Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 good evening, I got third degree thermal burns on both of my arm when I was about 8 years old and now im 23 years old and now that the temperature is dropping my arms feel horrible. They feel tight, numb, and painful. What is going on? Am i supposed to do something to protect my arms from the heat and the cold temperatures? and why is it so sensitive after so many years? ### REPLY: Hi. Your concern is that you still feel numbness, tightness and pain in your hands after 15 us of 3rd degree thermal burns. In this type of burns-nerve endings which are responsible for our feeling of, touch, pain, position, heat etc. are all damaged. The original damage is never restored, and nearby nerves grow to certain extent to cover the loss but never fully cover. So you have the problem and now protection from extremes of team is advisable. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 want to undergo liposuction for my thighs and buttock area in hydbad. Can you please suggest me a good doctor and with low cost for the procedure, ### REPLY: Hi, thanks for query, please get in touch with cosmetic surgeon who can help with this. The cost depends upon the doctor and city. Please understand the procedure and its advantages and disadvantages before going for procedure. Please also understand that this reduction is not permanent, if you do not take there this can happen again. Along with this please do regular exercise and plan your diet well. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a 4 month old who weighs 13 pounds currently. He was 35 weeks according to the abgar test I was supposidly 37 weeks when he was born, He swallowed merconium when he was born via C-section, he was put on antibiotics, he had fluid in his lungs so they put him on oxygen and tube fed him. He throws up anything he eats at random times during the day. For example, he will eat a 3 oz bottle thickened with 6 teaspoons of rice cereal sometimes immediately after he eats he will puke or at times he will sit for a while and pick him up and will puke or at times 2 hours after a bottle he will puke. I have seen a pediatrician about this and we tried 5 different formulas, he threw them up. He then referred me to a pediatric gastroenterologist who told me 3 oz of formula with 3 teaspoons of rice cereal. He still puked but went from 12 pds 4 oz to 13 pds. He told me to thicken 3 oz of formula with 6 teaspoons of rice cereal. He doesn t want to do any tests on him, asked him about the barium swallow or different tests. I have tried 5 different formulas, thickening the formula with rice cereal, feeding rice cereal out of a bowl with a bottle of milk. I now have to give 4 oz of prune juice due to constipation with the added amount of cereal to bottle. I don t want him to puke or anything, I feel bad he is doing this, What can I do? ### REPLY: Thank you for consulting i . I figured your concern. It seems that your baby has pylorospasm or pilorostenosis, for excluding this you should visit children surgeon, he will do examination. Continue thick cereal feeding, but I understand it is really difficult to give thickened food.  For gain weight and normalizing of digestion take please enzymes and probiotic-babylac, B complex with lysine 2 ml 1 time 1 month. For prophylaxis of rickets take ergocalciferol and calcium.  What to expectPylorospasm will be held. Pylorostenosis needs surgery, they often wait till 1 year when baby will gain 10 kg, but it is not obligatory.  Hope I answered your query. If you have any further questions I will be happy to help.  Wishing you and your baby good health!  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello,i have a bloc sport worth whole in my top right side f(3rd)tooth,and it makes so much pain the whole night.(most of the time i have pain at night).but my question is i have a pain in my next 2 tooth at the top of the right and bottom left worth red marks arounded at the1 tooth.why i have like this how can i get relief on it? ### REPLY: Thanks for sharing your concern with  .! Please note as per your details, we assume that one tooth of your has been grossly decayed as result of the decay the infection will generally reach the dental pulp and causes pain during night. Please consult any dentist, and you would be generally referred for RCT(Root Canal Treatment) of the infected tooth / it would be advised for extraction, if the decay has significantly damaged your tooth structure. Kind regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my dad was dx with mm and amylodosis in march 2014. he has had 3 blood transfussions since and now has amylodisis in his throat which tumor is pressing on his esophagus preventing him from eating or swallowing. he has been on peg tube for almost 2 months and oncologist is changing his revlimid to a different chemo treatment. what do you think is his life expectancy? ### REPLY: Hi, Thanks for writing in. Amyloidosis is an autoimmune disease which affects various organs. It causes deposition of amyloid material and this is abnormal. The esophagus is the food pipe which connects the throat to stomach. Your father might be having wall thickening in the esophagus which is causing the sensation of difficulty in swallowing also called dysphagia. Many patients respond to dysphagia with steroids and chemotherapy. The survival rate at 2 and 4 years was 84% and 72%, respectively in a research study for gastrointestinal amyloidosis. 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: hi,i have a sever degenerative l5,l4,and had a xrat 2 days ago.the radiologist has concluded there 1,2 cm poorly marginated sclerotic focus within the left side of sacrum.bone scan is friday.any advice dr for a scared 60 year old male,nevr smoked,rank,recent stress test is normal/there is a 1.2 cm poorly marginated ### REPLY: Hello, The MRI report suggestive of severe disc degeneration. It is nothing but an age related wear and tear of discs. Consult an orthopaedician and get evaluated. As a first line management We have to rule out can proceed with conservative measures like exercise and analgesics.  In severe cases, surgical correction might be required. Hope I have answered your query. Let me know if I can assist you further.  Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have HPV. I have read that your immune system can get rid of the sickness after a year or so. Is this true? Also I was told I have pre-cancer cells....I am very scared. I was told do not worry but how can I not. Can I take anything to make sure they go back to normal? ### REPLY: Hello and thank you for your question. It is true that some people clear HPV on their own. We do not have a medication to help you clear the virus. If you were told that you have pre-cancerous cells on a pap smear then you just need to make sure that you keep getting regular pap smears as recommended. If the cells progress you can get a procedure to have them removed. Often when women have these abnormal cells on a pap from HPV they just return to normal. The best thing you can do is to stay as healthy as possible and get regular follow up with your doctor. Thanks for using  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have been having belly button pain for about 3 days now. its started off slow, but got much worse since. it hurts to bend stretch, and sometimes when my stomach contracts. i do have my bely button pierced , but this pain seems to be deeper in the belly button. right now theres also a pain more so to the right , and underneather the belly button. any ideas ? ### REPLY: Hi Thanks for using  Forum, Food poisoning can cause belly button pain when you eat contaminated food, usually resulting in some sort of bacteria invading your body.  The vast majority of food poisoning cases are of this type, and it occurs a lot more often than it is diagnosed.  