPLY: Hello, its joyfully to me to answer your question. 1st of all, any infection manifested by fever should be searched for a focus by meticulous examination as the condition may range from an easily treatable non-serious condition to a life-threatening one, but your child ailment seems to be an upper respiratory tract infection as seen from the manifestations you mentioned, and I can say obviously that subsiding of fever is a very good sign so do not worry, wait and see and keep adequate HY .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a verruca appear 4 months ago . I thought i had rid of it but now i have a large yellowy hard lump which looks very swollen. and it is so painful to walk on . I am my 3rd course of antibiotics from the doctor but they havent done any good.  H e is now sending me to see i dermatologist.Please help me ### REPLY: Hi, I did review your concern. Verruca on feet need to be examined before being treated. A biopsy may be warranted if needed. You are doing right thing by going to see a dermatologist. Verruca is generally due to Human papillomavirus and antibiotics don't work with them. They are generally treated by surgical removal, salicylic acid(Over the counter), Imiquimod and few other options. However first a confirmation by dermatologist is necessary as there are few other lesions that look like verruca but are actually not verruca pathologically and need a different treatment. I hope this helps. Wish you a healthy life ahead. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello, one of my cousin suffering from hole in heart and he offenly becomes sick as fever and he cannot walk play and he is studing in 8th standard so the doctors suggest for surgery and this people from madkeri karnataka living as farmers so they could not bear cost of surgery so can any body suggest ayurvedic medicines without surgery ### REPLY: Hello, I would strictly suggest you not to go against the doctor advice of surgery as in such cases it may become impossible to perform surgery in later stages as there are irreversible changes in the heart which will make surgery very high risk and sometimes impossible in such cases. No Ayurveda medication will cure it. The state and central Government does not charge at all for such surgery in many specific hospitals. Please do find the nearest hospital in this context. Satya SAI Hospital in Karnataka is another such hospital which provides free treatment for cardiac patients. 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: Ive had a lot of dental work done from June to August this year. 3 crowns on my left side & thats where my pressure stems from. My last procedure was august 14 & Im still have severe throbbing in my jaw & daily headaches. My dentist said that it would take time for my nerves to calm but the pain in consistent & sometimes unbearable. I also grind at night & suffer from stress related  TMJ. I wear a night guard & take 2-6 Advil daily but its not helping at all. Ive never experienced this kind of pain from dental work before. Any other advice on how to minimize my pain & clenching at night? ### REPLY: Hello, Thanks for consulting ChatDoctorRead your query as you have pain in teeth after dental treatment and crown placement this pain can be due to some reason that can be infection present in treated tooth and as you have history of clenching also cause pain and TMJ disorder but don't worry I will suggest you to don't take so much stress, stress is one of the main reason for clenching and TMJ disorder. For this I will suggest you to do warm saline rinses two - three times a day and wear night guard regularly. In meantime you can take analgesic like petrol DT or diploma by consulting with your local doctor. Consult dentist for examination of oral cavity , investigations Iowa X-ray of painful region to rule out the cause of pain. 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: hello doc im 21 yrs old.my problem is i have lots of black marks on my face ..please suggest me how to get rid of acne and black marks..please suggest some medicine.... ### REPLY: Hi.dear user., Thanks for choosing ., Your problem is common in your age., called ACNE VULGARISM., It is seen in young and adolescent individuals., Due to Hormonal imbalance, Familial, Medicines and Stress., black marks are called Blemishes.due to pinching of pimples., with your nails....... So don't pinch with your nails.,1) Frequent washes with Triclosan soap., preferably foam.,2) Topical Clindamycin and Darlene gel morning times..., night 2% HY . ., good result for black marks.,3) Cap. Evion 400 mg....daily morning for 20 days.,4) Tab. Tufacne (Isotretinoin 20 mg.) Daily evening times for 20 days.... bye...good luck., ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi   I have very sore shoulder pain...........I am on a statin at a high level............I work out 2 times a day............either gym at noon and hockey at nite,,,,,,,,,,,,my right should is really sore...........I am 53 with a history of two hearth attacks............should I avoid lifting weights......or just certain types of weights............ ### REPLY: Hi. Sorry to hear about your problem. As far as your question is concerned. Perhaps you know the answer already. Yes if you are having something wrong (infection/inflammation) with your shoulder joint, it is a wise choice to give some rest. It's better that you should visit a local orthopedic surgeon (for investigations for confirmation diagnosis of shoulder joint pathology and an appropriate prescription most probably of anti-inflammatory agent). Also, you mentioned two episodes of having heart attack. So as being a cardiac (ischemic heart disease) patient, it's better to refrain yourself from vigorous exercises (hockey) and heavy weight lifting. Such type of activities can provoke further cardiac event. I would suggest having some brisk walk rather than these exercises. Hoping these few lines might help you. Wishing you best of health. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had the implant put in and was due to be removed on 1st of feb this year, I still haven t had it removed but have been having unprotected sex, since having unprotected sex I ve been getting like achey stretchy pains in my womb area, I ve also been very tired but not sleeping properly, could I be pregnant? ### REPLY: Hello, I have gone through your query and understood the concern. Return of ovulation is commonly seen in six weeks after removal of the implant. So, the same should hold good for you though you did not get the implant removed, but it would be almost non-functional. Your symptoms could be due to with .  If you wish to exclude/confirm pregnancy, you can go for the estimation of the serum beta-ChatDoctor titles. This is more sensitive and specific and clarifies the situation. Hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Noticed slight nipple discharge and it could have happened 1 mos ago. Last 3d mamo normal nov 2012In 2011 normal mamo done which was followed by MRI which was fine. I am a little paranoid due to my dense breast tissue. I have never had a cancer diagnosis and no breast cancer in my family. I have an appt next week but i want to know if I should be this concerned ### REPLY: Dear Ma'am, Sorry to hear about your problem. Dense breasts can pose problems in early detection of breast cancer, but it can be overcome by regular breast cancer screening, which you are undergoing. Nipple discharge can be normal or scary depending on the color, amount and whether it is associated with a breast lump or not. What is the nature of your nipple discharge? You should visit your doctor and get a regular screening done. Hoping for the best. Please feel free to clarify any other 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: My 4 year old fell down the tree house stairs. Its about 10 ft off the ground and she fell from one of the top stairs. She had some cuts and lumps. I put ice on them and watched her. She seemed fine. This morning she was complaining of a sore neck. Now, at 1pm she has a 101 fever, but she says her neck isnt hurting anymore. Could the fever be related to the fall? Should I take her to the ER? Her dr cant see her till tmrw. ### REPLY: Cellophane You for contacting . Fever could be due to stress from fall or wound infection. I would suggest you following things:> keep wound clean.> Do not touch with dirty hands> Wash with antiseptic solution and apply poly fax plus ointment> Give Spy Acetaminophen one tablespoon after every 6 hrs till fever settles. Report to hospital if:> Condition remain same after 2-3 days> Any unusual symptom appears> Condition deteriorates. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing her 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: Gallbladder surgery later pm Friday, came home Sat noon, persistent cough/irritation post surgery. it now now 2:30 a.m and i have coughed up some phlegm with very small amount of red in it. No fever or other unusual symptoms. Feel good, able to eat with no problems after. Have only needed 2 painkillers ( hydrocodone 5/325). I also have asthma - anesthesiologist warned me the tube snaked down during surgery could cause a flair up of asthma, but I only have a minor wheeze when i exhale hard. Lungs were (and seem to me) clear both pre and post surgery. I m wondering if coughing so hard from either reason above can break bloodvessels and that is how come i m seeing some blood in this phlegm; not teaspoons more like adding a pinch to the mix. Feel really good other than that, just tired since it is 2:40 a.m. ### REPLY: The medicines used in surgery and after surgery can trigger allergies there can be local reaction or infection of sinuses which bleeds mostly or local infection of food pipe or wind pipe which again cause these all will be good in 3 week add antiallergic montelukast 10 mg BD for 2 weekbronchodilator spy liquid antacid testis will help to control all antibiotics you must have taken after and during surgery no need to add ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Im 25 years old female suffering from ulcerative colitis...Im taking meslamine 800 mg..however Im having loads of hair fall so I went to a dermatologist he has referred me proanagen 1 tablet daily and neoptide to apply daily at night since last 15 days still Im seeing no change ### REPLY: Hi there.1. Your concern is halogen effluvium.2. Stress related hair loss, which is recoverable.3. Continue peptide spray, along with change pronged to keratin, which is also a hair supplement with iron and folic acid as extra ingredients.4. Start seamed anti hair loss shampoo weekly twice, wash your scalp with soft . Use them for minimum of 40 days for visible results.don't worry you will be fine. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I recently visited the ER with a chief concern of numbness that radiates from my fingers to my toes on my left side. I have had an unrelenting headache that isn t responding to otcs. Ct scan with contrast didn t identify anything unusual. Md seems to think a pinched nerve. Follow up with pc isn t for weeks. If it is a pinched nerve what causes it and how do I treat it in the interim? ### REPLY: Hello! Welcome and thank you for asking on ! I passed carefully through your question and would agree with your doctor on the fact that your symptoms could be related to a pinched nerve. Coming to this point, I would recommend consulting with a neurologist for a physical exam and an electroneurography. Decompression surgery may be needed. Hope to have been helpful to you! Wishing 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 had infection in one of my molars, which was treated by RC method twice in the last 8-9 years. Because of this infection, I have developed swelling and pain in my lower cheek, jaw line and a part of chin. I gave up, and got this tooth extracted. However, inspite of 3 days of antibiotic dosage, the swelling and pain in cheeks area is not going away.. Do I need some kind of procedure to drain the pus which probably has accumulated in this area and causing pain and swelling? ### REPLY: Hi, Thanks for asking the query, There can be chance of some broken root piece left in the socket due to which you are experiencing pain and swelling. I would suggest you to visit the concerned Dentist and get the checkup done, take an x-ray to see any leftover tooth particle, if present it can be surgically removed. Take complete course of antibiotics and analgesics. Take lukewarm saline gargles and antiseptic mouthwash gargles. Apply ice packs externally over the area. Maintain a good oral hygiene. Hope this helps out. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I started my period last weekend on Saturday 2/22/14 and then it stop then on the night my period stop , I had unprotected sex but he pulled out before he came ,then in the middle of the night I started to bleed , so I put a pad back on and a lil blood was in there when I woke up , now I only see a lot of blood when I wipe but I see lil blood on my pad every time I where now . Is it possible that Im preg??? ### REPLY: Hi and thank you so much for this query. It is very unlikely to get pregnant by having sex on the same time your menses stopped flowing. There is just no egg that can be fertilized at this time. Bleeding is probably related to the intercourse and nothing else. Though it is unlikely that you get pregnant this time around, I strongly recommend that you talk to your doctor about contraception. He would help you to adopt and use correctly a method of contraception to help prevent unwanted pregnancies. Please, protection during intercourse also help prevent against sexually transmitted infections. Please, always consider using them each time you have sex. I wish you the best of health. Hope you find the above helpful. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 38 years old and have shortness of breath for the last 2 weeks. When i went to the Dr she said that my limp nodes were swollen and it can be viral so wait and watch. Since it did not go away with in 4 days, took Augmentin 375 mg twice a day, today i have a burning sensation in my chest... any thoughts suggestions will be appreciated. Should i stop taking Augmentin ### REPLY: Respected user, hi Thanks for using .come have evaluated your query thoroughly.* Short breath is through bronchi constriction following viral or bacterial infection.* Burning chest is associated with reflux of stomach acid through antibiotic induced acidity.  - No need to stop Augmenting, but have to take tab. Pantoprazole (40)mg morning and evening 1 hr before breakfast and dinner. Hope this clears your query. Welcome for further assistance. 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: Im 19. I have been struggling with (what I just discovered to be) HOCD for a while, and Ive been with my girlfriend even longer.  The thing about it is, is that throughout this struggle, its been so hot and cold.  It seems like it reverses every other week - one week its really bothering me, the next its like nothing ever changed and Im happy as can be with my girlfriend.  