Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I had the flu 2 weeks ago and made it through it in a few days but I have not felt right ever since. I have been back to the doctor and had blood work and urine taken. I went because the color of my skin had become yellow and I had a sever cough. The Urine showed positive Bilirubin, trace ketones and the blood test came back all good for my liver, pancreas and kidney but showed mild anemia. I have also had a chest x-ray and that is clear yet my doctor says I have pneumonia. I still have fatigue and pain in my chest, mid and lower back I have lost 6 pounds in the last week and my appetite is still low. No fever and I am drinking plenty of water to stay hydrated. In July I was told I had gallstones which the first doctor who ordered the blood and urine thinks is the problem but my primary has dismissed that and says its pneumonia. Still not feeling good and not sure who to believe at this point. Please let me know what questions you have and I appreciate your opinion. ### REPLY: Thanks for your question on . I can understand your concern. You are mostly having gall stones. You're all blood and urine reports are suggestive of gall stone and related jaundice. By definition, pneumonia is considered only when there is consolidation on chest x-ray. Your chest x-ray is normal. So pneumonia is not possible. So you are having gall stone, not pneumonia. 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, type II diabetic here.  Glucose numbers high today (+200).  Is it okay to take an extra dose of Humulin 70/30 KWIKPEN mix to knock it down?  I feel fine with no indications that usually accompany high readings and this is a recent anomaly connected with my current battle with insomnia.  I get up when I cant sleep and usually get something to eat.  I was still awake this mornng around 4AM and had something to eat. ### REPLY: Hello, It is not advisable to take an additional dose of Insulin just to reduce sudden occasional surge of blood glucose. Because post the injection, there is a possibility of developing fairly severe hypoglycemia. Best method is avoided extra eating episodes. For insomnia, if it is persistent then there are specific sleep inducing medications which can be taken occasionally. To control blood glucose apart from taking Insulin, strict dietary control and regular exercise of over 1 hour a day is a must.  If there is good amount of physical exercise, then one may get good sleep too. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter was taken by ambulance to hospital on Thursday morning with suspected appendicitis, they did a scan and could not make out a clear picture because some fluid in the area. They thought maybe a ruptured cyst also. The surgeon that seen her that night said if pain was still there in the morning they would do a laposcopy to see inside and most probably remove the appendix. We had a different surgeon yesterday morning who just kept giving her morphine up until yesterday afternoon and sent her home with endone tablets. They would not rule out appendicitis or ruptured cyst. The pain is quite severe on the lower right side when the endone wears off. She has now developed a slight temp of 37.6 and it hurts when she eats. Come home from the hospital dishartened and very confused and worried. What should I do? ### REPLY: Namaste Welcome to  Greetings of the day Still persisting pain, loss of appetite and fever points towards clinical diagnosis of ongoing infection in the abdomen and most likely appendicitis. Appendicitis is usually a clinical diagnosis and collaborated by laboratory finding of raised white blood cell count, CRP.  What does the scan report mention the status of right ovary?  Is the right ovary normal in vascularity and size? I would advise you to see your primary physician once again and discuss with him/her the possibility of appendicitis or Ovarian torsion /cyst rupture. Wishing her a fast recovery. Kindly get back to me if you have any further questions or concerns. 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: hi.. i am 24 years old women. i have gap between my front upper teeths.. when i was in college its little compare to now.. from past twom months, everybody started to ask that, your teeth gap got increased. WHy?? I dont knoe the reason.. but am also feeling the same.. now i had a thought of taking resolution..for that What i should do first?? ### REPLY: Hello & welcome, The gap between Upper Incisors is called as Mid-line disaster in dental language & is mostly seen in those individuals who have Thick Labial French. This may occur even with labial French with higher attachment between the upper two central incisors. Due to higher attachment, when patient smiles or talks, the labial French is stretched which in turn moves the central incisors apart from each other in opposite direction. Another reason for mid-line disaster is having a tongue thrusting habit. Here patient moves the tongue forward against the upper central incisor teeth while swallowing or even talking thereby causing bi-maxillary protrusion. Tooth goes on protruding creating the gap between them due to the pressure applied by the tongue. Periodontal or gingival infection specially in severe condition leads to bone resorption thereby creating the gap between the teeth. If oral hygiene is not maintained properly by the patient, then food & plaque accumulation is associated with gum & periodontal diseases. There is calculus formation on the teeth surface which may harbor the infection involving the periodontal fibers causing the teeth to move apart. Thumb sucking habit in childhood is also responsible for mid-line digested. Visit your Orthodontist as soon as possible. He will clinically examine the condition to exactly determine the cause of the gap & treatment will be depending upon the finding. You may have to undergo refectory if French attachment is thicker or higher in which only braces won't work alone. 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 surgery on my upper spine that I know nothing about. doctors tell me this after reading my xrays. I am adopted and was never able to obtain any info at all. my question is: what diagnosis would suggest surgery of the 4th and 5th disk to be fused together? ### REPLY: Hi, Welcome to  .com I am . Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Fusion of C4 and C5 is done (that is fusion of fourth bone and fifth bone in your neck) and Fusion of L4 and L5 (fourth and fifth bone of your lower spine) too is common have not seen someone with Fusion of disk. Can you please specify whether the Vertebral Bodies have been fused or whether the disc has been fused? If it is fusion of together it can be commonly due to injuries or infections or degenerative diseases If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in  at http://bit.ly/ask ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My wife has been prescribed Duphaston for 10 days starting from 21st of this month. Can you please let me know if this will help her to concieive . all these days she was not getting the ovulation , but this month the scan shows the +ve sign . will Duphaston help her in getting pregnant ### REPLY: Hi there, I have understood your concern. I will suggest you the best possible treatment options. As such Phaeton is a pro gestational hormone. It helps to support the pregnancy. Usually it is given After ovulation to support the expected pregnancy.  It does not per se help to get pregnant, but it is helpful to support the pregnancy. In some cases, due to lack of progesterone hormone pregnancy is not able to get implanted or fails to progress.  To avoid such situation, Phaeton is of help. I hope this answer helps you. Thanks.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, my friend was assalted, she was punched in the head and stomache. The hit to the head lead to blood in the brain, which she is in the hospital now. Will she live through it? how will it be treated? as well as, What may the results be? She is 18 years old ### REPLY: That's a terrible tragic thing that happened.  Hopefully, things will be fine and they'll get the barbarians that did that.  Your best source of information will be right there in the hospital. The doctors that are attending to her will be doing careful neurological monitoring round the clock....especially, if she's unconscious (hopefully not). Often times when the amount of bleeding into the brain is minimal recovery can be virtually complete.  