Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im male, 20, healthy, slim, exercise, and have no real health problems. My semen used to be thick and white, which I presume is normal.Recently my semen has become very clear and almost watery - not sticky or white.I have been sexually active with the same girl for a year-and-a-half Is there any way I can return to normal? ### REPLY: Hello, Watery and thin semen viscosity is sometimes seen when you have intercourse or masturbation very frequently. If this is the reason in your case then no treatment is needed. It will become normal once you start having sex less frequently. Another reason can be the infection of prostate gland. This can be diagnosed by having a culture and sensitivity of your semen sample. The third possible reason can be a lowered production of male hormone - testosterone. You are already taking a testosterone replacement therapy. With the therapy the consistency of your semen is likely to improve. 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: Hello,Last week I had heart palpitations and shortness of breath and was advised that it was due to my caffeine intake which was lowering the potassium in my body and since then I have had a flushed feeling, hot flashes and tinglining in my right hand..  Why is this happening? ### REPLY: Hello! Welcome and thank you for asking on ! Regarding your concern, I would explain that your symptoms seem to be related to an electrolyte imbalance. From the other hand anxiety, triggered also by caffeine intake could explain all your symptoms. I recommend consulting with your attending physician for a careful physical examination and some tests: -resting ECG -blood lab tests (complete blood count, blood electrolytes, thyroid hormone levels, fasting glucose, kidney and liver function tests, etc.). If the tingling in your hand persists and all the above tests result normal, I would recommend performing a nerve conduction tests (electroneurography) to exclude possible pinched nerve in this hand, not related to the other symptoms. Hope to have been helpful! Greetings! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doc, i have 3 questions i need answers to and will greatly appreciate your help and response.1) i had unprotected sex 3 days after my period and took postinor 2 about 10hours after. Am i still at risk of getting pregnant?2) i have been having irregular periods for about 5-6 months now. what could be the cause/3)  i usually have boils around my private part before or during my periods...is it normal or what could be the cause? ### REPLY: Hallow Dear, Let me answer your queries one by one. 1. In fact there was no risk of pregnancy from the unprotected sex performed just 3 days after the period as it was far away from fertile period. The egg is formed 14 days prior to next period. It has life of 24 hours while sperms are active for 72 hours. Hence, a period of about 8-10 days is considered as fertile period. Intercourse during this period has maximum chances of pregnancy. However, your menses being irregular, it is very difficult to locate the day of egg release. (Maybe you could be having problem in egg release also.) Still, considering your menstrual irregularity, you have taken a wise step in taking Posting 2 after the unprotected intercourse. Posting 2 is quite effective post-coital emergency contraceptive pill if taken within 72 hours of unprotected sex. You have taken it after 10 hours. So you need not worry about pregnancy. You are well protected. 2. Your irregular menses need to be investigated thoroughly. There are many conditions that lead to menstrual irregularities. Some of them are Polycystic Ovarian Syn . ...... it will fill your complete desk top if I start enumerating all of them. I can guide you on this issue thoroughly if you inform me your age, menstrual pattern, age of monarch (first menstrual appearance), marital or sexual history. You can inform me all this by asking a Direct question. Else, you may report to the Gynecologist. Irregular menses may result in infertility due to non-release of eggs. For the time being, you may try cyclical birth control pills for three months for regularization of menses as a preliminary step. 3. Boils around the private parts are usually due to infections; may be sexually transmitted infections like gonorrhea, herpes genitalia, etc. You need to report to STI specialist for correct diagnosis and appropriate treatment. You may need antibiotics treatment. Also, you will have take care of genital hygiene and be demanding for clean sex only.  I am sure this has given you some direction on your reproduction health problems.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 tested positive for ANA in sept. I went to dr due to hands swelling to enormous sizes, severe pain, also severe pain in all my toes. At night lying down its misery. But besides the joint both of my arms where my triceps are the pain Is exscruciating but only when Im lying down. I cannot move them unless I use the other hand to lift it. Still painful early morning but will gradually ease up. Why is the pain so bad at night? Anything I can do? I am sleeping  only a few hours a night. If on my back my toes hurt, and both arms hurt so no side sleeping.. What can I do. Im miserable ### REPLY: HiT hanks for your thereafter going through your query I came to know that you are likely to be having rheumatoid arthritis as you are having morning stiffness. You should consult rheumatologist. Disease modifying .  You can take analgesic such as ibuprofen for pain relief. You can discuss with your treating Doctor about it. Hope your query get answered. If you have any further questions then don't hesitate to writing to us. I will be happy to help you. You can also write to me directly on below link:https://www.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: I started by having a symptom of kidney stones but none found.Then I got a burning sensation when I sat on the toilet or on a chair. I sometimes have to get up and go to the toilet but not able to pass urine . Next time I go to toilet which could be 5 minutes later, I have to force myself to pass the urine. I also have to get up sometimes up to 7 times to go to the toilet. sometimes Ican passurine sometimes not ### REPLY: Based on your symptoms and history - if you have had imaging CT/Ultrasound and there were no stones identified, I would suggest looking into the following: -Urinary tract infection-if male and >/= 40 years old consider evaluation of prostate and bladder outlet obstruction from prose -overactive bladder -urinary retention I would suggest speaking with your primary care doctor first, get an urinalysis, PSA & digital rectal exam if male and post void bladder residual.  Based on this your primary care doctor should be able to determine if you need urologic evaluation ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 tiny pea size pellets all over my lower back and left hip.  They are quite painful when pushed on--even using mild pressure.  I also have had pain that radiates on my left back side running down to my knee.  I have been to the doctor, have had physical therapy for 2 months and am waiting for results on a MRI.  I havent been able to run since May.  Just wondering if you have heard of anyting like this.  I also used to get shooting pains while sitting. My PT thought I shredded my piriformis muscle but therapy only helped for a bit and pain would start up again.  Any ideas?  Thanks ### REPLY: Hi Welcome to  After going through your query I concluded that you you are suffering from probably disc prolapse. It can be confirmed by MRI scan. There are two treatment options. First option is rest in position of relief(generally lateral position with both knee bend), neurotopics such as mecobalamin and analgesics (Diclofenac three times a day after meals is effective). Sometimes strong analgesic(such as tramadol three times a day after meals) is required. Omeprazole before meals prevent acidity caused by analgesics. Second option is go for surgical operation(Discectomy). You can discuss your doctor about it. Hope your query get answered. If you have any clarification then please don't hesitate to write to us. I will be happy to answer your queries. You can also write to me directly on below link:https://www.bit.ly/ask .  