Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter has had this red oval scaly rash going on 4 months now. It resembles ringworm but it is not that. We went to see a dermatologist and he did a biopsy. We haven t gotten results yet but I m really worried it may be something systemic. They itch sometime but she says they hurt or burn. I m just wondering if there is anything I should mention to the doctor. She has been really fatigued and irritable. Not sure if it may all go together. ### REPLY: Hi, Itchy red scaly rash which is causing discomfort since more than 4 months can be due to eczema or psoriasis. The treatment will depend upon the report of the biopsy. In the meantime, apply HY .  Antihistamines are effective.  Don't let your daughter scratch, let her take warm baths and wear cotton clothes. Do not give her any food to which she may be allergic.  Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello. Today I had a cortisone shot in my knee. No padding left..it is bone on bone. At the site of the shot, I am experiencing short bursts of stinging, very similar to the feeling when receiving the nerve simulator in therapy. Is this normal? I have had a knee replacement in my right leg and received several shots prior to surgery with no problems. ### REPLY: If no padding left, then stinging feeling is common. Ideally before knees are so damaged, every effort should have been done to not let it ruin further by doing yogic exercises etc. But now the damage is already done. Your or tho surgeon is the best guide. However, if any problem is not set in the future, please consult for Ayurveda's inputs and tips to give support to you. Wish you 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: Hi, I have been off the depo shot for 1 month now and have been trying to get pregnant.I have not had a period yet and am now this past month I cry about anything and have acid reflex and heartburn all the time. I just took a pregnancy test at the doctors and it was neg. Should I go back  and get blood drawn? ### REPLY: Hallow Dear, Pregnancy test on the urine before you missed your period is rather too early and is sure to report (false) negative results. This test should be performed about a week after missed period to have reliable results. In fact, it is advisable to let a period of about 3 to 6 months pass after discontinuing Demo contraceptive to attempt for pregnancy. It may take some time for your menses to get regularized. You may take some proton pump inhibitor preparation like pantoprazole for your acid reflux and heartburn. It will give you some relief. For your over reactions to the adverse things, please report to a counselor. Too much of stress also is responsible for delay in menses. If at all you want the results of urine pregnancy test to be confirmed, you may opt for Beta  test on your blood 10 days after the last unprotected intercourse.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 sandra a couple weeksago I fliped a very heavy coffietable over and when I was12 I broke my arm im 44 know , I thonk it rebroke and I hurt my shoulder too im tuffing the pain out but my arm is swelling and the pain is traveling to my collarbone if not treated whats the worst that can happen an what do u think thx for ur time ### REPLY: Hi, As with the history, I don't think this will be a broken shoulder bone again. This might be now a soft tissue injury like the genocidal labrum or the Rotator cuff injury. Due to both of the mentioned injuries there is possibility of having a swelling of the arm and pain in collar bone. Taking up an orthopedist opinion is advised. He may look for an x-ray or an MRI if required post the clinical examination. The arm will be rested in the swing for few days and also physiotherapy will be advised for shoulder rehabilitation. If ignored than there might be changes in the overall joint function and also might be fluctuation in Blood pressure which may actually be not related to cardiac. But may get misunderstood with this. I will advise you to take the wise decision. Hope I have answered your query. Let me know if I can assist you further. 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: My son is almost 6 years old and he is not circumsized. When he pulls his foreskin back on one side it is purple. I also cant get his foreskin to pull all the way back. it seems as if his foreskin is attached to his head, not only in the middle but on one side. What can i do? ### REPLY: Hi, If foreskin cannot be retracted back fully than fibrosis can be possible. For that daycare surgery circumcision operation needed. In that foreskin is removed and stitches were taken that is auto dissolving in one week.  So for detailed examination and all these discussions, It's advisable to consult a nearby urologist.  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: Need consultation on bronchial illness or allergen that I am trying to get the bottom of and the sickness may have been complicated due to extreme weather changes, extreme exercise, and travel.Symptoms - Irritation of throat and maybe chest.  Then congestion with headache.  Stress makes the chest congestion soreness worse. ### REPLY: Hello, Thank you for asking at . I went through your history and would like to make suggestions for you as follows:1. I usually suggest my such patients' spirometry with post-bronchodilator reversibility testing which helps to measure lung capacity as well as to know the type of lung/airway disorder you may have.2. For diagnosis of allergies, I would suggest you allergy testing for common air-borne allergens such as house dust mites, molds, pollen, insect proteins, animal dander (if you have pet). This will help you identify the substances causing allergies as well as to know the measures to reduce their exposure.3. Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works on immune system to gradually improve allergy symptoms over a long duration.4. For symptom control, I usually prescribe my such patients albuterol or levosalbutamol inhaler to be used on as-and-when-needed basis. However, spirometry will help to decide appropriate type of inhaler better.5. If you have nose symptoms also, I would add montelukast + levocetirizine to above treatment.6. In general, please avoid exposure to dusts, smokes, air pollution and cold air as much as possible.7. Regular physical exercise including breathing exercises and a healthy diet rich in vitamins & minerals will also help you in a long run by improving your lung capacity as well as immunity respectively. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at . Wish you the best of the health ahead. Thank you & Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hifor about a month now I wake up with my face swollen some what itchy and feels warm. Also it feels like pressure on my face... i went 2 dr and they prescribed me methyprednisolone they said I had some type of allergic reaction to something.  I finished the medication but I still have the same problem. It didnt get any better ### REPLY: Hi, Thanks for consulting  ! Based on the information given, now we need to do consider other things apart from allergic reaction as your doctors suspected. Other causes of face swelling noticed after waking up include angioedema, .  You need few investigations like couple of blood tests to know the exact cause. Hope I have answered your query. Let me know if you have any clarifications. If you like my answers and wish me to answer in the future, bring it to my attention:  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had done MTP when i got pregnant for the 1st month. i did MTP in months time. now i am trying to get pregnant again from past 12months but not getting successful. i underwent mtp on 14 oct 2009.Kindly suggest what could be the problem/ will i get pregnant again or not? ### REPLY: Hello, Thanks for letting us know your health concern. In the current scenario, you have to test for tubal patency and also the ovulation status. The male factor also should be assessed and treated if necessary. If everything is fine, practice regular unprotected intercourse during the fertile period for at least 6 months. If there is no response, please see a specialist for further help. 