Would seeing a therapist get me over the hump and back to normal for good? ### REPLY: Hi, thanks for the query. What do you mean by HOLD? Do you mean to suggest you have obsessive compulsive disorder with predominantly sexual or blasphemous obsessions? Some Psychologists tend to call this type of OCD as HOLD; though as per available literature; this is also OCD. Can I know the exact nature of your symptoms? OCD is a waxing & waning illness with origins usually in adolescence or early adulthood. Usual symptoms are obsessions which are recurrent intrusive anxiety provoking thoughts, impulses or images which are recognized as originating from ones own mind by the subject. Obsessions frequently lead to compulsions which are repetitive acts or rituals done to avert anxiety arising due to obsessions. Obsessions can be of dust, dirt, contamination, sexual, blasphemous etc. OCD is treated by .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: had a pain in upper back since last monday, feeling like trapped nerve, eases off for while, putting hot water bottle on when it more painfull, then last night app, 3am, the pain was in my chest, had to get up take paracetamol and re heat water bottle, propped up in bed, then eased off, wasn`t to bad when got up, as day gone on pain increased again in chest, was going to contact my gp, but it was too late, no appoitments. just to put my mind at rest,, as last night was scary, it felt like a heart attack, but i dont know what heart attack feels like, i will contact my gp in morning if pain continues. thankyou ### REPLY: Hello, I have studied your case. Due to compression of this nerve root there is pain in your back and chest. Due to occlusion of vessels there can be pain sensation. I will advise you to do MRI thoracic spine, HRC [CHEST] and EMG- CV [nerve conduction study]For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hai, am 31 yrs old just six months compeleted my marriage life, and my husband is planing for child for after one year, if any issues in this age. we have to plannning for this year or after one year..................... pls help me                                           thank you.................. ### REPLY: Hi there, I have understood your concern. First do not worry. Your ability to get pregnant depends upon the ovarian reserve or capacity to form eggs. You can get certain blood tests done to confirm your ovarian capacity.  I will suggest you to get blood levels of FSH, LH, PROLACTIN, AMH on second day of the cycle. You can get it done 6 months before you plan to get pregnant. Secondly, I will suggest you to opt for a healthy diet and regular exercise regimen. Include more portions of fruits, salads and vegetables in daily diet.  .  Avoid deep-fried foods, bakery products and refined sugars. Use of vitamin B 12 and Folic acid supplements is advisable at least 3 months before you plan to get pregnant. This helps to prevent many problems during pregnancy and delivery. Please don not panic. May God bless you with a bundle of joy. 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 my son has just turned one. He got a stomach bug 8 weeks ago, which give him diarrhoea. We have now had diarrhoea for 8 weeks. My doc put him on lactose intolerant milk which he has been on now for 6 days. The diarrhoea is the same and the amount of diarrhoea and consistancy is the same. He is waking up every night crying in pain which he was before he got put on the new milk. We don t seem to be getting any further forward with an answer as to why he has this on going diarrhoea. Could he s stomach be full of bad bacteria. ie the good bacteria is being eaten by the bad bacteria? Is there test we can get done to get this sorted out? He has already had a stool test would came back negative, is why is he still so ill? ### REPLY: Hi... Thank you for consulting in . I understand your concern. I have a few questions and will suggest few possibilities. Questions:1. What was the birth weight and what is the current weight?2. How is the attaining of developmental milestones?3. Is the stool oily and floats in the pan?4. Is there any color change in the hair or skin?5. Is there any history of recurrent serious infections? Possibilities:1. Chronic diarrhea - ? Fat malabsorption2. Micro Nutrient deficiency3. Immunodeficiency either primary or acquired. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,I am losing my hair n I am just 23. 1) When did you start noticing the problems - 1yr back 2) Do you have dandruff or any scalp conditions? They can increase hair loss, prompt treatment helps - itchy scalp but almost cured it. 3) Are you on any medications for any medical conditions? No 4) Are you married? No 5) How much hair do you lose per day? Do you see hair coming into your hand when you try to pluck a bunch? at around 150 6) How is your general health? Ok, Stress! Thanks! ### REPLY: Hi, Hairball can occur due to a number of causes, however, in females, nutritional deficiency, hormonal imbalance, anemia, stress are common causes. So, first, get yourself checked by a skin specialist or Trichologist to rule out what the exact reason is. Start massaging the scalp with warm coconut oil. You can also use olive oil for massaging the scalp. You should apply pure aloe vera gel over the hairs and scalp and wash your hair after half an hour. Along with it, you should take vitamin E capsules.  .  You should also eat more green vegetables and fruits. Apply hair serum after washing hairs. Always dilute the shampoo with water before use. Indian gooseberry powder can be taken daily with water as it is very good for the hairs. Hope I have answered your query. Let me know if I can assist you further.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have a 11mm kidney stone. My ureter was cut and reimplanted in 09 during a hysterectomy. In 2011 I had 2 lithrotripsies with no success. I ve had many episode s of kidney stone pain since then with my urologist wanting to wait & watch. February 26th I had a ureter stent & nesphrostomy tube place & on the 27th had my 3rd lithrotripsy which didn t budge the stone. ### REPLY: Hi, After ureteric preimplantation, it is difficult to enter the ureter. Otherwise, an 11 mm stone could have been easily removed using flexible ureteroscopy and laser. Since you have a nephrology tube in place, your Urologist can use a arthroscope (endoscope to see inside kidney) through the same tract and remove the stone easily. I hope you would have got ridden of the stone long back and recovered very well. This may be a very late reply. I just came across this query. However, if you need any assistance please let me know. Wish you good health, Warm 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 eleven year old soon has not been feeling well. His blood tests show high ALK. Phosphatase levels (203 U/L) and high AST (SGOT levels of 76 U/L). This is his second blood test and now the doctor has pulled a third test. I am worried about his liver. Please provide some insight. ### REPLY: Dear Friend.First we should find out the cause of raised SGPT, and ALP. Common causes are :1. Alcoholic Liver disease (Not in your case as your child in just 11 years old)2. Viral Hepatitis3. Gall Bladder Diseases4. Autoimmune hepatitis advise you to follow tests :1. Liver Function Test (complete)2. HbsAg3. Anti HCV antibody.4. IGM Anti HAD antibody5. IGM Anti HEV antibody.6. Ultrasound Abdomen. Once, we know the cause we can treat it. Which will further lead to reduction in his SGPT levels. 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 10 yrs son gets reoccurring periods of swollen legs with puss. I don t know if this has something to do with lymph nodes or allergies. The legs are hot, tender, swollen and red. Last time we spent a week in hospital and now 4 months later the symptoms have returned. ### REPLY: Hi, Thanks for your query. After going through your query I came to know that your child gets reoccurring period of swollen legs with pus. Your child has low immunity. He should be given balanced diet rich in green leafy vegetables and proteins. To prevent from getting infection he should keep him clean. Keep him away from infected persons. You can discuss with your treating Doctor about it. I do hope that you have found something helpful. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I live in TORONTO Ontario Canada. I am have chronic back pain that has become unbearable. I am now up to taking 8-10 80 mg. tablets of oxyneo daily...and I am still suffering with excruciating back pain. My family doctor has sent out some referral letters to spine surgeons but they are not taking on anymore referrals. I feel hopeless! Can you help me? Thank you! ### REPLY: Hi there. Back pain can be really severe and incapacitating at times. Now the first question I should ask you is this: is it a pain which radiates down your thighs and legs, and do you have any associated difficulty in passing urine or stools? If so you may be having features of spinal cord compression and need urgent evaluation by spine surgeon. If you're having back pain alone, then a majority of it can be treated with changing your lifestyle, avoiding lifting heavy weights, or bending down and working. For acute onset pain analgesics may be helpful. Bed rest only for 3-5 days maximum. Prolonged bed rest is actually harmful as it causes wasting of your back muscles which are important stabilizers of your spinal column. So a gradual starting if physio is more useful. There are exercises for core abdominal muscles and para spinal muscles which can help. Surgery for back pain alone might not give you expected results all the time. It is useful mainly if there is associated cord compression going on. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am an 18 year old female and I woke up this morning with chest and back pains and am having trouble breathing. I went to a party last night and had 3 beers and a few cigs. I have smoked in the past but it has never been regular and I drink on average about once a month. I was wondering whats wrong and how I can make the pain go away? ### REPLY: Thanks for your question on . I can understand your concern. Possibility of acute gastritis related chest pain is more likely. You had beers and cigarette smoking yesterday and both of these are known to cause gastritis. So take pantoprazole tablet on empty stomach twice daily. Avoid hot and spicy food. Avoid junk food. Quit smoking and alcohol forever. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My dad has had prostate cancer for bout 5 years i think, he went to the dr. last week and it has spread to hi bones in his hip. She put him on 4 Zytia on a eempty stomach and he can eat one to 2 hrs after, and Prednisone 2 a day with food, i have gotton so nerves i think i am doing it right, i give him the 2 pills when he eat. Am i right? ### REPLY: Hi and welcome to . Prednisone is usually prescribed to take with food, but every 12 hours. I don't know dosage in your case so consult your doctor about it. You meant Zynga, probably. This should be taken on empty stomach and don't take it together with prednisone. Bone metastasis isn't good sing, but sometimes tumor regress on Zynga therapy. SO just hope for the best. Wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Last night while open a can of corn, the lid cut the lower inside part of my thumb, just right in the crevcise.  it bleeds periodically, its looks like a pocket when i pull the tip of my thumb back.  it does throb and pain of course but not sure if i hit any tendons.  will an urgent care facility be able to sew it up or care for it? ### REPLY: Hello, Welcome to , As you got hurt last night while opening a can of corn which has led to cut of the lower inside part of my thumb which bleeds periodically with throbbing pain. This incident suggests me that you are having some open wound following the cut by the lid of the can. I would suggest you to follow1. Immediately apply the pressure over the affected area to prevent bleeding.2. In TT should be taken, if you are not taken the injection in last five years.3. A course of Augmenting, 625 mg, twice daily for 5 days.4. If there is deep cut it should be sutured under aseptic precautions.5. Oral NSAIDs for three days.This aforementioned treatment will improve your condition. 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: My father has been diagnosed recently with exfoliative erythroderma, they put him on an immune suppressant im not quite understanding the reasoning for this...also, treatment options seem to be far and few between do you have any knowledge on this particular disease/disorder...? He is 47 years of age and has been suffering from this for around 4 years now. He is so cold all the time. I just want to find him help ### REPLY: Exfoliative erythroderma is an immune reaction in which the skin gets red and falls off. The skin falling off acts as a severe burn and is a serious condition and a reason to immunosuppress. Etiologies are often unknown, but fall into two groups: one is purely an immune reaction and can be to a known thing someone is allergic to (.  Skin exposure). In these cases, with removal of the allergen, the condition gets better. Mostly the allergen isn't so clear or its autoimmune (psoriasis). The other group are cancers (generally blood cell cancers) that invade the skin and cause inflammation. Skin biopsy would be the first stage. Then removal of allergen, or treating the cancer; mostly, giving immunosuppressants is all that can be done. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI DOC,please help. My penis has a fishy odour when I pull the foreskin back. I can see some bacteria on it and I believe this is causing the bad odour. I wash it with soap twice a day but I can see its still not 100 percent clean.What anti bacterial creams can I use? What is the best way to clean the penis? Thank you ### 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: Hi my son is 15 yrs old and does weights.Very athletic kid, loves sport ! Recently I checked his blood pressure cause he complained of lightheadness, otherwise very healthy.  Bp was 137/63 pulse 60 on two occasions on both arms ! Is this still in healthy range ? Thanks :) ### REPLY: Hi, Pulse of 60 bpm is normal for people who do sport. About blood pressure 137 is slightly elevated for his age, but it is not abnormal yet. If he is tall and not thin it is Ok. Anyway if he doesn't have complaints, there is nothing to worry. For being in the safe side you can check his blood pressure sometimes. Hope I could help nourishing you good health In case of further questions don't hesitate to ask ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a pacemaker 3 months ago.  I get a lot of chest pain, which the cardiologist says is coronary artery spasm, but it seems to be coming from the pacemaker.  I have had it checked, all is ok and is pacing 95%.  But I still have pain.  I take 25mgs metoprolol twice a day.  Do I just have to put up with this, or can something be done?  