Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi this is Surendra from past few months, I am getting mild chest pain. Earlier i thought it could be some cardio so I did ECG done which went fine, after which I thought it could be acidic problem and for last 15 days I ve been taking acidic medince but this is not helping much. I am still feeling discomfort while eating, while sitting idle, while travelling. Could you please help? ### REPLY: Hello, Regarding your concern, I would explain that your symptoms could be related to anxiety. Nevertheless, a simple ECG does not exclude a heart disorder.  For this reason, I would recommend performing an exercise cardiac stress test in order to exclude coronary artery disease.  Is the pain triggered by deep breathing or pressure on the chest? This could indicate a musculoskeletal pain, including Costco .  In such a case, ibuprofen and local hot packs would help. If the cardiac tests result normal and your pain is not modulated by ibuprofen, I would recommend considering anxiety as the main cause underlying your complaints.  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: Yes, please answer my question right now. throbing pain in back? knee pain and x-ray shows bone on bone? Terrable pain in right knee. Bad artheritis all over my body. Caused by bone surgery, my feet both turn in. Awful pain in legs because they both turn in !!! surgery which was never sucessful. my feet & legs & toes are turned in, not normal. don t sleep well. ### REPLY: Hello, I have studied your case. According to your symptoms and findings there is osteoarthritis of your knee. You can start cartilage protecting medication like Chen . I will advise doing MRI knee can be done and if there is severe destruction of menisci then arthroscopic shaving can be done. Physiotherapy like ultrasound and tens will help, along with knee exercisesBack pain can be due to associated arthritis. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you are satisfied with answer do not forget to give rating to this answer. Wishing you good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I drank with friends one weekend and skipped my birth control for 2 days and the very next day i got my period. A week later my period stopped and i started getting sharp pains in my vagina and I started bleeding again. Did I have a miscarriage then a regular period or a elongated period with sharp pains? ### REPLY: HI, thanks for using  It is possible that it is an elongated period. Miscarriages are associated abdominal cramping, clots and the passage of fleshy products. If you continue to have periods with prolonged bleeding then you need to consider visiting your doctor for an assessment. This would include physical examination, hormonal level blood tests and imaging of the reproductive organs by ultrasound.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, I noticed a while ago I had a tiny red dot (size of a pinhead) on my gums right at the base on my front lower tooth . It does not hurt and does not bleed . My gums are in good condition and I get regular check ups. Any idea what it could be? When I looked closer, it almost looks like my gum is red with some broken blood vessel or something. Thanks! ### REPLY: Hello there...it's good that you get evaluated periodically.....reasons for the red spot could be many...to begin with the simplest of all it could be a traumatic ulcer that would have happened because of trauma to the gums while brushing or middling your pen or pencil between your teeth...the next reason could be an inflamed gum...then could also be a sinus that would have resulted from the tooth above...the tooth would have had an injury earlier or would have decayed resulting in the spread of infection apically, resulting in sinus.... Get yourself evaluated clinically for a confirmatory diagnosis and management... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 AML LEIUKEMIA IN 2001, AND HAD A STEM CELL TRANSPLANT ALSO. LATELY MY LIVER ENZYMES HAVE BEEN A LITTLE ELEVATED, BUT MY PLATELET COUNT IS AT 114,000 and MY FERRITIN LEVEL IS AT 2500. I JUST HAD A LIVER BIOPSY, BUT I AM WAITING ON THE RESULTS.I AM VERY NERVOUS WAITING, WHAT ARE YOUR THOUGHTS? ### REPLY: Hi thanks for asking question. You had AML, and you treated well for it with stem cell transplantation. Usually liver enzymes elevated in hepatitis case. But in your case history of malignancy present and because of rich blood supply tumor can metastasize to liver. So for ruling out metastatic liver disease biopsy done. Second your serum ferritin level is high so by biopsy it will also rule out hemochromatosis if present. Third biopsy also helpful in filling out chronic hepatitis and its differential diagnosis. So wait for report and accordingly treatment done. Wish you good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi My mom has had a cardiac arrest 12 days ago.The doctors managed to get her BP and pulse back through CPR but she has been unconsious since then.An EEG scan has been done but the doctors say that she does not have fits of the brain and we need to wait for her to wake up.She does react to pain and to tickling.She yawns at times,occasionaly moves her feet.There is shivering in her hands sometimes.Please advise as to what are the chances of recovery and gaining conciousness - Thank You for your time!! ### REPLY: Hello, She has suffered hypoxic damage to the brain, and she is in coma. No one can really predict whether she'll come out or not, or if yes when she will come out. But as you mentioned she is showing some response, she has fair chance of recovery, and we should keep our efforts going. Proper diet and vitamin supplements, in no tropic. 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 am 59 and was hospitalized for Congestive Heart Failure.  After several tests were completed, I was told that I needed a new heart.  My heart refraction was 16%.  With the medications that I am taking, my heart refraction is between 50 and 55%.  Is this good and what is the average heart valve refraction percentage? ### REPLY: Hi Headfirst of all I want to congratulate you for such a wonderful recovery. From the advice of needing a new heart and an Ejection fraction of 16% coming back to an ejection fraction of 50-55% which is near normal range is just wonderful. Yes is very good and normal range of EF varies between 55 to 80%. You just need to follow all the medical advice strictly as these type of recoveries are very rare. Good Luck ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am a 41 year old female. I have been have massive pain like contractions in my upper abdomen. It almost feels like when I had my gallbladder problems but that has been taken out. I have tried tums, gas x and midol nothing has helped. Should i go to the er? ### REPLY: Hello, * Massive upper abdominal pain can be from various issues as - acute gastritis - pancreas infections with radiation of pain to the back-biliary tract disorders - other intestine issues. * It is recommended to approach ER, get the basic evaluation done and if required CT scan of the abdomen & pelvis for its best management guidelines ahead. Hope I have answered your query. Let me know if I can assist you further. Take care .  Patel, General Surgeon ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor, My wife is now 5 months pregnant and she is suffering from on and off fever for 3 days and leg pain. We consulted our doctor and they have recommended to use Calpol every 4 hours. Is it safe to use Calpol continuously for 3 more days or do I have to take any other precautionary measures. ### REPLY: Hello dear, I understand your concern. The cal pol is the safest . It is prescribed for fever, any non-specific muscle or joint pain in pregnancy. It can be taken with the prescribed dosage with no harmful effects to the fetus. But I suggest you to rule out the cause of fever and get the cause treated along with symptomatic treatment. The blood counts might be need to do to rule out any infection.Also, as there is leg pain any signs of cellulitis like swelling, redness etc. should be checked for, and I hope that was done. Once the cause is diagnosed and treated it will subside. Take adequate fluids up to 2-3 liters per day to prevent deny ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Calcium Metabolism....Good Day Doctors;My age is 30(Male) and I work at sea. Shortly I had a kidney stone problem. And the stone was also out through urine.The stone was around 4-5 mm, Which I had given to the doctor for verifying the stone composition. But during the X-Ray the doctors found that their are no more stones in the kidneys and the Urinary Track. But they advised that I have some extra calcium deposits on the Ribs and found that there is some calcium deposits on the pelvis bone to. They advised me that It could be a problem of Calcium Metabolism.    