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: A bruise that has lasted 3 months now. The bruise is now a center for shooting pain the pain goes down the leg from the bruise. Bruise is located on shin bone. Pain goes to the foot but hurts less there. The pain registered at a 5 on the 1-10 pain scale. Possible cause? And what action if any should be taken? ### REPLY: Hello, Thank you for using . I read your question and understood your concern. Since so much time has passed, and you are not better I think this was not just a simple bruise. Did you have a X-ray of the shin-bone to exclude any problem with the bone like a hair line fracture of the shin-bone? If not I suggest you to do so. If X-ray is Ok than the second most probable cause might be a soft tissue hematoma which is collection of the blood in the zone of bruising and this may take more time from the body to absorb. Wish you quick 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: My son, 17yrs old suffering from depression since 3/4 months due to break up of his lover. Now he has withdrawn him from family. He is very bright student. He has stopped his studies.Lost his apetite. Doc has prescribed fludac 20 mg for first week and from 2nd week fludac 30 mg once a day for 30 day...He will recoved from depression? ### REPLY: Hello, Yes, Flute (Fluoxetine) is a very good antidepressant and is frequently used worldwide for treating depression. However, this medicine itself has a side effect of causing lack of appetite, and you can discuss with his doctor about this fact. Most patients start responding to Fluoxetine within 7-14 days of starting the treatment and majority report good improvement within 3-4 weeks. Kind regardsVikas ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hie im 20 yrs old..bt due to some circumstances i was living in a vulnerable house fr two yrs with direct sunlight..nw aftr four yrs my body has come to its own colour bt my face is still dark n widout glow...i hav faced lots of mental tensoin also...please i need mah colour back n mah glow...help ### REPLY: Hello and welcome to  I have gone through your concern and I have understood it. Tanning seems to the problem that is bothering you. I would suggest you to use a sunscreen, regularly. UV A part of the electromagnetic spectrum is mainly responsible for tanning. Therefore, a good sunscreen should have broad spectrum UV A coverage in addition to UV B coverage, in order to be able to prevent tanning, and it needs to be applied in sufficient quantity and every 2-3 hourly. A sunscreen with minimum 30 SPF would be adequate. It should mention both UV B and UV A coverage. Therefore, it is important to select the right sunscreen for desired effects It should be applied in the following quantity:--3ml for face and neck(a little more than 1/2 teaspoon)--3ml for each arm(a little more than 1/2 teaspoon). A sunscreen should be applied every 2-3 hours. If I was your treating doctor I would have asked you to use a cream containing one or more of the skin lightening agents e.g. comic acid (comic cream), glycolic acid (Glycol -A cream), albumin (Demean cream) or HY . Hope this helpsRegards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Male 51 yr old... I have a sharp pain on the outer part of my left elbow. It is starting to be an all day thing with the pain. It feels better when my left arm is semi to completely bent. Also feels better when I am exercising my left arm or at work at my mechanic job. Now appears to be a small hard lump on outer part of the elbow. ### REPLY: Hello! Thank you for the query. The lump you have is nothing more than bursitis - an inflammation of the bursae. Due to overload or compression of this area fluid appears. If it's not infected (the pain is not strong, no fever), it should be treated with rest, ice, elevation of the limb and anti-inflammatory .  If you find an inflammation is possible you should consult a surgeon or orthopedist. Hope this will 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: Hi, Doc when I was 17 yrs I got Thyphoid but after treatment i didnt shave my head as i was in college. After that my hair started loosing tremendously now that I am 32 years still there is no sign of improvement. i am married and i have one child. My scalp itches me plenty and i have dandruff . I use head and shoulders shampoo but in no vain. As I am in there is no dermatologist so that i can consult please can any one of you give me any home remedies so that my hair fall will lessen and have lustrous hair. ### REPLY: It is very common to see hair loss after Typhoid. Therefore, typhoid treatment need to be followed by proper nutritional diet, which I think did not happen in your case. Take proper balanced nutritional diet. Few food items need to be avoided in Dan . g. orange), bananas, meats, sugar, white flour, string tea or coffee, pickles. No hair tonic (internal or external) will work until your Dan ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Yes, for 3-4 years I have been taking a heavy dose of pain pills. I have had some pains in my liver area, i assumed were from the fatty liver that I also have. Recently I have been have some intermittent dull pains in the area of my spleen. I realize I may be damaging these organs. Will stopping make the organs better or is the damage already done? Today is the first day I have not taken any pain pills in a very long time. ### REPLY: Hi thanks for asking question...Painkiller if taken excess it might damage liver... So excess intake and self-medication always avoided... Do your LFT profile....Meanwhile, rest liver with low fat diet. Avoid alcohol. Fruits more... Green leafy veg more... Trans fat food and cheese, burger, butter etc. taken less. Regular exercise done.... Now from today avoid injudicious use of painkiller .... . Pain over that area might from muscular strain. 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, may I answer your health queries right now ?  Please type your query here...What are the h2N3 symptoms?  I have been visiting my aunt in ICU for a week and she has now been diagnosed with it. We were not taking any precautions previous to today.   Can I be a carrier without having symptoms...  i do not want to infect my elder in-law or pregnant co-worker. ### REPLY: Hi, Thanks for posting in . I understand your concern. H2N3 is a subtype of the influenza A virus. It is also known as bird flu. Symptoms include: Fever, chills, body ache, cough, congestion, headache, sore throat starting about 18-72 hours after exposure. You become contagious starting just around onset of symptoms or a bit before and continue for about 5-10 days. Hence, if you develop such symptoms, then you need to be isolated and treated. In case you do not develop any symptoms, then most often you wouldn't be the carrier of the virus. The best way to prevent the flu is by getting vaccinated each year. Hope the information provided would be helpful. 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: A couple of weeks ago I developed a sharp pain in my upper back just between my spine and left shoulder blade after an intense work out. It has seemed to get better over time but I find it to get easily irritated again when I m doing alot of physical activity. Sometimes the pain will even radiate down my left arm and cause my hand to tingle. From what little research I ve done I wonder if I may have spinal facet lock...does this sound right? And if so, will it eventually go away or do I need to be seen by a physician? ### REPLY: Dear user, Thank you for contacting us a  for more info on your symptoms. First It's good to search through the net for diagnosis, but sometimes this will cause anxiety because of many syn .  