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: In May my husband became v I ll and had a CT scan and blood tests done. Scan was normal. His haemaglobin levels were 111 and CRPs were 149. His haemaglobin dropped to 86 and then he had a colonoscopy where the doctors removed two large polyps which were benign. He took iron supplements and his haemaglobin eventually rose to 126 and then he stopped taking iron. He had blood tests this week and his haemaglobin is now 124 and CRPs are 15. Was his mistake stopping taking iron too quickly? And should his CRP be normal again yet? He also has a rash that developed in May which is much better but still flares up from time to time. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Your husband had polyp. It was causing blood loss, and it is common cause of iron deficiency anemia.  Now polyp is removed so no need of iron therapy.  CRP is decreased.  It is a good thing.  CRP is acute phase reactant.  It is increased in acute inflammation.  Now CRP is decreased, and it is very good sign.  No need to worry. Just be relaxed. 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 am 39 years unmarried male. I am habituated in musturbate in the age of 14 to 18 due to ignorance but after this I stop this but from the age of 25 I saw that during latrine Semen lekeage through urine n I feel dullness and Mind does not work in any works.                        I cant take silent sleep n night fall is not happening from the age of 30. I feel no sexual desire.                         Please suggest me some medicine . I am asol in depression. ### REPLY: Degree understand your concerns went through your details.  Your lack of sexual libido and erectile dysfunction is due to lack of proper sexual education and knowledge. Masturbation is normal, natural and not at all unhealthy. Everyone masturbates including animals.  .  Night fall also happens because of the same reason. You cannot control it unless you masturbate or indulge in sex regularly. This sort of negative knowledge led you to be anxious in sex matters. Therefore, I suggest you to consult a psychologist for counseling. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am going through a tough break-up and was prescribed Novo-Lorazem (Lorazepam) I am having a very tough day at the office this morning. Can I take one or will it knock me out at work. I am 42 and have lost considerable amount of weight. I only weigh 148lbs right now. ### REPLY: Hello, I think if the situation is that bad, then inspire of taking lorazepam, take sertraline or Escitalopram to treat depression. Lorazepam will only be symptomatic treatment but not help the real cause behind it. Moreover, lorazepam is addictive in nature and harmful in long term use. You should take the right .  This will also bring back appetite and feeling of well-being. Lorazepam is very sedative and may give you sleep all day long, and it becomes difficult to work and  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a lump on my leg and the doctor just told me its was a gland with fluid in it and right above it was another gland and the gland that was bigger seems like its got smaller and the one above it seems like it has gotten bigger. Could the fluid just be draining up to the other glad or should I go back to the doctors?p.s. it sort of hurts ### REPLY: Hi, Dear,Welcome with your query to . Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, You mostly seem to suffer from-Varicose Veins with perforator Vein Lumps, which hurt a bit.or/ this could be Sebaceous Cysts caused due to the blocked sebaceous glands in the hair follicles. Other causes need to be ruled by Second opinion from a Surgeon or Dermatologists. Hope that, This reply would help you to plan further treatment soon with your treating doctors. Best of Luck and early recovery. Welcome any further query in this regard, which would be replied in next session. Good Day!! . N. Senior Surgical 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: Hi, Im 26 and my husband is 33 were TTC for 5 months but still Im not yet pregnant. I have a long cycle of 33-37 days, I had a pelvic ultrasound and it is all normal. We have intercourse 2-3 times a day per day. How long should I wait before I need to consult a specialist? ### REPLY: Hi, Thanks for writing to . I suggest you to get your follicular study so that you will come to know you are ovulating or not and also time of ovulation. So that you can plan intercourse at proper time. If follicular study is normal you may try for another 6 months and show to infertility expert if you don't conceive. If any problem in follicular study then you need to take treatment for that. Hope I have been helpful. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Doctor I am using hydroquinone+tretinoin+mometasone furoate skinlite cream since 2months.cream is giving me better reasults on my face but some people are asking me stop the use becouse initialy they may be good but later they may darken the skin and damage the cells.....i am realy confused pls get me answer ### REPLY: Hello. Thank you for writing to this cream is a prescription product, and it should never be used without supervision of a dermatologist. Therefore, I too will suggest you to discontinue this cream. This cream can cause irritation because retinoid and HY . Regular use of this combination cream can cause side effects like Acne, Skin thinning and Photosensitivity, Hirsutism in females because of the steroid content of this cream. The best advice for you would be to visit a dermatologist in your region. Your dermatologist will be able to assess your skin problem and advice you accordingly. Since you have been using this combination already for 2 months, therefore your skin would be sensitive to sun. You may use a broad spectrum sunscreen, throughout the day. Reapply every 2-3 hours. 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: HiI havent felt myself in months I get many different feelings during the week to dizziness, head feels blocked also numbness and tingling in fingers at times and a cooling feeling that goes through my body my family thinks Im crazy. Should I be concerned. I had an MRI a year ago and all was ok but I only had migraines then. ### REPLY: Hello! Thank you for asking on ! In my opinion, your symptoms are not indicative of any serious medical disorder. Anxiety or a metabolic disorder can trigger all this clinical situation. For this reason, I would recommend performing some blood lab tests: - complete blood count for anemia-thyroid hormone levels for thyroid gland dysfunction- blood electrolytes- vitamin D levels for possible deficiency. Hope you will find this answer helpful! Kind regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had gallbladder surgery 11 days ago, was feeling fine until last Friday. I felt light headed. Went to quick care and they sent me to the hospital because my liver enzymes were 600, at the hospital they did a ct scan and ultra sound, all came out normal. Got sent home. Next day I got lower back pain I couldnt take, went to er, they gave me morphine and said I need to see a GI Dr? Why is my liver enzymes so high? ### REPLY: Hi, Thanks for writing in. With a gall bladder surgery done 11 days back, I suppose you must allow yourself some more time for the surgical wound to heal. I sympathize with your severe pain and your visit to the ER is justified. After gall bladder surgery, there might be some small stones in the small tube through which bile passes into the duodenum (common bile duct). This may be causing the pains. Pain can also result from any block to the flow of bile, this happens in some patients and needs to be checked by your GI doctor. 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: Yea please. My ankles have been swelling up in the evenings for the past 3 days. And one is worse than the other. I can put weight on it but it is sore. I do not add salt to my food, I am not diabetic, I am a ovu-pesce-vegetarian and except for an ice cream here or there, I eat pretty healthy. What do you think is going on? ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have swollen ankles. Well there can be many reasons for symptoms you mention in query like standing for prolonged periods of time, taking estrogen, antidepressants, blood pressure medications, steroids or NSAIDs, infection in the leg area, venous insufficiency, organ failure like heart, liver and kidney or lymphedema. I would suggest you to consult cardiologist for proper diagnosis once again. Doctor may order heart tests like ECG and complete blood profile. Doctor may prescribe diuretic like crusade. Doctor may also refer you to gastroenterologist in case of liver problem or nephrologist in case of kidney problems. Keep your legs elevated while lying down lower your salt consumption and avoid standing for long period . Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have been having different tests etc since april to find out whats wrong with me, i am having a colonoscopy wednesday as basically thats the last place they have to look, my symtoms are, severe intermittent abdominal cramps,pain,hot flushes, this has been going on since April and lately i have been getting numbness of both legs when i lie down and a severe ache in my lower back, also i am getting a crust on my nipples are all these related or individual problems ### REPLY: Hi. Thanks for your query. Read and understood your problems. Cramps - pain - hot flashes - numbness of both legs when you lie down - and low backache - crusts on nipples... All these symptoms taken together can be due to intestinal infection or intestinal obstruction causing all the other associated symptoms. I would suggest you the following:Clinical evaluation and actual physical examination by a General Surgeon or a Gastroenterologist. Enterocolitis- meaning barium studies under direct fluoroscopy control. CT scan of the abdomen. Routine tests of the blood, urine and stool. The final reports will give an idea and if obstruction you may need Diagnostic Laparoscopy and procedures as needed. If a Medical problem like Tuberculosis or Typhoid. You will also need additional investigations for other symptoms like leg pains and treatment. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi. i had an infection in the rib area just under the breasts and got to the point that i couldn.t lift myself up out of bed and i had to hold my breasts as i got up. i was put on antibiotics .this was in october 2011.i keep getting the pain since sometimes on the left somtimes right and somtimes both sides.the docter keeps telling me its muscle pain but i have tried pain killers and the rub for this but it does not relieve the pain.recently i was put on zydol plus twoo paracetamols 4 times a day for back and joint pains but still keep getting pain in ribs.just had the pain again 2 weeks ago and it spread up to my armpit on right side. I also took an asthma attack after this which was a shock but i have had slight asthma.could you help please. ### REPLY: Hi welcome to  forum.  Thanks for calling . Forum.  You are having the pain under the breast, since 2011. sometimes on left side and sometimes on right, and sometimes on both sides. 2 weak sago you had pain up to right arm pits.  As you are not getting relief with regular treatment it may be due to cervical spondylosis, or due to gastric irritation.  I advise you to consult an orthopedic surgeon. You may need to have an M.R.I. of the neck, for confirmation.  Avoid taking potato, other tubers, tomato, fish, egg, chicken, and seafoods.  Wishing for a quick and complete recovery.  Best regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my father is aged about 50 recently a fortnight back he was attacked by paralysis stroke doctors (Neurologist) told that he was very tensed and his mind is continuously thinking of something he should get relaxed from his thoughts then he will be cured so now , how to reduce thoughts in my fathers brain ? ### REPLY: Hello dear, I understand your concerns for your father. If he has suffered a paralytic stroke, he will improve in natural course of the illness with proper physiotherapy, nutrition and medicines(antiplatelet like aspirin, statins , nootropic . This thoughts' thing probably has been told to you, just as to bring stress factor down, which ultimately may help somehow in the recovery of injured neurons by the unknown mechanisms, which are not precisely defined. Moreover, beyond offering some mind relaxing techniques, it may not be under your control, so the best thing to do is regular medicines and good physiotherapy. I hope it helped. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 age is 42 yrs .Dr give me prednisolone stervoid to solve my slipped disc .but it side effects me with severe pain in my stomach and too much acidity .andoscopy test result shows severe entral erosion .is it serious or what is the treatment and how long it goes .this problem  is permanently curable . ### REPLY: Hi, Thanks for posting your query. I am . K and I am pleased to assist you. Antral erosion is not a serious issue. It is curable. You can take medications like Prilosec for 4-8 weeks for complete relief. If you do not have any relief, then you need to get tested for H.pylori infection which can cause similar symptoms and if it is found to be positive, you need to eradicate this infection for complete relief. I hope that answers your 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: hi doctor, i have been trying to conceive for past 2 yrs but not been successful. we have contacted the gynecologist who had me on a three-month course of tablets after which blood test was done which turned out to be normal, now the doctor has planned for HSG.....should i proceed with this ### REPLY: Hi How are you doing ? I think you should get it done. This is usually the first step in any Calendly see if the following checklist of investigations is househusband- Semen analysis at least 2- done 4 weeks apart preferably in an infertility center (examination done by an .  Being such a small opening tube can get blocked easily, So check with HSG(X-ray with dye), or SSG (Scan with dye) or Laparoscopy all this done & found normal, nothing can stop a pregnancy with Gods will Hope I have cleared your overall 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 am a nurse practitioner. I randomly had some annual blood work done (I was having ankle edema for no reason). My TSH was 13.42 so there is a need for adjustment, which we did. But our major concern is that my WBC is  1.9. I never get sick and feel good, but now I am concerned about this level.I am severely sllep deprived ( I get about 3 hours night) and have been for the last   10 years. Could lack of sleep cause the leukopenia and the high  TSH.???         Advise?      Janice Morrow ### REPLY: Hi, I have gone through your question. I can understand your concern. But just lack of sleep doesn't affect WBC count or TSH. So your low WBC count is not due to lack of sleep. There must be some other pathology. Consult hematologist, and you should go for PS examination and if needed then go for bone marrow examination. It must be due to some other pathology. Investigate for that and then 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 am 36 weeks and 3 days pregnant with my second child. For the past week my BH have become stronger and more frequent. I feel them in my lower abdomen and lower back. And every time I stand there is terrible pain in my pelvic area. Its become impossible for me to sleep with this pain thats also followed by horrible migranes and an increase mucus like discharge. Last week my ob said I was 2cm 50%. What should I do because the pain is now unbareable? ### REPLY: Hi welcome to  forum.  Thanks for asking a question to . Forum.  You are a pregnant of 36+weeks, doctor told that you are 2 cm, and 50%. It means you are nearer to the delivery. But the problem is you are getting pain, especially when you stand. You also got migraine, and increase in mucous like discharge.  It is a common occurrence with every pregnant. Due to more gap between pregnancies, Large baby size, or apprehension you are feeling more pain.  As you are feeling the pain unbearable, you inquire your doctor for a relief.  Wishing for a quick and complete relief.  