If you think you have food poisoning, which can cause a lot of different symptoms in addition to belly button pain such as nausea, vomiting, diarrhea, etc. If you are not suffering from food poison then I advise you to do an Ultrasound abdomen to rule out appendicular inflammation which can be at starting stage. I Hope I Provided Useful Information. Do ask Further Questions to help You get well soon. Regards . Kingston John David ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a lump under the skin on my right butt cheek that is very tender, It had come and gone many times in the past, but now it never goes away. Sometimes it itches, other times just very tender. It is close to the anal opening, but moves from place to place, usually close to anus. ### REPLY: Hi ! Good morning. I am  answering your query. From your history, it seems to be a perianal hematoma formation which is a painful condition. This occurs due to a possible unnoticed lifting of heavy weight or due to severe cough giving rise to sudden increase in the venous pressure in the perianal area. However, it can not be diagnosed without a physical examination of the patient, and so I would suggest you to take appointment with a general surgeon for getting it assessed by him to have a proper diagnosis and management. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. Wishing you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I found a lump on my head at the base 2 days ago and its very tender and sore and I didnt bang my head , I had this lump a few months ago but it went in a few days , I have now got another lump exactly the same tender and sore but this is near the crown. ### REPLY: Thanks for your question on . I can understand your concern. Possibility of infected sebaceous cyst is more. Sebaceous cyst is common in areas where hair are more. So scalp is the common site for sebaceous cyst. When lumen of sebaceous gland is blocked, sebum tend to accumulate and cause swelling. It causes infection and pain. Gradually it will regress by itself only to appear again in the future. This is the reason for your recurrent sebaceous cyst at the same place. Best treatment for such cyst is surgical removal. Once you remove it surgically, it won't grow again. So at p, consult surgeon and get done excision of this cyst. Don't worry, you will be alright with this. 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: Hi.  I took my husband to the ER earlier today due to an infection at the sight of an incision.  This incision is umbilical and is due to an laprascopic removal of his gall bladder.  The infection is not inside the fascia but was bad enough they reopened the incision (surgery was performed Sept. 14th) today to drain and clean it and then packed it.  Now he is in a great deal of pain at the site and tylenol and oxycodone are not doing the trick to stop it. Should we return to the ER? ### REPLY: Hi and welcome to . Thank you for your query. I am , I understand your concerns and I will try to help you as much as I can. There is no need to see Er if you ask me. The would, should be cleaned, and it can be left open by his GP or nurse. He can apply antibiotic ointment, and it will be good. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had 2 positive D-Dimer tests in the past 4 weeks a positive VQ scan. We recently found out we have black mold in our home a/c vents. I have hx of asthma. Most recently an asthma like episode since April. My doc is thinking a CT scan is needed even though I am allergic to the dye to R/O Pulmonary Embolism. But, could this all just be from exposure to the black mold. I am 38 and over weight. ### REPLY: Thanks for your question on . I can understand your concern. Yes, chronic exposure two black molds can cause lung diseases like fungal pneumonia, bronchitis, APA (allergic bronchopulmonary aspergilli) and pulmonary embolism. Possibility of pulmonary embolism is less, but it can be seen. Your D dimer is also high along with positive VS (ventilation perfusion) scan. Pulmonary embolism is commonly associated with high D dimer and filling defect on VS scan. So we should definitely rule out pulmonary embolism(PE) in your case. CT pulmonary angiography is the gold standard test to confirm PE. So get done CT scan. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My boyfriend is going through a nasty custody battle. He is slowly getting introduced back into his 18month old sons life. We had him for 2 days for 4hrs and it ll move up each week. His mother wrote us his feeding schedule. She s feeding him almost every hour. She s trying to go strictly organic and NO meats, saying it s his choice?? She also has him on Pediasure and Carnation Instant Breakfast daily. My question is....should he be on Pediasure and Carnation? I didn t think Carnation was for children. ALSO, both days that we had him for 4 hours...he refused to drink anything. He ate really well though. Could it be that he s bloated from all of the Pediasure and Carnation. She doesn t have him on formula anymore. She gives him Horizon Organic whole milk or flavored milk. There s no talking to her, she says he s healthy and eats well. ### REPLY: Hello, This is a tough situation. It is so hard to discuss parenting issues when everyone may not agree. It is unusual to need to give both Pedicure and Carnation Instant Breakfast every day. In general, I would choose one or the other (either is OK for kids) and limit it to one/day. Also, I would only suggest this if your 18 months old is underweight or has some sort of intake or malabsorption problem. He does not need formula anymore.  Whole milk is preferred. Without meat in his diet, he will need an iron supplement or an increase in iron containing foods. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I fractured ribs (6-8) 9 days ago and had some increased difficulty breathing and pain six days later.  The dr. ordered a follow up chest x-ray which shows atelectasis of the left lung base.  He has not responded to tell me how to treat this.  As I also have a history of asthma, Im wondering if I should start taking the steroid long acting inhaler as well as the albuterol that he had instructed me to use routinely when I first fractured my ribs. ### REPLY: Thanks for your question on . I can understand your situation and problem. Rib fracture causes paradoxical respiration in that particular segment. So that part of the lung becomes poorly ventilated and thus atelectasis occur. In catechesis chances of infection are high, so better not to take steroid. Instead of steroid, you should take anti-inflammatory, mucosa tickets .  And wear rib belt to avoid mobilization of fractured segments. This will fasten the recovery and healing. Also apply warm water pad on affected site for pain relief. It will take at least 3-4 weeks for healing of fracture rib. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 29, female single, i have right side abdominal pain and backache . when i sit it causes discomfort. i been to the hospital twice this week but nothing abnormal found on my ovary, uterus. i was also cleared of appendicitis . i was diagnosed with urinary tract infection but yesterday i did rectal exam blood and urine test. they noted i was improving because the presence of bacteria was greatly reduced from 404 to 44. i just like to ask what causes my right side abdominal pain and backache? because it still hurts ### REPLY: Hello Madam, I understand you did get most of the common work up for right sided abdominal pain. I am happy that you were cleared of appendicitis and ovarian causes. I hope you got CT scan to get that ruled out. If anything else major causing your problem, that would be shown in the CT scan. Also, as you know, the urinary tract information can also cause abdominal pain that should be resolved after it is totally treated. I would recommend you to keep yourself HY .  The other reasons in a young woman to be considered for abdominal pain are irritable bowel syn ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I fell on Saturday and I landed on 2 plastic chairs and a round plastic totes, which I broke all of them with my lower back. I have major bruising a swelling accompanied with right leg numbness and a headache. What us hoing on....should I be concerned? ### REPLY: Hello, This looks like there is a muscle spasm in the lower back leading to nerve root entrapment. Kindly take good bed rest, so the stress on the muscles come down. Use hot water fermentation as well for the lower back.  