Nevertheless to diagnose spinal facet what you need to do is during the acute attack to visit your doctor and ask for plain anterior-posterior (front-back), lateral (side view), and oblique (off angle) X-ray a CT is even better, and he will tell you if he notices changes, another thing is to inject the facets with a cortisol and check if that reliefs the pain if it does then it is facet. Treatment can be surgical or non-surgical, non-surgical such as posture control, NSAIDs intake, etc...hope that helped. Best regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. I have a seven year old son who has always been very active and healthy. Lately he has developed several red, swollen bumps on his legs. So far they have not moved above the knee. He reports no pain or discomfort when I press on the bumps. He has had a few little scrapes lately that seem to take longer than normal to heal, but other than that, no changes in overall health. What could be going on? Thanks, Amanda ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query your child have symptoms of red swollen bumps on the legs. Well there can be many reasons for symptoms you mention in query like hematoma, lipoma, fibrous, cellulitis and abscess. But in your case it seems to me that the lump is due to persistence of bacterial infection of hair follicle and due to underlying systemic pathology. Need not worry. I would suggest you to clean the lump with soap and normal water, apply warm compresses and take Ben .  You should apply antibacterial ointment such as renovate on it twice daily. If it doesn't get better than consult dermatologist for proper examination to prevent condition like septicemia. Doctor may check the consistency. Doctor may  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 went to my primary care doctor because my throat was tight, i thought that it was my thyroid, since I take medicine for it. We ran blood tests and it was in the low range, but she chose not to increase my medicine, even though my skin is dry, my hair is drying and falling out and I m tired. She read my chart and said it was gerd, which I hadn t had in about 5 years, she prescribed two types of acid reflux medicine., and told me to take it. I ve been on them acid reflux meds for 8 weeks and have been complaining of stomach acid. I went to my GI doctor and he took me off the ranitidine saying it was too strong for my stomach, so he took me off of it and kept me on the omeprazole. I ve been off of it for a week and my stomach is feeling better, however he wanted me to have an ultrasound to check my gallbladder. I had the ultrasound and found that the renal cyst that i had discovered 5 years ago has now increased in size. It was about the size of a quarter then and now its the size of a water balloon. I ve been complaining of back pain and stiffness, but I thought that it was from me working out. My question, is if a water balloon size cyst would cause that kind of pain in my back and in my stomach and if so, what can be done to relieve the discomfort? ### REPLY: Hi Welcome to ChatDoctorI have gone through your query and can understand your concern. Dear first, I would like to know your age, height, weight your lifestyle so that you can be given appropriate advice for your problems. Since you are suffering from so many of them, it is not ethical & safe to consume, & to prescribe number of remedies at a time. So we have to look for minimum medication which can cater to solve maximum of your sufferings . . In fact, Your body is always fighting something -- an infection, a toxin, an allergen, a food or the stress response -- and somehow it redirects its hostile attack on your joints, your brain, your thyroid, your gut, your skin, or sometimes your whole body.invaders. Your immune system is your defense against invaders. But when the immune system becomes weak, the disease cells can grow out of control, the disease overpowers. Gulping on medicines & antibiotics , will not help cure, unless we care to modify our food habits and mind our lifestyle .your total health depends on what we eat, when we eat and how we eat I would like to suggest you to take vitamin D from sun exposure daily, as vitamin D helps keep your bones, including your spine & back stronger. Take balanced diet, having all essential nutrients, fibers, proteins, minerals, vitamins - fruit, veges, nuts in natural form. Also ginger, garlic great antioxidants helps balance air , heat, phlegm (Vast, Pitt, Kph) factors which are one of the basic health problems, causes of pains.  Imbalance of these all 3 create bad health. So regular exercise and Balanced diet containing essential nutrients and supplements as fiber, fruit green veges vitamins and minerals in natural form - coconut water, lemon juice with water, nuts, almonds, and supplements full of antioxidants as Aloe vera juice + AMLA juice 2 spoons, Coconut water, A level spoon Turmeric powder + Almond oil is very important for our sound mental and physical health and strengthen immune response naturally .  Since your body is composed mostly of water, staying HY ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi... My name is Vidya. 24 yr old married last 1n half yr. Our doctor prescribed me to take Ovofar from my 3rd day of period for 5 days. and Duphaston 10mg from 17 th day for 10 days. so my Q1) Is there is any side effect taking this tablet. Q2) What is the use of taking these tab. Q3) By taking these tab can get pregenent on the same month. Plz answer to my Q. Thank You ### REPLY: Hi, these medicines are given to increase the chance of pregnancy.  Ovular is for increasing the growth of your follicles.  Phaeton is given to support the implantation.  Side effects are minimal. So don't worry about it.  You can get pregnant the same month. Be in contact with your husband every 2 to 3 days after your periods stop.  It will increase chances of your pregnancy.  Hope I have answered your question. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi i have like a red rash and bumps where the panty line is and i always where panty linners but ever since i notice i had this itchy rash a have limited my self from wearing them only to town but i have also been working out for about 3 months so i really dont know wats causing this ??? ### REPLY: Hello. Thank you for writing to us at  I will keep a possibility of a fungal infection/Tina courts; fungal infections being fairly common in the groin region. Classically Tina presents as itchy, patches composed of bumps. The patches may be annular or round and extend peripherally. There may be some scaling/chaffing as well. The diagnosis is mostly clinical however, a KOH examination for fungal elements is confirmatory for doubtful cases. I suggest you to try an OTC topical antifungal e.g. clotrimazole 1% cream, twice daily. An OTC oral antihistamine e.g. cetirizine 10 mg once daily will provide you symptomatic relief from itching. If the condition doesn't improve as expected I suggest you to review with a dermatologist. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello ,Dec. Of 2013 a 75 / 85 lb heater fell from the ceiling a 12 inch screw struck across my shoulder and the heater fell into my arm, I have a tear in my rotor cuff and nerves damaged in my arm and hand I ve been receiving therapy how long does nerves take to repair ### REPLY: Hi, thank-you for providing the brief history of you. It is sad to hear that a big object fell on your shoulder directly. I hope there are no burns to a greater extent. God bless us all. Coming to your query. You have damaged the rotator cuff muscles and the nerve as well. Now first thing we need a thorough deep neuromuscular assessment of the injured area. What is the status of the motor movements and also the sensation in the area and beneath it. To understand this better a Neuromuscular assessment will help to figure out the possibility of the regaining of the motor and sensory functions. Understanding that the healing of the nerve depends on the grade of the nerve injury. Also, by understanding the NCV test we can still estimate the possible causes and benefits to achieve by exercises. How is the rotator cuff status? Are you having a good mobility now, or it is stiff shoulder now? Without having a thorough assessment it will be a blind comment which is possible. Undergoing physical therapy will help improve the nerve by electrical stimulation and exercise. 