Best regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi! My 9 year old daughter is on meds for ADHD, anxiety and depression. She also experiences mood swings and seems very fatigued. I recently had a compete blood analysis done on her with her vitamin and potassium levels coming back low. Could this be the cause of her behavior or do I need to prepare myself for something bigger lie the kidneys? What would you be looking for to further assess the cause of these low levels? ### REPLY: Hello, I hope your daughter is doing better. Completely understand your concern regarding your child. As far as the vitamins are concerned, B vitamins help with the nervous system functioning and being under constant stress can deplete the levels. A deficiency can lead to anxiety and other mood problems. There is no harm in giving B-complex to the child along with probiotics. You can also start with multivitamin after consulting her doctor. There is research that suggests potassium deficiency may be linked to symptoms of depression. I suggest you to consult a good doctor nearby along with your reports and start the vitamin and mineral supplements in adequate doses. Hope this helps you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: The doctor said my Aunt has stage 3 Cancer. To quote him "I would favor a primary Duodenal tumor due to the recent finding of tuulovillous Adenoma on Mucosal Biopsy during her endoscopy. It also said the took 5 biopsies yet did not find 1 cancer cell and they said it is around a main artery so they can not operate. What are the survival statistics with this ? ### REPLY: Thanks for your question on . I can understand your aunts situation and problem. Any tumor which is around major arteries is inoperable. At the same time chances of homogenous spread is also high and hence chances of metastases are also high. So prognosis in her case is poor. Five year survival rate is 40-50 %. Usual life expectancy is less than 3 years. Treatment options are palliative chemotherapy, radiotherapy, nutritional support and pain management. Hope I have solved your query. I will be happy to help you further. Wishing good health to your aunt. 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 16 year old son has been prescribed ferrous fumerate 210mg  tablets 3 times a day , after getting blood tests back and being told he has an under active thyroid TSH level 4.12+ serum free T4 12.4. This was yesterday 28/9/12 We were told to go back for more blood tests in 2 months. Whilst at the doctors , we pointed out a painful swelling and soreness below his front teeth into his chin. She prescribed Daktarin 2% oral gel. It has not helped. The pain has got worse , swelling more pronounced. The doctors out of hours say its dental and the dentist cant see him for 24 hours. Being a weekend. He has no fillings or cavities. His last visit to the dentist 2 months ago was all clear. He has good dental higine. Is it doctor or dental and could it be an abcess or conected to the thyroid problem ? Thankyou. ### REPLY: Thanks for your query, I have gone through your question, the swelling in the chin or below the teeth area could be a periapical abscess or periodontal abscess leading to cellulitis you need to take a radiograph like IOP AR in relation to those teeth till you meet your dentist take a course of antibiotic like penicillin if he is not allergic...don't apply pressure on that area.do saline gargling 3-4times...it's not related to thyroid problem... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 is suffring from abdominal pain.pain was not that much when it started 8 months ago.she use to have pain near her periods.and she used to have heavy bleeding.now the pain is so much high from 1-10 is no 10.her esr level was 54.and she had swelling in her body.doctors have done ultra sounds,xrays,but they cannot find anything.please give us advice what to do. ### REPLY: Hello, thank you for writing in to . Few questions I need answers to before coming to specific conclusions:- Is the pain in relation to food intake (does it happen on empty stomach or only after eating) or is it in relation to her period? - Is the pain accompanied by any vomiting?- Does she also have loss of appetite?- Is there any discharge with her bleeding?- Are her bowel movements normal? Based on these answers one would be able to better diagnose your wives problem, like if there are signs of loss of appetite, liver function test is needed. If the ESR was done more than a week ago, you should repeat the test along with CBC, abdominal CT, urine culture and sensitivity, occult blood as well as stool RE. Please get back to us soon with these reports, so we can assist you much better. Meanwhile, anti helminthics can be given to her. If she's constipated you can give her mild laxatives at night. Pent parole and Risperidone tablets on empty stomach should be started. If pain is severe, tablet Accusing can be given SOS. 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: My son (2years) ct scan rep is GLIOTIC AREAS IN LEFT FRONTTOP LOBES. What is this? any problem?I want to ask what are the chances of any physical problem in this case. Doctor prescribed Tegrital 100mg 4ml 2times in a day for 3months if anybody knows about this. ### REPLY: Hi, Thank you for posting your query. I have noted your sons symptoms and CT scan findings.First, I would like to reassure you that CT scan findings do not suggest any serious brain disease. Idiotic changes refer to an old scar due to injury or a blood clot in the past. This CT scan finding may increase the risk of seizures. Digital (carbamazepine) is an anti-epileptic medication, and is used to prevent seizures. If your son has had seizures, he should continue this medication. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, . Ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had this lump on my shin for a about a month now and i dont no how i got it, but the other day i knocked it again and it is causing me some pain when i walk i can put some weight on it, when i walk on it i get a sharp pain in the area and abit away up my shin. Do you have any ideas on what it could be? ### REPLY: Hi, Thanks for the query to .-I studied your query in depth and understood your concerns.-Cause of the paining lump on the shin - is--In your case it is very difficult to comment due to very limited information?whether its painful?hard or soft? Empirically-mostly its-a boil/ sebaceous cyst with post-traumatic bruise and would settle in was time.=Treatment-a-Diclofen gel x 5 days b-Er Surgeon for the second opinion to resolve your worry.c-Antibiotics if need be with the help from your doctor.Don't worry and things will settle Hope this would resolve your query. Welcome further for any query in this regard. Wishing you a fast recovery.Don't forget to Write a good review ASAP. Have a Good Day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi dr. rynne, my sister passed away from renal cell carcinoma. can that be genetic? for several months, i ve been having a pain/ache/discomfort (varies depending on what i m doing) in the area of my right kidney (i think) that was the first symptom my sister had when she was diagnosed with stage 4. i don t have insurance, so i don t want to get tests that aren t necessary. it s ok, if you re not comfortable or able to answer this question without more information. i m just wondering... thanks, diane carey ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some kidney disorder. It is not due to cancer always. There are many other causes. Stones or infection can also lead to same. Or you may have some muscular problems. You should go for ultrasound abdomen. It will give you exact idea regarding the cause. Then you should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: on my 8th visit to my dentist a month ago, i had a full body seizure as she was numbing a tooth. this tooth had been previously worked on, as well as others. having not found anything different as far as my prescriptions go, prior to the visit, the only thing i can think of was viagra the evening prior. would this cause the reaction to the lidocaine? Thanks. ### REPLY: Hello, Well, there are a few incidences where Viagra interact with lidocaine but depends on the gap of duration in which it was taken and also the doses. So my suggestion is to keep a watch and in case if the seizure happens again. You should immediately consult an emergency room and get evaluated. Do an MRI scan and a blood test for ruling out the cause of the seizure. If needed proper anti-seizure medication should advise. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a purple blotch that has appeared above my front teeth. It stretches across about three teeth. Im not sure how old it is since I rarely inspect my gums. I take care of my teeth relatively well, eat well, and do not smoke or chew, but I do not use mouth wash everyday. I have never gotten one of these markings before. Im an eighteen year old Caucasian female. Is it something I should have checked out? ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concern. As per your complaint a purple blotch over gums on teeth can be a bruise caused by some injury to the gums and toothbrush bristles can be one of the most common cause of injury to the gums, or it can be due to some hard food like chips that can cause injury to the gums and rupture of small blood vessels can cause blood accumulation below the soft tissues leading to formations of red to purple bruises. As it is not painful there and is localized to only front three teeth you need not worry as gradually it will resolve on its own. In case if it spreads or there is pain in the area you should consult a dentist to get ruled out for infection in the gums or teeth. As of now there is nothing to worry as nothing seems serious. 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: Dear Dr, I hope this finds you in good spirit My mother she is 81 year old and she is suffering from blood pressure for many years, now she is taking metoprolol, asa, verapamil. her echo says IVSD 1.7 and pwd 1.2 she is o.k. but breathing fast. what we need to do? I appreciate you kind help in advance ### REPLY: Thanks for your question on . I can understand your concern. Her echo report is showing slightly reduced heart pumping and function. This is mostly due to long-standing hypertension and old age (81 years). Due to reduced heart functions, circulation of fluid in the body is hampered. So fluid accumulate in lungs (pulmonary edema). And this is the likely cause far her fast breathing and breathlessness. So she will mostly need diuretic .  So along with current antihypertensive  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Doc,My Uric acid levels have gone up as a result my blood pressure. Uric acid is at 6.8 and BP 140/100. Otherwise I am fit and work out like crazy. I have been working out intensively for the past 1 month. I take Nexpro RD20. Olvance 20 and atorec 10 everyday. I am 38 yrs of age. The nexpro is because i had h-pilori which has now been taken care of. Kindly advise. I do not eat red meats and take alcohol 2 pegs twice a week. ### REPLY: Hi, thanks for using  Though your uric acid levels may be above the values that you are accustomed to, they are still within normal range and should not be associated with any problems at this level. There are some conditions that can cause an increase in uric acid such as liver or kidney disease, hypothyroidism, obesity, alcohol use, leukemia, lymphoma, side effects of medication. IF you wish to reduce the uric acid levels despite the fact that they are within range, even though you do not use a lot of alcohol, decreasing its use may help. In terms of the blood pressure, despite lifestyle changes some persons may still have elevated blood pressure especially if there is a family history. If it remains high, you should consider the use of medication to bring it within range because of the potential complications. 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: Hi doctor, Im prince, 23 years old, non alcoholic, not taking medicines/maintaining meds. I am really concerned with my labortory results GGT: 955, FBS: 83.5, UREA:28, CREA: 0.71, Uric Acid: 7.86, CHol: 255, TRIG: 159, Total Prot: 7.88, Albumin: 4.80, SGPT: 135.7, SGOT: 86.7, ALP: 131 obviously, my liver enzymes are so high and dont feel anything as of the moment. I am a laboratory technologist and tried to seek explanations about this but non of those fits my case. Hope you could enlighten me with regrds to this. I took an ultrasound 11 months and everything was normal ### REPLY: Thank you for posting your query at . Hepatitis presentation. what's your height?weight?are you obese?further evaluation advised if not done yet. Have you been vaccinated for Herb?increase in the level of liver enzymes(AST, ALT) reflect an INJURY to the Liver. Medically, the condition is known as "Hepatitis". Your non-alcoholic and not on medications, so it maybe caused by:1. Virus (A, B, C, D, E)2. Gall bladder or common bile duct pathology 3." Fat excess" 4. Other causes further evaluation needed1. Viral serology (HEPA, B and C) anti HAD, Bag, antiphon, anti HCV2. Lipid profile3. Ultrasound abdomen advice:-abstinence from "Alcohol" - LOW fat diet should be followed-NO red meat-vegetables should be ingested daily-Moreover, less activity should be carried out (no sports). Rest MORE.- use lemon juice (lemonade) once in a day-"recheck liver enzymes after 6 to 8 weeks".further queries are welcomed. Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health. Regards, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m currently on lo loestrin fe and have been for about 9 months and while having sex with my boyfriend the condom broke. after that we immeadatly bought Plan B and I took it right then and there. I just started the second row of this months pack so I was wondering what the risk is of me actually being pregnant? ### REPLY: Hello dairy understand your concerned not worry are completely safe. You are already on the lo Holstein Fe and it is good contraceptive pill. It is highly effective in preventing the pregnancy (0.5-1% failure rate). Actually no need to take plan B pill as you are already on lo Holstein Fe. So no risk of pregnancy. But your period can be delayed/earlier, excessive bleeding will occur.Meanwhile, avoid stress, take healthy diet, do regular exercise, . Hope this may help noncontact  for further health query Best regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir, My wife aged 40 is suffering from acute pain in neck behind ear and back of head and even feeling as if head is falling down.Ear is alright .Which expert should we consult.Her BP lower value was 100 yesterday.Today She is feeling shivering and fever feeling. ### REPLY: In fever her blood pressure will remain little high. Here I suggest visiting a euro physician. He can check with the symptoms related to brain as well cervical spine too. He may ask to take ct brain and MRI of brain too. I suggest go ahead. Taking early precaution is better than cure. So visit a doctor as early as possible. Also keep check on blood pressure for time being and if its remaining high then need to start blood pressure controlling medication also. Along with this I suggest doing regular exercise like walking and cycling to have good warm up and tinning in body. This will also help to control blood pressure. If your problem is related to neck muscles then you can also take some help from physiotherapy treatment and exercise for neck muscle strengthening. You can also use hot pack on painful area to have some more pain reliefTake 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 there I ve had a cold for three weeks now. Runny-blocked nose, headaches, coughing with phlegm, which was fine but now my right ear has been blocked for almost a week and I am getting neckppains I have been very tired and I have finished one whole pack of a cold an flu decongestant pills and also 4days into a nasal spray. It is driving me crazy and now I feel as though I m starting to get pressure in my other ear. Please help what can I do ### REPLY: Welcome to , short answer: cough with productive sputum for more than 3 weeks has to be investigated detailed answer: if there is cough with sputum is mostly due to infection (bacterial, ) of the lungs. If it is for less than one week we can try antibiotics nasal decongestants and anti-allergic medications but if it is exceeding 3 weeks that too with fever it has to be investigated for knowing its severity. Investigations include complete blood count, ESR, CRP, X-ray chest PA View and blood culture. Depending upon the severity of the infection treatment modality starts. Severe infection may need iv antibiotics for some days higher oral antibiotics, nasal decongestants and allergic may be tried in non-severe infections. Review with result for more explanation hope this explains with regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI DOCTOR, I WAS JUST DIAGNOSED TO HAVE MUTIPLE GALLBLADDER STONES BY ULTRASOUND THE BIGGEST IS 1 CM. I WAS COMPLAINING OF SEVERE UPPER EPIGASTRIC PAIN. BUT I WAS TOLD TOLD THAT THIS PAIN IS DUE TO GASTRITIS PROBABLY BECAUSE I WAS TALKING TOO MANY ANTIINFLAMMTORY MEDICATIONS LATELY AND I WAS GIVEN GASEC 20 TAB TWICE DAILY. PAIN SUBSIDED AFTER 2 DAYS TREATMENT. BUT MY QUESTION IS SHOULD I REMOVE MY GALLBADDER OR DO I NEED MORE INVESTIGATIONS? THANKS ALOT. ### REPLY: Hi.noted history of gallstones and severe epigastric pain. How long have you been experiencing the epigastric pain? Is it associated with food intake (specifically after a fatty meal), belatedness, etc.? It may or may not be related with your gastritis. But in gallstones, the most common area of abdominal pain is epigastric in location then right upper qua .  