However, obviously, I can't give any sort of guarantee on this....everything hinges on the severity of the trauma, whether she is unconscious or not, and what her actual neurological examination is like as time goes on. Treatment will likely depend on how much blood is in the brain.  Sometimes if it causes a lot of pressure then, surgeons will go right away and relieve that pressure by extracting the blood.  Results are entirely variable due to obvious things that I can't know but all I can say is the younger the injured person in something like this the better the chances for a good recovery.  Also, the sooner she wakes up...or if she already is awake and breathing on her own for example the better the prognosis.  It just really depends on a lot of things. Best of luck and I do hope your friend fully recovers, and they get the cowards that did that and put them somewhere where they may enjoy some of the same favors from people of their own persuasion! If you found this response helpful would please assign a rating to the response?  Many thanks and keep by her side....with your help she's gotta get better, wouldn't you say?  :) ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: How long does it take to lower MCV and MCH values (at 101.5 and 34.5, respectively)?  I have been drinking about 1-2 drinks per night most nights of the week (usually on an empty stomach) for the past year, and just got blood results back.  I was quite startled, and a bit afraid.  Needless to say, I stopped drinking! ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Your MCV is high. It suggests larger size of RBC. It is commonly seen in vitamin B12 or folic acid deficiency, liver disease & hypothyroidism. Alcoholic liver disease is common cause. Just avoid alcohol and take vitamin B12 and folic acid supplements. Your MCV will come back to normal within few weeks. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using . Wish you 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: Recently while flying in a small airplane we experienced very bumpy weather, while I am not scared to fly I get motion sickness very easy. My husband is the pilot and I trust him with my life, I have no fear of flying. This time both legs, arms and around my nose and mouth started tingling as if they had been asleep . Also my hands drew together and I was unable to use them. I fly often and have never experienced this tingling feeling. If I was the pilot I would have crashed, it rendered me unable to do anything. Have you ever heard if this? Thank you Renae ### REPLY: Hello, The symptoms that you are describing can be caused by rapid breathing (hyperventilation) with or without low blood calcium. Is it possible that you were breathing heavy (like sometimes one does when nauseated) before these things started at that particular time.  Heavy breathing reduces carbon dioxide levels in blood and irritate nerves to cause these symptoms. These are transient and are relieved sometime after the heavy breathing is stopped. It is also a good idea to get you calcium levels checked. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I think I may be pregnant.I had unprotected sex with my husband on March 29th, March 30th, and again this past Friday and Saturday (and yes, we are trying to conceive).Ive been experiencing symptoms:Aching, tingling, and sore nipples - I know that some women experience this during ovulation, but Ive NEVER experienced it. Its on and off. Some days, I can go all day without feeling any discomfort, on other days, I cant even bear to wear a bra.(Very) light nausea - I feel a little queasy first thing in the morning, as well as when Im hungry. I was also very queasy in the 3 days after I think we conceived (I vomited once, but that was it)Changes in appetite - I normally crave sweets and high-GI/high-GL carbs, but all of a sudden Im a meat lover. Chicken and eggs seem to be all I want lately (eggs used to make me gag, now I crave them all day long).Light cramping and spotting - Again, I know that some women experience this during ovulation and before their period, but Ive never experienced it during ovulation, and my period isnt due til the 20th (and Im always very regular, I get my period every 28-29 days)Changes in sleep patterns - No matter what time I go to sleep, I wake up at 8:30- 8:45 in the morning (this is new for me), and I CANT get enough sleep during the day. I feel the need to nap every 2 hours or so. Frequent urination - This one may just be in my head. Ive been going to the bathroom once every hour or so.Discharge - Almost immediately after the first time we had unprotected sex (like within the following 24 hours), I noticed an rapid increase in milky, odorless, translucent white vaginal discharge. Could this be a symptom?Increased libido and vaginal sensitivity - This past weekend (about a week after I think we conceived), sex with my husband was more intense than it ever has been... I was more aroused and sensitive than Ive ever been with him, and he commented that I felt tighter than usual. Could this be caused by thickening of the vaginal walls that takes place in pregnancy?Increased attachment to my husband - Im not sure if this is a symptom, but Ive been feeling a need to be with him at all times... I miss him terribly when I leave his house (or when he leaves mine), and I get sad when we get off the phone (I even cried when we got off the phone last night). I toss and turn when I sleep alone, but I sleep very peacefully when Im with him. This is very new for me, as Ive always been very independent. I crave his affection, and when Im with him, it feels like everything inside me is sighing in relief... Ive always been very much in love with him, but my feelings for him seem to be much more intense now.As I said earlier, my period isnt due until the 20th, as my last one started on March 23rd (and ended on March 26th). I know that most women ovulate 14 days after their period, but I also know that other women ovulate almost immediately after. While Im not exactly sure, I think I may be one of the latter.Also, Im young (20 years old), so I know that Im at an advantage when it comes to fertility.Im in serious need of professional advice... Waiting for my period to arrive (or not arrive) is driving me crazy and I dont want to stress myself out of my period or psych myself into psuedopregnancy.Does it sound like Im pregnant? Or are these symptoms simply a result of my longing for a baby? How should I deal with the stress and worry of waiting to know for sure?Thank you in advance! ### REPLY: HelloThanks for your query. I appreciate the in depth query posted by you. To be very objective (at the risk of sounding harsh), THE ONLY WAY to confirm a pregnancy is to have a positive pregnancy test. And the earliest that you could perform a pregnancy test is when you miss a period. Yes, you should de-stress yourself and relax until the proper time comes. There is absolutely no point in venturing into the realm of guesswork. All the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have a really small lump on back of my neck, left bottom part a little above my hairline. Ive had it for a few days. It feels like a bruise when i touch it and you really have to look for the lump. Other than that no pain at all. What could this be? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have enlarged posterior cervical lymph node.  It can be due to reactive hyperplasia due to infection.  Or it can be some soft tissue tumor or skin adnexal tumor.  You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Am 21 yrs old. Ht- 54. I wantd 2 consult a psychiatrist. Am nt able 2 concentrate on anything. I forget things. Whether it b words or names. Start cryin suddenly. Mostly am prome to sudden emotions and hav recently developed an aversion frm tv and pc n music. Get bad headache on listening 2 high volume sounds. ### REPLY: I appreciate your query on . Based on your history I would say:1. It appears that you are under stress these days due to which you have reduced attention to the work you are doing, and thus you forget things and are unable to concentrate. 2. Mood changes can be due to response to stress or some mood disorder for which you need evaluation. Lack of interest in things and headache combined with the above symptoms may indicate depression but need evaluation on that. I hope you find it helpful. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been told I have COPD. I have been having problems for 2 months. I am now having trouble coughing until I throw up, I am on Advair , Albuterol, Sinus medicine, and Muscus relief. Is there anything that will stop this coughing. My broncial tubes are very sore. ### REPLY: Thanks for your question on . I can understand your situation and problem. But COPD (Chronic Obstructive Pulmonary Disease) is a disease in which due to airway inflammation, sputum production is continuous. If infection is there then sputum production is more. So antibiotic may be needed in your case. I also advise you to enroll in pulmonary rehabilitation center where Chest physiotherapy and deep breathing exercise Are done. This will help you in clearing your secretions easily. You can also try bucolic and expectorant like N acetyl cysteine (NAC), Aerosol and guifenacine. Zince all these are prescribed .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 severe headaches but I only get the in 1 spot or a another at one time, like in the top right of my forhead piercing pain, then I will get them on the left back side of my head, my doctor says its due to the degenerate disc disease in my lower spine, but I don t feel like that is it, my legs and hips hurt alot most of the time,wrists and fingers, I have dry cracked feet like a diabetic only i m not diabetic or even pre diabetic, can all of this be related? short term memory loss like forgetting what I was doing while I was in the middle of it like completely forgot ### REPLY: Hello! I read your question and understand your concern. In my opinion the way pain on your back, problems with feet and headache may be related to a cervical disc problem. But trouble with memory is not caused by cervical disc. I would recommend a cervical spine CT scan and a head CT scan for the memory problems. A full blood work for inflammation would be helpful in rheumatic pain. Hope to have been helpful! Thank you for using ! 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: 1 week after having a lidocaine injection for cavity fill I have a yellow/purple bruise on 3/4 of my cheek with a very hard painful mass between my cheek and jawbone. I was given ammoxocillin last week after the procedure because my face became swollen and bruised immediately.  Should I be alarmed do I need to see a different dentist? ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concerns. As per your complaint it seems that the anesthesia injection needle have been penetrated too deep into the soft tissues, and it has reached the venous plexus located deep in the upper back region, and it has caused Hematoma formation that is leading to bruising and swelling. I would suggest you to consult an Oral Physician and get evaluated, and he can do a thorough clinical evaluation and advise you investigations like x Ray to rule out the exact cause of swelling. As Hematoma is a self limiting condition, it will resolve gradually but can take a longer time to resolve. You can do alternate warm and cool compresses over the swelling at least 3 to 4 times a day. Take anti-inflammatory painkillers like Ibuprofen. Hope this information helps. Thanks and regards. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi sir, last 5 years, I am masturbating my sperm. In some days I released my sperm 2/3 times in day. Now I am promised that, i never doing this bad habit. sir, can you please Give me advice on this, how to recovery my own health by eating food and how to divert my mind on this bad habit. thanks Susanta ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. Masturbation is not unnatural. It is natural and even animals masturbate. Nowhere it is proved that it is unhealthy if done in moderation. Youngsters do masturbate twice or thrice daily. Don't worry. Masturbation cannot harm your health if done once per day. If you do not masturbate you will have night fall because body produce semen when you are sexual aroused and body should throw it out. Eat health and exercise and stop being anxious about masturbation habit and your health. Concentrate on your studies and career. For sexological and psychological counseling and for different psychotherapy treatments visit http://psychocure.webs.com/Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hey Doc, Not sure if i should be asking you this question... The other day I fell on my back in the shower, i crqacked my back of a ledge, it was my lower back, Since, ive been Nausous, and I feel kind of weak, and today, I feel like something just isnt right.. Should i be concerned? Can this be a problem with my kidneys or something? Or is it more likely its just the discomfort of the pain playing tricks on me? I dunno if i should be concerned or if im just being a hypochondriac... My backs starting to feel much better however the nausea symptoms are getting worse ### REPLY: Hi thanks for your question. You had a fall in the washroom yesterday and injured your back.You're improving from back injury but having nausea and strange feeling since yesterday. Please don't take it lightly, go to E R and get yourself evaluated for Head injury. Head injury is common cause of nausea after a trauma. You may need CT scan head to rule out any bleed inside your brain. Hope this answers yours question. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 cant get pregnant even after using ovulet tablets and my husband using addyzoa am 30 years i have been usingovulet and my husband using addyzoa for past three months but all in vain.pliz help ### REPLY: Hello, Welcome to . You have not mentioned since how long you have been trying for pregnancy because infertility is termed only if after 1 year of unprotected intercourse, you are not getting pregnant. For conception, try having intercourse every month around your ovulation days as it is the best time for conceiving. It usually occurs regularly, around day 14 of a 28-day menstrual cycle. The best timing of intercourse in order to conceive is day 10, 12, 14 and 16 (in case of late ovulation) of a 28-day cycle. You can use an ovulation predictor kit for detecting the ovulation time also. After intercourse, do not wash immediately and keep on lying for half an hour.  If still you are unable to conceive, then the various medical causes need to be investigated. Consult an infertility expert then. Hope it helps. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had sex 2 times the same night, we always use a condom and withdrawal, also the first time i used spermicide, but not the second time (about 2hours later). The thing is the condom broke just before he came and get out, and the tip of the condom was inside me (i was able to get it out). Im wondering about pregnancy chances, ive just finished my period 1 day earlier and it started 1 week ago, my month is about 26-28 days. My dr is away, but she told me to stay away from the morning after pill because i took it like 4 months ago and im waiting my body to stabilize so i can get implanon without affecting my body.Thank you so much, im very worry because i dont wanna mess with my body an my dr is not around. ### REPLY: Hi and welcome to . I thank you for posting your query here and I'm definitely going to help you out. I am really sorry for your state but here I'm to tell confidently that you will not be pregnant, do not worry. Furthermore, I being a surgeon, we encounter so many such cases day in and day out. Furthermore, I read your question completely and have understood it well enough. Furthermore, I will analyze all your points below. 1. You had unprotected sex 2 times and you used spermicides too. Well, that itself tells you. There's no chance of pregnancy with the use of spermicidal agents. And even though you didn't use for 2nd time, it's effective. 2. Condom breakage is the most common problem encountered. But reading, your menstrual cycles I can say with certainty that you are safe.! 3. One day earlier completing periods again is the most important history. Generally, ovulation occurs 14 days after completion of periods. Especially in your 26 to 28 day cycle. So 100% there's no chance of ovulation and hence pregnancy even if he had ejaculated completely into your vagina! 4. No need for any kind of pill. Just chill and be happy. 