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: For the last three weeks I have been getting lightheaded nauseous and sweaty palms while sitting. I also get cloudy or fuzzy in my head. I ve gone to the Er and seen my ppc who referred me to a cardiologist. He ran ekg and bloodwork whicChatDoctore back fine. I am on ativan for anxiety and metoprolol. The cardiologist prescribed bp med yesterday and I took my first dose this morning. I am tired of feeling like something is not right. I am experiencing same symptoms again right now. Any further suggestions ### REPLY: Hi, I understand your concern and would explain that your symptoms could be related to blood pressure fluctuations, blood glucose fluctuations or thyroid dysfunction. For this reason, I would recommend a close monitoring of your blood pressure values. Other tests to perform are: - a chest X-ray study- an abdominal ultrasound- a Head Up Tilt test for orthostatic intolerance- thyroid hormone levels-fasting glucose and glucose tolerance test. If all these tests result normal, you should consider anxiety as a possible cause related to your troubles. Hope to have been helpful. Let me know if I can assist you further. Best wishes,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: drinking and taking bedeprion sr tab 150mg once a day and blood pressure meds yes i taking budeprion sr tab a50mg,i also drink a 6 pack of beer a day, i just read that if you are a drinker, that you can not just stop like and it is dangerest to drink if taking budeprion and i also am taking nifedipine 30mg once a day.i have been taking budeprion for about 2 months. i know that i am a alcoholic and i can t just like that. so that do i do because i am very afraid of what can happen to me. can i ween myself off of the budeprion,until i can gain some control of my drinking. because would rather deal with depression than dead. please help me i don t know what to do . ### REPLY: Hi, There is proportionate relationship between your . .there is highly possibility that your underlying depression is still untreated and so u requires more packs of beer.(which is like self-medication for your depression) So here solution is not to wean off from medication but consult your Psychiatrist, take proper advise and SOS change of medicine so then u will be able to gain control on your  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 wondering if you can help me with answer to a questionI have? I been experiencing lower right back pain that seem to spread to my right lower intestine.Its very painful. I experience very bad pain when I stand on my lower back and when I sit my lower right side hurt.Its a throbbing pain. What can that be? ### REPLY: Hi there. After reading your query it is my opinion that your pain might not be originating from the spine. It is most likely originating from some organ in your abdominal region and is being referred from there to the adjoining area. Most probably this could be an inflamed gallbladder or appendix.  I would suggest you to get an ultrasound done of the abdomen and consult a astrophysical. Also get a X-ray done of lower spine just to rule out any spinal problem. I hope my advice has helped Good luck ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son ajay singh age 16 years diagonist wilson s disease and D pencillamine giving from last 7 years but he can t speak and right hand movement. please give the details. ### REPLY: 1. Wilson's disease (Heap to lenticular degeneration) is an autosomal recessive trait, thus he might have received one gene from each parent (Gene Mutation)2. You haven't mentioned the Copper level? (serum as well as urine)3. When copper is unable to excrete (as in this case) it starts getting accumulating and they main sites are liver and brain: which has resulted in persistent neurological difficulty : aphasia (unable to speak) and unable to move hand (Rt.)4. Seek an opinion/consultation of Ophthalmologist for KF rings and with Hepatologist for active Hepatitis, bleeding problems, Cirrhosis of liver?5. Avoid mushrooms, nuts,chocolates, liver,shell fish, . 6. Avoid Aroma Varying Vat in Ayurveda  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been having a odd tightness in my chest for the past month or so, it seems to get worse whenever I sneeze, and seems to get progressively worse over time. Its almost as if I cannot catch my full breath, like my lungs arent reaching full capacity. I have never smoked, and do not drink. ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, possibility of asthma or bronchitis is more likely. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose disease, but it will also tell you about severity of the disease and treatment is based on severity only. You may need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi This is  Fayyaz I removed my lower 2nd left tooth 5 days ago.Before removing Dr took X Ray  there was infection but she removed. She gave me Clindamycin and Metronidzole but still infection is theirafter 5 days. Please advise me some good antibiotic.Thanks ### REPLY: Hello, Welcome Thanks for consulting , You have undergone extraction as u said that you have taken 5 days antibiotic course then how can you can that infection is still there, don't worry much about that, still if you feel that infection is there you can take Capsule amoxicillin 250 mg twice daily and Tablet metronidazole twice daily and Capsule vitamin B complex once daily for three days only, then if you feels you, still have any problem then consult your dental surgeon Hope this will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My first baby was born at 37 weeks. My second baby was born at 36 weeks due to my water breaking. I m now 31 weeks pregnant with my third and at my appointment last week I was told he s turned to the head down position already. How likely is it that he ll be early as well? ### REPLY: Hi, Thanks for asking. I understand your concern.  There are two possibilities- - Few women tend to deliver before expected date (might be due to some physical making of birth passage). If that case, it might be the birthing position of baby (which is 4-6 weeks earlier to delivery.)- In such case you would experience decent of baby in birth canal slowly but definitely. You should have a weekly check-up for baby position by your doctors' consultation.  - It might be a normal positioning of baby(to be born at term which continues from 28 weeks of pregnancy.  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 father has been diagnosed with stage 4 melanoma and after three surgeries it has all come back on his back.  His cat scan is still clear however it is inoperable now since they would have to go to deep to get it, and it is now in a node under his harm.  He has received 10 palliative radiation treatments and is still doing quite well no weight loss or pain.  He is 83 years old with a very positive attitude ### REPLY: Hi, Thanks for writing in. Malignant melanoma is a type of skin cancer which shows aggressive spread. Since it is deep-seated therefore treatment with chemotherapy and radiation therapy is suggested. He might be having a good will power to fight cancer and the medicines are showing response. Regular follow up is required to know if the tumor is stabilized and any other organs that are involved. The cancer in the back is stabilized due to treatment and not showing aggressive progression. His positive attitude is keeping him fit and hope he continues to be this way. Please provide him with a daily 2200 kcal diet and also give pain relief should have any pain. 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: Hello!I did a blood test last week and the doctor said i had hypocalcemia, and that my body was attacked by a certain bacteria.Now am taking vitamine D3 and anti-inflammatories. But, am not getting better. I have always aches like rheumatism...Should i eat more? Because, i barely do.Thanks :)Maya ### REPLY: Hi, I have gone through your question. I canuunderstand your concern. You have hypocalcemia you calcium deficiency leads to all your symptoms. You should take calcium with it D3 according to your doctors' advice. Moreover, you need to eat high calcium diet like milk etc. Once your calcium level become normal you hit relief. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here...My daughter has a flap of skin hanging over her 2 year molar that just came through.  It doesnt seem to bother her but it looks a bit gross.  Will this fall off on its own or does she need to see a dentist/doctor? ### REPLY: Hello, This is a very common situation for newly erupted teeth to experience a flap of tissue while in the early stages of eruption. Rinse the area vigorously and try to keep it clean. Take a soft toothbrush and massage the tissue. This increases blood circulation and firmness. Try to be careful to not let food get caught under the tissue. She may have bitten the gum area and caused slight trauma, but do not worry. As long as the tooth has enough room to erupt, this will resolve. Only if there is swelling with increased pain, would you need a dentist to assist by cleaning out the tissue and prescribing antibiotics. For slight soreness, take some anti-inflammatory medication such as ibuprofen or acetaminophen. There are gels with endocrine available to apply to sore tissue as well. Thank you for your inquiry.  