Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 SHPRL level 40.90.I am nonpregnant women. Infertility problem is there.Will it be cured by medicine? ### REPLY: Thanks for the queryLevels of 430 to 750 is considered normal r suffering from hypoprolactinemia, but this exactly is not known to cause infertility issues but nonetheless it should be considered as one of the causes of nothing else could be isolated. Treatment is available, u will have to go to an endocrinologist, and he might prescribe u Carbolic tablets to be taken for some time/life long Have a healthy life ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been just told that I have mild signs of a fatty liver accidentally noticed in a recent CT scan. Alcohol could be a cause but although I am no where near an alcoholic, I probably have 6 standard drink per week. I also have some scarring in the right lung. This may be caused by an old infection, but maybe exposed to passive smoking many years ago (I have never smoked) or I am on the road as a sales representative for many years (exhaust fumes, asbestos fibres from car brakes?) Your thoughts? Should I consider giving up my current job. ### REPLY: Thanks for your question on . I don't think you are having active infection. As CT Scan clearly indicates fibrotic scar like lesion. In lung tissue healing occurs by either fibrosis or calcification. So any past insult to the lung either infection or trauma heals by either fibrosis or calcification and left the scar. This scar will remain life long. So presence of scar tissue does not mean that you are having lung infection. So no need to worry. Continue your job. Avoid alcohol if possible. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 lap band and recently had a brief blockage. When I threw up it was violate. Afterward my eyes were hurting and very bloodshot, my ears were ringing and for a couple of days my ears hurt and made noises as if I had an ear infection. What are the dangers in this kind of vomiting? ### REPLY: Hello! Thank you for asking on ! I understand your concern and would explain that violent vomiting could lead to raises in blood pressure. Your symptoms could be related to these changes in blood pressure and heart rate. I would recommend you to monitor your blood pressure during these episodes. The ringing in the ears could be explained by changes in blood pressure or changes in the sinus pressure, during this type of physical exertion. You should consult with your attending physician in order to help you regulate the function of Lap Band. Hope you will find this answer helpful! Best wishes,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello, i had follicle scans for 4 days and had 5 follicles of sized very good. and my doctor gave ovigyn injection for follicle rupture. next day i got rupture. and after that i had 3 times intercourse wit husband. how long should i continue to do so? and what about the other 4 follicle will they also rupture? ### REPLY: You seem to be on the right track. I would have appreciated if you had mentioned the size of the follicle; however, since the doctor has given injection to induce ovulation, the size must be around or more than 18 mm. The life of the ovum or the unfertilized egg is 24 hours. It takes up to 36 hours for the follicle to rupture after the injection, however it may rupture earlier also. So considering the life of ovum, intercourse up to 72 hours is fruitful, not after that. Remember that the life of sperms is up to 72 hours. So if at all this cycle goes waste, from next time try to start the intercourse about 4 days prior to the expected ovulation or injection origin and continue up to 48 hours after the ovulation (confirmed by ultrasonography). Intercourse may be performed on alternate days if daily is not possible. Of course continuing intercourse even after that has no harm. It is not harmful to the pregnancy. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: For years ive been feeling down in the dumos... past few months its getting really bad.. not a day goes by without me feeling like i want to kill myself! i feel sick all the time i get real bad headaches but worst of all is my temper!! im by nature a loving kind of girl... but recently i hit my partner.. ive tried to suffocate him with a pillow etc. the list goes on and it scares me.. also my periods are lasting 6-8 weeks everytime! could this be whats wrong? ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much.  I sincerely feel very sorry for your fate. Inspire of being suffered for these many years, you never thought of right treatment. Suicidal tendency and social anxiety is supposed to be treated by a psychiatrist. Please do so at the earliest. You should know that these problems are not mental diseases, but are mental disorders. Many researches and researchers confirm that medicines alone cannot cure mental disorders. Lifestyle changes, change in thinking pattern, relaxation etc. are as essential as medicines. Psychotherapy can help you to change your lifestyle and thinking patterns. Yoga and meditation help you to streamline your metabolism and neurological balance. Please consult a psychologist for further information. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had an MRI done on my cervical spine the report says reveals posterior central disc protrusion at C4-C5 level causing ventral indentation upon the thecal sac. Cervical vertebral bodies demonstrate normal marrow signal intensity. Vertebral soft tissues are normal. No central stenosis seen. No intramedullary masses are identified. I have had migraines for 15 plus years. dizziness and vertigo for the last 7 months. No head injuries or accidents to report. What does the MRI mean? ### REPLY: Hello. I have been through your question and understand your concern. The cervical disc protrusions are common findings in the MRI and generally benign. If you do not have any walking problems or handling the objects, then you should not worry. It would be better if you schedule a neurological consult to evaluate for any motor or sensory deficit (caused by the protrusion). Otherwise, you should not be worried about. Hope this helps. Please feel free using MHC again. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi there, 21 year old female Who has been experiencing chronic lower back pain for quite some time now. Specifically in my lower left dimple. This has not been a result of a sport or other strain injury. I ve been to chiropractic care which helped other issues, but never this one. The only temporary relief I can find is to crack my back, it seems like sometimes it can lock in this area and popping it puts it back in place. It mostly hurts when I lie down or sit in any position. It goes through periods of times where it hurts 85% of the day. I have Just recently discovered a lump on the lower left dimple where the pain occurs. It seems to be in a line formation as if a protruding muscle. Because I can feel the same contour on my right side, but the left is much pronounced and sticking out. Any idea what this could be? I was thinking perhaps some form of sacro illiac joint dysfunction, many of my symptoms Match up, but I am uncertain. Thanks so much, Ashley ### REPLY: For chronic lower back pain you can take some painkiller like biozobid-plus or zerodol-sp only when the pain is worse enough or disturbing your daily routine along with some calcium supplements like shackled or toscal-gem once daily. Take some multivitamin like spray or neurobian-plus once daily. Do some physiotherapy exercises after an expert opinion of physiotherapist. I will also advise you to sleep on a plain surface. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Fince has a lump that is the size of a half dollar. He has. For about a year now it constantly leeks flid that smells rotten . It has pus nd blood that leaks also. He has had bowel problems everyday .. He is reluctant to see a dr. What do u think this could be ### REPLY: Welcome to  I am  and I will help you with your query I have through your question. You have not mentioned site of this lump? From his reluctance to see a Doctor and altered bowel habits I presumed it to be in perianal region.  