5. And convey my regards to your doctor too. Hope this helps, in case you need any further assistance, please let me know... Take care and be happy. God bless you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i develop a lump on right side of my neck directly under my ears is the side of a grape...2 days ago it happend over night and at firs was very tender now it dosin t hurt.....but  i also seen to be findind some tender spots in my right side of the head. i have been in a lot stress in the past 2 weeks ### REPLY: Hello and welcome to , Multiple swelling on side of neck could be due to lymph node enlargement; swelling of salivary gland; soft tissue swelling like muscle swelling, fibrous tissue swelling, etc. A tender swelling is probably due to lymph node enlargement. An infectious focus can lead to painful lymphadenitis. However, an ultrasound of neck along with aspiration cytology is required. In aspiration cytology, cells are aspirated from the swelling using a thin needle. The cells are spread on slide, stained with appropriate stains. These cells are examined microscopically and origin and nature of lesion is assessed. Treatment can be instituted after results of investigations is received. Reactive lymph node enlargement does not require any treatment. Control of infectious focus in head and neck will treat the reactive enlargement. Thanks and 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 im 22, had unprotected sex and took a tablet of postinor 2 the following morning...i forgot to take the next pill ten hours later but took it the next morning after the last one but it was still within 72hr..my period has delayed 2 days and my breast are getting bigger..can it be pregnacy ### REPLY: Hi, Thank for writing to us. Since you had taken within 72 hrs, you need not worryPostinor 2(Levengestrel), it prevents 85-95% of expected pregnancy. Wait for 3 weeks. Changes in breast most likely due to Posting. If you does not get periods after 3 weeks, you need to go for urine pregnancy test. No need to worry, in your case you have very fewer chances of getting pregnancy. If you have any queries I will be happy to help you. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I got a lump under my right armpit that started to hurt about 2 weeks ago then pimple-like dots showed up all over my torso. They went away and recently came back except now theres 2 lumps under my right armpit and 4 under the left and they are very sensitive and painful ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have enlarged axillary lymph nodes. It can be due to reactive hyperplasia, tuberculosis, lymphoma or metastatic carcinoma.  You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I M SUFFERING FROM MILD ROTATOR CUFF TEAR IN MY RIGHT SHOULDER. . JUST NOW TAKING NEUGABA 75, PAIN IS SUBSIDED, TAKING IFT & ULTRA SONIC RAY FROM A PHYSIOTHERAPIST. NOW I WANT TO GIVE UP THE MEDICINE NEU GABA..??..IS PHYSIO..OK.?? WHAT SHOULD I DO...?/ ### REPLY: Hi, Neugaba 75 is a medicine used to relieve pain caused by nerve damage due to diabetes, widespread muscle pain and stiffness in people with fibromyalgia. It acts by increasing inhibitory chemicals like GAZA in brain which inhibits pain. You can stop the .  Eventually when there is no pain or discomfort, you can continue with only physiotherapy. Kindly rule out diabetes since it can also cause shoulder pain. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here... my 10 year old son had a fever the other day then yesterday there were red itchy and painful bumps on his palm now on his soles. does it have something to do with her sister who is currently with chicken pox? he was infected with chicken pox when he was 6 years old ### REPLY: Thanks for posting your query to .Chicken pox rashes are multiple to appear in crops and very painful t, they are fluid filled . Rashes involve whole body start from chest and spread to limb and other body part.rashes appear 3-4 day after systemic feature like fever and respiratory illness .so if child do not suffered mentioned fever it could be some other kind of infection. So you can contact to your pediatrician and take treatment .hope this information will be sufficient for your query .rate me if you are satisfied with my answer .feel free to ask. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been having back pain for several weeks and had not had sex for a couple years because my boy friend has been away, i occassionally use lello balls or luna beeds because of stress incontinence. i increase my fluid intake because i thought maybe dehydration but now back pain is gone and I have a small round sore on my labia, no burning and light vaginal discharge, no pain from the lump or sore.  email. ### REPLY: HIT hank for asking to ChatDoctorYour backache could be due to Pelvic inflammatory disease, your vaginal discharge need to be rule out for fungal infection and this might be the cause of your backache, I usually treat my patient empirically, and I get a good results, here I would advise you to start the Ibuprofen 400 mg twice a day for backache and along with this take Metronidazole 600 mg twice a day for just two days, will get good result, have nice day. (Best way to deal with this is live stress less life) ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 5 days ago I tried to pick up something too heavy and strained by lower back. I iced a few days to reduce swelling, took ib pro for pain and lately wrapped my back a few days and began heat and Epson baths. ... last night I felt really nauseas, but thought it was a household chemical. today felt times of mild nausea. ... could I have a slipped disk pressing on a nerve? ### REPLY: Hi, As mentioned by you, most of the time the pain in the back is muscular, and if you have any disc injury it is tough to mention. As MRI scan can help visualize the inner soft tissues of the spine and help assess further. If the pain is not lowering down and swelling is also present I will advise to get an orthopedic assessment done, and an MRI will also help to plan the next step. Performing physical therapy along with proper rest recovers cases up to 99% success. It is even my personal experience with my patients. I wish you to have a good healthRegardsJay 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: As of late I have picked up a strange behavior, I wrote a wordnin large writing and kept tracing overbit until it was a large scribbled in word on my page, I would also write similar words. For example one page started with the word "anger" and ventured on to "hatred" and "disslike" etc. I seem to do this with every bad mood I have, im not even aware that I am doing this until something brings me back tomreality. What could be the cause of this idd behavior? It started so suddenly and it is scaring the people around me. ### REPLY: Hello and welcome to . Thanks for your query. From the brief description of your symptoms, it appears that you have maladaptive coping strategies. The fact that you are apparently unaware of your behavior during such times suggests that you could possibly be having dissociative episodes also. In my opinion, you first need a detailed psychological assessment in order to establish the exact diagnosis. There are psychological therapies which can be effective in controlling your symptoms. You may also benefit from learning better stress and anger management techniques. 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 dr. theres a patient having 55years of age suffering from liver disorderhe is suffering from hepatic encephlopathy, acites, cirrhosis from last 5 years.hes taking proper medication for this. i want you to tell me about the diet chart he should strictly follow for proper prevention. ### REPLY: Hi thanks for asking question. Noted you have cirrhosis since long time with ascites. So strict diet control needed. In breakfast fat free pasta or green leafy salad or suitable fat free things eaten. In lunch and dinner cook with very, very less oil. Green leafy veg Saudi will be good for cook. Use oil less ROTC ...Meanwhile, whenever hungry fruits eaten. Refined sugar not taken. Cheese, butter, pastry, meat not taken. If possible mild exercise can be done. Strictly avoid alcohol and smoking. Early in morning take papaya seed Mix with lemon juice one tablespoon daily... Garlic is good taken empty stomach as one or two after peeling with water. As you have ascites take less salty food. Diuretic . For portal hypertension beta blocker can give. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a fiftey three year old female and I take 40mg of Paxil a day and 50 mgs of Trazadone at night. Lately I have swollen feet and my left eye is giving me problems. ( I see everything blurry ). I also have IBS which I was diagnosed with after swallowing a camera in pill form 10 years ago. I have to take 3 anti-diarrheal tablets just to go out of the house. Why do I feel like I m 100 years old? I am over weight but when I go out for a walk, my feet/ankles swell even more. What should I be doing differently. Candice ### REPLY: Your simple catch is believed in Ayurveda, Yoga and deep breathing and meditation starting five minutes a day and raise to 15 minutes in one week and sustain. Orally start1. Punarnavadi Man door 2 pills twice a day.2. Utahan Vat 2 bid. Preferably with warm water (try to full 2 glasses of water)3. Liquid Punarnavarishta 10 ml + Liquid Kutajarishta 10 ml + 20 ml water after meals twice. All medicine for 4 to 8 weeks. No side effects, totally safe. In India its commonly available. Diuretic, anti-swelling and anti-diarrhoeal medicine will not cause potassium loss unlike AllopatChatDoctoredicine. Raised feet/ legs while sleeping. Avoid sours like lemon, tomato, curd etc. Restricted or no salt please. Take light and semi-solid with more water content food preferably. Contact through  after 8 weeks or earlier for any further guidance. Hope it will help you 100%. Find the med. Do not wait for coverage under Insurance. Life is important. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Just had blood work done and my AST is 82 and my ALT is 87. I m a 46 y.o. male and I ve been a heavy drinker for several years. I have, however, just started treatment for my drinking and am committed to significantly reducing my drinking to just a few drinks a week. My question is; do these levels indicate serious damage to the liver, or will the levels improve with significant reduction in my drinking? ### REPLY: Thanks for posting your question on ! I appreciate your concern towards the elevated levels of liver enzymes AST AND ALT. In absence of the other abnormal parameters, the elevated enzymes alone indicate some sort of liver injury apparently caused by alcohol. These enzymes will return to normal once you stop taking alcohol or alcohol containing beverages. In addition to causing liver damage, alcohol is found to be harmful to almost all the organs of the body. So, please 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: Have had a cough for at least 4 weeks. Started out as a cold and has lingered. Lots of mucus in my nose, and flem coming up when I cough. Some times a dry cough sometimes wet. Occasional coughing fits during day and night. Do not feel sick. Function fine at work but runny nose and occasional coughing. ### REPLY: Hello. Thank you for asking at . I went through your history and would like to make following suggestions to you:1. I suggest my such patients an antihistamine like cetirizine and an expectorant cough syrup for 5-7 days.2. Furthermore, I would also suggest you regular steam inhalation and warm saline gargles for 5-7 days.3. Please avoid exposure to dusts, smokes and air pollution as much as possible till recovery.4. Please take plenty of liquids during day, have adequate rest and have a light, nutritious diet to help quick recovery. 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 and a very good recovery. 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: I HAVE LIVED IN THE ORIENT AND MIDDLE EAST. I SUFFER FROM ATTACKS OF CHILLS FREQUENTLY. I AM COLD ALL THE TIME. II SLEEP UNDER AN ELECTRIC BLANKET BUT STILL HAVE VIOLENT CHILLS.I FEEL VERY LIGHT HEAED AND FEAR FALLINIG. I AM 85 YEARS OLD BUT IN GOOD HEALTH EXCEPT FOR THIS . MY DR SAYS HE DOESN T SEE ANYTHING ABOUT A PARACITIC DESEAST BUT HAS NEVER TAKEN A BLOOD SMEAR EVEN THOUGH I HAVE REPEATED ASKED. ### REPLY: Hello, I understand your concern. I am , infectious diseases specialist, answering your query. In my opinion you should test your self for parasites found in your locations locally. I mean to say malaria, trypanosoma etc. Your feature is suggestive of some parasites on you. As parasites come out there is fever. And as they go inside it is chills. Once the diagnosis is established you can take the treatment accordingly. Till you diagnose yourself you can use paracetamol for fever and chills episode under your doctors' guidance. I will be happy to answer your further concern, you can ask me on bit.ly/ .  Thank you. ChatDoctorInfectious diseases specialist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 ben by a dog 7 days ago and there is a really bad smell coming from the wound along with fluid. there was 6 stitches put in my leg and the skin is red and green around the bite. what is that smell and should I go back to the hospital for infection? ### REPLY: Hi, Thanks for posting in hChatDoctor. I have read your description and understand your concern. Based on the color change of red and green with presence of foul smell coming from the wound caused by dog bite is indicative of active anaerobic infection of the affected tissues. You need to go to the hospital or consult Physician at the earliest as it needs to be assessed by physical examination. Following which, the problem can be treated with an appropriate course of oral antibiotics and use of topical wound care. 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: Hello my boy friend has type 2 diabetes and I took his blood sugar at 730 pm and it was 193 almost an hour later he started to feel like he was going to pass out so at 820pm his sugar spike to 217 so fast now he took his meds and he had not eaten what should I do ### REPLY: HI, thanks for using  If he has an symptom related to infection (cough/cold or any infection) then this can cause an increase in his blood sugar. If this is not the case then the increase can be related to a change in diet or not using the medication as prescribed. He should do his readings regularly for the next 2 to 3 days at different points during the day-fasting, premeal, post meals, so that he can get a general idea of his control. If the readings are consistently high then he may need to speak to his doctor about his medication. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I broke my collar bone 3 months ago. At the ER I was told it was broken, keep it in a sling and itll take two months to heal. I had to ask the Dr. while i was leaving for the sling so i could put it on myself. You can look at it and without a doubt know its broken. Im about to be 30 and live a pretty active life but i do smoke.  The healing process has been a nightmare. My entire shoulder is constantly changing how and where it hurts. Now I have this debilitating sharp pain mainly on the right side of my sturnum where it connects to what feels like 2 ribs that hurt all the way around to my back. I can not take a deepbreath at all. Im terrified that i might cough or sneaze. its been like this for a good 2 weeks. I do not have health ins. but i do pay my bill. I need advise as in what to do ### REPLY: Hello rearward welcome to .come have evaluated your query thoroughly.* This has multifactorial contributing factors as - fractured collar bone - strain involving concerned ligaments - ribs related .* While primary relief can be obtained with painkiller medicines and local analgesic spray or ointment ; further evaluation with x-ray or MRI is strongly recommended keeping in consideration the amount of pain. Hope this clears your doubt . Wishing you fine recovery. Welcome for any further assistance. Regards 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 mother suffering from rheumatic heart disease and recently had open heart surgery on oct14.before surgery she had taking an injection named penidure la-12 once in every 3 weeks from fast 30years. now operaction is sucussufully after  2months she getiing rumatic pains ..my doubt is could she continew the pendure 12 inject or not..could you pls help me out ### REPLY: Hello, I have gone through your question. Thanks for using . Inj. Penidure LA 12 lack is usually given to all patients having Rheumatic valvular heart disease to prevent spell of rheumatic fever and to prevent further deterioration of valvular lesion. Irrespective of surgery we give Endure prophylaxis till age of 45 Yrs. Because incidence of recurrent streptococcal sore throat goes down after this age. In case of your mother please evaluate her for her joint pain by CBC, ESR , CRP and AS title. If these reports point towards active rheumatic fever then after completing course of 4 weeks of aspirin she should be give Endure till another 5 years. My 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: Infected nipple piercing... I ve had my nipples pierced for about 5 months. They both seemed to get more crusty and painful at the same time. My right one is getting better, but the left one hurts so bad. Just wearing a bra or the jewelry moving. There s a little bump right above the pierced hold and it s filled with puss then blood. I popped it with a sterilized needle. Now what?? ### REPLY: Cellophane You for contacting . As the site has become infected with formation of abscess so I would recommend you to visit a surgeon. He will put an incision and .  