I hope the area improve with my suggestions and will appear better soon. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have gall bladder stones and the enzyme level in liver is abnormal. I have found it when i frequently get severe pain in my upper right abdomen. i consulted gastroentorologist and he suggested to take few medicines for 10 days after that he said he would decide on surgery ### REPLY: HelloDefinitive treatment of gall bladder calculus is cholecystectomy(surgical removal of gall bladder). Gall stone dissolving . Elevated liver enzymes may need clinical examination and routine investigations. You may need investigations like routine hologram, random blood sugar, viral markers, lipid profile, liver and renal function test. You are rightly advised for follow up. 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: my father always angry and mad, sometimes get really mad and hit his head by his hands and sometimes says I wish I can die. I called his insurance nurse line and I explained everything but the lady who answered the phone refuse to talk to me unless my father give her a permission so she can talk to me. I called a local mental health institute but the lady who answered the phone said we can not do anything unless he is with you and hitting his head again so you can call us in the same moment that he is doing that. That s ridiculous, how come the mental health patient will say I am crazy and give a permission for treatment, I am trying to treat my dad so he doesn t get worse and hurt himself or hurt my mom, and they told me wait till he will be really get dangerous so you can call us. so HOW CAN I GET HIM TREATED? ### REPLY: Hello, Thanks for choosing  for posting your query. I have gone through your question in detail and I can understand what you are going through. Anger and violence could be stemming from a primary psychiatric illness. The primary psychiatric illness has to be treated. Divalproex is a good .  Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Last night I broke out in a sweat and got shaky then I felt like I was getting the flu so I went to bed at 7pm. I dont think I have the flu but I just ate two cookies and i got sweaty again. Im not feeling myself at all. I am 47 on hormones with a long history of family heart disease. ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, possibility of hormonal imbalance is more in your case but better to first rule out heart diseases. So get done ECG and 2d echo first. If both are normal then no need to worry about heart diseases. You are in menopausal age and taking hormone. So possibility of hormonal imbalance is more. This can cause similar symptoms. So get done hormone levels (FSH, LH, Estrogen, Progesterone etc.). Don't worry, you will be alright. Better to first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had surgery on my knee (meniscus) 4 days ago & this morning I woke up with a massive calf cramp. I could barely put weight on it. It has been the same all day long. I am wondering if it is a blood clot or just a leg cramp. I have been trying to walk properly & using the exercise bike 3 times a day for 5 minutes. ### REPLY: Hello, I have studied your case. Meniscus tear surgery patient usually complains of thigh and calf pain. It is not a serious issue. I hope your doctor has asked you to start walking. Ankle exercise and waking will take care of calf pain. Some time very tight compression bandage is also cause of this.  If this pain remain for more than 12 hours or increases than you need to get Doppler examination of the calf muscles to make sure that it is not a clot. You might need to take tablet Broken if pain is very severe. I hope this answer will be useful for you. Let me know if there is any other followup questions. 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 husband is post surgery (left hemi glossectomy with modified radical neck dissection T2,N1,M0) with 7 rounds of chemotherapy (Cysplatin) and 33 radiation sessions. His recent CT (11/11/14) showed soft tissue thickening along the anterior lateral left tongue base measuring 1.1cm (previously measured 1.4cm on 8/8/14). Both his Radiation Oncologist and Oral Surgeon said he is fine .....should I be concerned and if so, what further steps and/or opinions should we take? ### REPLY: Hi, Thanks for writing in. I suppose your husband got left half of his tongue removed surgically and followed by chemotherapy and radiation. Since his first pre-operative CT showed a 1.1 cm lesion, it was an early stage cancer and that is why surgery was recommended. After surgery, the operated area can develop in to a healthy scar. He has received 33 fractions of radiation and that will control any microscopic extension of the cancer in to the healthy appearing tongue. The soft tissue thickening measuring 1.1 cm is healing scar. The radiation has given an appearance of a scar formation. He must continue visiting the oncologist as required. Also, the operated wound must be regularly examined to see if it is healthy and showing healing in progress. Chance of recurrence from early operated oral cancer is less. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a friend who is presenting with extreme happiness and excitement then goes to crying. He doesnt make sense when he talks and when he types he sounds like a kid whos so excited they tell all the different great parts of a story at once but still sticks to that one story. He was physically abused as a child but could this be more than suppressed emotions overwhelming him all at once? He did keep telling me he can finally feel again and feels amazing. ### REPLY: Degree understand your concernsYour friends diagnosis can be done only with the help of detailed case study comprising past events, traumatic events, family history and present details of problems he is facing. Primarily it appears to be mood swing, but it could be something more deep. As him to record the mood swings in a diary for a fortnight along with what caused it or what he did prior to that. Don't assume anything, no presumptions. Then consult a psychologist / psychotherapist. Wish speedy 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 am 26 and have a bp of 148/78 after several days of testing.  I am 6ft 200 lbs, fairly active lifting weights.  I cut out coffee recently (few days ago) and started eating celery to lower my pressure.  I have consistantly eaten on average 2 to 3 fruits and vegitables a day.  How long should I wait until I see my doctor? ### REPLY: Hypertension means the excessive pressure on the arterial (blood vessel) walls. The normal range of BP is 100-140 systolic and 60-90 diastolic. You can very much control the BP elevation by lowering the level of sodium intake which includes common salt and baked food (baking soda is sodium bicarbonate) and slightly increasing the use of food which are diuretic in nature. If you have diabetes along with hypertension reduce the fruit and sweet intake. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 , me and my wife want baby . iam doing sex regullerly . kindly suggest how wy wife concive baby and kindly tell me wht time is good for intercource to concive baby. ### REPLY: Hello, Welcome to , If you are having unprotected sex regularly for 1 year and your wife has not conceived then you & your have to get investigated for infertility[you cannot make a baby]. You can increase your chances of becoming pregnant each month by having sex at least every 3 days before and during ovulation. It is especially important to do so 72 hours before ovulation begins. Ovulation occurs about 2 weeks before the next menstrual cycle (period) starts. If your wife gets her period every 28 days, you should have sex at least every 3 days between the 10th and 18th day after the period starts. Take care. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have GFR RATE 53%. BP damaged it. I AM USING EXTOR FOR BP, ZYLORIC FOR URIC ACID CONTROL. LOPRIN FOR BLOOD THINESS AND LIPIGAT FOR CALSTRL CON. PLEASE ADVISE, CAN I USE THE SAME PERMANENTLY. GFR PROGRESSION MEASURE ? YYYY@YYYY Thanks Imtiaz ### REPLY: Hello Initial and welcome to . As a Urologist, I can fully understand your concern. As mentioned by you, H. T(high B.P.), has caused changes in your kidney function(low GFR). High uric acid is found commonly in such cases. Now your B.P. has to be controlled, with improvement in kidney function. If kidney function doesn't improve with medicines, (lowering of creatinine), then nephrologist may advise biopsy and hemodialysis. The medicines for control of kidney function and high B.P., will be changed. Send me reports, as a direct question, if you want my expert opinion. .  Manga. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Lshaepriel Calaway from Atlanta, Ga and I am in need of some serious answers on this tooth decay. First is it carried thru genes because I thought it was just me but my 11 year old son has rotten tooth and are decaying slowly already just like mines. My tooth are soooo bad I can barely chew anything which means im not eating much and im losing way too much weight but the truth is I was just tooooo embarressed to go to a dentist at first and now since its me and my son I definitley need to get to a dentist ASAP but we have NO INSURANCE at all not even medecaid...what do I do doctors..please help me. thanks. ### REPLY: HI, Thanks for asking the query, Tooth decay is an irreversible process in which the bacteria of the mouth causes decomposition and cavity in the tooth, if not treated in time it spreads to the sensitive pupal tissue causing toothache.  I would suggest you to consult to a Dentist get a checkup and get the tooth restored, also get complete mouth scaling and polishing. After eating of sticky substances gargles. Brush your teeth twice daily. Maintain a good oral hygiene. Take care! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had tooth #18 removed two months ago and it never stopped hurting and then i started to notice a tiny hole where i could feel jaw bone. My dentist ended up finding out it was infected and needed to be shaved down so i had oral surgery 3 days ago for that but now it is hurting really bad and where the sutures are you can see the gums bunched up on one side and a long line of bone exposed. I dont even know what they can do now ### REPLY: Hi dear, As per your query you have pain at the site where tooth has been shaved . The symptoms you mention are pointing towards trauma to the bone and gums. As trimming is very delicate procedure, sometimes trauma occur to bone or gum as a result swelling occur. There can also be a chance of infection. I would suggest you to maintain proper oral hygiene as injury can take few days to heal and do warm saline rinses. Also do Betadine rinses. If condition doesn't get better in 2-3 days then consult dentists for proper examination and rule out infection. Doctor may prescribe antibiotics along with anti-inflammatory. Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my daughter has a cold & was wheezing this morning (she is asthmatic & on preventer) i told how important it was to manage her asthma with the preventer because she has not been taking it. I went to work & got phone call from her & she was very distressed, she said that she got out of bed & collapsed and felt shaky. I phoned a neighbour & she went to her assistance. The neighbour said her heart rate was very fast. Not sure if ventolin can cause her to collapse? She also may have had to much ventolin. ### REPLY: Hi and thanks for the query, It would be as a second consideration to actually conclude she collapsed because of Ventolin. Getting an idea of the quantity she actually used is very important. Taken over dose, it can cause excessive tachycardia, abnormal heart rhythm and could cause her to fall. However, It's good to know the approximate amount used. While waiting, insisting on the fact she needs to use her . Thanks and best regards, Luchuo, 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 have an mri that staes at c5-6, a disc protrusion in the left foraminal zone measureing 0.4 cm AP by 1.1 cm TR is present and demonstrates an annular tear. this disc protrusion appears to contact the exiting left c6 nerve and results in mild to moderate left neural foraminal narrowing. there is no significant right neural foraminal narrowing. at c6-7 the disc protrusion within the right foraminal zone measuring 0.4 cm AP by 0.8 cm TR results in server right neural foraminal narrowing and possibly impinges upon teh exiting right c7 nerve. the superimposed disc bulge along with dorsal ligamentous hypertrophy results in mild to moderate canal narrowing, decreasing the AP diameter of the spinal canal to 7 mm. the disc bulge also results in moderate to server left neural foraminal narrowing. What does this mean? what treatments or surgery will have to be done to correct this? me ### REPLY: Hi, Thank you for posting your query. Your MRI of cervical spine shows features of degeneration of discs (soft tissue located between the vertebral bodies), which has bulged at two levels. This has resulted in compression of the cervical nerves, which take care of sensations and strength of arm muscles. Common symptoms are pain in the arms, weakness or numbness of arms. Usual treatment is with medications such as pregabalin and physiotherapy. Surgery is required in about 10% of cases, to relieve the pressure from the compressed nerve. Best wishes, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: dear mam, am not able to converse with anyone properly.. am highly anxious .. am lacking that basic thing to speak to anyone properly.. am highly depressed because of that and avoiding people and staying alone all the time even am not able to speak to my servant properly.. people say that the way am looking at them is scary and my eyes are like starring  at them.. so please help me how can i speak properly and fluently without any hinderance as everyone speaks normally? ### REPLY: Hello have problem of anxiety and stress on talking to anyone. You are not able to speak and converse properly. This is causing significant distress, and you have started avoiding people. You have to stay alone at home most of the time due to this problem. From available history I can conclude that most likely you have Social Phobia Disorder. This is a type of anxiety disorder and individuals have difficulty in conversing, and they can't speak in public and on presentations. On severe cases they can't even move out of home because of fear of embarrassment. Consult a Psychiatrist for management of this disorder. Medicines like SSRI anti depressants as Sertraline, Escitalopram, Fluoxetine etc. are commonly used in this disorder. Other medicines like Propranolol are also useful. This .  Behavior therapy and assertive training by a Psychologist is also used as one f treatment modality. Thanks, hope this helps you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: questionsat a party lastnight i made a mistake and tried smoking crystal meth so because of that i havent slept yet but i also gave oral to a guy friend who said he had no stds but today my mouth is a little sore could it be an std? and if so could o give it to my daughter by sharing food? ### REPLY: Degree understand your concerns went through your details. Sexually Transmitted diseases are of many kind including Chlamydia, Gonorrhea, Hepatitis B etc. Each one of them having different symptoms and some of them may be common symptoms. Many men are quick to assume that if they had a sexually transmitted disease (STD), they would know it. While most STDs do cause symptoms, many are easily mistaken for other conditions. In some cases there are no symptoms at all. The symptoms of an initial infection can include:Fever and flu-like symptoms. Genital itching, burning, or discomfort. Swollen lymph nodes. A feeling of pressure in the abdomen. In your case, sore mouth does not indicate any STDs. But Both primary and secondary syphilis can show up on your face, and this usually happens by having oral sex with someone with genital lesions. Primary syphilis of the face will usually appear on the lips as a large, open sore. Sores may also be present on the tongue or inside the mouth. Secondary syphilis can have a range of symptoms. Some raised bumps may appear in-and-around the mouth, a reddish rash may appear all over the body and the infected person may even suffer abnormal hair loss (alopecia). Secondary symptoms are also likely to arise from infection due to genital sex, not just oral, as well. I suggest you to consult a physician for further follow up. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. 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 m 32 year old i Have both kidneys problem for 3 years my body produce oxalate stone in one day after use of some medicine stone  passed throw urine then again produce  How i can stop the produce oxalate kidney stone in my body  plz help me i m so worried about ### REPLY: Good Day, and thank you for being with  ! I would suggest avoiding coffee, strong tea, colas, sardines, herring etc. You may search low oxalate diet, and you may base your diet plan. It is also important to take in 2-2.5 liters of water per day. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.ChatDoctor .com/doctors/ .  Best wishes.  Manuel C. See IV, M.D. DBU FPGA ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I am a 20-year-old lady. And I ve got heart racing episodes right after I awakened from my deep sleep. And sometimes it feels like I am grasping for air. And I need to sit up sometimes because I can t take anymore the rapid beats of my heart as if it just stopped from beating. And also, I was noted to have some sleep disorders , such as; sleep talking and sleep walking disorder, but I never snore. However, I did have some clenching of teeth at night occassionally. I don t know if it has to do something with my childhood asthma , or was this a symptom for a new disease. Please do help me in answering my question. Thanks! ### REPLY: Yes childhood asthma is only allergy problem, and it might have reduced but not gone and later in life can change of disease or organ your allergies have persisted beyond your childhood and there ARTE food related get blood serum tested for specific antibodies for milk wheat potato rice nuts egg and other common food you take mostly chances of milk causing this ads milk is animal protein and is not compatible with human proteins cause childhood asthma and later on other allergies start with .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Doctor, I have completed one and half year after my marriage, still i have not conceived. Please guide me what can i do? i have not consulted any doctors till now and my age is 31. You can mail me to the following email address. YYYY@YYYY . Thanking you. ### REPLY: Hello dear, I understand your concern. The infertility is said to be when the pregnancy doesn't occur even after one year of unprotected intercourse. So as your martial life is one and half year the infertility treatment should be started. First both male and female partners are investigated for any problems. Female factors of infertility like irregular periods due to thyroid abnormalities, polycystic ovarian disease(POD), any tubal abnormalities like blockage, any uterine anomalies are checked. Investigations like thyroid profile, Serum prolactin, hysterosalphinogram, ultrasound etc. are needed. Male factors like ejaculatory problems and are checked and investigations like semen analysis and blood sugars to rule out diabetes are done. If all the investigations are normal and still there is no conception it is called unexplained infertility. If any abnormality is found treatment is given basing on that. Nothing to worry. As once the cause is treated the chances of pregnancy increase. And there are many . Artificial techniques(ART) are last resort. Avoid stress and anxiety as they cause hormonal imbalance and delay fertility. Relax. And kindly consult doctor. Hope this helps. Best regards.... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I took Nordette 20 hours after unprotected sex. It should have been my ovulation period, so it s really unsafe. But whether unsafe day or not, still, it was unprotected. After taking nordette, i took the second dose after 24 hours. I didn t realized it should be 12 hours after the first dose. And so, i took a third dose to make sure. I took this third dose 12hours after the second dose. Can i now be assured that I won t be getting pregnant? And I m taking oral gluta which they say increases chance of pregnancy. should i stop my gluta while taking this emergency contaceptive pills? and what are the signs that Nordette has taken effect prior to preventing pregnancy? This is my third day already after having unprotected sex and after taking nordette. Thanks a lot please answer ### REPLY: Hi, Welcome to . I am . I appreciate your concerns. Corvette can be used as emergency contraception. But the dose to be taken is 4 active tablets at the earliest (within 120 hours) followed by another 4 tablets 12 hours after the first dose. But you have used only 3 tablets. So the dose you have used is not sufficient to protect you against pregnancy. These tablets can be used within 5 days of unprotected sex, although they are less effective as more time goes by. Since this is your third day after sexual intercourse you can still use Corvette in the right dose. Among couples trying for pregnancy, not all but only about 25% of them get pregnant in one menstrual cycle. So let us hope that you do not conceive in this cycle. Get a pregnancy test done if you do not get your period in two weeks time. Oral Glut does not increase the chance of pregnancy. So you can continue to use it. I have an advice for you. If you wish to avoid pregnancy in future use contraception like birth control pills or intrauterine contraceptive devise as they are more effective than emergency contraception in preventing pregnancy. In addition, Please use barrier contraceptive methods to protect yourself from sexually transmitted diseases. I hope this is helpful. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, Ive been getting abdominal pain for as long as I can remember. In January I developed a horrible case of gastritis, of which I was prescribed 1 medication after another. Eventually the pain subsided into the occasional cramp or dull ache and I have put up with it ever since :-s I have tried an exclusion diet but to no avail however spicey foods and carbohydrates and sitting down for prolonged periods seem to aggregate it. I am a pescatarian (i eat fish but not meat) and tend to stick to a meal consisting of seafood, rice and vegetables. Recently, I have started to urinate far more frequently and I am feeling queasy most of the time. I have just moved into a new flat with friends and am just about to start another year of university. I have been on the pill for almost 6 yrs now. I have also given up eating sugary snacks. I do not drink excessive amounts of liquid but I am desperate for the toilet when I wake in the morning and have been urinating 5-6x a day when I would usually only go 2-3x. Surely all of this cant be down to stress? ### REPLY: Hi. Thanks for your query and an elucidated history. Yes, surely this all can not be for the stress, but it looks from your history that stress has a part to play in your symptomatology. I hope by this time you must have undergone tests. If not :: go for the tests as I would suggest:::Blood/ urine/ stool tests. Ultrasonography of the abdomen. Hi. Thanks for your query and an elucidated history. Yes, surely this all can not be for the stress, but it looks from your history that stress has a part to play in your symptomatology. I hope by this time you must have undergone tests. If not :: go for the tests as I would suggest:::Blood/ urine/ stool tests. Ultrasonography of the abdomen. Endoscopies. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 8 month old had a stomach virus with vomiting and diahrea for two days. After that finally subsided she got a low grade temperature of 100.8 for 24 hrs with tylenol. that has now subsided and she has severe congestion and a cough (which i believe is from the mucous dripping down her throat) the dr prescibed her a med that she said is simlar to zurtech in adults. ive also been using vicks baby rub and saline drops. any other suggestions? its been almost a week now! she is also eating and drinking well. ### REPLY: Hi... Thank you for consulting in . Cough and cold are viral 95% of the times in child .  