It needs proper examination and seems to be anal fistula, in which there is pus discharge, a small lump can be there. He needs to see a general surgeon, who will perform an examination. He needs not to be sacred and shy, If it is there this problem for one year, it needs his attention and prompt treatment. I hope my answer will help, Do rate, if you like 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: Hi, I have a lump under my right nipple and Im a boy 12 years old. It is abt 3 cm big and has lasted for a month. Its gotten bigger over time Ill say tripled. Its painless except for when pressure is applied. Its pretty far from the surface and Ive been slowing down alot, and having nausea. ### REPLY: Hi.it is best if you consult with a doctor, preferably a general or a pediatric surgeon, for medical and physical examination. Based from your description, it could be a cyst. Even if you're a boy, breast lesions could also occur. It could also be a fibrous or fibrotic lesion. These lesions are best evaluated clinically. Further diagnostic examinations, such as breast ultrasound, will be requested as needed. Management (medical and/or surgical) will be directed accordingly. Hope this helps. Good day!!~ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i was in a wreck when i was five weeks pregnant and it tore up my back, neck and shoulders so bad. now i am 30 weeks along and it hurts to breath. i do not want to take medication that will put the baby at risk. i am having contractions all day long so it makes the pain so much worse. this baby kicks so hard it feels like he is trying to rip his way out. the contractions are so strong in my belly but not yet down in the back or vaginal pressure. what is the safest way of delivery and when can i safely get him out? my midwife says she needs to research it. ### REPLY: Hi, I understand your concern.  Your symptoms & sufferings can be safely treated & you can be comfortable. Please get a consultation of a physician/ gynecologist & get your pregnancy status judged as well as cause of pain while respiration. Get specific treatment for both of your problems & try to get a delivery with full maturity of baby.  A child born at 7 months maturity can survive when properly taken care of by an expert pediatrician with PBA treatment if needful.  But let your gynecologist decide about your delivery I would advise having it with maximal maturity of child.  Thanks.  . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I am 43 yrs female and underwent total hip replacement and osteotomy 3 years ago. I have banged my leg - below the hip joint but near the top of the femur very hard on the corner of a table nearly 3 wks ago. It was really painful at the time and it bruised, the bruising is gone now but i am left with a really hard mini egg size lump, that is painful is pushed. I am concerned about what it may be. ### REPLY: Thank you for asking your question. My name is .  This lump could be a number of differ things but from what you explained it sounds like it could be a deeper contusion or an abscess, or a foreign object like a piece or part of the hip replacement components. Deeper contusion is related to the trauma you recently had and in the healing process the visible swelling and bruising has healed, but the remaining deeper contusion often remains longer and heals at a much slower rate. You can ice this area. An abscess can form from an infectious process. This occurs when the body recognizes some infection or a foreign material in the body. The defense system in our body works quickly to wall the area off to prevent it from spreading to the rest of the body and once walled of an abscess can form and pus develops within the abscess. The treatment for abscess often include an incision 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: My 13 year old daughter is leaking greyish liquid from one of her just emerging breasts, and there is what looks to be a greyish bruise under & around most of her nipple. She has had only two periods and is scared out of her wits that this leaking might be cancerous. Should she see a doctor (she is very reluctant to consider this due to modesty issues)? Any help would be appreciated. Thanks C. Bowerman ### REPLY: Hi Welcome to  Dear this is your daughter s health issue Don't ignore it. Health is first than modesty issue. Show her to gone first and then see what she suggestion get panicked. For the time being take care of her diet. It should be more of fiber than starch include fresh fruit, a lot of soups and juice, green veges and . And a lot of water. Should be regular in habits of taking food evacuating bowels Avoid fried, fast food, cakes & cookies .to remain awake till late at night Mental strain in any form, worry anxiety should be avoided.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: dear sir i am suffering from intestine gas, constipation, nuesia, bloating and cramping, isomania from last 15 years. i went through Ige food allergy test. results show allergy from milk, curd, green chilly, musturd oil and yeast. day befor yesterday i did not taken ay milk product. and my stmoch is feeling quite comfortable. this is food allergy or lactulose intolerance. how it can be treated. ### REPLY: Hello. Thank you for asking at . IgE food allergy test is not 100% accurate. So I would suggest you to consider your food allergy report as a guide, not a diagnosis. Milk allergy is very common. If you have it you will have to avoid all milk products, and you will see a very good improvement within 2-4 weeks. As a practical option, I would suggest you to avoid the foods that you have tested positive for 2 weeks, and if you are improved, introduce single food (from the list you have avoided) every 2 weeks. Please keep milk & curd as last foods to introduce as they are the most common allergies. If you do not see improvement after elimination of foods for 2 weeks, I would suggest you to consult an Allergist-Immunologist who is qualified to diagnose food allergies & also to interpret results of IGE test in a correct way. Regarding your next question, if your IGE levels to milk are significantly high & you also improve with milk elimination, it is food allergy, although sometimes lactose intolerance may be present along with it. As per modern science, mail part of treatment of food allergy is avoidance of the food you are allergic to. Probiotics, immunotherapy, herbal/Chinese medicine etc. are other options, but they are not always successful. Hope this will be helpful to you. Wish you the best of the 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: Hello. I have been getting an urticarial type rash all over my body for the past 10 months. the rash appears and disappears throughout the day and I cannot find any cause or allergies. Lately the joints in my hands have also started hurting and yesterday after being in the sun for an hour, the temperature in my body started dropping and I felt really cold and shiverish. Any help and information is appreciated since my GP does not know what it is. Thanks ### REPLY: Allergies taking wrong medicines in allergy like PCM broken vitamins multivitamins and calcium diet supplements can cause this allergy enter she bones and causes the problems like you wrote get blood serum test for specific antibodies for milk wheat potato Chaney yeast rice egg nuts you will get it till then stop all animal proteins like milk egg chicken fish mutton honey vitamins or diet supplements if taking take anti-allergic Allegra 120 mg avoid toxic shampoo soaps and body application materials use calamine on effected skin in sun after test with .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have lump in the right side of  my neck..ihave tonsillitis last time and the i feel im good i already eat sweets then after that one mroning i already feel the lump in my neck its been bigger i feel it was swollen..and its hurts how can i treat it on home ### REPLY: Hello, A lump inside my neck on right side with history of tonsillitis may be possible adenoid enlargement most likely. Primary working tips for better home management are:- Consume more lukewarm water, homemade hot juices-Avoid excess spices, junk foods-Do not smoke if using-Gargles with salted lukewarm water added peppermint oil 3 times a day-Intake of honey and basil leaves recover faster-Consult later your doctor as per the requirement Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had a headache that wouldn t go away for over a week. Now on top of the headache I have stiffness in my neck. No matter which way I turn my head (up, down, side to side) there is a fizzy noise. Sounds like the carbonation and the fizz of a soda pop. In 2006, I ve had major head concussion due to an accident. Is this something I should be extremely concerned about? ### REPLY: Hello! I read your question and understand your concern. I think that your headache and neck stiffness may be related to muscular contractions in your neck and back of the head. It may be related to degenerative changes of your cervical column. The sound during your neck movement is another argument in favor of this diagnosis. I would recommend you to consult with a neurologist and have a good neurological examination, a full blood work to exclude a possible infection and a cervical column X-ray. Other test like a cervical column CT scan may be necessary to examine better your column and intervertebral disks. Hope to have been of help! Thank you for using ! Greetings! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, when my 9 ear old son woke up today he was complaining about pain on the bottom part of his right ribs and about a inch lower. The pain is sharp on and off and it is when he breathes deeply. Any suggestions before I run him to the ER? Thank you, kawood ### REPLY: Thanks for your question on . I can understand your concern. I don't think, you should take him to emergency room. His chest pain on breathing is mostly due to musculoskeletal pain. So apply warm water pad on affected areas. Give him simple painkiller like paracetamol. He will mostly improve in 2 days. If still he is having chest pain then consult doctor. Hope I have solved your query. I will be happy to help you further. Wishing good health to your son. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m 20 years old and I weigh 107.8 pounds I m skinny lately my legs I have been feeling weak like they will collapse under my weight and my knees have buckled. I ve tried laying down and walking around but neither of those options have worked. is there something I can do? is it serious? ### REPLY: Dear Sir/Madam have gone through your query and read your symptoms. In my opinion, normal or low weight can not cause knee problem due to weight, and that is usually osteoarthritis, your age is 20 and this possibility is highly unlikely, if your knee have hyper mobility of deformity, than even normal transmission of weight can cause it to fatigue and painful. You will need,1 X-rays to see the alignment and status of your knee joints.2 Blood investigations to see any cause of generalized weakness.3 if both are within normal limit, physiotherapy to strengthen the weak muscles, and guided use can help you a lot. I hope that answers your query. If you want any more clarification, contact me back. Thanks .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i had a routine portable chest xray for my job because I had a positive PPD due to BCG vaccine. I was called to pick up the result. It says I have a prominent cardiomediastenial silhouet. Finding is prominent heart size. What does it mean? Should I go see a cardiologist or oncologist? ### REPLY: Hello, The increased heart size is the cause of increased cardiomediastinal silhouette as per the X-ray. However, I would wish to reassure you this point that X-ray is not the best test to give a diagnosis of enlarged heart. It depends on a lot of things like any angulation, how deep did you inspire are some of them. So an 2 D Echo cardiograph would be the next test to confirm the diagnosis.  PPD positive men as we have to rule out tuberculosis.  In this region it may cause some fluid collection around the heart and lymph node enlargement in mediastinum causing its enlargement.  So a cardiologist for echocardiography would be the next reasonable hoverboards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a mad pain about 2 1/2 inches from my left hip towards my pelvic but below my belly button. It started yesterday and persists today I have taken over the counter pain relievers still hasn t really let up I ve also have been putting a heating pad it gives some relief but pain comes back . Please help. Thank you ### REPLY: Hi, Welcome to . After going through your query I think you may be suffering from muscular pain left hip.  You have tried over the counter pain medicines and heating pad with some relief. I give such patient coming to my clinic tramadol. You can take this after consulting your treating doctor. This condition can be further investigated by getting X-ray pelvis with both hip AP view and MRI OF Left hip. Hope I have answered your query. If you have any further questions I will be happy to help. 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 Dr,i was married on last may 8th2011.And for the first 4 months we were in family planning .But now we are struggling to get pregnant.My periods are regular.through USG ovulation has also occured.ON MAY 2012 i did HSG also and it was normal.My hus count is also good and we both dont have any endocrinal abnormalities.Now iam hoping to get pregnant this month also.Doctor what may be the possible cause of not getting pregnant.This month(july) i took 3 doses of Inj.Foliculin.I beg u to answer for my questions please ### REPLY: Hi, Welcome to  forum. If all tests including your partner semen analysis are normal; your periods are regular then I do not see any problems in conceiving. All you would need is increase the frequency of unprotected sexual intercourse during the time of ovulation, and soon it should turn fruitful. If you have done that, I would suggest you have a fair chance to get pregnant this time around. Hope this helps. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am 25 year old guy with the problem of hair loss. I consulted with dermatologist he first pescribe "morr-f 5%, then and follihair tablet, then minokem 5% then minikem 2%, then alpecin lotion and keratop tablet" but still its not under control. Now he pescribe hair 4 u 10% and keratop. what should i do? ### REPLY: Hello, you should ask your diagnosis, the treatments given suggest an . Now, for this condition, the therapy comprises 5% minoxidil (of whatever brand) which works slowly, max effect seen around 6 months, and you need to continue it usage forever to maintain the new hair growth, along with tab Finasteride 1 mg daily for 12 months. So, u confirm your diagnosis and stick to the treatment. ThanksTake 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: Gd aftrnoon doctor,   I had unprotected sex with my guy on the fifth day of my period(on 15th of march) and within six hours i had an  ECP. I had withdrawal bleeding on 21st march n it lasted for 1.5 or 2days. In this month m supposed to have period on 11th or12th ( as m in 30days cycle).. but m delayed  for a week now. Today is 19th of april.  When can i expect to have my period? Is there any probability of being  pregnant even after withdrawal bleeding? Kindly rply. M mch worried ### REPLY: HI and thank you so much for this query. May be late already for the dates you have posted but I guess the information is going to be of great help in future similar situations. If you have sex on the 5th day of your cycle, the chances of getting pregnant are very, very low. Taking ECP shortly after that further reduces the chances. Also, having the with . ECP often distorts the cycle though it eventually gets a new rhythm for itself.f you have not still seen your menses by this time, then you at least need a pregnancy test and further investigations if warranted identify the cause. Please, beside having unwanted pregnancy from an unprotected sex, you run the risk of transmitting or contracting sexually transmitted infections. I will kindly suggest that you always consider having protected sex unless otherwise indicated. Hope you find this information useful 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: Im 26, F, 52, 150lb and lately Ive been getting chest pains after consuming alcohol. At first, it was just certain type of liquors and it would go away after 15-20 min. But this last time i woke up and had chest pains. What could be causing this? Im definitely going to stop drinking. ### REPLY: Hi welcome to . Alcohol can affect multiple system... You can have.... -Gastritis -Esophagitis etc. like inflammation that can lead referred chest pain... For that you can take pantoprazole tablet for few days... Avoid excess tea, coffee, smoking and non veg. Avoid alcohol. More water and fruits taken... If your pain ref feted to arm, shoulder, sweating, cough, dyspnea than work up done with.... -chest x-ray -EKG etc... Advise : consult pulmonologist for examination esp.auscultation... Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor, Here is what is going on supposedly with my Liver / Gall bladder. Question: What do you think of the medications prescribed and should I be worried about having a fatty Liver ? Is it Genetic? If not what causes it? Thank you The ultrasonography report says that the liver is normal in shape, size and has increased echo pattern. No evidence of focal lesion or intrahepatic binary ducal dilatation. Hepatic and portal vein radicals are normal. Gall bladder, pancreas, spleen, kidneys and urinary bladder are normal in size,shape echo pattern and thickness . prostate is normal shape size and echo pattern normal. Impression : Increased hepatic echo pattern suggestive of fatty infiltration. The latest blood reports say that.... Serum GET (GCNA-IFCC) is 49.00 IU/ml. (Normal range is 15.00 - 85.00) Serum Lipid profile. Total cholesterol (CHOD/POD) is 161 mg/dl. (Normal is less than 200.00) Triglycerides (GPO/POD) is 154.00 mg/dl. (Normal is less than 150) HDL cholesterol (Direct) is 36mg/dl. Normal range is 30.00 to 60.00) VLDL Cholesterol (calculated) is 30.80 mg/dl. Normal range is 10.00 to 40.00) LDL Cholesterol is 94.20 mg/dl. Normal range is below 100. T. chol/HDL cholesterol ratio is 4.47 (normal range is 0.00-6.00) LDL Chol/HDL Chol ratio is 2.6 (Normal range is 0.0-4.0) Serum liver function test report. Bilirubin total (mod. J Groff) is 2.30 mg/dl (normal 0.10-1.20) Bilirubin direct (mod. J Groff) is 0.30 mg/dl .Normal is 0.00 -0.40) SGOT/AST (P5P, IFCC) is 15 IU/ml. (Normal is 15.00 to 37) SGPT/ALT (P5P, IFCC) IS 46 IU/ml. Normal is 10.00--50.00) ALP (p-NPP, Kinetic) is 82 IU/ml. Normal is 53.00--128.00 Total protein (mod Biuret) is 7.40g/dl. Normal is 6.00--8.20) Serum albumin ( BCG-dye) is 4.70g/dl. Normal 3.50--5.20 Serum globulin is 2.70g/dl. Normal is 1.80--3.40 ALB/GLOB (A/G) ratio is 1.74g/dl Normal is 1.10---1.80 Right now the gastroenterologist has recommended the following medicines. Heptathlon 400 mg one tablet in the morning and one night. Udiliv 300mg thrice a day. .Morning, afternoon and night. Sylimarin 140 mg twice a day ...One morning and one night. ### REPLY: Hi thanks for contacting . Noted you have fatty liver... It is not genetic condition. In fatty liver fat is getting accumulated in hepatocytes... So also called stenosis. Causes are as below....... Hyper cholesterolDiabetisAlcohol Chemical and . . Your triglyceride slight high... Main mode of treatment is to cut off oil in diet. Use less oil in cooking.... Use good oil like sunflower oil.... Avoid alcoholFruits more. Avoid trans fat foods like meat and junk foo ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: XXX is 54 years old. Two years ago, XXXX called his 84 year old mom to say he was going away. XXXX wanted to throw himself in front of a train. Mom managed to talk him out of it. XXXX entered therapy for a time. XXXXX felt if Mom lived, he could continue living. XXXX was assessed with clinical depression and meds were recommended. XXXX dropped out of therapy and never took meds. Today, XXXX called his now 86 years old mom and said, you are the reason I have nothing today, you tried to kill yourself to keep me with you, you hate me. Mom assured XXXXX she always loved him and said she was sorry for any pain she may have (or may not have) caused in the past. XXXX is the second child of an abusive, alcoholic father who left the family when XXXX was 21 years old. XXXXX always wanted a relationship with dad but dad hated and belittled XXX. Dad died sober and estranged from his family. XXXX never married but lived with a woman for a long time. My questions are these: 1. Is XXX suicidal? 2. Is XXXXX going through the stages of grief? He was depressed when wanting to kill himself and now he is angry. 3. I am XXXXX older sibling . XXXXX hates and will not talk to me because of past issues. I am concerned about the emotional stress this has on my 86 mom. She was exhausted after XXXX phone call. What can I do to make certain that XXXX doesn t kill himself? What can I do to make certain this doesn t harm my mom? ### REPLY: 1. Maybe he is.asking him would be of help.also impulsivity is a factor.as he was once, so consultation with a psychiatrist is what needed2. Depression may be associated with delusional belief.he may have personality problems.so medication and psychotherapy both are required3. Its tricky one.if he is considered harmful to others, it is advised to admit him in a mental health care facility. Wish him 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 suffer from fibromyalgia in all it various forms for twenty years ..diagnosed for ten years.Over the last few months however I have experienced a weakness ....for example I can no long squat or crouch down and lift myself up...in addition after sleeping, resting or being in one position for a time ... My body is rigid and moving is difficult. In the mornings im walking as I would expect a ninety year old would ...stiffness and pain. Lifting a cup of coffee is nearly impossible.....with weakness and pain ... ### REPLY: Hi, thank you for providing the brief history of you. A thorough clinical Neurological examination is advised. As post this, your treatment will be initiated again to make you functionally active. Since you have fibromyalgia long 10 years this must have made the muscle fibers more stiff to respond to chemical . As in my clinical practice such long-standing cases of fibromyalgia are advised to undergo physical therapy. Many cases respond well to physical therapy. The pain is controlled and mobility is regained. Since fibromyalgia is a condition of the inflammation of the fibers in the muscle the fatigue happening in the muscular system is much faster due to the faster glycolysis cycle. Making a correction with the effort of inducing the exercises will make a help to changes in metabolism and improve the physiological process. Regards Jay In ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: yes I had a total hip replacement 1 wk ago and my leg is swollen all the way down to my ankle around ankle looks darken and blue yellow color around it bottom of toes are numb and just below procedure area it feels as through I might be trying to get a Charlie horse ### REPLY: Here in headline you have told you have undergone for total knee replacement and again in details you have mention it is total hip replacement. So I am giving you idea on general possibility what could have happened. There might be a possibility of infection and vascularity problem after surgery. So that there is swelling in entire leg. As well distal area of feet especially toe is showing change in color along. Apart from this you also have muscle spasm close to procedure area which suggest the same again.Many times it used to be common also if patient is diabetic and hypertensive as well above 60 age. So I suggest visiting your specialist for further discussion on this as well you can also consult one more specialist for secondary opinion. But do not take it granted take a proper treatment step for your issues. Or else it may become worst with time. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am having sciatic nerve pain. Starts in my right hip & goes down to my foot which is tingling & numb. I have had this before but never with as much pain as this time. It takes my breath away & lasts for quite awhile. I have a back brace that seems to help. I take 15mg of prednisone daily for lung problems. Aleve seems to give some relief but I am concerned about the two drugs causing stomach problems. Tylenol doesn t seem to help much Thank you for your opinion,peggy ### REPLY: Hello, There are so many causes of sciatica pain, but treatments are several but non-surgical treatment is temporary. Although treatments are:you can take hot/cold therapy:apply hot water fomentation for 20 mins. Hot therapy reduces the spasm and numbness or induce the blood circulation. Cold compresses or therapy reduce the swelling over nerve and numbness. Apply ice cubes within towel over your back for same time and don't exceed this therapy more than 20 mins to avoid skin burn. You can apply massage with mahanarayan oil 3 to 4 times a day.it reduces the muscle spasm and increase circulation and range of motion. Exercises:Do isometric spinal extension exercises 3 times a day as ankle stretching, lie on your back bend your knees and raise your waist and hold up to 20 secs than release and repeat it again for 10 times.  Avoid forward bending, weight lifting, long sitting and standing it will increase the pain. Stretching do hamstring stretching so that sciatic nerve got relax. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i had my friend and a chair skim my ankle really hard i had to limp on it for 2 days its was really swollen and bruised and hurt really bad..now its been almost 2 months and there is a big lump on my ankle bone it doesnt hurt to move my ankle but is tender to touch..what could rthis be? ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concerns. As per your complaint it seems that due to traumatic injury there has been inflammation of soft tissues and also there is traumatic injury to blood vessels leading to accumulation of blood into the soft tissues and leading to Hematoma formation.The Hematoma at times gets encapsulated and become localized leading to formation of a firm mass. It can take a longer time to resolve, and you need not worry about it. You can apply alternate warm and cool compresses over the lump. You can apply Heparin gel over it as it helps in easy disruption of the Hematoma. You can also apply analgesic gel if there is pain. You can take anti-inflammatory painkillers like Ibuprofen. In case of no resolution or improvement in a month consult an Orthopedic and get evaluated. Hope this information helps. Thanks and regards. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 28, 5 4, 135 . Supposedly Type O blood, with possible Negative factor. I am in the gradual process of getting my cavities filled. Just recently, my back lower wisdom tooth chipped off. And last year the upper one was removed. Eventually I was hoping to get the other upper removed. But apparently I now need all four ( dentist suggested) out due to decay despite brushing, flossing, and rinsing. What preparations should I be taking when it comes to removing wisdom teeth on the lower jaw? And based on blood type , what cautions are there? ### REPLY: Hi, Ideally if your dentist has advised you for the extractions of wisdom teeth, then it's better to get them removed soon specially if they have cavities. You need to eat before extraction if it will be done under local anesthesia so that you don't feel uncomfortable or weak after the extraction as you will not be able to eat after it for a couple of hours. So to keep your strength up have healthy food before visiting your dentist. Also use cold compress from outside in the area of extraction to reduce/avoid swelling. After the extraction, when your dentist recommends, you should have cold food like ice creams and cold milk etc. After 24 hrs of extraction you should do warm saline gargles 3-4 times / day as it will help in healing.  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: Okay so im on birth control, ive already had my period , it was on dec 12th me and my boyfriend have unprotected sex all the time , i know i shouldnt but we do, this morning i woke up and brown liquid dripped down me it was only a few drops then it stoped, then later on it started again so i put a tampon on , then cramping started , is this my period again? its extreamly light like barely even there but i dont want it getting in my underwear. or is this an early sign of pregnecy? ### REPLY: Hi, I understand your query.  Though light bleeding is sometimes seen in pregnancy with some hormonal imbalance. When you are on birth control regularly, pregnancy is out of question.  The problem you have can be because of infection(vaginal/ cervical/ uterine) /pelvic inflammation / ovarian problem. You should consult a gynecologist, get investigated & get specifically treated. sometimes treatment of both sex partners becomes essential.  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: hello sir this is arvind from lucknow ...sir my mom is suffring from lugs pnemonoia.......she was hospitalized 15 days in hospital but ,,,,still she is suffer from pneumonia.....there are many check up has done ...during ct scan of thorex  a mass of cell is seen in right lungs ......but i get test  a FNAC through USG AND CT GUIDED ... but there is no maligant cell are seen in both FNAC... sir i am very worry about this i am not able to undestand what i  should do for  it......pls give me better advice which hospital will be best for me ...... ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, you should take her to SG PGI, Lucknow and consult pulmonologist there. She needs bronchoscopy, BAD (bronchoalveolar lavage) analysis and TBLB (Trans bronchial lung biopsy).BAD analysis will identify the causative organism for pneumonia. TBLB is needed to rule out lung cancer. Don't worry, she will be alright. First diagnose her and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. 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 took vitcofal 2cc injection yesterday on my buttocks and have also been advised by my Dr.to take Cap.RejunexOD once a day for four months.Injection is to be taken once a week for five weeks.This was due to my B12 recording 138.Pain in the buttock still exists and there is a fear of taking the medicines. Pl. advise. ### REPLY: Dear patient Post injection pain in your buttocks is common and is due to mild inflammation. It subsides within two to three days. You should apply ice packs at local site of pain. You can take tab ibuprofen 400 mg thrice a day for pain relief. But if there is redness at buttock with fever infection is possibility and In that case visit to you physician is recommended. If you don't want to take injection oral medications are also available. Only it takes longer time to correct vitamin b12 deficiency. 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 the inside of my cheek with my wisdom tooth a few days ago. My cheek skin still get between my teeth when I eat or close my mouth. Which then causes me to bite it again. Its getting to the point where Ive bitten it so many times on accident that it hurts to touch it, brush my teeth, and eat or drink. Theres no puss or hot to touch kind of thing. But it does hurt. How can I take care of it so I dont keep biting it and re-injuring it? I would like for it to heal. ### REPLY: Thanks for your query, I have gone through your query. The pain can be because of the repeated trauma, resulting in an ulcer over the growth which has created by repeated cheek bite. It can occur because of the sharp tooth also. So consult an oral physician and get it evaluated. If there is a growth, then get that removed (aperculectomy or excision of the growth) or get the sharp tooth rounded off.Meanwhile you can take topical anesthetic a danalgesic like lidocaine and choline salicylate. Do saline gargling. I hope my answer will help you, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my step dad is 76, he was diagnosed last year with stage 4 cancer, tumor in the pancreas, in the lung, spots on the liver, and surgery  at the same time for cancer in the hip, putting a steal rod in, followed by radiation. They were going to do radiation on the brain, after the hip, but decided not to on the brain. He has a non currible cancer, treatable, but fast spreading, he just found out today he has 3, 3cm tumors on the lung, 1 effecting his esaughagus, which is causing him to have trouble swallowing and breathing. He will recieve a double wammy of chemo on Tues. When would a Dr. stop chemo? My dad would never tell the drs if the chemo made him sick, thats why he is getting strong doses. He has been sick everyday in the last year. ### REPLY: Hi, Thanks for writing in. Pancreas cancer is a challenging condition and survival depends on the stage of detection. In most patients having stage 4 cancer the survival can be extended up to 2 years with recommended treatment and supportive care. Your father has a stage 4 disease and therefore requires chemotherapy to extend his survival. Since the cancer has involved the pancreas and also seen in esophagus, liver and lungs, unfortunately he might be in the final stage of disease. The fight against cancer is till the end and if his general condition permits then his chemotherapy can continue till he is able to withstand the treatment. His pain relief also requires attention, and he must be allowed sufficient pain relief medicines and live in comfort. 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: I feel a lump by my jawline and ear lobe, parts of my face feel numb sometimes.  You cant really feel it until I turn my head to the opposite side. It doesnt seem to bother me and I am not sure how long its been there. I noticed it a couple of weeks ago.   Although about 1-2 months ago I woke up with extreme neck pain like I had a pinched nerve. I have a feeling its related to the lump. ### REPLY: Welcome to . 1. The most possible cause could be submandibular cystic dilatation - sialadenitis.2. Other possible causes could be submandibular gland lesions, bony cystic lesions.3.Finally, lymph nodal enlargement. To conclude the diagnosis - primarily ultrasound examination will help to evaluate. 