If your attacks are becoming more frequent, it is best if you consult with a doctor, preferably a general surgeon or a gastroenterologist, for complete physical examination and clinical evaluation. Diagnostics (such as ultrasound, ERCP, blood exams, etc.) will be recommended as needed. Management (medical and surgical) will be directed accordingly. Definitive treatment for gallstones is cholecystectomy or surgical removal of your gallbladder along with the stones. It could be done laparoscopically (gold standard) or through open technique. In your case, it is better to have it done as an elective or scheduled cholecystectomy (not as an emergent case but with urgency in terms of management), for lesser complications and better post-operative course. Low fat diet is also recommended. Hope this helps. Good day!!~ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Dr., I am 35 years old, 28 weeks pregnant, and my Dr s P.A. told me I have a proliferation of taste buds. My tongue turned white about a week ago and I was scared it was thrush (I had been on an antibiotic). It also feels thick and rough on the surface. The P.A. said it was not thrush as it does not scrape off, is not cottage cheesy. She said maybe I should clean it better, but I brush it twice a day routinely with an electric tooth brush. I have tried to find information online about this condition but don t come up with much, if any relevant material. Is there anything you can tell me? ### REPLY: Hellooo....first congrats for becoming a mom.regarding the tongue.it can be a fungal infection....but nothing to worry....u can apply statin gel twice daily.and scrape your tongue twice daily...after brushing.use chlorhexidine mouth wash....meet the dentist he can give u tips based on the clinical situation...as a lot depends on clinical condition...more over be happy and no stress....hope u r benefitted something with my answer...have a healthy day!! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have a pea size lump in the left side of my neck and red burning rash about 2 cm down on my chest. the area around the lump burns or stings. i ve never had a rash so i m not sure what this sensation is. i ve been sick with a sore throat for a week now and havent been to the dr. because i thought it d go away. i just felt the lump yesterday. ### REPLY: Hi, dear. I have gone through your question. I can understand your concern.  You may have some reactive lymph node due to sore throat.  You should take a course of antibiotics like azithromycin according to your doctors' advice.  If lump doesn't respond to treatment then biopsy diagnosis is advisable.  Consult your doctor and 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: Hello, I have bronchitis and a sinus infection. I have been experiencing chest and back pain and shortness of breath for the last 5 days.  I have recently been having a fast heartbeat and palpitations.  I was put on metropol tatrate for this.  Beginning yesterday, I began to have an increase of shortness of breath and a tight, pressure like pain in the center of my chest.  Some history: 20 yrs oldFemaleIrregular heartbeat- fast beat, pounding heartsome anxiety but controls it with muscle relaxation techniquesblood pressure 114/76 (before metroplol) I do not have diabetes or high cholesterolI try to eat well, but may not all the timeThank you ### REPLY: Thanks for your question on . I can understand your concern. Yes, bronchitis can cause breathing difficulty, chest pain and backache. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (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 will mostly improve with inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Avoid stress and tension, be relaxed and calm. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my 6 months old daughter has following blood results: RBC 3.6, HGB 9.5, HCT is also slightly low, MCV and MCH are normal, RDW is 11.3, reticulocite count is 3.1%. She does not have any visible signes of anemia. Do you think that there might be some problem. what is more probable: hemolitic or iron deficiency anemia? Thank you in advance. ### REPLY: Hello! Thank you for writing. As from the results in Hemoglobin is low. Although MCV and MCH are normal. Better do a sidearm and ferritinemia, in order to see the iron level in blood and its depot in organism. He should be 10,4-12,4 for 6 months girls. If sidearm and ferritinemia are low it should be ferrodeficiency anemia. Your daughter is growing up and during growth organism uses a lot if iron. Better consult a doctor. Thank you for writing. Wish good health for your daughter. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 suffering from an intense pain in my lower back for nearly ten years.What is strange is that all the tests have proved positive.ie that my back is fine. Still,despite all manner of treatments including R.F, (radio frequency ones) I can hardly walk for this problem. Is this possibly the result of stress? And if so,what can I do? (I am 60 years of age) ### REPLY: Hi there, Stress could be one possibility. Have you tried breathing and relaxation exercises? If no, I would suggest you try it. Also try applying voting gel on the back and 15 minutes later apply hot fomentation. Has an MRI of the back been done? You haven't mentioned if you are male/ female. I would suggest a urologist opinion if you are male or a gynecologist opinion if a female to rule out more sinister causes of backache. 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 am a 44 yr old female with abdominal pain.  The pain began intermittently about 1 and 1/2 yrs ago.  I went to the doctor and they completed an ultrasound of my abdomen and also an EGD.  No findings of gallbladder stones, etc.  Since that time I have had instances of pain in the same area (upper right side) - sometimes after meals but not consistent until about 5 weeks ago.  I went to the urgent care and they ordered a HIDA scan.  I did not have the test at that time because morphine used in the test makes me sick.  Four weeks later the pain was acute and I went to the ER.  They did another abdominal ultrasound - no stones.  I did follow-up with my doc who ordered the HIDA scan - had it done and no stones.  I also had a CT and another EGD and colonoscopy - no stones but the pain now is every day.  I have an appt with a surgeon on Monday only because I have become my own advocate for help - the pain is there and they have dismissed it as gastroenteritis - I have had GERDs for the past 10 yrs and it is much worse now with the pain on the right side.  The doc who completed the colonoscopy prescribed a drug for cramping after but also prescribed Amitriptyline???   Lets be clear, I am not depressed.  Yes, for the past 2 weeks that they have been trying to diagnosis this pain, it has been rough, but why would they prescribe this drug?  It is so frustrating to be in pain daily and then because they cannot seem to figure it out, they think that I must be depressed??  I am hopeful that the surgeon will either order an MRI to more precisely diagnosis what is going on, or take out the gallbladder.  