Try some simple core stability exercise and spinal muscle strengthening exercises. This should stop the numbness and improve your spinal stability. Hope I have answered your query. Let me know if I can assist you further. Take care 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: Hi there, My son is 4 months old and has been diagnosed with a brain tumor. Nuero surgeons at Starship Hospital (Auckland, New Zealand.) still have no idea of what kind of tumor it is. His symptoms include an enlargement of the head and cross-eyed. Doctors have not given us any options other than him dying!!! please help me save my little boy. ### REPLY: Hi, Thanks for writing in to us. It is important to discuss the brain tumor in your child with the MRI scan images. Tumors are of many types and found in many locations. A brain tumor in a 4 months old might have been present at birth and was probably growing even before birth. Neurosurgeons have to be careful when trying to know what they are dealing with before doing a surgery. Since your child has enlargement of the head and crossed eyes therefore there is a possibility of increased pressure inside the brain. There is a need to know how much of brain remains normal at present. Doctors are always trying to do the best for their patients, and I am sure your child is under the best care at your place. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sometimes I wake up at night with a lump feeling in my chest. Age 70 male. No symptoms of burping or burning. I usually do not have any difficulties with eating or digestive disorders that I recall. My wife had a gall bladder operation and apparantly had similar symptoms. I recently took a treadmill stress test. I tested above age appropriate levels. All OK. I generally sleep on my back. The lump feeling goes away after about an hour. I do little exercise but am in generally very good health for my age. Blood pressure is controlled to around 125 over 85. Cholestoral is within normal limits toward the upper range. I am wondering if it is caused by ### REPLY: Hi Dear !! Thanks for your query to . Read and reviewed your query and health concerns. IN the given situation, You seem to have suffered frogger with acid reflux. In the given scenario, chances of Gall bladder stones are less in your cases, as suggested from your query facts. But obesity with high normal cholesterol, needs to rule out hiatus hernia / at this advanced age, with lax tone of controlling sphincters and diaphragmatic muscles. Ekg and repeat stress test to rule out Cardiac dyspepsia, needs to be ruled out for your advanced age. Other causes leading to HERD acid reflux like IBS/ piles / fissure in ANO and others, needs to be ruled by Second opinion from GI Surgeon/Physician in your case. Work up on above lines suggested, would help in resolving the issues, in your specific case. Many other causes accompanying, need to be ruled out in planning further care in your case. Second opinion with attending GI- Surgeon would resolve your health.issues in time to come. Hope this would help you to plan further of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following  link-http://doctor. .com/Funnel?page=askDoctorDirectly&docId=70229Dear, if satisfied, Dont forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at  services. If you want to update more details and ask more update queries, You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! . N. Senior Surgical Specialist. S. Genl-CVTS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, doctor, i am having some breathing difficulties for the past three days, during the evenings specially, but its mild, not so rigourous.. i am confused, as to which specialist should i consult for this, and what could be the reason for this? is it anything to be too much worried?? i have had this in the past, but a very few times...and it cures on its own..with in some time... please advice... ### REPLY: Thanks for your question on . I can understand your concern. Possibility of bronchitis (inflammation of airways) is more likely. It causes bronchospasm and this in turn causes breathlessness, cough, chest tightness etc. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will tell you about severity of the disease and treatment is based on severity only. You will mostly improve with inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a female member of my family who is staying with us because her mother lost thier home. She is 34 .She repeats other things that people say, can t do any math.She speaks very loud. Has great hearing,her arms and hips are very large compared to the rest of her body. Was born this way. Took a long time to learn how to speak. Does she have autisum. ### REPLY: DearWelcome to ChatDoctorWe understand your concerns went through your details. The given symptoms are possibly due to developmental disorder. Autism is one of the prominent childhood developmental disorder. I agree. The person is 34. She could be under the treatment of some neurologist or psychiatrist for these developmental disorders. The possibilities include autism and ADD and even psychoses. In any case you should consult a psychiatrist or neurologist for diagnosis and further treatment. With the help of diagnosis and proper treatment, many developmental disorders can be managed. Please do not waste time. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Please feel free to post follow-up queries. Available for further clarifications. Good luck. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have recently had 2 new crowns put in.  Both Bottom Molars.  While the first one had its temporary on I started experiencing pain on my left side which I had a root canal.  Then I had the temporary (left side and the Permanent right side.  My bit was off on my right side and then my left permanent one came in.  I hade so much pain in my root canal crown.  My dentist has been adjusting my right so much. I kept telling him I felt like the right side was too low.  I think I jumped to get it adjusted too quickly and also, My bottom teeth where not in a straight line but when he put the new crowns in suddenly they are straight.  I think this through off my bit.  I am in so much pain.  Oh, and my roots are curved.  I feel like my root canal tooth never was completed and I feel like my right side is too low and since he took off some off the upper teeth to try to adjust it he made things worse.  What do I do know.  My whole mouth is sore and I dont even want to eat anymore? ### REPLY: Hi, Thanks for asking the query, Pain after root canal treatment can be due to incompletely done procedure, accidentally left over unexplored canal, left over pulp tissue in the canal, I would suggest you to get an x-ray done of the affected tooth, if required you have to go for reject of the tooth. Take complete course of antibiotics and analgesics under prescription of your Dentist. Hope this helps out. Regards.... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a D&C about 5 weeks ago. I was on birth control for 10 years before I had D&C and continued taking the same birth control during the procedure and after. Do I need to wear a condom for any period of time after having D&C to ensure I do not get pregnant or will birth control still be just as effective through this process? ### REPLY: Hello, I have gone through your query and understood the concern. Abstinence is advised for a week after the dilatation and curettage, if it is done for examination purpose. If the procedure is done to evacuate a pregnancy or complete endometrium, it is better to avoid sexual intercourse for two weeks. This is to help tissue healing and avoid post-coital bleeding and infection. Also, I would suggest use of barrier methods until your next period. Though enough protection is given by the oral contraception, breakthrough ovulation is a possibility after the procedure. Hope your query has been answered. 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: I suffer with depression, i spend most of the time in the house doing my routine which ive been set in for months. The only time i go out is to go doctors etc. i have hair loss and it is brittle, i am not sleeping well, i have been put on sleeping tablets but they are not working i seem to twitch constantly or get aggrivated unintentionally. i have lost my appetite not much weight loss ive lost a few pounds at most in past few weeks, my left eye keeps twitching, and i suffer with headaches and migranes, they have been more constant for the past few months. I put ot down to stress at first, but i am now unsure as this is not like me at all ### REPLY: Hi, Forum, I can understand how you might be feeling after such suffering. Considering all your suffering mentioned here there are high chances that you might be having psychosis. (- Kind of illness happens due to certain Neurochemical changes in brain) This can be improved after proper-continuous-prolonged medications. If u not consulted to psychiatrist yet or in recent time then please consult to him as early as possible, he will definitely help to come out of this. Hope this helps. You can post any further queries if you have. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 4 year old daughter. Yesterday she complained of a headache. Last night she was running low grade fever. This morning she complained again and was running a fever of 101.3. I gave her some ibuprofin, which helped for a couple of hours then she was running a 101.5 fever. In less than 4.5 hours she is running fever again and still saying her head hurts. No other symptoms. Should I take her to the doctor? She is 4, weighs 34 lbs and is a healthy child. ### REPLY: Hi, Fever usually takes 2 to 3 days to subside. You will need to give her acetaminophen in alternation with ibuprofen. This will help the headache too. This is most probably a viral infection and will subside within 3 days. If the fever does not subside after 3 days this means it might be bacterial and that requires an antibiotic. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 19-year-old daughter came to me last week and showed me a dime-sized lump on her forehead that is painful to the touch, with what looks like a small pimple in the middle, then today, she showed me another one right across the other side of her forehead and both are accompanied by headaches and hurt the most near the lump. She did not hit her head either times that these lumps showed up...? ### REPLY: Hi, If I were her treating Doctor for this case of a forehead lumps, I would come up with only one and one possibility that is a sebaceous cyst or Desmond cyst! Nothing to worry about this and try not to get her infected there! I suggest you to go for an FNAC test of the lumps for confirmation and to relieve your concerns! Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing her good health... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor. Hi My husband semen analysis is as follows. Total Sperm count = 164 million per 2ml, Rapid linear progressive motility - NIL, sluggish linear progressive motility - 60%, non progressive - 05% and immotile - 35%. Is this analysis ok or is there any problem ? Is the pregnancy possible with this result ? I have had 2 recurrent miscarriages.(early natural abortion ) what food should be taken to increase Rapid lenear progressive motility ? what should be the normal % of Rapid lenear progressive motility ? His age is 36 years. ### REPLY: Hi, Thanks for your query. I have read your query & I understand your concerns. The sperm count appears to be fine except for motility. Please get antioxidant tablets prescribed from your doctor which will help in improving motility. Remember to repeat the test after 3 months which will show improvement in the motility.  Even otherwise if you wish to hurry please see an infertility specialist and go ahead with GUI procedure. It will help in people with low motility. I hope I answered your query. I will be available for any followup queries you have.  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 relative is suffering from Liver cancer and is undergoing Chemo for about 3 months. He has lost about 18 lbs in 3 months and a constant challenge is to provide him foods that are high in calories to give him energy and low in sugar (for cancer) that is vegetarian as well. Also as the problematic area is liver, it has been very difficult due to gas. We have been many small meals, but not making much dent in weight management . Please help suggest high calorie vegetarian foods that would be easy on liver and not harmful for cancer. Thanks. ### REPLY: Understand that no diet is harmful for cancer. I don't understand why low sugar diet is being given when he is not diabetic. Sugar has nothing to do with cancer, it is restricted only in diabetics. If he not a diabetic best think would be to give plenty of homemade fruit juices with milk and glucose added to it. Glucose is very good for liver and helps in rejuvenate. Avoid fatty foods and oil as they are difficult to digest. Oatmeal with Jagger and milk shakes help him a lot ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Had colonoscopy and gastroscopy with the removal of 9 polyps and hemmroid banding and about an hour after leaving day surgery I experienced pain from the left bone in my vagina region all the way down to my left toes, 4-5 hours have passed and I am still ex perching severe pain on my left foot and radiating pain up my leg, is this normal or should I go back to that hospital ? I understand the pain around my backside but not the foot pain ### REPLY: Hi, thank-you for providing the brief history of you. A thorough neuromuscular assessment is advised. As the pain is radiating in nature I feel it could be a pinched nerve in the spine. Undergoing a physical therapy should help you and later the recovery Should be good. As you even have weakness of the muscles needs little strengthening. Majority of patients respond well to physical therapy. RegardsJay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, Im 36 year 5ft 7in height, 14 stones and swim 2 times a week, healthry eat of 80% veg / salads in the last 6 months via resturants due to work. I sleep 4-6 hours a night but suffer with sometimes with heavy heart beats when swimming that I have to stop and let my breath slow back to when I started, same with pulse, when sitting at work or at the hotel or home on weekends, I get an ache feeling in my heart area but my heart rate is fine or may skip sometimes but I think that could be normal. I get dizzy when the ache feeling but I start my yoga breathing to gain control and relax, stretch and imagine im by a river doing yoga to help. If I do do this, it will still go after 10 mins, not lasting longer than 20 mins. I sit at my desk allot as a manager but try to move around, stretch and laugh to help me relax more and enjoy the day so to limit stress. Any thoughts? ### REPLY: Hello! Welcome on ! I passed carefully through your question and would explain that your symptoms could be related to panic attacks or anxiety. Anyway, I would recommend consulting with your doctor and performing some tests to exclude other possible causes: - a chest X-ray and pulmonary function tests to exclude a lung disorder- a resting ECG- a cardiac stress test to investigate for coronary artery disease-thyroid hormone levels for possible dysfunction- complete blood count for anemia-blood electrolytes for possible imbalance. If all the above tests result normal, I should consider anxiety as the main cause of your troubles. In such case, I would recommend consulting with a specialist of this field. Yoga is a natural way to relieve anxiety too. Hope to have been helpful! Wishing all the best,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. I m 19 years old and I had my last period day on the 17th of September. On September 18th, I had unprotected sex. About 2 days later I had bleeding that I thought was my period, but when I wiped it was dark brown and I could see light pink. It lasted about 3-4 days. Since then I haven t had any more bleeding, but discharge . I ve been moody, slight cramps , craving for certain food, and started today I have pressure on my left side, occasionally moving to the middle and right. My stomach is also very heavy. I ve had 6 pregnancy test , last one I took last week, but all negative. I don t know what to think. I need help! My boyfriend also said my boobs have gotten bigger and nipples have gotten darker. And I ve had A LOT of discharge!(white) I need some insight! ### REPLY: Hiii, Your LMP was 17th Sept and you did unprotected sex on 18th Sept. So chance of pregnancy is near about nil. Also, you got 6 negative tests. Basically pregnancy test is done 1 wk after missed period. Early tests are insignificant. Do blood test for  after 1 wk of due date and check result. Consult with your doctor. Pregnancy is only possible if unprotected coitus is done around ovulation time in regular cycle. Your features are related to Pre Menstrual Syn . Several measures to be taken. As follows:1) avoid stress by deep breathing or yoga2) avoid taking salt, caffeine or fatty food specially in 2nd half3) take Pyridoxine 100 mg daily with SSRI (Fluoxetine 20 mg single dose)4) may take prime rose capsule 1000 mg to overcome breast discomfort.5) may take OCP or progesterone pill (Phaeton 10 mg) to overcome other symptoms6)do light exercise regularly and proper sleep. Be well and Tc. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 seem to have thrush in my cheeks gums and am in the middle of an antibiotic treatment for a sinus infection. Any ideas? I am a 75 year old male in fairly good health but have been down with this for a week or so. Very tired, had a bad cough but that has lessened . YYYY@YYYY ### REPLY: Thanks for your question on . I can understand your concern. Some antibiotics can cause oral thrush. Antibiotics kill bacteria. In doing so they also kill natural human flora of mouth. This causes thrusChatDoctormon antibiotics causing this symptom are amoxicillin, cephalexin, doxycycline etc. So if you are taking any of these antibiotic, you should definitely call your doctor and discuss changing antibiotic. You can take probiotic tablets for oral thrush. 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: hi,i am 35 i usually have a regular cycle that lasts 30 days , this month to delay my period i used priolut-nor of the past 3 days ,i am on the 28th day of my cycle now ,if there was a chance that i might be pregnant could this medicine have harmed my fetus already? could a blood test at this stage confirm pregnancy? ### REPLY: Hallow Dear, Primolut is a progesterone preparation. Progesterone is required to stabilize the pregnancy. In some cases where there is progesterone deficiency, we give progesterone to the mothers. So you need not worry about it. However, you are not sure whether you are pregnant or not. Moreover, you have taken Primal, so your menses will be delayed. Please do not become panicky for delayed menses. After you have discontinued the Primal, you should get menses within 4-7 days. If you do not get them even after 10 days, then you may get your urine tested for detection of pregnancy. Till that 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: my son is 4 yrs old, it is apparent now that he is suffering from pseudo-dwarfism as i did. he has curvature of his legs but his pediatrician is not convinced it is severe enough for surgery. i have read up recently on the synthetic and natural growth hormone treatments also. so my questions are, 1) do any of the gh treatments, natural or artificial, actually work with little to no side effect..and 2) with my son having the curvature in his legs would that need to be corrected still if the therapy worked or would it then correct itself? ### REPLY: Hi, Welcome to . I have read your question in detail and I know that you are very concerned about your child. Pseudo dwarfism will not get benefitted by growth hormone therapy. The cause of bending of legs in your child could be calcium deficiency. In my opinion, you should do complete blood count, calcium levels and X-ray wrist to rule out calcium deficiency. If we give therapy for calcium deficiency then there are chances that bending of legs will get corrected to some extent. I hope this will help you. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my gf and i were fooling around and i ejeculated, there was some sperm on my hand, around 5 minutes after that we started fooling around again and without thinking i i introduced my hand in her vagina, I think she was in a really fertile moment since it happened 13 days after her menstruation, how possible is it that she may be pregnant? ### REPLY: HelloThanks for writing to us with your health concern. Generally, fingering cannot result in a pregnancy. Also, pre ejaculatory fluid can lead to pregnancy at times, however you have not mentioned if any penetrative vaginal sex occurred. Sperm cannot survive outside in the hostile environment for 5 minutes, according to me, the chances of a pregnancy resulting from the encounter described are next to nil. If there was no vaginal penetration, then pregnancy cannot occur. However, if you are very concerned, you can still ask her to take ECP (emergency contraceptive pill) as a precautionary measure. When taken within 120 hours of unprotected sex, it is more than 80 % effective in guarding against a pregnancy. The expected period can be advanced or postponed for almost a week, after taking the Echo there is no way to predict the next date of her period. To be on the safer side, if you think there was some chance of a pregnancy please take a pregnancy test 4 weeks after the episode occurred. All the betake care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my husband drinks on average 6-8 beer per night7 days a week, for over 15 years but has drank for more than 30. 6 mnths ago he was tested for high liver enzymes and now he is gagging and vomitting almost daily? should he be concerned? his stomach seems swollen. ### REPLY: Hi. Thanks for posting query at . Usually ALT or AST values higher than "two times the upper normal limit", is considered abnormal (in some countries, ALT or AST values of more than 100 are considered abnormal). Value of AST or ALT greater than 85 or above maybe investigated further." Alcohol ingestion" and obesity are common causes of fatty liver disease especially in the West. Ultrasound abdomen and Fibrosis should be done immediately. Advice:- abstinence from "Alcohol" - LOW fat diet should be followed, AVOID junk food and beverages-decreased oil consumption (oily food)- NO red meat-green vegetables should be ingested daily-use lemon juice (lemonade) once in a day-reduce weight if overweight/obese-"recheck liver enzymes after 6 to 8 weeks" and/or ultrasound. Any further questions are welcomed. Hope to answer your concern. Wish your husband good n sound health. Regards, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi im 4 months pregnant and been have really sever hip pain only in my left side, went to my gp and she said that this is normal and i mentioned SDP and the possiability of relaxin causing this and i was told that is impossiable as you only realese relaxin in the last trimester only can she be right as i am in so much pain ### REPLY: Hi, I understand your concern. Relaxing ointment is released in early pregnancy, it increases in first 3 months as placental & pre-placental tissues start adding to its production. So the cause of hip joint pain in even 4th month of pregnancy is mostly Relaxing hormone. However stress/ trauma/ old arthritis can contribute to it.  Relief is mostly by light yoga exercises/ walking exercises along with calcium & vitamin D supplementation.  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 just found out that I have Pulmonary hyperaeration. No acute disease. My symptoms include a tenderness in my back upper rib cage. I also have problems walking uphill; can t catch my breath. (I saw a Pulmonary specialist a few months ago and passed the breathing test.) ### REPLY: Hello You have absolutely benign findings. Pulmonary hyperaeration is due to conditions like chronic asthma, COPD etc. Underlying cause need to be treated. Problem in walking uphill require proper evaluation. It is important to rule out cardiopulmonary causes. You may need further investigations. Treatment depend upon findings. It is good that breathing tests are normal. Get well soon. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am profoundly allergic to penicillin all my medical professionals have been informed and are reminded if medication is ever prescribed. I had an operation on my spine. The list of meds given includes Mociclav pdr sol for inj/inf 1.2 mg, quantity was 6. I had an allergic reaction to penicillin, I need to know if the Moxiclav is the cause so I can ensure I never have it again. Your opinion please. Thank you. ### REPLY: Hi. Thank you for writing to . Yes it is highly possible. Mexican is amoxicillin and clavulonate. Amoxicillin belongs to the same group of medications such as penicillin and if you are allergic to penicillin you are very likely be allergic to amoxicillin too. Please ensure that you avoid all medications under the penicillin group which includes penicillin, amoxicillin, ampicillin and cephalosporins. Hope this information helps. Do let me know if you have any other questions. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Today I had my semen analysis report& it shows that my sperm count is 55 million/ Cmm. Viable sperms 50-60 (%of total sperm count). motile sperms 45-55 (% of total sperm count). Is this a normal count , so my wife can get pregnant. My age is 28, height is 5 feet 4 inchs. My weight is 80Kgs. ### REPLY: Hi, Thanks for writing to . After going through your semen report I conclude your report is normal study. Just cross verify about pH and abnormal sperms in the report. If they are also normal then everything is well. If your wife don't have any other conditions and ovulating normally then she can conceive without any problems. To increase chances of pregnancy she can take ovulation inducing . I suggest you to reduce your weight min 5% of your existing weight. Hope I have been helpful. 