4. Ultrasound will help to evaluate the nature of the lesion, its source and extensions.5. So I would suggest to request for an ultrasound scan and further depends on the scan result. Good luck. Hope I have answered your query,anything to ask ? Do not hesitate to ask.http://doctor.ChatDoctor .com/doctors/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am very healthy height weight and diet(i am a vegitarian) for an active 12 year old but i sometimes blackout, (i drink 3-7 glasses of water a day) and my sister also had a problem with blackouts, but neither of us have heart problems. what could this be? ### REPLY: Hello, When do you get blackouts, in condition like getting up from sleeping or sitting position, if yes then its occurs in some individuals due to sudden .  In such case, needs a behavioral change.  If not, then you'll need to undergo some investigation like ECG, Holder monitoring, echocardiography. There can be some familial cardiac causes.  Get back with more information about the symptoms. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 noticed I had a dent in the top front of my skull. I thought it was caused by my sunglasses sitting on my head too long but I ve suddenly realized that it isn t caused by my sunglasses. Today I have felt another one. Should I be alarmed and what could be causing this? Cyndie ### REPLY: Hello. Thanks for asking from . I can understand your concern. The dent in skull could be due to various reasons: Bone molding - It is a normal process which shapes skull and occurs during first 7 years age. During this, skull bone is formed from soft membrane cover and sutures between different skull bones fuse. No need to do anything for it. The dent due to it will be painless and present for long time.: Age related change - It is due to age causing bone sclerosis and areas of lysis which lead to irregular bone. It usually occurs after 45-55 years. It is also a normal process>No need to do anything for it. The dent is painless.: Post traumatic - Head injury can cause dent at impact site. It may be dented or depressed fracture. For confirmation, CT head is required. If there is any history of significant head injury before noticing dent, it could be the reason. You have to consult doctor for evaluation. Treatment will be decided after CT report. Depressed fracture may require surgery. Otherwise, normal dent is usually managed conservatively.: Bony lesion - it could be due to bony lesion like Desmond cyst/ostomy/fibrous dysplasia. It can be suspected if at dent site, you are feeling some kind of swelling. For confirmation, you have to consult doctor. He might take tissue from it to confirm diagnosis. Treatment usually requires surgical excision. Hope it will help you. Thanks. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I underwent first IUI today and the doctor said that there is a slight tightness in the neck of womb and laproscopy wil be required if IUI does not turn out to be sucess. Is this could be the reason that I m notgetting pregnant? I was pregnant in 2010 and had a missed abortion in 22 weeks. Thereafter I couldn t conceive. I really need a second opinion from a Infertility Specialist . Please help. ### REPLY: Hi, Tightness in neck of womb can be one of the causes, but is rarely the sole cause for infertility. More important, you need to investigate for the cause of missed abortion at 22 weeks like congenital/acquired thrombophilia profile, TSH, V .  If your tubes are confirmed (by tubal patency test) open, and you have tried 2-3 Luis, it's better to go for laparoscopy. If tubes are open & it was your first GUI, you can go for simple dilatation of neck of womb followed by GUI. 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: Hello Sir, Is Imitinib is a medicine which cures blood cancer? Is it available for free of cost at Adyar cancer Institute in Chennai, Bangalore, Trivandrum, kovai Rama Krishna Hospital? I would appreciate you if you could provide me the exact information regarding the genuineness of the above statements ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Imatinib is useful in blood cancer. But it is not useful in all blood cancer. It is very effective in chronic myeloid leukemia. But it's not effective in acute leukemia. Moreover, it can control the disease. It can not cure the cancer. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my mother suffering from backache  from last 2 years after she slipped at home .after many treatments with orthopedics and others also no relief fopund till now. the latest MRI report says 1) postero -lateral disc protrusion noted at L4-L5 inter vertebral level indenting the thecal sac,narrowing it with bilateral nerve roots compression.2) Mild degenerative changes noted in form of disc dessication and marginal osteophytes formation at various corners of lumbar vertebra.kindly help for relief. ### REPLY: Hello, Thanks for your query. As per your mother MRI report, You have degenerative spondylosis & disc disease in lumbar spine. Generally the overlying muscles of the vertebral column reacts to any underlying irritation or inflammation in the form of spasm preventing any movement, termed as protective muscle spasm. Intermittent moist heat fomentation of the affected regions may be of great help in reducing the muscle stiffness. Muscle relaxant medications like Tizanidine, Cyclobenzaprine can be helpful. These are to be taken after consulting a doctor. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i have taken 4 ipills from 2nd june onwards till 2nd july and inbetween i got my periods but again i got them on 6th july which was only spotting till the 8th july and then the normal flow started and till now i have spotting ...my gynac gave me etosys mf and celin for 5 days 3 times a day to stop but its increasing my flow and then gives a relief for some time so what is this ?? and she asked to get a beta ChatDoctor test done for what reason ? im scared i hope its not aids or cancer ... ### REPLY: Hi and welcome to , thank you for your query.Aids and cancers are the last thing to think of. There are many causes of such difficulties and most of them are benign and treatable. You should check your hormonal levels and do ultrasound of uterus and pelvis to see is there cyst or endometrial pathology. Also, you should check your coagulation factors. Usually such bleeding scan be regulated dwith hormonal therapy, so I am sure it will be possible in your case too. Wish you good health. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am 37year old,78 kg, my ht 5.6 inches, last 4 to months 5months i am suffering from too much itching in lower abdamon and my bikini area, then it turns brown colour always i washing that area with hot water and dettol pls tell me what should apply ffor this ,is this skin cancer?it is spreading around the oter area also ### REPLY: Headfirst of all clear one thing from your brain that this itching is due to cancer, no way, not at all. Reasons of this itching which is spreading may be, This includes.1 Eczema, as this is a chronic skin disease, so consult a dermatologist and get his opinion as physical examination is important in this case.2 Dermatitis, again this type of itching may be due to contact dermatitis, so due to clothes or unhygienic care, be careful about that.3 As you mentioned that this itching is spreading so may be scabies. In my opinion consult a dermatologist and get his opinion as swab from this area will find out the disease. Hope this information will, be helpful for you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi , ive had ultrasound ,ct scan, nuclear mri , blood tests done to check my liver .My symptoms are extended upper abdomen ,nausea. and dizziness. my g.p has reported a burst blood vessel in the liver but with no medication just a refferal to a specialist .I am consulting with a herbalist ,which has stoppped the nausea and dizziness ,but not helped the abdomen!!! which is very large ...ive gone from dress size 10 to 14. Can you please shine some light on the situation! ### REPLY: Hi I have gone through your query... Here you have enlarged abdomen with dizziness .... If varietal bleed there then through blood loss dizziness can occur.... Hypoglycemia, heart failure can lead dizziness.... For that sugar estimation and ECG done... If varietal bleed occurred as you have mentioned in history then endoscopic band ligation or chemotherapy useful.... Here by sodium and water retention edema can be there.... For that diuretic like furosemide tablet can be taken... Take care. Consult gastroenterologist for further guidance and therapy.... .