For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15 mg/kg/dose (max ceiling dose 500 mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25 mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 looking for simple breathing techniques that young children would be able to do so as to reduce anxiety when either visiting the dentist for the first time, or to help them overcome anxiety from a previous visit. The aim is to just use breathing in order to relax them and give them something to focus on. ### REPLY: DearWelcome to ChatDoctorWe understand your concerns went through your details. I think you are doing wrong. Breathing method is always good for everyone. But in case of child .  Please understand anxiety is bodies defense mechanism. When a person gets anxious, his body gets ready for the fear causing situation. After multiple exposure, the fear nullifies and the child do not fear the situation. That is natures psychotherapy method. Let the child live the ordeal off. They will overgrow it. Tell the child this is normal. Other methods make them vulnerable, and they start fearing anxiety symptoms itself, causing further deterioration. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. 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: hello doctor ,my mum is 50years old and she has been given amoxycillin ,coarten,paracetemol,iburofen,cough mxture and a drip ,after she has been diagnosed with chest infection.the symptons she is haing include headache,breathless,feeling weak and cold.i would like to ask if this combination can work together.thank you ### REPLY: Thanks for your question on . I can understand your concern. Chest infection is commonly caused by bacteria. And so the best treatment of lung Infection is depending on species of bacteria. So identification of causative organism is very important in treatment of lung Infection. By this we can also guide antibiotic therapy. So in your mothers case, I will advise getting done sputum culture and sensitivity report. Culture report will isolate the causative organism. And sensitivity report will guide us about effective antibiotic treatment. By this we can fasten the recovery and prevent .  Her current antibiotic (amoxicillin) might not be working on the organism. So better to get done sputum culture and sensitivity report. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 3 yr old son is constantly constipated and for 3 days he has been having very minor stools come out in his underwear which are a tree green colour. When he tries to pass more he just cries in pain. I have tried parachoc before with his constipation which has worked but it says not to use it too often. Previously he didn t have the green stools. Any known cause? ### REPLY: Hi...what you are quoting is exactly called encopresis. This occurs when the kid has hard stools, almost similar to constipation. But what happens here is the liquid stools will seep out on the sides of the hard stools and leak out. But, the main treatment of this is relieving of constipation. Suggestions:1. Natural methods are the best to relieve constipation.2. Constipation is a risk factor for UTI3. Maximum milk consumption per day should not exceed 300-400ml4. Minimum 3-4 cups of fruits and vegetables to be consumed per day5. Toilet training - that is - sitting in Indian type of lavatory daily at the same time will help a lot. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. 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 was diagnosed with stage 4 liver cancer but my alt is 19 and my ast is 18 all my blood work is normal. Does this mean my liver is funtioning fine i have a 5mm tumor and a 2 mm tumor. Im not sure  if i shoud do chemo yet i have started some natural remidies do i ask for another mri to see if its working? ### REPLY: Thank you for posting your query. Liver functioning maybe reflected by testing your serum albumin and clotting profile (PT and apt).MRI is aids in locating the tumor and also indicates any metastases. Histological evaluation (liver biopsy) is required to confirm the benign or malignant nature of the tumor. Sure, you may begin with a round of natural remedies but be sure its under the observation of a "professional herbalist", otherwise certain herbs may harm. Turmeric powder has anti-cancer properties. However, tumors are small, localized and maybe treated with "ablation therapy". Better to consult a liver surgeon for this purpose. Anyhow, wish you speedy recovery and good health by any means it comes to be. Hope to answer your concern. Any further queries are welcomed. Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health. Regards, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello! I have a question for you, I am experiencing pain on the right side of my stomach , like a burning sensation, a sort of acid reflux , I believe I have gastritis , I m taking omeprazole 20 mg....is been 2 days of pain, right now is night time and I want to be able to sleep, can you tell me what can I drink to easy the pain, can I have a glass of fat free milk or chamomille tea? ### REPLY: Hello and welcome to . Thanks for your query. From the description of your symptoms, it appears that you are having a gastritis / acid peptic disease. Omeprazole is a medication which can reduce the excessive acid production and thereby provide relief. For symptomatic relief, you can also take an antacid syrup like Machine gel or Genus. Alternatively you can .  It is better to avoid tea since, it can sometimes be a gastric irritant. Wish you all the best.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doctor. Could Nan Formula milk cause side effects of sinus and a blocked nose. Been on formula for 3 months and had blocked nose, sinus and a tearing eye ever since. She is now 4 months and a half months old now. No medicine seems to help to clear the sinus gaps. ### REPLY: Hi.  Some formula milks can cause allergic problems like loose stools, colds etc. The only way of confirming is to change the brand and use another formula.  Above all breastfeeding is the best for the baby.  Try to restart breastfeeding. Sinuses are not developed yet in small child .  So it might be just cold.  Sometimes using bottle for feeding can cause problems.  So use spoon to feed the baby.  Weaning foods can be started so that the amount of milk consumption can come down. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 do muay thai training and in this style of kickboxing you use your shin to strike. I was conditioning my shin (Hitting it and rubbing it with a stick, kicking the bag with my shin as most muay thai fighters do both amateur and professional) and after my training I noticed a painful HUGE bump/lump on my shin which I still have after 1.5 hours of noticing it. What could this be and how should I handle the situation? ### REPLY: Hi! If I were your primary doctor for this case of a big lump on the shin, especially with recent hitting/kind of trauma in the region, I would like to consider a possibility of hematoma or collection of blood in a pseudocyst-like sac! It IS A COMMON THING AND NOT TO WORRY REALLY BUT, BETTER DO NOT RUB OR POKE IT AS THIS MIGHT TURN INTO A BOIL CAUSING LOT OF TROUBLE...! It needs some ice/cold compress and rest in the area but usually takes more than 12 hours for significant reduction in size! Also take care not to get them in the future. Hope I could answer your question; still if you are willing to ask more, I'm always here for you!wishing you 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: 1 during pregant period shall we do sex?2.from which month onwards shall i do sex?3.from which month i want to stop sex during pregant?4we want to put condom during sex when my wife pregantplease i have doubt please clear my doubtplease doctor reply soon... ### REPLY: Hello dear, I understand your concern. Here are the answers for your queries:-1)Yes you can participate in intercourse during the pregnancy. But it is avoided during the first 3 months and last 2-3 months of pregnancy.2)Condom is not necessary during intercourse as there is no risk of pregnancy.3)In case of complications like spotting or pain abdomen or any vaginal infection better to avoid intercourse during the pregnancy. Have a happy pregnancy and delivery. Hope this helps. Best regards... ### END