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 was recently diagnosed with PCOS as well as a micro adenoma on my pituitary gland. I just started taking bromocriptine (for the adenoma) and D-chiro-inositol (for the pcos) and was just given nortrel to take since I ve been on my period for 3 weeks. My husband and I would like to have a baby...I m just curious how birth control (nortrel) would allow me to conceive. I am also hoping to start metformin soon. Thanks, Danielle ### REPLY: Hi, contraceptive will not help you in conceiving.  It will regularize your periods.  You have to take medicines like camphene for the growth of your follicles.  Track your follicles' growth by repeated ultrasound and when your follicles is more than 17 mm, take injection for rupturing the follicles.  Be in contact with your husband for next 2 to 3 days after injection.  Take progesterone for next 2 weeks.  Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months.  You can continue bromocriptine and chiroinositol. Metformin will also help. Hope I have answered your question.  If you have any other query I will be happy to help. 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: Good Afternoon Doctor. I, male, 25yrs aged, suffering with chronic sinusitis. Severe headache(above the eyes), breathing problem through nose, and mucous from mouth sometimes. I also have high B.P since 2yrs, taking metxl 12.5mg daily. Please give me a solution to this problem. ### REPLY: The sinuses are small cavities in the skull that are normally filled with air. They produce mucus, which helps keep the nasal passages clear of allergens and pollutants. Sinusitis is an inflammation of the tissue that lines these cavities. In some cases, this swelling blocks off the sinuses, trapping mucus and air inside their you have sinusitis symptoms for more than a couple of days, check in with your doctor. With a good exam -- and sometimes imaging tests, like X-rays, CT scans, or MRIs -- you may be able to figure out exactly what's causing the problem. Often, the best sinusitis treatment is a combination of different approaches typically medication combined with self-care. The goal of treating chronic sinusitis is to:1. Reduce sinus inflammation2. Keep your nasal passages . Eliminate the underlying cause4. Reduce the number of sinusitis flare-ups you overtreatments to relieve symptoms1. Saline nasal irrigation2. Nasal corticosteroids3. Decongestants4. Antibiotics if it is due to infection5. Analgesics for the painSurgeryIn cases that continue to resist treatment or medication, endoscopic sinus surgery may be an option. For this procedure, the doctor uses an endoscope, a thin, flexible tube with an attached light, to explore your sinus passagesFeel free to ask if you have any other doubtsRegards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 haveing chest pain on and off for the last month.  When I take even small breaths in I get stabbing pains in my chest and breast area.  I also get dizzy just crossing a room.  I use to be able to walk 8 miles in a day and now cant even cross a room without getting tired, short of breath, and dizzy.  What could it be and what should I do about it? ### REPLY: Hello Welcome to . Your complaints of chest pain, breathlessness and dizziness on exertion are very typical of angina. This implies that you have blockages in your heart arteries. You should get evaluated for the same. Please do an ECG, 2d echo at the earliest. Both these tests while show whether you have angina or ischemia, the muscles of the heart and valve problems if any.  If both the above tests are normal, AI recommend you undergo a stress test which requires you to walk on a treadmill while your ECG is continuously being monitored. This will show whether your hearts blood supply suffers during exertion. This should be done on an urgent basis in the next one to two days. Please do the above tests and see a cardiologist. Wishing you good health. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I recently went to an endodontics office to get a root canal treated and drained. It has been a a couple days after the treatment and I am on anti-biotics, but I have this pressure and pain in my temple region. I am wondering if this is normal discomfort after the procedure, I want to make sure the infection did not spread anywhere else? I also want to know if I should run down to my local urgent care to get it checked out because it is Friday night and the endodontist is not in? ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concerns. As per your complaint Root Canal treatment is not completed in a single step especially if you had infection and pain after one sitting is not an uncommon finding and the pain in temple region can be a radiating pain from the tooth and is indicative of infection, but the pain has to be controlled by taking the painkillers like Ibuprofen [Advil or Motrin] as the antibiotics can take a longer time to resolve the infection to the extent that pain subsides, so as of now you can take painkillers along with antibiotics. You need not worry as gradually when the treatment will proceed the pain and infection will subside and the pain in temple is not due to progression of the infection, and it is radiating pain from tooth that is being treated. You should consult your treating dentist and get evaluated and get an x-ray done so that any abnormality can be treated at the earliest. As of now you can start taking Ibuprofen 400 mg thrice daily and need not go to urgent care and see your dentist after weekend. Hope this information helps. If you find the answer helpful please give me a Five-Star Review and click on found the answer helpful as a token of appreciation. Thanks and regards. . . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 32 years old Male,Two day back I feel acute lower back pain .My doctor suggest to take some pain killer and routine urine test and also USG & Xray of KUB.Routine test shows presence of RBC (8-10/hpf) and PUS cell (2-4/hpf) but USG and X-ray does not shows any stone or hydronephrosis.I had a left kidney stone 2yrs back which was flushed out by taking lots of drinking water.My question is that this RBC & Pus cells count does shows any infection or its nothing siginificant? ### REPLY: HelloThanks for query. Presence of R.B.C and pus cells in urine strongly suggest UTI. Please get your routine urine test and urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to. Please take broad spectrum antibiotics like Definite along with urinary antiseptic like Nitrofurantoin twice daily and urine alkalizer thrice daily. Later on switch on to appropriate antibiotics as per culture report. Get the prescription of medicines from your family Physician. Ensure to . To keep your urine dilute This will help to control dysuria. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My blood pressure is 186 over 94 and I am 84 years old. Never had any heart problems and I take 1 Atacand a day. I dont feel any different now, no headache, no confusion.  Is this dangerous? Should I go to see a doctor immediately or can I wait until tomorrow? ### REPLY: Hello dear user! I have gone through your query and understood your concerns! Thank you for sharing them on . Blood pressure of 186/94 is considered high (third stage of hypertension), and it must be treated even though it doesn't give you concerns. Such level of blood pressure may lead to heart, kidneys, blood vessels, brain damage etc. The pill you are taking every day is an antihypertensive .  You have to add other  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I am a patient with ChatDoctor, no SAM , no LVOT grad, taking angizem DP 120 since 1 yr 6 months, but since then my liver started getting fatty and now it is grade 2 Q1. Is ditiazem hydrochloride has any role for fatty liver. Q2. Can it be replaced by any other medicines like beta -blocker. kindly give appointment at your residence if necessary. ### REPLY: Welcome to ! I appreciate your concern towards the safety of Diltiazem. Age, gender and the indication for Diltiazem not mentioned!!! Diltiazem belongs to the calcium channel blocker group of .  