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 woke up this morning and I found that when I turn my head to the right it hurts my lower neck and my upper back on the right side too. It only started today but it s been going on all day. It s not severe pain. It does hurt to a degree though. Also, it is a dull pain and not a sharp pain ### REPLY: Hi .  As per your description it seems that your neck pain is not due to spine problems but It's due to muscle spasm. It is not a serious issue which can be treated easily. I would like to advice to take tab. Coquitlam or tab. Diclofenac twice a day for 3 days. Also apply local ointments such as voting or Lolita etc. If it does not subside then add tab myosins. Still if you have any doubts pl feel free to ask.  Don't worry. You will be fine 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: hi! I am in seventh month of my first pregnancy. I am having loose motions for last two weeks (5 to 7 times per day with loose consistency). I have just completed the course of antibiotic (ornidazole 500mg bd for 5 days) on the prescription of my gynaecologist but still no relief, kindly suggest further. ### REPLY: Hello dear, i understand your concern. In my opinion the loose motions can due to gastrointestinal infection. But as the course of antibiotics is finished the infection might have cleared. As you don't have any fever the chance of persistence of infection is less. Take bland diet and curd in the diet. Tab.sporran also might be helpful. Take adequate fluids up to 3 liters per day and electron powder. Sagograin juice also help in decreasing the loose motions. 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: what are symptoms for blocked fallopian tubes-cause I SUSPECT BLOCKED TUBES TRIED MANY YEARS TO FALL PREGNAT NEVER BEEN TO A GYNAE BEFORE. PLS HELP REGARDS LEBO I am 31yrs old weight 62kg height 1.65 i am on chronic treatment smoking ### REPLY: Hi LeBeau Welcome to  There are no symptoms which suggest fallopian tube block. Common complain caused by bilateral tubal block is inability to conceive (infertility). Block tubes may have symptoms of disease which caused them e.g. pelvic inflammatory disease, tuberculosis. Symptoms like foul smelling discharge per vagina, backache, pain lower abdomen etc. may be present. Consult a gynecologist for further investigations. 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: Im dealing with what I believe is postpartum pyscnosis . Its worst them depression. And no one want to help me. Im lost in this world I feel like Im living in my own personal hell. I love my daughter and have really bad panic Attacks when Im away from her I dont trust anyone with her. I cant even go to work cause they get so bad. ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. Postpartum psychosis (or puerperal psychosis) is a term that covers a group of mental illnesses with the sudden onset of psychotic symptoms following childbirth. Your doctor should know how to treat you in such a case. But, in my opinion, there is no reason you have to worry about. Postpartum psychosis is a common affair affecting at least 50 percent of the women population after childbirth. In almost 100% of the cases, the symptoms diminish or vanish within 6 months. Your love and affection towards your child, activity, interest in rearing the child etc. shall bring positive changes in you, and you shall overcome these symptoms for sure. Stop worrying about it. Look after your child well. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: should I go ahead & what back bottom tooth,  half filling come off & wisdom tooth pushing under same tooth. Ive been taking antibiotics, 900 mg. 3 days. Dr. wants pull tomorrow. Jaw still swollen.  Should I let him Fri or wait until Mon.? still on antibiotic. ### REPLY: If the jaw swelling and pain is minimal, and you have had your course of antibiotics then you can get it removed without any trouble. Though if there is a significant pain and swelling that is persisting then it is advisable to wait for a day or two more since any tooth removal in such a case may lead to spread of infection and also difficulty in removal of tooth which the dentist may have to face chair side. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 in chronic pain for about 8 years.  I have fibermalgia, permenant nerve damage from herniated disc that had surgery on but never fixed.  Medicines act differently with me than most people.  I also have scoliocis.  Nothing the pain clinic in Staunton, Virginia has helped me.  I would like to try this if it could help.  I have also had mental depression issues. you name it, I have it. ### REPLY: HIT hank for asking to ChatDoctorI really understand your problems, you just hold it every thing will be fine with time, you better have strong will power, for to fight against every health problem you have, do not think that you are the only patient going through this, there are numbers of such patient those are facing the same problems, but certain are doing very nice among them, without any medicine, why because of their strong will, so why do not you have it, have good day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have shoulder pain & feel cold at this area all the time since more than 7 years + many episodes of headaches. I had an x-ray which resulted in bilateral small rudimentary cervical rib. can this cause my symptoms & what is the possible effective treatment options? ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have pain and coldness in shoulder area. Well there can be many reasons for symptoms you mention in query arthritis, bursitis, tendinitis, torn cartilage, torn rotator cuff, pinched nerves or spinal cord injury. I would suggest you to consult orthopedic surgeon for proper examination. Doctor may order CT scan, X-ray, MRI or physical examination to check movement. Doctor may prescribe muscle relaxant, anti-inflammatory along with vitamin supplement for quick recovery also recommend physical therapy or stretching exercises. For now give proper rest to shoulder, apply warm compresses and take ibuprofen or acetaminophen for pain. Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my name is Brianna, I m 20 years old and have a one year old daughter. I m married but my husband is in the military so its impossible for him to ever be home. I have a few issues mentally and I m terrified it s going to get out of hand and start scarig my daughter and I ve never been prescribed a medication that helps without side effects that effect daily life. I have tried anti depressants but they make me suicidal, hallucinate or really fat. I ve tried mood stabilizers but they work the first 2 months and somehow stop. I ve tried buspar which gives me electric shocks and seroquil which makes me too tired to be able to wake up and do what I need to do with my daughter . I m unsure what to look into, I know I have ptsd and thats where my issues stem from, but is there even a cure aside from therapy which I do over the phone? What should I do to take precautions so my daughter doesnt experience what I went through with my mother? I m not sure where else to turn aside from this website. I m not REALLY crazy all the time, but when I lose it I can t bring myself back without being self destructive and I feel like I m about to spiral. I dont know what to do to be the mother my daughter deserves. Any advice ? a pressure point or anything ? I know I sound desperate but I don t know where else to turn . ### REPLY: Degree understand your concerns went through your problem. I suggest you not to worry too much. You are sure that you have PTSD but you don't know how to come out of it. Then I confirm that you do not know what is PTSD. I am sorry to say this. You should have given here what is traumatic experience you underwent. Second, Every person goes through some traumatic experience in his or her lifetime. And most of those people don't even know what is PTSD. May I ask how they tackle the situation? Any idea? Every such people go for advice from elders and elders say that it is very normal. They talk to those people and motivate them, and they come out of that situation within 2 months or so. In your case, you are carrying the so-called PTSD with you. The problem is not a briefcase, to carry with you. Leave it aside and concentrate on your life.  Using psychotropic .  