If you continue to live with this then it will progress more and later will cause sever problem. Meanwhile, for pain you can take acetaminophen twice daily. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor, My son is 4 year and 3 months old. This winters he has developed dry cough which aggrevates at night (speically before going to sleep). We have been advised "Sancos syrup", "Ventolin (sugar free) syrup". We are also giving him honey (with pepper). It has been 7 days and situation is constant. Should I remove carpets from his room or Can I start Myteka sache ? Last year (in winters) too he had this long lasting cough (almost 1-2 months in regular intervals). Otherwise my son is agile, very restless, no signs of any infections (we confirmed from his doctor too), no tonsils. I will appreciate your advice. ### REPLY: Hi... Thank you for consulting in . Greetings from Chennai. By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you -Questions:1. How many days per month does she cough or feel breathless?2. How many nights per month does her sleep get disturbed due to above symptoms?3. Does she feel breathless when she runs around or plays with other kids?4. Are the symptoms when there are seasonal changes?5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?6. Is the cough always associated with fever? If your answer is yes for any of the above questions, your kid might be having viral associated wheezing or multi triggered wheezing, and I suggest you meet a pediatric pulmonologist who is near your place. No point in using antibiotics every time. It will do more harm than good by increasing bacterial resistance. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been having bad back pain cramping and what I think is my period for two going on three weeks now.it keeps stopping and coming back sometimes heavier than before. Today blood clots with white and clear stuff came out I m a little concerned About it. ### REPLY: Hello, I had gone through the case and found that this is not normal and I will advise going for ultrasound of lower abdomen and pap smear if there is any white discharge. Hormonal test and then take treatment. You did not mention your age, so difficult to diagnose the case as you described. Because there might be many cause-Uterine fibroidHormonal disturbanceMetrorrhaiga with LeuchorroeaClimacteric Phage if age more than 45. So go for the diagnosis and consult to gynecologist for treatment. Hope my answer will be effective for you. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my husband has had excess saliva in the mouth at night keeping him from sleep.  he had about 6 weeks ago uri infection and brococutis.  he has a constant flow of mucus from his nose and coughing.  he also get a rash while sick aroung his neck or on his arms. ### REPLY: Hello and welcome. Thanks for sharing your concern. Excessive saliva could be due to the medication that he is taking presently. Is he also taking any antibiotics for upper respiratory tract infection? Bronchitis should be well treated by physician else it is recurrent in nature. Development of rashes could also be a form of allergic reaction.Therefore, please visit MD medicine and get him thoroughly examined. If left untreated it can aggravate further. After treating the underlying because salivary flow will come to normal. But in case if you find persistence of symptoms then visit an oral surgeon for clinical evaluation of salivary gland. Hope it helps. Thanks. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor Oz,how are you? My partner is having a problem,just a few weeks ago, he has been going to pee quite a few time, specially at night that he couldn t sleep, this two days and today, he said that his left ball is giving him hell & it carries through his whole body , from head to down,today, June 2nd, he alredy took two pills that his Doctor gave him,he said its maybe because the Bacterial Inflamation I am giving you this pills that was given to him....CEPHALEXIN 500Mg for KEPLEX 500mg. Hes been in pain for 3 days now. Dr Ox, please help or any good advice that you can give him, by the way, is drinking coffee is bad for him? I appreciate it very much for whatever advice you can give him, please help......and thank you very muchand more power to you and all your staffs. Take care..Regards.. Ms LP (south Carolina) ### REPLY: Hello LP and. As a Urologist, let me advise you, that he should get another check-up by the doctor. Hell need certain tests, to find out the cause for such recurrent pain. He could be having urinary infection, causing him to pass urine frequently.He'll need to do an ultrasound scan of the scrotum, with blood routine, sugar, creatinine. According to the reports, the doctor can have a better idea about the cause, and treat it. He will need to take some anti-inflammatory analgesic tablets and keep his scrotum supported, to relieve the pain. He's welcome to send a copy of reports to me, for an 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, I have just started experiencing a very cold sensation in my knees and feet. It is not that cold where I live and I have never experience this sensation before. At night I don t seem to be able to warm up no matter how many covers I put on top. I ve had anemia before but haven t had it for many years...could anemia be the cause of my problem? Please help. Thank you! ### REPLY: Hello, Anemia could lead to this clinical situation. Other possible causes to consider would be: peripheral neuropathy and vitamin B12 deficiency.  For this reason, I recommend consulting with your attending physician for a physical exam and some tests: - complete blood count and iron plasma levels - nerve conduction studies - vitamin B12 plasma levels.  Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I got married in jan 2011.I took unwanted 72 on golden night.I stay at home for 3 month with husband,but no pregnancy.I visited doctor for pregnancy,but no advantage.my husband went j&k for 2 years.i was only stayed there 4 month with him.bu no pregnacy...now i visited in Mangla dogra nurshing home,chandigarh since mar 2014.since 3 months treatment is carry on,folicular monitoring is carried out every month.in this monthsize was 27mm,docter advised to intercourse.i did intercourse with husband. My husband is in Airforce.i want to concieve.please guide me,sir. ### REPLY: Hi, I think if your periods are regular, you can try naturally for 6 months at least.  Be in contact with your husband every 2 to 3 days after your periods stop.  If it doesn't work, then you can take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound.  When follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles.  Be in contact with your husband for 2 to 3 days after injection.  Take progesterone for next 2 weeks.  Do a urine pregnancy test at home after that.  You can try like that for 3 to 6 months.  Also get a thyroid profile and prolactin levels done for yourself and a semen analysis of your husband.  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, my friend has klippel feil syndrome with a lot of complications including ongoing acute kidney failure, heart abnormalities, spinal tumor, and water retention issues.  Im afraid her life will be cut short if the doctors cant do something, she is only 40.  