Previously also around 4 years back I had the same stone problem on the right hand kidney. But nothing was discovered during the X-Ray and Ultrasound.     For us we go through the annual medical examination every year, But nothing as such was told or discovered by the Doctors during the examination of full chest X-Ray before.     My intake for water was very low from previous time. I was taking 3 Boiled eggs everyday, Combined Daily intake of Green Peas or other pulses with rice. I was involved in doing some physical exercise too. I do not know the reason for this, It would be of great help if could advise something regarding this. ### REPLY: Ultrasound and X-rays are poor in diagnosing stones. I would advise you to undergo the following tests. CT scan of abdomen pre- and post-contrast, Blood tests-calcium, uric acid, creatinine, serum PTH, alkaline phosphatase, PSA, creatinine, urine for hence Jones protein and routine analysis as a minimum. You might need additional tests such as bone scan or myeloma screen depending on the exact findings on the X-ray. If you are a recurrent stone former then you might also need 24 hour urine collected and analyzed for calcium, uric acid, oxalate and citrate as a minimum. You might want to see a general physician or endocrinologist for 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: HI there, I was a pedestrian who was struck by a car in 2009 (3 years ago).I was struck on my right side and landed primarily on my head and then on my coccyx. I have tons of trouble sitting and walking etc lower back but my question is about my head injury. It was split open but only took about 23 staples to close it up. However, I have noticed that since that accident I have a lot of trouble with memory loss (I don;t remember about 2 months of my life before the accident) and I have trouble remembering things (ie dates, numbers etc) and it is so frustrating.  Also, when I press on my head (any area) it hurts. my whole head does. is this normal? It is particularly painful at the top of my head and it has been there for 3 years now. will this pain ever go away? ### REPLY: HiT hanks for using  Sometime due to head injury, patients feel continuous pain and memory issues. Memory loss would take time to become normal and that localized pain may be due to underline hematoma. Sometime, hematoma get calcified due to calcium deposition and that may be reason in your case. You can conform by through CT scan. If CT scan comes normal, in that case, this pain may be psychological. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI, I missed my period, i took apregnancy test and it was clearly psitive within 2 minutes (slightly light pink) then i wnt to doc. her test was negative .again next morning i testet it turned positive after two days test turned again negative and it was firs mornig sample.Am i pregnant????? ### REPLY: Hallow Dear, Your two positive tests are more supporting the possibility of pregnancy. The two negative tests may be false negative. These tests if performed in the first week of missed period may give false negative results. Moreover, since you are performing the test at home on the overnight first morning urine sample, the hormones () in this urine are concentrated and hence the chances of more reliable results. When you go to the doctor, the urine you collect is a random sample which may have dilute hormones in the early stage of pregnancy. However, your second test with the doctor was on morning first urine sample. To get rid of the dilemma, I would suggest you to get Beta  test done which is very specific and highly sensitive. The results of this test are quite conclusive even few days before you miss your period. I hope this guides you to the better method.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 sister has MS. I recently spent 1 1/2 months with her after she had a benign tumor removed from her spine in the T3 region. She has been very Independent, not wanting anyone involved in her business. What I found in the time I was there is that her house had not been cleaned for some time and she hadn t thrown away a lot of unnecessary paperwork since the 1990 s when she was determined disabled. While cleaning her house and going thru the paperwork, I found some diagnostic comments from her neurologist for which I can use further understanding. They are: 1) cerebral vascular disease, severe; 2) cerebral ataxia secondary to MS; 3) mild bilateral middle cerebral artery stenosis; and 4) vascular risks include chronic smoking. Based on the fact that she didn t smoke while in the hospital and rehab which was over a month and the fact that she started again as soon as she got home, it isn t realistic to expect her to quit even though I wish she would and encouraged it every chance I got. Can you shed light on the diagnosis comments and what can be expected in the future, especially since she continues to smoke? ### REPLY: Well Multiple sclerosis (MS) is the dymylienating disorder of the nervous system which can lead to cerebral ataxia as well. Cerebral vascular disease / middle cerebral artery stenosis and other vascular risk are associated with the smoking. Cerebral vascular accident may happen if someone continues to smoke which can lead to irreversible neurological deficit. Counselling and medication are two effective modality for quit smoking. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I fell on uneven sidewalk on July 3rd and hurt my knee: I had no problem walking and I didn t have much pain just bruising on my knee with tenderness. Now as the bruising is entering the purple/green phase I am starting to get a lot of swelling in my calf and ankle- what should I do ?? ### REPLY: Welcome to  I have gone through your query and understand your concern. You're swelling of foot and calf may be related to edema after injury. It is useful to keep limb elevated. Active toe movement will be useful to reduce swelling. Analgesic such as ibuprofen is useful to get relief from pain. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was sick a week before Christmas, my back was achey and I was getting nauseous about 2 hours after eating. I thought I had the flu. I felt better for a few days and then got lower and mid back pain and burning pain under my right breast over my ribs. It feels puffy there as well. That came and went and lasted for a couple of days. I feel better now, but am unsure if i should contact my doctor anyways. ### REPLY: Hi Welcome ChatDoctorThank you for your inquiry and appreciate your consentBrief answer: It is called referred pain from the abdomen. Detailed answer: The abdomen have a couple of organs which response to physiological changes constantly. And is always expose to stressful situations. The can manifest as pain that can be referred to the skin dermatome corresponding to nerve innervation of the organ. Thus, once stress is gone the symptoms disappears Hope my proposed will help answered your questionThanks for using ChatDoctorGood Luck ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a knot that feels like bone in my lower back about 3 inches from my spine on my right side. I have been able to deal with the pain for years but now I am 22 weeks pregnant and the pain is unbearable. I have rested as much as I can but I have a 15 month old that I have to take care of. My OBGYN said its not her area and can do nothing. What can I do at home to help or should I go to the ER to see if they can help? ### REPLY: HIT hank for asking to ChatDoctorNo need to worry everything will be fine, try any local analgesic numbers of brands are available on counter you can't try any one of them "Diclofenac Gel" would be nice, even you can have oral medicine if the local fails to response because if you go bearing the pain then this may create the kind of stress in baby so in such situation you can have any analgesic, as you are running with third trimester then the analgesic won't harm to baby have nice day and take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: we are trying for our first baby and i have been married for 2 years.....im on clomid ..last month i have periods on 13th jan....and i had scan on the 15th day of my periods there were one folicle in right and one folicle in left ovary and i had ChatDoctor shot also....and this month i didnot have periods yet...and i did hpt on 12th it was negative ....and i had a ultrasound on 18thfeb in which there was no sac but endometrium is 10.4mm thick....i again had the hpt it was negative again......im so confusedd what to do....still no periods.....is there any change of pregnancy.... what should i do ..please help me ### REPLY: Hello there, Thanks for writing to us. In your case, as there were 2 follicles after camphene, and you took  for rupture of follicles, there is a possibility of pregnancy. Your urine pregnancy tests have been negative for 2 times and USG showed thickened endometrium, so I would suggest you to get blood levels of b  to be sure about pregnant or not. You have not mentioned any medication you are taking at present. Hope to have cleared your doubts. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 3 days ago I had chronic neck pain, couldn t move it straight, to the left and couldn t look up or down. Today it was feeling almost a hundred percent better, but then I stretched back in my chair and heard a terrible ripping sound in my neck and then bam, the pain is back.. just as bad as when it first happened. Could I have damaged something in my neck? The pain right now is an 8 out of 10. ### REPLY: Hi, Since you have mentioned that you have strained your neck, most probably it would be a muscle spasm.- You need to use muscle relaxants and analgesics. I would have prescribed Diego MR to a patient with similar complaints.- You can use veteran spray or gel to get relief from pain.- Do not message rigorously.1) If your problem is severe you need to get X-ray investigations done initially, followed by MRI only if required.2) Do not take analgesics excessively.3) You need to keep an erect straight posture of your back and neck.4) Do stretching exercises, when you wake up lie on your chest then using two hand lift yourself up, in an arc like position and then lie down slowly. Repeat this at least ten times daily. This will surely relieve back pain5) If your problem aggravates you need to get yourself physically examined. Hope this suggestion help you. Let me know if I can assist you further. Thanks and 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, last night I was playing soccer, and I got kicked quite forcefully on my shin. It hurt a lot, but I forced myself to continue playing. I can walk on it fine, but its slightly bruised and swollen. Putting any sort of pressure on it hurts like nothing I ve felt before. Is it fractured? ### REPLY: Hi, thank-you for providing the brief history of you. A thorough musculoskeletal assessment is advised. After reading the history of you, I should tell, brave. Well now shin is a bony area and any injury over the shin will take longer time to recover as there is no muscle in that area and only a fascia and skin. Also, if you find that on a safer side you can undergo an x-ray kindly go for it. Besides, this injuries' receiver with time and depend upon the impact over the shin. You can use icing for pain relief as well. RegardsJay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 20 y/o, 5 foot 4 and weigh about 110 lbs. I have been diabetic since age 1, and have had asthma. I struggled with my diabetes in high school and stopped having my period over 5 years ago. ive had ultrasounds that have showed nothing. however over the past several months i have been having a tight, intense pain in my lower right abdomen/pelvic area. it shoots down my leg and makes my foot tingle. sometimes my back hurts as well. its much worse when i lay down ### REPLY: Hi! Good morning. I am  answering your query. The site of pain indicates the location of a chronically inflamed appendix or of the pelvic adnexa and also could be due to an asymptomatic UTI which has not been detected. If I were your doctor, I would advise you for a routine/microscopic and culture sensitivity test of your urine and treat it if positive. I would not hesitate to advise you for a CT scan of your abdomen as the ultrasound has not shown any pathology. Further management would depend on the investigation reports apart from the treatment to keep your blood sugar level normal. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. I wish you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was just electrocuted. I touched a light switch, it took a couple seconds to respond to the tingling and pain. I fell away from it, so it couldn t have lasted too long. My heart beat is normal and I am able to think clearly. My arm and hand are still weak, tingly, and kind of sore. I didn t know if I need medical attention or not? ### REPLY: Hi, Thanks for writing in. It is important to get an ECG if you are of middle age and might have cardiac problems. If you are asymptomatic and have a normal ECG, then there is no concern. Delayed arrhythmias are exceptionally rare and are usually preceded by a pre-existing ECG abnormality. There is no risk involved, and you have survived the shock. Please make arrangements to change the switch and see that no child . Your hand and arm weakness is temporary. It is possible that the current took the least resistance path through your arms to reach the ground. Please take note of your urine and consult your doctors if the urine color is dark yellow. This is because rarely an electric shock can affect the kidneys and cause temporary abnormal renal functions and this must be treated. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 son is in the NICU and has recently had to have a breathing tube. They tested some of his secretions and he has tested positive for Enterobacter asburiae cloacae. They have no way to tell if he is sick from this or if the bacteria is only colonized in the breathing tube. They have moved him into isolation and we now have to wear gloves and gowns. Now they are also wanting us to wear masks, is this necessary?? ### REPLY: Hi, Thanks for the query. I have read your query carefully, and understood your concern.  Enterobacterasburaie cloacae is found to be resistant to most of the higher antibiotics. So though the breathing tube was found to be positive for the bacteria your son is isolated. Being in isolation wearing of gown. Gloves, masks becomes mandatory to avoid spread of the bacteria in outer world.  One of following specified, powerful antimicrobial like Betalactams, Aminoglycocides, Trimethoprime sulphamethoxazoleare to be chosen with help of doctor specialized in infectious disease, 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: Im going to have a pet scan of pelvis, abdomen, and torax.... im sure im not pregnant rigth now.... but after the scan i want to start trying to conceive..... there is any risk of conceive an abnormal baby after the exposure to the scan radiation? do i have to wait? for how long? (Sorry for my english- im from argentina) ### REPLY: Hello.thanks for trusting the  doctors for your health related queries. I guess your concern is about.is there is any risk in conceiving after radiation exposure....right.my straight forward answer is.NO, there is no risk in conceiving after radiation exposure. Let us discuss effect of radiation-radiation will having teratogenic effect(that means it causes chromosomal abnormalities in your baby) when u exposed it during early pregnancy(1-6wks). But it doesn't effect when u conceive after radiation exposure. U told me that you are not pregnant when u exposed with the radiation. So DON'T WORRY.RELAX, nothing will happen when u conceive in the future. I hope the above discussion is informative enough, useful and helpful for u.regards- . .hopefully TWINS)last thing is that. don't be sorry for your English, I can understand your English very well. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 noticed tiny thread like particles in my fiance semen inside my vigiana cos i used a white tissue to wipe my vigiana and i saw the black thread like particles. pls sir/ma, what is the meaning? is it infectious? i am trying to be pregnant. and we had sex during my ovulation period. if i get pregnant wont d black thread affect d fetus. pls help me ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. No, this is not the point of worry. Semen usually do not contain any black thread like material. Even vagina do not contain any black thing. It may be hair that contained in the tissue paper. It may be a black material that is contained in the tissue which is making you a worry. This dust like material may be seen once. So if you see it for the second time than it is the point of worry. You can than see it to the doctors. Right now there is no need to worry. You can become pregnant. It is not the infectious material so will not affect the fetus in any point of time. I will be happy to answer your further concern on bit.ly/ . Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was born White(Wheatish brown).Now I have become brown in Complexion.This Happened for Lots of Reasons.How can i Get back Fairer as I was??.Suggest Home Remedies..Thank you!! ### REPLY: Welcome to  You need t apply sunscreen lotion of SPF 25 at least for protection from UV rays from sun. Try to avoid sun exposure. Use colored umbrellas for protection from sun. Eat fresh fruits and vegetables every day as they have antioxidants and vitamins that prevent damage to skin.  .  Exercise every day for 40 minutes by brisk walking which is enough to improve blood circulation to skin and make it glow. If you have any pigmentation on your face that can be removed by many methods like bleaching creams, laser etc. Consult your Dermatologist to get further information. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi sir,im 30 yrs old.since 6yrs im suffering with recurrent right side abdominal pain.but by last one year im getting this pain regularly whenever I do physical activity..uring diagnosis found in CT scan that findings are suggestive of mucosal nodularity and hyper enhancement involving terminal ileum with mesentric lymph node enlargment likely infective/inflammatory ,but in colonoscopy no visual pronlem as said by doctor.sir please suggest me tat wat actually happend to me.im very much afraid of cancer. ### REPLY: Hi. Thanks for your query. Since you are suffering from 6 years, the chances of cancer are less, but there is definitely something that matters to be diagnosed and is possible only by Laparoscopy and Biopsy of the lymph nodes to get a perfect diagnosis. CT scan is showing modularity and hyper enhancement of the terminal ileum indicates a possibility of Tuberculosis or Crowns. Hence, the necessity of another colonoscopy with biopsy of the terminal ileum and lymph node biopsy. Wait for the reports to get an exact diagnosis so that further proper treatment can be started. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 the past week my abdomen, from the sternum down to my belly button has become hard and swollen. I also have had in creased urgency of urination. I ve lost 60 lbs. over the last 6 months and exercise daily, consisting of a lot of walking, weights and some cardio. I occasionally will have a dull, aching pain in the sternum area. Concerned as to what this might be? ### REPLY: Hi, Welcome to . The dull pain in the sternum area could be due to gastritis. And the abdominal hardness and weight loss could be due to your exercise. Another possibility is that of a cancer on the abdomen, that can present with all these features, but that will depend upon your age. If it is on the higher side (>45yrs) then chances are more. So, I would suggest that you get an ultrasound scan of your abdomen to help reach a diagnosis. If it comes normal, then its mostly gastritis, and for that you need to take antacids. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 7 year old daughter has been having constant abdominal pain and diahrea . It has been going on for two and half months now she has done this once before last summer and she had a bacterial parasite which was treated with flagyl now the same symptoms have occured again. I have taken her to the doctor and they have ran test on her but they say nothing is wrong with he. I need help. I am helpless and havent been able to ease her pain or make her comfortable. ### REPLY: Hi, Thank you for asking question on . Your history suggests that your daughter is suffering from chronic amoebic colitis. REPEATED TREATMENT WITH METRONIDAZOLE IS NECESSARY. For easing pain you may use Cyclops tabs. Please consult your pediatrician and follow his advice. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care . V. Subrahmanyam MD;Disassociate professor of pediatrics ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: For the past few weeks I have been having lower abdominal pain every day at 5 pm - almost like clockwork. The Olin is like as if an elastic band s tightening around my lower abdominal and around my lower back. 10 weeks ago I was put on a proverb treatment that lasted 6 weeks. After that treatment was over I have had this pain every day. My fertility doctor does not know why this pain this there and says that proverb would not have done this too me. The pain feels like me trial cramps but I m not on my period. Te pain will last for several hours in the evening. I can fall asleep but have a restful night. When I awoke in the morning I feel we ll. I have normal daily Bowles movements and have not issues with my appetite or energy levels. I ll fine during the day but come 5pm the same cycle starts all over again. Could this be an intentional issue or something else Hope to hear for you soon Sandy ### REPLY: Hi I had gone through your query and understand your concerns. I would come up with the possibility of gas trouble or APD ACID PEPSI DYSPEPSIA is the cause for your sufferings. Irregular dietary habits, modern lifestyles (. Where strong feelings such as worry, anger etc., have caused the inflammation they will not get better until these feelings have come out into the open. Treatment plan;I advise you taking HomeopatChatDoctoredicines gives safe and permanent cure for your complaints without any side effects. Consult your local homeopathic physician for correct diagnosis of the case and remedy to fit your complaints. Or mail me at  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 taking Trajenta Duo 2/500 mg two times a day and Glimestar M3 Forte also two times a day. The total quantity of Metformin is 4000 mg per day. My homeopathy doctor says that too much Metformin can cause kidney damage. What is your advise ? ### REPLY: Hi, Thanks for writing in. Trajenta Duo contains Linagliptin and metformin which is give to control diabetes. It should not be given if there is renal failure or dysfunction (CRC <60 mL/min). Creatinine clearance is a test that measures the functioning of the kidneys. If your creatinine clearance is more than 60 ml per min then you can take Talent Duo safely. This medication is to be taken under doctors supervision and in recommended doses. Take this medication after food. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: pains I am having. I was recently in a wreck an have been having back problems due to the wreck. I have been going to a physical therapist to help my back and neck get better. This past Wednesday I went to my physical therapist to do exercises I normally do there and my neck and back were hurting a little bit. We stopped doing neck exercises because it was hurting. I did a back exercise and noticed it hurt to do it so he had me not do so many. I didnt hurt right when I left there but when I went into work later that day I started having bad lower back pain and both sides of my abdomen have been hurting badly. The past two days it has hurt to walk and do stuff at work and nothing seems to make it feel better. I am not sure if I am having muscle problems or if it has to do with me being a little lactose intolerant. What could be causing my pains? ### REPLY: Hello, Thanks for your query. There are numerous causes and conditions that produce neck pain as well as back pain. An MRI scan of the concerned spinal columns will help in establishing the proper diagnosis. I suggest you not make any delay in approaching a doctor as it is definitely abnormal to have neurological problems with weakness in the limbs at your age. The treatment for your problem will depend on the condition diagnosed. Generally, with early diagnosis and early treatment, one can expect favorable outcome after treatment. Temporarily, please follow the below-mentioned measures to get some symptomatic relief -- avoid any movements that produce pain-do not use bulky pillow underneath your head while sleeping as this position will produce more compression of the nerves-Use a Soft collar which allow the muscles of the neck to rest and limit neck motion. This can help decrease pinching of nerve roots with movement. Soft collars should only be worn for short periods of time, because long-term wear can decrease the strength of neck muscles.