I am 68, weigh 46 kilos and am 151 cm ### REPLY: Hello, Thanks for writing to , I am . Chest pain can be due to many reasons, that are HD, muscle pain or due to bone injury .if u were my patent I would like to ask detail history like nature of pain, aggravating factor like pain inc with pressure is most likely muscular, radtiatnig or not n location of pain .do detail exam n then run some test like chest x-ray to see is there a bone injury, ECG to rule HD, angio if ended to see isn't it coronary artery stenosis,.if it is due to spasm then I would advise taking calcium Chanel blocker BCS it is better than beta blocker n if it is BCS of other issue then will TX u on that path. I hope this answered your question, if you have more feel free to ask. 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: Ive had a kidney abcess in november. It was drained but now apparently I have a cavity in my kidney and there is a connection between the cavity and the rest of the kidney. My doctor wants me to have a surgery to close the cavity. He said that if I were to get another UTI it is possible for my to have another abcess. Is there any way to avoid this surgery?  What would happen if I just waited to get another abcess? ### REPLY: Hi...antibiotic course and .  Surgery will be needed if you have stones, or anatomical abnormalities in kidney or ureter, or reflux of urine from bladder to ureter etc. which predisposes to abscess. Or surgery will be done in case of repeated infections and abscess formation in a poorly functioning kidney. If you have any of the above things you need surgery otherwise you dont.be careful and promptly take treatment and antibiotics whenever you get fever, burning on urination etc do not try to postpone urination...you will not get UTI s. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 healthy 25 years old male with a healthy sexual relationship with my long term girlfriend. However recently I have been having slight pain in my left testicles, so I went to my GP and she did an examination of my left testicles. She said that my left testicles had slowen a bit but there was nothing to worry about. However, the thing that worries me is the dull pain which is not very sever but remains as it has been a few days since it start hurting. Secondly, my family has a history of cancer, though its not completely related to my question but what are the chances that I might have testicular cancer or something related? ### REPLY: Hi, Thanks for writing in.1. Cancer in testis causes firm to hard swelling in scrotum and this is usually painless. Few people might have pain.2. The cancer lump grows over weeks to months and there can be groin lymph node enlargement.3. Some people experience weightless and tiredness when they have testis cancer.4. Your problem is unlikely to be a cancer but if there is dull pain then it is important to investigate in detail.5. I recommend a testis ultrasound scan for you if the swelling is persisting, and it is painful. You might have an infection, varicocele or HY .  Please wear loose inner clothes for some days. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: dr im 30 years old lady. im not blessed with baby past 3 yrs. in jan 2011 21st i had my laproscopy. they drilled the pcod . feb 23 i got my first peroid. march 30 till now i missed periods. 30th march morning i done urine pregnancy test it shows negative. how long should i wait to have my blood test? im very stressed person .normally my periods may 30 to 33 days. is there any chance to have pregenant? i had back pain problem now. ### REPLY: Hi there, I have understood your concern. I will suggest you the best possible treatment options. First do not panic. As you have history of PCs, you might have formed the egg a bit later than usual.  Usually, in a woman with regular cycles, egg formation takes place on day 14 of the cycle.  As you have mentioned that you have cycles of 30 to 33 days then I will suggest you to get mornings first sample of urine tested for pregnancy a week Later after your expected 33 days. If you do it earlier the tests might be inconclusive.  In case of doubt blood beta  test and USG will be of help. 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 bit my inner cheek about a week ago, around where my bottom wisdom tooth is growing in. It s been in a lot of pain ever since. I thought it was just a combination of the bite and teeth growing, but a this morning I looked a little closer. Right in the area where my gum and my cheek meet on the bottom gumline, there is this white-ish spot that is the exact source of my pain. It looks almost like a hole that has been filled in. This has never happened before. Do I need to contact a dentist or should I ride it out? ### REPLY: Hello and welcome to , The cheek biting is due to the erupting wisdom teeth which interferes with mouth closure. The white spot may be due to the abscess developed with erupting wisdom teeth. Frequent warm saline as well as Betadine rinse may give slight relief. Based on clinical and x-ray examination, the wisdom tooth has to be either removed or flap overlying has to be removed to enhance tooth eruption. Maintain good oral hygiene. Apply anesthetic gel on the affected site. Take care. ### END