Your thoughts? ### REPLY: Thanks for coming to . I understand your concerns of pain with no apparent cause diagnosed, and repeated testing is making you frustrated. Doctors sometimes prescribe Amitriptyline for pain and for functional causes. Let's leave that aside and focus on your pain issue. You have mentioned that you have HERD, what treatment are you taking for that? Also, you indicated the link of pain with meals, can you please tell us more about this pattern (in how much time after meals does pain start, location of start, does the pain radiate/move/spread anywhere, duration it lasts, what makes it better, any link with particular food items). Besides, did you notice any link of pain with cough/deep breathing? Does the pain increase on pressing the area or increase after taking-off hand pressure? How is your bowel movement pattern? If you got stool analysis done, please share reports with us. In upper gastrostomy, how was the mucosa status ? In colonoscopy, did they find any diverticula? I am asking details of these questions to understand your condition better so that we can help you. If you have not visited your surgeon yet, I would suggest waiting and avoid any further testing while you share the above details about your pain and test reports. But in case of severe pain, please visit emergency. Gall bladder removal might not solve your problems right away and every surgery (open or laparoscopic) comes with its side effects; I would recommend avoiding it till the cause is clear. Hope you get better soon. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had and still suffer from severe sinusitis after dental treatment. I had upper teeth pain that was really bad. after a week now I finished a course of augmentin 1g every 12 hours. Now I am suffering lower teeth/jaw pain and numbness. is this due my sinus problem. ### REPLY: Hello, Welcome Thanks for consulting , I have gone through your query, as you have mentioned that you have toothache and painful jaw, pain can be due to Carious tooth or Periodontal problem, don't worry it is not due to sinus problem, it can be due to toothache for this you should consult dentist Go to dentist and go for investigations IOWA X-ray if carious tooth go for Restoration or Root canal treatment, if pain is due to Periodontal problem go for Scaling and root planning Do warm saline gargle two - three times a day Hope this will help you.  Wishing you good healthRegards  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 need to know if i am close to going in to labour. So, I am 38 weeks pregnant. And I have been having these throbbing back pains that lasts about 10 secconds. Also sharp stabbing pains in my vagina. Very uncomfortable with SPD for the past 3 weeks. It is so bad, I can t put one foot in front of the other without crying. So, I am stuck at home, because I can t stand the idea of anyone seeing me in the state I am. My eyes and whole face is constantly puffy, because I have been crying for a week non stop. My OB is not sympathetic at all. He is just like: Well,you put yourself in this situation. And honestly, I know I put myself in this situation by falling pregnant, but when you are in so much pain and baby is full term, I don t think it is unfair to kinda wish it would be over soon. ### REPLY: HI, I have gone through your query carefully & understand your suffering & concern.  At 38th week baby is trying to sag down in pelvic cavity & stretches pelvic ligaments . Already softened by pregnancy hormones... So the pressure in pelvis & vagina goes on increasing, that's why the pain... Please bear with it for some days more.  - Be positive that as baby is coming down. You have a good chance of vaginal deliver!  - Lying down may reduce your agony.  - Clear bowel movements/ frequent & small servings of food/ sufficient water & fibers intake will avoid easy bowel movements All these things would ease you.  Consult your doctor for possible. Vaginal/ pelvic inflammation, calcium & vitamin D deficiency causing excessive loosening of pubic ligament.  ON treatment these conditions would resolve to offer you great reduction in pain.  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 am having what I consider to be a cold and my chest has been congested as well as my nose. Sometimes when I breath it feels like I am breathing in smoke from a fire. So my question is might this be and it has been going on for 4 weeks if this helps. ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, you are mostly having post infectious bronchitis. It is common after viral upper respiratory tract infection (cold). Bronchitis is inflammation of airways. And it gives feeling of hot and warm on inhalation. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have aortic stenosis. My next appt. with a cardiologist is in June. If I m noticing more tightness in the chest than when I saw him in Feb., should I go back to see him before June? Also, If I m going to need valve replacement, who is the best surgeon in the San Francisco to Sonora or Sacramento, CA area? ### REPLY: Hello, I have gone through your history. I need to know severity of stenosis to guide you properly. But there are mainly 3 symptoms which should make us to go for early surgery 1.giddiness or syncope 2.exertional shortness of breath3.chest paining your case it seems that your chest pain is progressively increasing, so I suggest you to consult your cardiologist before June. As I am from India I can't guide you about surgeon or hospital.I'm sorry for that. 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: Hello, My son has nephrotic Syndrome and his treatment is going from five months, but yesterday i checked his urine which had one + in albumin and he was 17 KG, the dose is decreased from 4 tablets (Deltacortril) to one a day from two weeks, as doctor saw his result of albumin with one + and still advice to keep one tablet in a day for 10 more days, and after 10 days it will reduce one in every other day for one month. So kindly advice me what to do, cuz of one + albumin ### REPLY: HiT hanks for the query. You have not mentioned your sons age. Nephrotic syn .  A relapse is characterized by increase in urine albumin to 3 or more and requires increase in the dose of medications. Urine albumin of 1+ usually does not indicate a relapse and the pt. can be kept on the same dose of medications. However, the urine test has to be repeated frequently to monitor if albumin is increasing. Hope this answers your query. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im 17 almost 5 feet 2 inches and weigh 43 kgs that is okay for my height. I inherited white hair which started growing 3 years back and when i was 16 they increased in number and were only on the front side of my head due to which i dyed my hair but an ammonium free dye. I have dyed them around 4 times since last year and now all of a sudden my hair started falling in the last 3 months. I have straight fine hair that used to be healthy but now they just look dead. I am in desperate need of an advice of what i can do to get my hair back to its healthy state and how i can get over with the white hair so that i dont need to dye my hair gain and again as its damaging them big time. Please help me as soon as possible. ### REPLY: "Hi! Welcome to . Com. I have read your query in detail and do understand your concern. Daily shedding of up to 100 hairs is normal. Excessive hair fall can be due to physical or mental stress, anemia or nutritional deficiency or certain medical conditions like thyroid disorders, low serum ferritin etc. Take a nutritious and protein rich diet(pulses, milk products, eggs). Avoid routine application of gels or frequent blow .  Use a sulfate free shampoo for your hair twice a week. Biotin containing hair supplements can be taken for 3-6 months. Hope this helps! Good luck!" ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My male baby MARUTI of 11month age having many tiny boils over head and two -three become postulated. Some area of head are scraped skin itching is also over those parts . His weight is 9 kg. Teeth Are also not errupted till now. Baby has no eager to take food except mother feed and some spice food.what should I do? ### REPLY: Hi... Thank you for consulting in . Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. I take this opportunity to tell you certain scientific facts and relieve your distress - 1. An active is a well kid even if she/ he is not eating well. 2. Development of a kid is as important as, or I would say even more important than growth alone.3. As the kids grow their interest in food decreases and interest in play activities increases so that they eat small quantity and run away to play. As parents, we need to be more patient and feed than less quantity but more liquors per day.4. This age rather than the quantity of the food I suggest you concentrate more on the number of times you feed her and also make whatever you feed her calorie dense by adding good amount of ghee to it.5. I suggest you not to use appetite stimulants on long run as they may cause . Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, my child is 19 months and is having cough. now she has has developed loos motions. when ever she is coughing she tend to wet her pajamas with very small wattery loos motion. out doctor advised sporlac powder. can we give he some other medicin for stopping loose motion ### REPLY: Hi... It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 aunty ha been suffering from this disease  from the las three years..........continuosly cougChatDoctores from her mouth, nose its a bit watery type and she has to carry a container everywhere so that she can spit out that water why is this happening...is this asthma? ### REPLY: Hello dear, warm welcome to .come have evaluated your query thoroughly.* This is in relation with definite underlying pulmonary pathology either in form of allergy , asthma or others.* Needs detailed case evaluation with physical examination, necessary lab test, x-ray chest and further management in accordance to that. Hope this clears your query. Wishing her fine recovery. Regards dear 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: the baby was born yesterday and since then the baby is having hiccups and has been monitored by ECG and not been fed and is on IV what could be the reason? The doctors have been telling that the reason is because the baby drank the fluid in the womb. It was a c-section delivery. ### REPLY: Hello, Your baby does not have hiccups. She is having respiratory difficulty due to fluid aspirated in the womb. Actually sometimes baby aspirate amniotic fluid in the lungs due to some cause results in a pneumonia-like condition, that needs to be treated in ICU. Baby is probably receiving antibiotics, IV fluid, oxygen support. Hope I have answered your query. Let me know if I can assist you further.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, my symptom is electrical pain suddenly starting in my elbows, then radiating up to my chest, then my chest gets tight feeling and i feel breathing deeply helps it go away. This usually last around 30 seconds then goes away. This sometimes does not happen for months, but then sometimes it happens only a few days apart. This has been happening periodically over the past year to year in a half. ### REPLY: Thanks for your question on . In my opinion you're these symptoms are suggestive of either calcium or vitamin B 12 deficiencies.  But since it is associated with chest symptoms we need to rule out cardiac cause first.  So get done ECG to rule out this. If ECG is normal than get done ionized calcium and it b 12 level. And if deficiency is present we have to treat it. Oral supplements are usually sufficient but in severe deficiency, injectable supplements are needed. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 medical aid has rejected a claim for a incisional hernia, stating that the 3 previous operations were the problem and that these procedures were not covered by medical aid. The first procedure was 25 years ago it was a gastric bypass at age 15, I had no problems until 5 years ago and a doctor convinced me that if I dont change the JIB procedure to a RNY that my life expectancy will be shortened by 20 years but I was very healthy and BMI of 20, he lied to the medical company and they paid for a gastrectomy, I started gaining weight and went to go see another doctor for advise and he just wanted to operate, he said that the previous doctor made a mess, I trusted this doctor and had to pay out of my own pocket because of my low BMI but didnt want to gain all the weight back and he reassured me that I would look fantastic. But this was not the case, this operation only made me gain more weight and I had constant pain. When I went back several times to show him the stomach is pertruding when i lift my neck his reply was that his does the same. What am I to do? I also have Sarcoidosis and Lupus anti-coagulant anti-bodies. I am in a lot of pain and eating less and less due to the embarresment of my stomach swelling out all the time. Please help! ### REPLY: Hi. Thanks for your query. The causes of swelling of the abdomen can be :-Intestinal infection-Intestinal obstruction-Ascitis.-Tumors / Gastrointestinal Cancers -Ovarian or other cysts.  Your history of multiple surgeries for weight reduction have their own complications of intestinal obstructions. Get Enterosclysis - Barium studies to know the exact problems and to get the proper solutions. Change of the diet and addition of the supplements as per the advice of the Dietitian would help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: dear doctor good night as it is night in my country  Egypt .i made a semen exam & peroxidase & its result is colour greyish white blood  absentvolume 3 mlreaction Alkaline ph 8viscosity Normal liquification time 30 mintotal sperm count:/ml  78,000,000sperm count/ejaculate 312,000,000direct SMEAR motility1st hour 65%2nd hour 55%3rd hour 45%Type of motilityrapid progressive 20%slow progressive 15%Non progressive 30%immotile             35%Abnormal forms 35% Amorphous & pinpoint headdear doctor my question is do i have Asthenospermia???/ tell now iam not married do u think that i have to be patient in takeing the desicsion of marriage tell i recieve some kind of treatment is there any hope if i married for my wife to be pregnant normally with no IVF or any other methodi had read that in an other site ---some men are infertile because of poor sperm motility. Normally, at least 50% of sperm should be motile; and this should be good quality progressive motility.-------The sad fact of the matter is that there is no method of increasing low sperm motility today-----Muhammad Egypt ### REPLY: You didn't mention your age and the test should be performed once or twice more for a correct decision. However, from current report it can be concluded that your report is within normal limits as per WHO 2010 guidelines. There is no infection and the count is also normal. Vitality and MAR or immunized test for any antibody related pathology should also be performed. It is possible to be a father naturally at this scenario; however, a specialist in reproductive medicine can help you best in the line of treatment if any required or possible. Regards, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi..I have chronic pain .. back, shoulder, ulnar nerve, right leg, left knee occasionally..I was a pedestrian and was hit by a car..I have been on pain medication which helps me to keep moving..my doctor has now accused me of being more addicted to the pills and treats me very shabbily when I see him..to the point that I get terrible anxiety when I have to go and see him..he won t send me to any specialists because he said they can t help..I am so frustrated and then I find that the pain elevates when I worry or become agitated..I really need to see someone as a lot of the pain has been determined to be coming from my spine but I know that my elbow really hit the ground hard when I was thrown and have read about ulnar release surgery..my doctor is uninterested and it has been 2 1/2 years..my life is getting smaller and smaller and I have become withdrawn..not sure where to turn for help..thank you ### REPLY: Dear friend don't worry, you should take multivitamins witChatDoctorbination of methylcobalamine once daily. Take your pain medicine only when needed or severe pain.in cases of nerve injury from accidents some homeopatChatDoctoredicines have powerful action without side effects, and it will help you the nerve to heal fast. If you interested in homeopathy, please take following homeopatChatDoctoredicines for one month and then inform me about your pain.-Arica 6, 5-7 . -Hyperion 30, 5-7 pills twice/thrice per day. Hope you get your answer. For more queries please don't hesitate to ask. Get well soon dear friend ### END