It is used to treat high BP and angina (heart pain) caused by spasms in the blood vessels that supply the heart. The most common side effects caused by Diltiazem include: Headache, ankle edema, constipation, hypotension flushing, and it may also cause fatty liver (stenosis). In view of the last side effect that you appear to be suffering from, you can consult your doctor to use the alternate  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello doctor, regards i am 33 years ols and my wt. is 62kgs. i m 5 feet tall. i got my gall bladder removed for stones 4 years back. ever since the day of my operation i suffer from severe abdominal pain which radiates to the back and then i feel it passes through my right hand.it is there for 2-3 minutes . it daily occurs at around 4-5 a.m in the morning but sometimes in the day also.i have got my mrcp also done but the report is normal.nowa days a new problem has also started that i feel my throat is choked and i feel difficulty in breathing.please help thanks nidhi agarwal ### REPLY: Hi Night. Thanks for your query. If the MRCP is normal this pain can be due to some other cause. The pain you say starts in the abdomen - radiates to the back and then passes through your right hand. Occurs at 4-5 am - in the morning and sometimes in the day too. Choking and difficulty in breathing may not be related to this. I would advise ::A thorough check by an ENT and General / Castro Surgeon and if necessary by a neurologist may help to get at a diagnosis. If all the examinations and clinical findings are negative, a help may be sought from a Psychiatrist too. Before this you can have a survey MRI of the whole spine. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I went to dentist yesterday to have my teeth checked cos i was punched in the mouth. My front tooth seems loose. The dentist checked and said i have gum infection and my teeth is dirty.. She cleaned my teeth and gave 4 injections before that . now white like thing is coming out from my gums. Why? I have used the mouthwash given by the dentist twice yesterday and twice today. She has advised for only once in the morning and once at night. My face is also swollen. What can be done? ### REPLY: Hello and Welcome to Ask A Doctor service. I have reviewed your query and here is my advice. White like thing coming out of gums seems to be due to gum infection causing pus discharge. As the infection will gradually subside the discharge will subside. You should consult your Dentist again and ask for a prescription of antibiotic like Metronidazole. Also chew a vitamin C pellet daily. Continue doing warm saline gargles. Swollen face can be due to punching and inflammation of soft tissues. Do cool compresses over it and take anti-inflammatory painkillers like Advil. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi lately I ve been having stabbing pains in my lower left ribcage, and the next day it moved to my right side chest. And as the day goes by it jumps around my body from shoulder to neck, throat, and down to my lower body,(right side stomach to gluteus maximus. I ve been having chest pains and Yes I do smoke. Im a very athletic person and i checked My heart beat per minute and I have 50 hbpm in the morning once I wake up, and around 65 in the mid day. Will you please evaluate my medical status? thank you soo much. ### REPLY: Hello, Your symptoms do not seem to be related to the heart. Your heart rate seems to be within the normal ranges. Is the pain triggered by body movements or deep breathing? This would indicate a possible musculoskeletal pain. Coming to this point, I would recommend performing further tests to investigate for the possible causes underlying your complaints:- A resting ECG- A chest x-ray study- A cervico-thoracic spine X-ray study-Complete blood count, PCR, ESR for inflammation. You should discuss with your doctor on the above tests.  Hope I have answered your query. I remain at your disposal for any further questions whenever you need!  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi Doc!i have a experience of havin bumps in ro on my labia minora that they become painfull in a few days then burst containing pus and blood and after its really hard to say where were those?I will appreciate if you can help me . thank u  very much! ### REPLY: Thanks for posting your query to . There are so many factors which can introduce infection to labia minor. But no need to worry as it can be treated using antibiotic. You need to do one thing, if pus or secretion is still present collect it and send to microbiology lab for microscopy and culture and sensitivity examination. It will guide you about organism responsible for causing infection and antibiotic effective against organism.meanwhile you can take Aceclophenac 100 mg two times a day. Serratiopeptidase 10 mg two tomes a day.theses medicine will give you symptomatic remain and decrease inflammation. Keep cleaning and do regular .  Avoid sexual contact.review me with investigation report .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, its a little hard to sum up but i have been having lower stomach pains and diarrhoea for about 1 and a half months i went to  the doctors and had a urine test and stool test and blood test but everything was ok. its gotten unbearable because i cant go out because i constantly need the toliet... ### REPLY: Hi. Thanks for your query and an elucidated history. The history of one and half months' diarrhea is suggestive that you may be suffering from IBS- Irritable Bowel Syn . Investigations:*Routine blood investigations like Complete blood picture, blood sugar, urea, creatinine, liver function tests, thyroid function tests.*Urine -routine and microscopy*Stool: routine, microscopy, occult blood, culture and sensitivity.*Ultrasonography of abdomen, *Colonoscopy All these investigations should be within normal limits for one to say you have IBS. Treatment:STRESS = stress is the most important cause of IBS. Please remember, and you must have observed that when you do not have stress your problem with IBS is reducedChange of lifestyle. I think maybe you are not coping with something. Vacation outside your area, mobiles phones to be off. You must have noticed already that these changes help a lot. Try to avoid anything which you are / have to do against your will and wish. Get into the hobbies which make you forget the world around you. Life comes only once, boss. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am a 53 yr old blk female. Two days ago i noticed a little pimple lick lump in R armpit. No fluid came out when attempted to pop it. Now I have a long hard lump running through the pit and part way up the arm. Its tender and hurts when i lift the arm? ### REPLY: Hi. This may be due to an infected sebaceous cyst or just a boil or an infected lymph node. Due to popping up the edema increased and spread in the line you explained. I would advise you to stop popping. Do not touch except for hot fomentation. Take a course of an antibiotic and anti-inflammatory medicines. You will get alright and the lump may vanish. If it does not resole within a few days, get FNAC also done as well as blood, urine tests done and may be change over to another antibiotic. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, im a 15 year old boy and i have these lines that are growing on my inner thighs near my testes and its very painful. It looks like stretch marks that formed into little bumps that seems to spread day by day and gets larger to. When i move around and those bumps rub into clothing or my thighs it would hurt and would be irritating. If i dont move my legs for a couple of hours the pain would go away and i can freely walk Without having to worry about the pain, but then after a while of moving around the pain would come back and would start to be irritating cause of underwear or thighs rubbing against it. ### REPLY: Hi, I value your concern regarding the symptoms. I have gone through your symptoms, and in my opinion these are nothing but lines due to your growth spurt phase, I would advise you to wear loose clothes, keep your skin clean and .  These will go away with time. Enjoy you are growing and healthy Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. Special note-Any medication prescribed needs to be taken after consultation with your personal doctor only. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 omar and i am 15 years old. I barley stepped on a nail and it barley pierced my skin. I got a tetnus shot four years ago. I cant even find in what part of my foot the nail went in, thats how small the injury was. I dont even feel any pain. Should i still get a tetnus shot? ### REPLY: Dear Friend. Welcome to . I am .  I have read your query in detail. Furthermore, I understand your concern. There is no harm in getting a tetanus injection, even if nail has just pierced the skin. Usually tetanus is spread by blood contact of contaminated item. So, chances are very less, but get a shot to be safe. This is my best advice for you based on available details. If you have any further query please ask me. Stay Healthy. ChatDoctor, MD ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 22 years old and I recently quit smoking after about 6 years.  After I quit, most of my chest pain that was most likely just from smoking has gone away.  I am still having chest pain on the left side.  I dont notice all of the time, but sometimes it is a dull pain.  Other times I get a sharp pain.  Every now and then I have it on my right side, but usually just the left.  When I breathe deep I can feel a very dull pain.  I get pain in my upper back as well on the left side.  When I have the pain, it seems to pulse somewhat. What is going on? ### REPLY: Thanks for your question on . I can understand your concern. Since you were a smoker and having left sided chest pain, we should definitely rule out heart diseases first. So get done ECG and 2d echo. If both these are normal then no need to worry about heart diseases. Sometimes undiagnosed stress and anxiety can also cause similar kind of dull left sided chest pain. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic . Don't worry, you will be alright with all these. Avoid stress and tension, be relaxed and calm.  Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I knocked my shin at work a week ago. When I got home, there was a fist sized bump at the point of impact. I was able to go nack to work for the rest of the week. Today the swelling hasn t really gone down, its just spread out. Painful to the touch. And is like hard putty (i can leave an indentation with my finger). Its more painful to walk on it today than 5 days ago. It has minimal bruising, but the bruising is down 8 inches around my ankle. ### REPLY: Hi ! Good evening. I am  answering your query. From your history, it seems to be a hematoma initially due to the trauma, which now got inflamed, and if not treated might turn into an abscess. If I were your doctor, I would advise you for an anti-inflammatory along with a proton pump inhibitor along with a broad spectrum antibiotic, which might relieve the inflammation and some kind of pressure bandage might be needed to get it absorbed gradually. If not, you might have to get it assessed by a general surgeon in your area. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. I wish you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Had stint put in , in February. lost 12 lbs since then. I weigh 213lbs. For 8 days now the stexture of my legs below my calves have been spungy. If I push in on my skin it leaves an indentation for awhile. In the last two days my ankles and feet have swollen with no pain. ### REPLY: Hello, Welcome, and thanks for sharing your concern I went through your query, and I feel, you are having edema in your legs and feet, please do not take it lightly, and see your physician at the earliest to rule out the cause of your edema, cardiac and renal are the most common and dangerous causes that need to be ruled out first. I hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact 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: Hi,Today, there was a recent dead squirrel in the street that was run over by a car. when i was walking by, another car ran over it, and i think blood(most likely) or something of part its body hit me in the eye, do you think i have can have rabies? ### REPLY: Hello, i can understand your concern regarding rabies. Squirrels have never been found to carry rabies infection, so there have not been incidents reported about a human getting infected with rabies. You need not worry about getting rabies infection. If you still have the fear of getting infected I would suggest you to take post exposure prophylaxis with anti rabies vaccine with the following schedule o,3,7,14,28. These are the dates for you to take the vaccine. 0 being the day you have started the vaccination.I hope you are satisfied with the advice. Do revert for any other queries. Thanks for choosing . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 husband and I, we  were both Virgin when we got married. now we are trying to conceive for the past 2 years, but when  he  ejaculates Inside of me,  i do not feel the sperm , is that normal? after 45mns clear fluid noted, a good amount, what does it mean? by the way, I am 38yrs, no children yet. ### REPLY: Hi welcome to . I have gone through your question. As sperms not felt inside your vagina after ejaculation. Is normal. I would advise doing investigation for both. For you ovulation profile, thyroid profile, histosalpingography HSG. For your husband semen analysis. Then one can comment where the problem is. After report consult gynecologist. Hope I answered your question. Would be happy to help you further. 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 Hope this email finds you well. I have an issue which is making me worry as I see no solution todate.I had an accident 2 years ago and injured T8.We went to india to have it repaired and according to the doctor it was successful.The doctor assured us that the spinal code was not damaged only inflammation which they decompressed. They told me that the nerves will take time to grow and might take 18-24 months.Its now 2yrs since the operation and the best result I have is feeling my stomach. I still have no bladder control.My legs tend to move involuntarily as I have no feeling of them and sometimes they really jump when my nails are cut.Due to this I had to see a neurologist last week. In our town its very difficult to get a neurologist. This one comes once in a month.He examined my belly and legs and said the growth is now upto T12. He gave me some muscle relaxers and when I informed him if there is any nerve growth medicines he said its better if it heels by itself instead of interfering with the normal body mechanism. No other test was done to me.As you know this is a worrying situation for me and its getting me worried Would like some advice from your goodself if there is any thing can be done. Thanking you in advance and hope am not a bother. Msellem Hamoud ### REPLY: Hi, thank you for providing a brief history of your illness. Since you mentioned you have met an accident and injured the T8 level spinal column area and the neurosurgeon have decompressed it. Understanding the scene here is you are a bit annoyed by the bladder control, movement of legs and abnormal sensation. Now since it's been 2 years and a much done onto for your good till date by all specialists. Help is always an inch away and doctors are always here to help. I wish to know if you have tried doing physiotherapy, if not than you should start it again. As the surgery was successful the later part was to take the regular medicines and regular physiotherapy. Bladder control exercises are known to a physiotherapist which he can teach you and brain always tends to keep learning. Now since you are looking here with some remedy for you, I would say that the doctors have done a great job till date, now you have to put a conscious effort to undergo a physiotherapy session and get yourself helped. Physiotherapy is not only about exercise but even about the deeper science behind it. All things done till now by doctors was excellent, now the body has to produce some internal medicine which has to make a help. Symptomatic help was done at the best. Now it's the body turn to produce the requirements. I have seen many patients with such injuries and on the later side of the years are helped by a physiotherapist and things have turn on a positive side for many. Kindly try to undergo physiotherapy and make the body metabolic system to take the next charge. It's never easy to get back on but it's never impossible to become better again. With the grace of almighty I wish you a positive outcome soon. ### END