Please help ### REPLY: Hi, Thanks for writing in.1. The ongoing kidney failure requires to be analyzed from the stage of failure she is in. If it is stage 1 or 2 then she can maintain kidney functions for few years. Since she is 40 years old, a renal transplant might be thought of, but this needs to be discussion with her other health conditions.2. Heart abnormalities are important to be corrected. There can be heart abnormalities due to valve defects or electrical rhythm disturbances. Some of these might be treated with medicines and when there is severe disease then surgical treatment might be suggested depending on the cause of heart failure.3. Spinal tumor must be investigated in detail to know if that is a benign or malignant tumor and its location. Tumors localized to a particular area and causing pressure symptoms need to be surgically operated for treatment of associated discomfort. Water retention might be due to kidney or heart disorder requiring treatment. 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: MY FATHERS HEART WORKING NOT PROPERLY ONLY 25 PERCENT AND FLUID GO TO LUNGS AND COUGH STARTS..HIS AGE IS 73..HEIGHT5.1O. SUGAR PATIENT,TWO TIME SUFFER WITH M.I NOW SURGEON DONE SURGERY ON HIS DIABETIC IFECTED FEET.AND REMOVE HIS RIGHT LEG COMPLETLEY. ### REPLY: Thanks to  I can understand your father concern with above complaints I came to know he is suffering from congestive heart failure. Plz try to keep sugar in control .he has to use higher antibiotic like augmenting or meropenum daily for 7 days for amputation of leg .this same antibiotic will control the infection lungs also load on heart will be reduced by diuretics like Las ix .this will improve the heart function and he is nay not feel discomfort .ok he needs daily or alternate .  Ok don't worry take care of his lung and heart with proper usage of prescribed medicine NY your cardiologist ok . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a lump in my right jaw line and can feel it in my mouth where my mouth joins my gums. It hurts like a bruise. I have had a terrible ulcer under my tongue in the same area which was extremely painful. Also had a bad cold with a sort throat and ear only on the right side. These symptoms have now gone ### REPLY: Thanks for your query, the lump in the mouth could be because of tooth infection secondary to periapical abscess or periodontal abscess or cyst. Consult your oral physician and take radiographs like IOP AR and Causal radiograph to rule out the pathologies. You can take a course of antibiotic and analgesics. The ulcer under the tongue could be because of tooth brush trauma or authors ulcer. Take topical anesthetic and analgesics. I hope my answer will help you. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my 9 year old daughter has big pimple like bumps on the inside of her thighs. They seem to come to a white head but she can t pop them. Two of them are getting red around them. We have been to her pediatrician and they keep passing it off as molluscum, but I am worried it is somethig different. ### REPLY: Hi, How long these bumps are there? Is it painful now? Small, round, whitish pimple which was there for few days is likely molluscan.  Usually this will disappear its own by few months. If needed, you can ask a dermatologist for removal by chemical cauterization. Don't try popping up, as this will cause spreading and new lesions nearby. But if there is surrounding redness, there is chance of secondary infection. If no pain or swelling around, try applying antibiotic creams like mupirocin twice daily for 3-5 days. See you doctor for antibiotic treatment if not getting better by then. Hope I have answered your query. Let me know if I can assist you further. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i took cryselle birth control now for about a month an days had had no problem doctor perscibed it just for me and my needs, just last week i had pms symptoms and yesterday i threw up but also had sex in the mix of that. now my question is is it the pills or im pregnent ### REPLY: Hello, PMS like symptoms along with nausea and vomiting are side effects of the IRENA pill you are using. Sometimes you feel these symptoms when you start taking them, and they disappear after some months. If the symptoms are not very severe, you should not worry about it. However, if you vomit within one to two hours of taking the medicine, back up contraceptive plan like condom or spermicide may be required for prevention of pregnancy. If the symptoms worsen or other side effects start making your routine troublesome, then you can contact your gynecologist. There are many other alternate medicines for birth control, and you can be switched to another one. I hope this information helps you. Thank you for choosing . Take care. 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: my baby has red spots on whole body which is not painful and it starts from behind the ear to whole body before it she has under treatment for fever which was due to the viral infection what will be the most appropriate treatment and diagnosis for this ### REPLY: Hello As u give discretion rash which was start from behind the ear and spread whole bay . Is occur only in measles infection which is viral infection fever u give paracetamol 15 mg/ kg for every 6 to 8 hrlyIsolate u baby from other baby as it is contiguous disease If rash with itching then give anti-histaminic Give panty of water Give vitamin A sup or capsule with consulting your doctor It is self limiting disease which last for 7 to 9 days ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 bug bite on my thigh.  I woke up Sunday morning itching it.  There is now a bigger circle that is discolored.  In that bigger circle, there is the pink center that is raised.  Small dots are around the pink center in the bigger circle.  What kind of bite does this sound like? ### REPLY: Hello, I understand your concern. I am , infectious disease specialist, answering your concern. It is the allergic reaction. Taking the medication like cetirizine, and low dose steroid like prednisolone can help to reduce such a reaction. Maintaining the hygiene can help reduce chance of secondary infection. I will be happy to answer your further concern you can contact me here, or you can contact me on bit.ly/ .  Thank you, ChatDoctor ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 l4/l5 disc is ruptured and it is pinching my sciatic nerve, and my l5/s1 disc has degeneration going on, what can i do? and will these heal? im 20 years old, 61 260 lbs athletic and strong build and i was hoping i wouldnt have to get surgery, i am into brazilian jiu jitsu and grappling, will i ever be able to compete in these sports again? ### REPLY: HiT hank you for asking ChatDoctorI have gone through your query. The treatment option depends upon the extent of injury. For mild and moderate injury I treat with NSAIDs like Diclofenac muscle relaxants like thiocolchicoside neurotrophic . If it is severe injury or those who are not improving with all these measure on mild to moderate cases I recommend surgical decompression of impinged nerve. Now microdiscectomy surgery is available which you don't need a hospital stay also. For continuing into sports, depends on the extent of recovery and strengthening of muscles. But it is advised not to go into violent sports in most of the cases. Hope this may help you. Let me know if you have any further query. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have alot of pressure on my right front, lower back (pressure like when you are pregnant) I always have the sensation I need to urinate, it makes my right leg go numb and causes shooting pains in my groin area. I have pain between my shoulder blades,and tightness that migrates from side to side in my chest. The pain/pressure sometimes shoots up my neck to my jaw and my blood pressure is ranging between 154-180 over 105-132. ### REPLY: Hello! Welcome and thank you for asking on ! I understand your concern and would explain that a careful physical diagnosis of different disorders that may lead to this clinical scenario is necessary to be done: - an autoimmune disorder like rheumatoid arthritis, lupus, etc.- a backbone disorder, like possible degeneration, slipped intervertebral disk, etc. - a chronic inflammatory disorder - Fibromyalgia- psychological disorder, like possible somatoform disorder. I recommend consulting with your GP for a careful physical examination and some tests : -resting ECG-chest X-ray study-urine analysis-cervico-thoracic-lumbar column chest X-ray study-electromyography and electroneurography to examine the nerves and muscles-blood lab tests (complete blood count, PCR, sedimentation rate, blood electrolytes including calcium and phosphorus, kidney and liver function tests)Further immunological tests (rheumatoid factor, ANA, ANNA, ENA, etc.) should be done if suspicions are raised. Hope to have been helpful! Feel free to ask any other questions whenever you need! Greetings! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had neck pain for over two months. It starts behind my right ear and travels down my neck. I wake up in agony and often as the day goes, it feels a little less stiff but doesn t go away. I saw my PCP who suggested I go for an xray and see a chiropractor. The xray results for fine. I have visited a chiropractor ten times and feel no relief. Should I call my PCP and ask for another suggestion? ### REPLY: Hi, Cervical or neck pain occurs because of compression over nerve roots, which will become agent only on MRI, X-ray unless in expert hands proves not to be fruitful, sometimes compression over the nerve roots is exacerbated by muscle spasms and will be relieved by simple muscle relaxants topical or oral, so you need to get examined by an orthopedic before going on for any further investigations. Take care. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello I have a question,I was in a car accident,and I hurt my head I had a gash on the side of my head and I was bleeding badly the resure ppl put staples on the place on the side of my head where I was bleeding out, so they sended me to wake med,,but they didnt keep me long,but I am still haveing some lite headness and dizziness every day,sometimes 3 times a day,how long does this last.please let me know I am tired of feeling so bad.thanks terry ### REPLY: Hi Terry, Thank you for posting your query. Most likely, you are suffering from post-traumatic vertigo. In this condition, after a head injury, dizziness occurs. It may come in episodes. It is not a serious illness, so, there is no need to worry.  These symptoms improve over time and may resolve completely within a few weeks. For symptom relief, you may use betahistine tablets. Best wishes, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was told I have allergies to things out side & I was taking allergy medicine.it helped till about 3 months ago.now my nose drips every day nothing is working! I have nose sprays ,i have done salt water & medicine . I dont know what to do now .I also have breathing problems now too.I cant work because I am to sick. I have no life because of this . ### REPLY: I give you temporary solution of medicines you can take off and on for as many number of days and as many times without any side effect but eventually you have to consult allergeologist to get allergy tests to find the cause and desensitization therapy for permanent cure tab montage FX(combination of montelukast 10 mg and fexofenadine 120 mg)apply newsprint h eye ointment in nose but seawater .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: From past few days i was sick due to viral fever,but now Im feeling a pain on my right side of neck..when i bend my neck i feel having a lump which pains...but only when i bend my face on right....also i have a guilty on right cheek,since my childhood..is something wrong? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have enlarged cervical lymph node. It can be due to reactive hyperplasia, tuberculosis, lymphoma or metastatic carcinoma. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, im in the French alps at the moment. A few weeks ago I started to feel a bit run down and tight in the chest. I races at a cross country ski competition wich made we feel a lot worse and my lungs started to make a crackling noise when I was breathing so I went to the doctor here. He told me I had I bit of a flu and some sort of bronchitis. So I ve rested up and took all the medication he give me. Antibiotic, turbo enhailor, pian killers. It s been about 10 days now, but my cheats feels tight right in the centre, feel slight wet there to and still wheezy I m still short of breath, can t really sleep, heart rate feel fast and very loud when I m lying down, muscles feel painful. I ve also been getting head pains and trembling from time to time. ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, possibility of bronchitis (inflammation of airways) is more. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PUT (pulmonary function test). PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. You may need additional inhaled bronchodilator (formoterol or albuterol) and inhaled corticosteroids (ICS) (budesonide or fluticasone). Don't worry, you will be alright. First diagnose your self and then start appropriate treatment. 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 was diagnosed with a DVT and then a few days later they found I had multiple Pulmonary Embolisms.  I have had trouble breathing for a couple of years and it continues to get worse.  Lately I feel very bloated after eating or drinking just a small amount and worsening acid reflux.  An upper GI showed no GERD.  A barium x-ray showed some reflux.  I am currently on Warfarin.  Today I was told that the CT scan also showed a hepatic hemangioma. It is possible that the Hepatic Hemangioma is pressing on my lungs (causing shortness of breath) and on my stomach (causing the fullness and bloating)? ### REPLY: Thanks for your question on . I can understand your concern. No, hepatic hematoma is unlikely to press lung and stomach and cause symptoms. Hepatic hematoma is actually accidental finding in most of the time, and it is asymptomatic. Rarely large hematoma can cause pressure symptoms. So if the size of your hematoma is less than 5 cm than it is unlikely to cause these symptoms. In my opinion, Pulmonary embolism and warfarin are causing all these symptoms. Pulmonary embolism causes restrictive lung disease and this is the likely cause for your shortness of breath. Warfarin is known to cause severe gastritis and bloating. So hematoma is unlikely cause. Hope I have solved your query. 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: Hello, have two questions for you. For about 4 months my husband and i have been trying to conceive and i have regular period and we would have unprotected sex on one of the days i was fertile buut i never end up getting pregnant. Do you have any advice for that.my second question is about two days ago my husband and i had unprotected sex in hopes of conceiving and he did ejaculate into me and now today i noticed white stuff that was a little bit chunky not a whole lot come out of me.do you have any idea what it may be? ### REPLY: Hi, thanks for choosing , you told you are having regular periods want to know the length of your cycle 28 days, 30 days,40 days?and how sure are you about the day you meant you are fertile?do you know that you are sure to ovulate on that day? Generally, when you have a 28-day cycle, day of ovulation is on day 13 so when the length of cycle varies, day of ovulation may vary and even if you do ovulate, many factors from your husbands side like sperm count and motility need to be good for you to conceived also you need your fallopian tubes to be patent also so if you are really anxious to conceive check the factors I have mentioned above and meet your doctor to get few tests done regarding your tubes and his semen analysis coming to the secretion, if it is for 1 time and little you may not worry but if the secretion is in more amount, smelling bad, itching if present and in case it is curry like(as in vaginal candidiasis) you need to meet your doctor hope I answered your query thank you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Sir, This is Ashwini. My skin is very very sensitive. From past one month I had a itching on my hands. After few days I got small small pimple like(But it is not a pimple) looks very ugly. I cannot go to any functions or to talk long time with others because of this. It looks so odd. My skins are becoming dark day by day. Kindly suggest a best medicine which suits for my skin. Awaiting for your reply, Thanks Regards, Ashwini K ### REPLY: HELLO Ashwani, i just read your problem would like to know on what surface the "pimple"is erupting Palmer side or dorsal side if possible mail me the pictures of the eruption.and also tell me if it is painful?has any secretion?what area is turning black?around the pimple or on it or elsewhere?any fever or breathing problem or joint pain?any one else in your family with any kind of disease?you were ever hospitalized for more than 3 days?reply and don't worry for the time being wash the area with need water decoction and apply aloe vera fresh twice a Dayton ### END