Please see a psychiatrist or psychologist for further advice. You might need psychological counseling., I am more than happy to provide telephone psychological counseling through . Contact me through customer care, www.ChatDoctor .com.hope this clears your doubts. 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 Goods Afteroon,I Nilam, Living in Tanzania. One of My Friend suggested me Himalya Live.52 for Removing Kidney Stone. It is advisable to take this tablets fir it. Please guideme.My Age is 27 Year, Weight 48 Kgs.Waiting egerly for Reply.Thanks inAdvance ### REPLY: Hi, Thanks for writing in. Liv.52 tablets are suggested to improve liver functions. These tablets contain herbal composition including Chicory and The Caper Bush which contains p-methoxy benzoic acid, which is a liver protective agent. Liv 52 is indicated for the prevention and treatment of viral hepatitis, alcoholic liver disease, pre-cirrhotic conditions and early cirrhosis, anorexia, loss of appetite and liver damage due to radiation therapy It will not work for kidney stone. For kidney stones you must take Cranberry juice. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 27, I have smoked pot regulary since I was 18...for about 4 to 5, years I have been coughing up brown phlegm (primarily in the morning) which I knew was from smoking...I sleep in a room that has VERY VERY dry air in the winter time, and Ive had a bloody nose a month ago, and off and on since then Ive had a couple specs of blood in my mucus in the morning (maybe once every week or so)...well two days ago I coughed up two pinhead specs of blood in the morning after the phlegm, and TODAY I coughed up a what I would call microscopic spec of red that I can only assume was blood...could this be related to the dry air in my room, or should I be worried about something life-threating here....I have already made the decision to stop smoking ### REPLY: Thanks for your question on . I can understand your concern. You are having hemoptysis (blood in sputum). And it is common in smokers. Common causes are lung infection (pneumonia or tuberculosis), bronchitis and lung cancer. So better to quit smoking as soon as possible. Consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test). Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: So my boyfriend and I had sex last night and I have been on the pill (yaz) for 7 months and I had sex on my period the 4 day and I usually start a new packet on Sunday.. So we had sex and the condom broke and he came in me. I am nervous I could get pregnant because during the birth control I recently been good with taking it on time but missed one pill but took right away when remember it and been fine since and got my period on time . Should I go get the plan B? Or wait it out? I also have poliastic ovarian syndrom. Please help me ### REPLY: Hello, I have gone through your query and understood the concern. Since you are almost always regular with your oral contraceptive pills, you need not worry about possibility of conception, as there is none. Moreover, you had the intercourse soon after the onset of the menstrual period. There is no need for an emergency pill. Do not stress, go about with your regular contraception and wait for your next period. Taking the emergency pill is going to mess up your hormone balance and this is not at all advisable considering the fact that you have POD as well. 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: I brought my son home from nursery this evening and noticed a red spot on his right leg inner thigh since then i have changed my son again and have noticed there are several more appearing some with yellow heads on theyve grown quiet big n look angry red ### REPLY: HI...by what you quote I feel that it might be an n allergy like a simple urticaria or a rapidly spreading pyoderma as you quote that there are lots of yellow heads appearing. But I want to stress on something very important - Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. 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: Pls interpret my CBC result: Hemoglobin 123gm/L,Hct 0.37, Leucocyte 7.4, neutrophils 0.71. myelocytes segmenters 0.71, lymphocytes 0.29... I had also URINALYSIS :PH-6.0, SG 1.020, Sugar(-), Protein Trace, Epithelial cells MANY, Mucus Thread MODERATE, Bacteria FEW, RBC 0-3, PUS CELLS 15-20, Urates FEW.....Thanks RADZ 37y.o., female from philippines ### REPLY: Hi! Welcome to ! I can understand your problem, nothing to worry! As per the laboratory shown in your question, you have infection of urinary tract. Do you get fever, backache, or burning sensation while passing urine? Take Ciprofloxacin tablets 500 mg twice daily for 7-14 days. If you have fever, you can Paracetamol tablets 500 mg 3-4 times daily till fever subsides.Besides, you should take the lot of oral fluids, juice etc. to maintain a good urine output. Take care! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,I have a history of urological problems from birth. Just recently, Ive been discharging from my penis. The colour and texture changes from reddy/ brown to yellow and then to clear. I dont have testicles, so its not unused semen but seems to leak at periods throughout the day; and often just after urinating. Ive been on antibiotics for two weeks now and believe that its not actually touched the problem. It was suggested that it could be an STI but Ive only had one sexual partner (and as far as Im aware - so has she). Any thoughts would be appreciated as the urology department/ gp have no idea. Ive been tested for infection and blood/ urine/ swabs of discharge have all come back negative. Thank you ### REPLY: HelloConsistency and volume of seven depends upon number of factors like How frequently you ejaculate? Nutritional status secretions of prostate and seminal vesiclesHygiene In my opinion you need not worry, this is not a serious problem it gets even thinner or lumpy than it could be urethral discharge You should consult your doctor for seven analysis or urine culture to rule out the possibility of Have plenty of fluids maintain good hygieneMultivitamin and food supplements to boost your heath and vitality Hope you will find my response informative and helpful please feel free to ask for follow-up questions, I will gladly answer you 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: iam 43 year man and from 10 day iam feeling miss beating in my heart iam daibitic and hypertensiv too and i have psoriasis my blood pressure is under control but my sugar is not in under control i regularly exercise 40 mintue on cycle tell me the cause plz ### REPLY: Hello! Thank you for asking on ! I understand your concern, and would explain that your symptoms may be related to a cardiac arrhythmia. Based on your cardio vascular risk factors (hypertension, psoriasis and diabetes), a cardiac check up is necessary. I recommend consulting with your attending physician for a careful physical examination, a resting ECG, a chest x-ray and some blood lab tests : - complete blood count-fasting glucose and HbA1C- PCR, sedimentation rate-kidney and liver function tests-blood electrolytes- thyroid hormone levels, etc. An ambulatory 24 -48 hour ECG monitoring and a cardiac ultrasound are necessary to rule in/out a possible cardiac arrhythmia. Hope to have been helpful! Best regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello,  My name is Susan.  I have finished 5 months of chemo for ovarian cancer. I am, at this time, cancer free according to my gynocologist/oncologist.  I have a terrible taste in my mouth when eating.....metal taste or bitter, however, I do not enjoy anything sweet. Is there anything I can do to relieve this ?  Thank you.  Also is there a special type of food I should be eating? ### REPLY: Helloo...read through your query....the problem your facing with the metallic taste is common for those taking chemo...it is mainly due to oral thrush(fungal infection candidiasis)but nothing to be worried...u can follow some steps like after brushing your teeth u can scrape your tongue with scraper(main site of candida and microbes).use chlorhexidine mouth rinse.apply statin topical gel on tongue palate inside of cheek (antifungal gel).then . .if possible reduce too many chilly foods it can cause burning sensation.follow these simple steps regularly for few weeks and still if problem persists meet a dentist and get treated based on clinical presentation...be cool and happy.happiness is the best medication.it can cure all diseases...hope your benefitted something from this reply.have a healthy day!!! ### END