- Analgesic (diclofenac & lornoxicam) and muscle relaxant (thiocolchicoside) combination medicines will provide symptomatic relief from pain & muscle spasm. Neurotrophic vitamins like METHYLCOBALAMINE (activated It B12) or PREGABALIN will help in alleviating the neuropathic pain. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 6 year old great granddaughter weighs 130 pounds. She has a hump on her back just below her neck. born with a kidney they had to put a stint in when under a year and at 5 she had it removed. Her tummy at times is far more bloated than at others. her 3 siblings are actually on the thin side. Please help. Breaking our hearts school will be unbearable for her.Grace ### REPLY: Hi thanks for your question.6 years old and weight of 130 pounds means morbid obesity. The hump at the back could be collection of fat and there is nothing to worry about this hump. What she needs urgently is control of this morbid obesity. She should be investigated to rule out any metabolic disorder like hypothyroidism. Bloating of tummy is expected with this much of obesity. With so much of obesity at this stage of life can have the lot of health related problems in her feature life. I would suggest you to consult an internal medicine specialist preferably an endocrinologist who may evaluate her for such a morbid obesity and may advise you a management plan. Hope this 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: I had 2 of my wisdom teeth pulled out 5 days ago.  I am a 40 yr old female.  I had other extractions and root canals before, but nothing this painful. As the doctor injected my first shot of Novocaine, a nerve was hit and liquid flew out of my mouth and it hurt, badly!  It has been days since the extraction, but the pain has yet to cease. I actually am having sensitivity to teeth adjacent, and my jaw cannot open up. Please advise!!! Thank you! ### REPLY: Hello, Thanks for consulting ChatDoctorRead your query as you have pain and reduced mouth opening after extraction don't be worried so much in wisdom tooth extraction Erasmus is seen. I will suggest you to consult oral surgeon for examination of extraction socket and adjacent teeth for Abrasion, or periodontal infection for sensitivity. Inmeantime follow postoperative instruction given by your dentist and take proper course of antibiotic prescribed by your dentist. Hope this will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi............A few days ago, I felt something like a cramp in my foot, between my middle toe and the one beside the big toe...........it didnt really hurt, but it felt like a mild cramp and my toes seemed to be apart from each other more than usual. I didnt pay much attention to it until Sunday night after dinner, when i stood on my foot, the ball of my foot was sore to stand on. The foot was not really painful to walk on, but it still felt odd. Last night i massaged the toes, to try and relax the muscles.........after a little while, when i looked down at my foot, i had a bruise on the top of my foot, and also one on the bottom of my foot. Now i bruise very easily, but i have never had a bruise on the bottom of my foot before. Again it is not painful to walk on, just mildly sore. I don t recall bumping my foot, but i do exercise before bed and bike ride in the mornings. I m hoping this is nothing serious. ### REPLY: Hello, As I understand by the history there was bruise and pain of the feet.  Let me ask this? Are you diabetic or high blood pressure?  This pain what you sensed could be related to uric acid? But we can only say its due to uric acid when you have the burning of the feet. In case if all the above I mentioned isn't valid for you then there is nothing to worry.  Use hot water fermentation and keep the leg elevated over the pillow. You should be fine. Hope I have answered your query. Let me know if I can assist you further. Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am having liver cirrhosis and jaundice I am taking udiliv , Nusam 400 and Zevit along with lactulose syrup and diuretic tab since last 4 months still my jaundice test is same as it was 4 months back also I m having protein supplement B protein powder. Please let me know should I take same medicines please advise ### REPLY: Hello, Kindly mention your bilirubin, GOT, SGPT value for giving more comment. Diuretic tablet prescribed should be continued to reduce edema. Second, reduce portal hypertension by beta-blocker .  To reduce portal hypertension transjugular intrahepatic portosystemic shunt (TIPS) like invasive procedure can be done. Take a low salt diet. 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: when I woke up this morning and rolled out of bed I noticed a sharp pain in my head. It seemed to be the worst when I attempted to bend over all day at work. Abd I feel more foggy or drowsy the normal. During the same night before I noticed this I woke up and was having a blurred spot in my vision. Do you have any ideas on what this may be? It is now the afternoon and I m still having the pain when I bend over to pick things up ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have sharp pain in head. Well there can be many reasons for symptoms you mention in query like giant cell, arthritis, trigeminal neuralgia, cluster headaches, migraines meningitis, sinusitis, encephalitis or brain tumor. I would suggest you to consult neurologist for proper examination. Doctor may order CT scan or MRI along with taking history. Doctor may prescribe .  For Noe do mind relaxing exercises like yoga and meditation. 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: Hello I ve ben having some problems lately. When I wake up I usually feel like I have a fever, during the day time I feel pain in several different places on my body, but one specifick place that it always comes to is my chest aeria. I lose wight easy and don t gain any. Id say I eat normally but if I eat to much I end up feeling sick, but I still eat after that I don t throw up or anything like that. I also get bruises often. I m about 168cm, 50-52kg and I m 19. Oh yeah I ve been having the chest pains for about 2years if not more, but it s recent that the pain moves around. My fever have been exciting for about 1year. I also have trouble sleeping, but once I ve fallen asleep I can sleep 10-18h but sometimes I wake up after about 4h and don t get enuf sleep ( this happens rearly ) and Ive started to drool a lot more Then I use to. I haven t had any health problems when I was younger and I don t have any dessisece as far as my last doctor check up, which was about a few years ago. ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, in my opinion, we should rule out chronic lung infection like tuberculosis, fungal infection, pleural effusion etc. Chronic chest pain, fever and weight loss are seen in these conditions. So better to consult pulmonologist and get done1. Clinical examination of respiratory system. 2. Chest x-ray. Chest x-ray is needed to rule out all these causes. Also get done blood reports like hemoglobin estimation, total white cell count etc. So consult doctor and discuss all these. First diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Had one abortion  one and half years back, since trying to get conceived. Taking evatone 2mg daily twice and taking injection to induce ovulation and strenghten the eggs...  also taken Letroze from the second day of my periods for 5 days.Kindly suggest me to get conceive at the earliest ### REPLY: Hi, metro tablet is given to increase the size of the follicles. So, you can track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles.  Be in contact with your husband 2 to 3 days after your periods stop.  Take progesterone for next 2 weeks after the rupture of follicles.  Do a urine pregnancy test at home after that.  You can try like that for 3 to 6 months.  It will increase chances of your pregnancy.  Hope I have answered your question. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: This has never happened to me before I ve got back problems so I smoke a joint or two a day and this was at night and I smoked a joint had two small beers that are 3.5 percent I was laying in bed watching monsters inside us I started feeling like I had to throw up and I stood up and all of a second my vision started going black and I felt dizzy and started walking funny then I ran into the wall just before the bathroom and fell down and I sat up and was rubbing my tummy to get the upset and wierd feeling gone and next I know I m hitting my head on the wall and my husband woke up and goes u alright and he comes to me takes me into the bathroom and I threw up for about 8 minutes then my vision was coming in more clearly and I felt better ### REPLY: As it is obvious you are already aware of wrong effects and it's best to rid one off the habit gradually. Emotional stability comes from non-dependency and it is best to shake it off with the help of doctors or therapist who wean or help in weaning away from certain addictions.in my opinion getting busy with hobbies, or domestic chores requiring physical involvement, gardening, carpentry deviate the emotional pent-up demands. Pranayam, yoga and meditation are other ways. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mother was diagnosed with Lukopenia and has been receiving monthly infusions as part of her treatment. However the last two times shes had reactions to the infusion and tonight, 1 day after her most recent infusion went to the ER vomiting and in pain from the infusion.  Is this normal? What can we do? Is it possible she was mis-diagnosed? ### REPLY: Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Leukocyte infusion can induce allergic reactions2. The reactions are becoming more severe. 3. Leukemia cause needs to be identified. Leukocyte transfusions are not safe always. After a period, it is going to induce reactions. Cause needs to be identified. If severe and it is pancytopenia, peripheral stem cells from you can be harvested and stem cell transplantation can be tried.  Leukemia alone is not seen usually. Hope it helps. Any further queries, happy to help again. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am on plavix. I fell June 21. I was helping carry a fish tank and stepped backward, tripped on my flip flop and landed flat on my bottom. I was sore underneath my ribs for about 2 wks. My right side got better but the left is worse now. It hurts to take a deep breath. I can t turn to the left or right. Should I see a doctor or give my body more time to heal? ### REPLY: Thanks for your question on . In my opinion you are having musculoskeletal pain only, as you are having history of blunt trauma. But in left sided chest pain we need to rule out cardiac cause first. So better to get done ECG to rule out cardiac cause. If it is normal than it must be due to musculoskeletal reason only. Try to follow these.1. Avoid heavy weight lifting.2. Avoid strenuous exercise.3. Avoid bad postures in sleep.4. Take good painkillers and muscle relaxant. 5. Apply warm water pad to the affected area.6. Wear chest belt to decrease the movement of affected part. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my husband had brain aneurysm in sept of 2011. his dr put him on bromocriptine 5 mg daily he takes 2 2.5mg each day . nothing has been said about taking him off , was remarked to us about long term usage by family doctor. question is  how long does he takes this medication.            is this a question for his neurologist, he has not been seen by them since 2012. ### REPLY: HI, thanks for using  It would be best to schedule an appointment with his neurologist to determine how long he will need to continue using this medication. Bromocriptine is commonly used in some conditions affecting the pituitary gland which is found in the brain. If the aneurysm rupture affected this area then this may be the possible reason for the medication, but a reevaluation by his neurologist is needed. 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: my son has hepa b hbsag-reactive-anti hbs-non reaetive-anti hbc-lgg-reactive- anti hbc lgm-non reactive -Hbeagnon reactive -anti =hbe-reactive -my son 32 years and it was detect 2007 -this profile is last july 5 2014 what is the meaning of this-thank you? ### REPLY: Hi, I had gone through your question and understand your concerns. Let me analyze your reports-1.Bag - reactive (Bag is a marker of both acute and chronic Herb infection)2. IgM antic - nonreactive, Egg antic - reactive (IGM antic is a marker of acute infection, Egg is a marker of chronic infection)3. Hbe Ag- nonreactive (Head is one of the quantitative markers of the viral replication)4. Anti HBS - nonreactive (Anti HBS indicates complete recovery from Herb infection)This actually points towards - He nonreactive chronic hepatitis B. There are plenty of medications available like Endeavor, Regulated Interferon and others. They can be started based on the HBV DNA level and GOT, SGPT level. Do not worry. It would have been great had I examined him on my own. I would suggest you to take him to a gastroenterologist. He/she can examine him and correlate clinically. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing your sons 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 had a medical abortion at 8.weeks pregnant 2 weeks ago I lost a lot of blood I was given r u486 and then vaginal pessaries Ive had painful headaches and pressure Im my face since n can hear my heart beat like its min my ears could this be anemia? ### REPLY: Welcome to . My dear friend as you told that you had medical abortion, then its means you had also blooded loss. Medical abortion cause blood loss which also may be significant to cause symptoms as you asked like headache and palpitation(hearing heart beat}. You should also confirm that at present there are no bleeding. I suggest you to attend the nearest Gynecologist for your hemoglobin check up and to rule out any product of conception retained in your uterus. It will help to further cure of you anemia if there are any bleeding present. Thanx for your query. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have had my tooth removed and had a abcess there in the back of my jaw i took reothromycen all the way through till my next surgery to get the other roots out now i still have swelling under my palte and in my neck also i have some itchyness in my left side of face noe im almost done with my secound stage of antibiotics clindamycin and my abcess were the tooth is still there and the swelling and neck sorness is getting woarse what should i do ### REPLY: Thanks for your query, I have gone through your query. The swelling and abscess could be because of the roots. The antibiotics what you are taking reduces the infection at that point of time, but the cause has to be removed for the permanent solution. Once you get the tooth removed the infection will come down. Consult an oral maxillofacial surgeon, get a radiograph like OPG done to rule out infection originating from other tooth. After finding out the causative tooth you can get the tooth removed. I hope my answer will help you, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Basically around 10 months ago i had one of my teeth pulled out. The dentist told me that i would always have a gap there, but recently a tooth has started growing there, and basically i can feel a tiny piece of gum hanging....not sure if i should be worried or not ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concerns. As per your complaint it is not a common finding that a tooth regrow or re-erupt into the area where a tooth has been extracted and there is a possibility that any piece of tooth root might b left broken and extracted into the extraction socket and at times it can erupt and come over the surface. Secondly a tooth erupting in extraction socket is rarely possible if there was an impacted supernumerary [extra] tooth. I would therefore suggest you to consult an Oral Physician and get evaluated and a thorough clinical evaluation and investigations like x-ray can help in diagnosis and then only any treatment can be done. Hope this helps. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello doctor, my daughter has just completed a year. she is having febrile seizure from the month of 5. Upto her 1 year completion she has got the febrile seizure near to 9 times ( has monthly once or twice). sometimes we was normal but suddently she got seizure. when we check the temperature that time it will be above 99. Kindly advice what to do........ ### REPLY: Hi, It is not common for a baby to have simple febrile seizure at this frequency. Usually they will get once in 2-3 months only. Also, we have to think why the child gets fever once or twice every moth. If I were your treating doctor, I would suggest you to get an EEG (electroencephalogram), a basic metabolic workup and sometimes an MRI brain. If all these are normal, we need not worry much. If EEG comes abnormal, it is possible for him to get seizure even without fever. To control this, we have to give anti-epileptics. Usually I prescribe cloacae as intermittent prophylaxis (i.e. to be taken only for first 3 days of every fever episodes. Child .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 44 years old, for the last 2 years I am having an errection problems, however, I have noticed that I have a very strong errection when I am a sleep ( I wake up during the night and I notice that) but when I am a wake I have the problem. I also want to mention that I dont have any problem masterbating and I have a very good errection. Please advise if my problem is physical or psycological ### REPLY: Hi, Since you are getting good erection during sleep than your problem can be psychological not physical. Firstly, I would advise you for certain lifestyle modifications and non-medicinal measures to get erection. Try to be more passionate towards your partner. Spend quality time together and spend more time in foreplay. Avoid smoking and .  Exercise regularly which will boost your testosterone level, and subsequently you may get good erection. Make your bedroom more comfortable and conducive for the sex by dim light or light music. If all these measures doesn't help than you can take Sildenafil or Tadanafil group of  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Ive got an emergency dental appointment tomorrow as I have ferocious toothache. I was pregnant last year but gave birth to a stillborn boy- it was a highly complicated, abnormal pregnancy, and it was losing weight for my first two trimesters. I didnt know I was pregnant until six months on, and my tooth issues currently are related to a lack of additional dental care in that time.Can I take cocodamol and diclofenac today?  Diclofenac for swelling, cocodamol for pain?is that safe to do? ### REPLY: Thanks for using . Read your query. The pain and other symptoms suggests acute abscess. If you are not currently pregnant you can take diclofenac(if you are not allergic to any medicine). If you are pregnant now, you can take only paracetamol, any other medicine should be taken only if your dentists prescribes for you. Please visit your dentist and get the tooth treated after having a radiograph done. Have your teeth cleaned and maintain your oral health well, so you may have no more major issues. Hope this was of relevance for you. 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: ( appendicitis operation open belly )how many months should we wait before getting pregnant again? hi doctor and thanks in advance for your answer. we have already a healthy boy of 3 and half years .at the time during pregnancy my wife had appendicitis inflammation we used injections of ampicilinium and every thing was ok . she had a natural birth .1 month ago after being advised by doctors on not having the second pregnancy without putting away the same risk with appendicitis .so we got operated traditional way and every thing seems to be ok. how much should we wait now for the second baby ?your opinion please. ### REPLY: Hello. Since you have already had the appendectomy done, you can again try for the next child as soon as your wife feels perfectly alright. The overall status of the region where the appendix was located before can be known after consultation with your physician who can either do a routine ultrasound or if necessary a CT scan of that region to know the status of the base of the appendix. If everything is normal, then you should go ahead with your next child. Hope this helps. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doctor, im 47 yrs old, 5 feet tall and right now im taking atenolol 25 mg everyday, and i have questions for you regarding on my attack , its on and off basically, it started my cold feet and cold hands, bp gets high,and sometimes i get a high reading on my pulse rate too, and i am scared that i will get a heart attack if i feel that way, is it possible doctor? and one more thing, if youre under that atenolol drugs, can you drink alcohol and smoke too? thank you doctor for your help, your explanation would be much easier for me to understand everything especially my coldness feelings all the time. ### REPLY: Brief Answer:You should undergo further radiologic examinations and laboratory exams. You should be guided by an internal medicine doctor, for a more accurate etiological diagnosis and to adjust your medical therapy. Detailed answer:Thank you for using . First, more than a therapeutic approach, I would suggest you to undergo further radiologic examinations, and laboratory exams, in way to detect any possible cause of your high blood pressure. Your symptoms during the high blood pressure episodes, may be suggestive to secondary possible causes of hypertension such as Cushing syn .  But for being more precise into guiding you, I would need more anapestic data and a detailed physical examination. That's why I suggest yo to see an internist who may lead you in detecting the causing factor of your hypertension. In most of the cases in, even though you do all tests for secondary causes, it doesn't get out nothing. At this case we are in front of an idiopathic hypertension, which we have to deal with. Regarding your actual treatment, atenolol is not the first choice, for blood pressure treatment, but as you may have high heart rate, your doctor has chosen it to treat you. It lowers the heart rate, leading to low blood pressure. But as you are still having this attacks even under atenolol, it means that it is not enough for your full treatment. You should make a 24 h ambulatory blood pressure (BP) monitoring. If you have a persistent blood pressure higher than 140/90 mmHg additional blood pressure reduction should be achieved, increasing the atenolol dosage or adding any other  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Loss of memoryI am a 25 year old Nigerian. For many months, or even a few years, Ive been having a memory loss of some kind. I tend to forget what I experienced not so long ago, what was said to me, what I did or said... As a student, I even fail to remember what I read or have been taught me. I trend to forget peoples faces, names, etc. Please Ill be very glad if you can help me out in this regard. Thank you. ### REPLY: Hello! Welcome on  ! Your symptoms could be related to lack of concentration or ADHD. It is very uncommon at your age to suffer from Dementia. Do you have any other symptoms like anxiety or hyperactivity and inability to concentrate? For this reason, I would recommend consulting with a psychiatrist for a careful check-up and some cognitive tests. I would also recommend checking your thyroid hormone levels. A balanced diet reach in fibers and vitamins would help improve your situation. 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: hello 5 days ago I was hit on the right and left side of face above right eye. right above eyebrow its swollen and is tender. but main problem is to the left side of face. from the middle of the noise to the jaw bone. I was hit hard to left temple area as well sore but can deal with that discomfort. I just have to chew a little different for now. but the pressure on my chick is getting no better at all teeth are numb nose is numb part of my face is numb. black eye is almost gone. what should I do for the nasual cavity problem. oh and any time I blow my nose our cough a thick bloody mucus discharge comes out of my nose. been hit before but never had anything like this before. thank you mike ### REPLY: Thanks for your question on . I can understand your concern. You had blunt head injury. At present, you are having nose bleeding and numbness on face and nose. So better to get done CT scan of head and paranasal sinuses to rule out internal damage or fracture.Don't wait at home, consult doctor and discuss 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: Experiencing right jaw popping that has just been a grinding sound in my ear when I would open and close mouth , now cracking a lot and pain for 4 days, especially brushing teeth the movement cause severe stiffening with discomfort, had this in high school now 61; another age ailment? ### REPLY: Hello, It looks like you have jaw joint related problem like TMJ/TMD. It is the cause of grinding and popping sensation of the jaw joint along with pain and stiffness. So my suggestion is to consult an Oral Surgeon and get evaluated. A clinical examination and investigation like panoramic x-ray should be done to rule out the exact cause. You can be advised a combination of painkillers and muscle relaxant, mouth guards and Physiotherapy for relief. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son aged 56years has been married 3 times, very stressed for past year, his wife ended relationship of 8 years, he has been suffering with both big toes paining him, especially in bed has to get up and walk on them to stop pain, both toes are numb, it started with one, cannot say how long ago but has got particually bad since being told 6 weeks ago to leave which he has, he does get very stressed out, has a stressful job, he has been told to see a nueroliguist, the toes do not let him sit for long in the day ### REPLY: Hi, From your description possible causes of your son suffering in order of preference:-Decrease blood supply of toes-Neuropathy-Anxiety and depressive illness causing or increasing pain complaints-Combination of above reasons Considering multiple possible problems he needs evaluation by neurologist and psychiatrist. I hope this information has been both informative and helpful for you. Wish you Good Health.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: why after 5 years of marriage never having pregnant... never event once,also never abort... theres any something that i should know about my self... me & my husband has been told by doctors that we are normal couple after been checked by them 2 years ago, already done IUI twice but nothing happens... what should i know regarding this problem? ### REPLY: Hi, Thanks for writing to . You and your husband are diagnosed as normal couples. There are still many problems which can cause infertility.  Like problem in fertilization of egg or problem in implantation.  Since you are trying from 5 years I would suggest you to go for IVF I.e. in vitro fertilisation.  Here the problem of fertilization is solved as in this procedure they fertilize egg outside, and then they place them into uterus. They place 3 to 4 fertilized egg into uterus. So chances of conceiving increase. This will help you. You can discuss with your doctor. 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: My husband is totally blind from lebers optic neurothpathy and recently has had symtoms of constant lip licking espceially when he is tired which he isn t aware he is doing . He also has essential familinal tremors which is increased as he has got older He sometimes has some mild difficulty swallowing, Are these symptoms related to his Lebers neuropathy. ### REPLY: Hi, yes these other symptoms may be present in LION Vision loss is typically the only symptom of LION; however, some families with additional signs and symptoms have been reported. In these individuals, the condition is described as "LION plus." In addition to vision loss, the features of LION plus can include movement disorders, tremors, and abnormalities of the electrical signals that control the heartbeat (cardiac conduction defects). Some affected individuals develop features similar to multiple sclerosis, which is a chronic disorder characterized by muscle weakness, poor coordination, numbness, and a variety of other health problems. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I am 28 years old married female.My right side lymph gland has become biger in size since 2 years. I had a bat tooth in the right side of my mouth but last year doctor has removed that. Still I have swollen lymph gland.I could not undrstand what to do. please help me. ### REPLY: Hi. Can understand your concern. As per your complaint a swollen lymph node or regional lymphadenopathy can be most commonly due to infections in the areas from where the lymph nodes receives the lymphatic . . Any infection in those areas can settle in the lymph nodes causing swelling in the lymph nodes. Although you have had the infected tooth removed there are chances that there is some infection in some other tooth or some problem with the wisdom tooth or any other infections like in ear, throat,gums etc. In some cases recurrent or chronic infections in other parts of the body can lead to infection in the distant lymph nodes when there is septicemia and the distant lymph nodes may show enlargement. At times the lymphadenopathy which is chronic in nature can be due to LYMPHOMA which is a tumor of lymphatic cells and requires immediate medical attention. I would suggest you to consult a physician and get evaluated and in case of infection antibiotics can help in reducing the size of the lymph node. In case of tumor lymph node biopsy has to be done followed by treatment according OT the severity of the tumor. Hope this information helps. If you find the answer helpful kindly write a positive review and click on found this answer helpful as a token of appreciation. Thanks and regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello - I picked at a splinter. became infected, used peroxide. this hole bleeds undontrolably for a few minutes until I put pressure on and band aid. but band aid keeps it moist. not healing. looks like I have a bright red pimento in there. when I keep uncovered, dry, it raises up out of the hole... god this is gross. Hurts, bleeds all of the time. ### REPLY: Hi. Welcome to . I have gone through your query and can understand your concerns. As per your complaint it seems that due to injury there has been deeper injuries along with loss of tissue and bleeding is due to unhealed areas and infection. I would suggest you to consult a General surgeon and get evaluated, and he can advise you a course of antibiotics like Ciprofloxacin, anti-inflammatory painkillers like Ibuprofen. Injectable antibiotics and steroids can also be given for faster healing. . . A tetanus toxic injection can also be advised. Hope this information helps. Thanks and regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, ahries right now ? Please type your query here...ok so my bf & i had unprotected sex & he came inside me 3 weeks ago, & then i got a heavy period, but the day before I got my period we had unprotected sex & he came again. Does it matter if I had a heavy period? Could I still be pregnant? ### REPLY: Hello dear, I understand your concern. In my opinion once you get the periods there is no chance for the presence of pregnancy. But if the period is delayed, and then you got the heavy periods then it gives a suspicion of miscarriage, so it needs to be checked for the pregnancy. As per your information you got heavy periods on time so it cannot be considered abnormal. And ejaculation inside the vagina the day before the onset of periods might not be the reason for heavy periods. As the day before periods comes under safe period there is no chance for pregnancy. So relax. Avoid stress. There is no scope for the presence of pregnancy. Hope this helps. Best regards....... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doctor, I have a feeling in my crotch area that just wont go away. Its like a tingling feeling and while its not that bad when I stand up or moving around, it starts to kick in once I sit down and if I am down for a while. I also cannot stay erected down there for very long and it goes back to being really small. Any advice? ### REPLY: Degree understand your concerns went through your description. I suggest you not to worry much. The tingling sensation could be due to diabetes or varicose veins. But in those cases, the sensation should have been present almost every time. Another possibility is "could be nothing". Just a sensation. Try massaging the area with sesame oil twice a day and most of the cases should be relieved of the symptoms. If no relief found, consult a physician for further advice. You might need it. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have very irregular menstrual cycles. I can go two months without one then once I menstruate it will be for instance Ill start the beginning of the mnth then the next month start in the middle of the month then I ll start at the end....Then go without for a few months. Is this normal since I dont currently take birth control and havent in five years. ### REPLY: Hi, It is not normal to have irregular cycles, and you cannot keep taking pills to regularize cycles lifelong. So I will advise you to get Thyroid profile tested i.e. Free T3, T4, TSH and Serum FHS, Serum LH and Serum Prolactin as thyroid and hormonal imbalance are common causes of irregular menses. Also, you need to get a sonography of your pelvis done to rule out any fibroid as a source of irregular bleeding ### END