Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My baby boy is almost 9 months old. Around 6 months he had his first cold/ear infection. His doctor felt a mass in his lower stomach. He had an ultrasound and it showed nothing. To this day his doctor still feels the mass and says it cold be stool. I think....STILL? His goes to the bathroom all the time :) He seems to be fine and shows no sign of pain. Of course he seems to not like whe the doctor pushs on his stomach real hard. Im starting to worry. What could cause a mass in a babies stomach. Could you please not beat around the bush either and just give me the bad and good. Thank You! ### REPLY: Hi, Welcome to , I can understand the uneasy feeling you must be going through. The good thing is that the Ultrasound abdomen is normal which means if anything major mass had been picked up. Even better is that your son is otherwise totally fine and even his feeding and bowel habits good. Only concern is that the doc is feeling the so-called mass every time. Although I would like to say that it must be an insignificant feeling in the abdomen but before That I would suggest go ahead and get a Ct scan of the abdomen. I know its expensive and problem of radiation exists but its better you confirm there is no problem rather than living in a doubt in ever. Only one possibility I can think of is a hypertrophic pyloric stenosis which can present as a mass in the area you mentioned but that shut have presented much earlier than this. Bottom line is got a Ct scan and that's the best way to confirm. Hope I was of some help. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my husband was being sick all day yestoday not today just feels sick he has a really bad headache since yestoday morning he says hes week and hurts all over though mostly his right side chest this was the first symptom he is 5foot 6 and weighs 8 stone 4 ish he is 39 yrs and is fit and active though does have a week bladder which he takes triopside for think thats what there called ### REPLY: Hi, As per your queries, the answer is keeping aside one symptom i.e. fever, all your symptoms, as well as the duration of illness, is suggestive of irritable bowel syn .  However, IBS is a diagnosis of exclusion as there is no test to confirm you have IBS, it means that despite you have nothing or all your investigations are normal, you are labelled as having IBS. What exactly is IBS? Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have recently got back from a holiday in Bali and yogyakarta in Indonesia. i got sick over in Indonesia and i had a sore throat coughing, headache but that went away after a few days, i got back on the 10th feb and now its the 22nd and Ive been still having a cough that hasnt seemed to have gone. its worse at night and in the morning? can u please help me out? thanks ### REPLY: Thanks for your question on . I can understand your concern. Since you have recent traveling history, we should rule out lung infection (pneumonia or tuberculosis) and bronchitis for your chronic cough. So consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test). You may need antibiotics and inhaled treatment (formoterol or albuterol) according to the diagnosis. Don't worry, you will be alright with appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 84 year old mom has terrible left side groin pain. The Dr. Did an X-ray & said it was probably referred pain from Arthritis in the left hip. She did PT, Accupunture & nothing has helped. She is also taking Celebrex but it doesn t take the pain away just dulls it a little. Now she is talking about hip replacement surgery but I feel that should be as a last resort. Any other suggestions? ### REPLY: Dear patient if X-ray is showing arthritis in the hip definitive treatment is total hip replacement. Because once joint surfaces are damaged due to arthritis pain will be there and if pain relief is needed that arthritic surfaces has to be replaced. Total hip replacement is rewarding procedure and with good results. Please consult hip surgeon nearby your area. Meanwhile, start tab attract twice a day for pain relief. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doc im a obese 19 year old male 275 lbs 5 ft 9 and lately my belly button has been stinking but today I had looked at my white tee shirt and there was blood around it and when I put a qtip in it to clean the blood from aroumd the outside more smelly bright pink leakage came out can you help me ### REPLY: Hi. This is called an umbilical granuloma. IT has the classical characters of sticking smell and discharge as you explained. Since it has got a stinking discharge this can be an umbilical sinus or a fistula, wherein there is connection between the umbilicus and either the Uranus meaning the urinary bladder or the intestines with Nickels Diverticulitis.  I would suggest you first to get a clinical examination done by a Surgeon and CT scan of the abdomen to confirm the diagnosis with associated problems as discussed. You will an exploratory surgery and to deal with the findings. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i m suffering from SGPT, SGOT and GGT high level.kindly suggest me how to reduce these levels and what are the effect of these. what are the exercises and foods will help in reducing the level of SGPT,SGOT and GGT. what are the reasons behind these level high? ### REPLY: Hello! Thank you for the query. Please note that the main rule is that we do not treat lab results but persons. So if your lab results are only slightly elevated, this might be your normal results. If liver tests are really high, usually it indicates some serious liver diseases like cirrhosis, viral infection, bile ducts obstruction etc. Each disease has different treatment. So first you should have diagnosed the reason. Please consult astrologist and have proper diagnostics. To improve liver condition you should avoid fatty foods, spicy foods, fried foods, alcohol, medicines (especially painkillers). Hope this will help. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have problem of gasritis .i feel that my throat was heavy all the time and their is a lot of pain also i take lot of medicine but no benifit.please give me the solution i shall be very thank full to u. ### REPLY: Hi NimiWelcome to  Forum have HERD. It can be improved without medicine if maintain a healthy lifestyle and healthy food habitsAVOIDS - junk foods, fast foods, rich oily spices foods, fried foods, over eating, Nick NAK eating between the meals, NSAIDs without any antacid, excessive mental stress and strain, ADVICE: Eat moderate, more fruits and leafy vegetables, .  Thank your further inquiry can contact at multicare.homeo@yahoo.com ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 6 of my teeth have broken off in the back one is a capped tooth the others are originals in the last two months. I also notice black on the gum line. Also in the last two months. My whole jaw is painful I do grind my teeth in my sleep. My tongue IS effected that rub against the broken teeth. Please advise ### REPLY: Thanks for your query. I have gone through your query. The breakage of teeth can be secondary to grinding of your teeth. The other possible cause can be secondary to decayed teeth. The black staining over the gums can be secondary to deposits, or it can be a physiologic pigmentation. Nothing to be panic, consult an oral physician and get it evaluated. If the teeth are decayed, then it has to be restored. If there are any deposits over the teeth then, you need to get your teeth cleaned. I hope I have answered your 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: Hi, my name is Stephanie. I had a cataract removed August 26, 2014 and a Tecnis multifocal IOL put in. The surgery was successful but I am experiencing huge halos at night around any lights. I have not driven at night since the surgery. I am 60 years old and it is vital to me to be able to drive at night. The surgeon that did the operation is hesitant to remove the lenses since I am a diabetic. I also have hypertension. I am very near sighted so I do understand there is risks involved with the surgery. If I do this surgery what lens would you suggest for me that doesn t have any risks of halos. Also what are your thoughts on even considering removing the lens. ### REPLY: Howell come to ChatDoctorI really appreciate your concern, intolerance to bright light could be pretty common after cataract surgery otherwise it may not cause any other symptoms, as a matter of fact ophthalmologist takes the best decision for the patient which lens is better, removing lens may not be the option neither it is advisable unless have some clinical reasons for that hope this information 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 boyfriend is 32 and started going through Xanax with drawls on Tuesday. He was severe muscle spasms for about 7 hours consistently they have slowed down but are still occurring. Yesterday I noticed his right shoulder arm and hand were swollen the swelling goes down into his back as well. He is having intense pain in the shoulder as well. When he sat up I noticed that his right leg and foot started swelling as well the blood vessels in his foot looked like he had a tourniquet around his leg ### REPLY: Hi, Thank you for providing a brief history of illness. If the swelling is in the foot and if you feel that the blood vessels involved than there is nothing harm to consult a physician and if he finds fishy then a venous test will be done which will at least give you a provisional diagnosis and get ease of your worries. Also, if the shoulder is swollen that he might have over strained himself. Getting check with a specialist is never bad and always a smart way of dealing. If all parameters are normal even after the tests and assessment by the physician then you can look with hot water fermentation for shoulder and legs. Post that little free exercises will help to get strength in shoulder and doing ankle toe movements while placing the legs on pillow will surely help you get rid of swelling. With the grace of god I wish you a healthy life ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I am Nitin 29 years of age and having weight 50 kg.I am suffering from acid re flux since around 5 years.But as per doctor advised changed routine helped me to reduce it.Can reflux cause cancer? ### REPLY: Hi. Acid reflux also called HERD (gastroesophageal reflux disease) can result in Barrett's esophagus. Barrett's affects lower esophagus and gastroesophageal junction with change of epithelium (inner lining) of esophagus to that of stomach. This is called metaplasia which can also lead to dysplasia and adenocarcinoma. The recent increase in adenocarcinoma (cancer) in lower esophagus observed in western population is because of it. The good thing is that you have adapted lifestyle changes and your doctors' advice to settle acid reflux. Discuss with your doctor whether there were any Barrett esophagus changes and any biopsy done. If yes a follow-up endoscopy should be done to see improvement if any. I hope your question has been answered. I would be happy to answer any further questions if any. Thank you for choosing . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i have problems breathing on and off i got my lungs checked twice i use to take lot of pills supplement that is could it be over the years it has affected me my doctor says no i believe it might be my respiratory system? maybe my thyroid thank you for your time ### REPLY: Thanks for your question on . I can understand your situation and problem. In my opinion you should consult pulmonologist and get done1. Chest x ray2. PUT (pulmonary function test). Many times clinical examination of respiratory system is normal but chest x-ray and PFT are abnormal and indicative of disease. Chest infection can cause breathing problem. So chest x-ray is needed. Bronchitis can cause breathing problem, so PFT is needed to rule out it. If both are normal then you may have anxiety and related symptoms. So better to avoid stress and tension. Be relax and calm.Don't worry, you will be alright. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 64 years old and the last couple of weeks my hair feels thinner I did cage a conditioner but I stopped using it my my scalp was re and itchy and the became sore I feel like I sometimes have a fever or like a hot flash My scalp has always been quite sight just don t feel that greats ### REPLY: Hi, You seem to suffer from seborrhea dermatitis most probably. Consult the dermatologist for the perfect diagnosis and proper treatment. Yeast may be there on scalp responsible for the disease. Stress is another factor. You may have greasy scales on the scalp and may be having itchiness and discomfort in scalp. Due to scratching, erosion might occur which ultimately lead to complication in the form of infection. So, perfect treatment is needed... I would suggest...-tab ketoconazole-tab folic acid - if needed, oral steroids in a tapering dose-if needed a course of antibiotic-apply steroid lotion like beclomethasone lotion on the scalp-shampoo daily with ketoconazole-containing shampoo-avoid stress-relax and avoid scratching. Hope I have answered your query. Let me know if I can assist you further. Take care.  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 24 years old, I have been doing mastrubation since the age of 14 not in excessive way but normal. I used to be thin and after going to gym I gained a lot, but my legs didnt gained that much of health. Now when I have left te gym my body is not in shape but it was good till last year. Before one years frm today I mastrubated more than normal, approx 4 times a week and I started to realize that my legs are getting skinny day by day, I dint do it for quite like 1 month but my legs remain same, now since then every time I do mastrubation the next day when I wake up I feel ore skinny, I dont really understand my upper body is now fat and lower is reallly very very skinny, I cant even open my legs infront of anyone. I would request if domeone could suggest me of some pills to gain health of my leg would be really great, thanks ### REPLY: Degree understand your concerns went through your details. Please understand, masturbation is a natural process habit and is never unhealthy if practiced moderately. At the present age thrice or four times a week considered healthy. The ideal way of exercise is to provide exercise or workout to every part of your body equally. Your lower portion could be skinny when you compare it to your upper body because you did not provide enough attention there. Second possibility is that the perception itself is wrong, and that could happen due to negative obsession. First you should consult a psychologist for expert opinion and counseling. Then you may visit a physician for remedial actions, if required. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 opening a pack of lance crackers with my teeth and a piece of plastic came off and I think I inhaled it, it felt stuck in between my throat and airpassage i tried to cough it up would not now i feel so tired and can hardly breathe. I have 2 kids ima single mom. ### REPLY: Thanks for your question on . I can understand your situation and problem. In my opinion you should consult pulmonologist and get done 1. Clinical examination of respiratory system. 2. Bronchoscopic evaluation. Your symptoms are suggestive of foreign body aspiration (piece of plastic). And this can be diagnosed only by bronchoscopic evaluation. And if it is aspirated then removal is also done through bronchoscope. So better to consult pulmonologist and get done broncos copy to rule out plastic piece in the airway. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 ve noticed that my lower left hand rib cage/upper abdomen is protruding greatly over the past few weeks. It stays swollen. It feels very uncomfortable, more noticeable after eating, as if there is something pressing against it -it s worse when I m sitting than standing. I have no idea if that is related to something else that has also been happening off and on over the past few weeks. I have sudden intense heart beats that go away after a minute, or a few. It seems to primarily happen when I m wearing a bra, I feel almost immediate relief if I lift the bra away from my left rib/center. Also, the rib is uncomfortable when wearing a bra. Not sure if they re related, or if it s just odd timing. I m curious what this might be. ### REPLY: Hello, I have studied your case and I think that this can be epigastric hernia or rib injury. In both condition there is pain and discomfort and patient is not feel well after eating. Sometimes there is mass protruding from the abdomen. I would suggest you to get ultrasound of the abdomen and x-ray to confirm this diagnosis. I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, my three year old daughter has what the doctor said was a commom cold. She did not prescribe any antibiotics at the time. I have been giving my daughter triaminic cough strips, which the last time I did was over 24 hours ago. Well she woke up last night crying and scratching all over. As I looked her over, I noticed a re irritated bumpy rash acumulating over her whole body. Even her cheeks turned red then bumpy. I put cortazone cream all over her then she finally got some relief and slept. She did scratch a little bit this morning, but was better than earlier. I did not change detergents, nor her diet. ANy suggestions on what may be going on? Thank you in advance for your time. Tricia ### REPLY: Hi, An itchy rash occurring on the background of common cold is usually a part of viral fever. If the rash appeared all of a sudden, with spreading from one site to other parts and associated with raised patches as in give, this could be due to allergy toward some insect bite also. If I was your treating doctor, in both situations I would have given antihistamines like HY .  If the rash is coming down and no much fever, you need not worry. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i was diagnoised with left ventral tongue anterior third; severe dysplasia with nonspecific ulceration.  comment, we cannot rule out the possibility that this represents a superficially invasive squamous cell carcinoma.  Dysplastic changes extend to the lateral margins, pas stain is negative for candida species.  I have seend 2 oral surgeons and they both want to operate and remove as much of my tongue as needed.  I do not want this cutting of my tongue.  I want to know of other alternatives.  A friend of mine told me that she had coldcopsy on here vagina, can this type of procedure be done on a tongue where the cells are frozen and the dysplasia just dissolves or falls off. ### REPLY: Hi, dear. I have gone through your question. I can understand your concern. You should go for surgery.  Try to remove tongue as much as positive.  After that go for histopathology examination.  And then you should go for chemotherapy or radio therapy according to report. But there is no other alternative.  Surgery is must for sever dysplasia.  You a have invasive squamous carcinoma so don't wait. Go for surgery as early as possible. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor, I have two small rock hard white spots on my eye lid. Like milk spots but very hard. How can I get rid of them, are they dangerous and is squeezing them harmful? I m sure they are nothing to worry about. it s just that my fathers girlfriend had a similar lump on her lower lid, where you would ear eye liner and it bled once, she had it removed and it turned out to be cancerous! I d appreciate your feedback. Thank you, Claudia ### REPLY: Hello, welcome to , Firstly, to reach a definite diagnosis, you need to consult an ophthalmologist for clinical examination.  But look, whatever it is, you have to remove it. Because, it is not possible to tell any lesion as benign or malignant on just microscopical examination.  For, this, the tissue after removal must be sent for histological examination. Only this method can definitely tell you what it is.  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 stomach has been tight and hurting all day, it doesnt seem to be a stomach full of food thing, I just went to the bathroom and it was solid. I dont feel like vomiting. I just have throbbing stomach pains mostly from my belly button to the top of my belly. Also a slightly odd taste in the back of my mouth and throat. Help I need releif ### REPLY: HI ! Go for a routine stool test and urine test. If both are negative, then you should opt for an ultrasound to exclude heat biliary diseases like stone in the gall bladder. Apart from this hyperacidity can give rise to such stomach pain. You can take some anti acids and proton pump inhibitors on consultation with your family doctor. Take high fiber diet and plenty of liquids to avoid constipation. 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 husband has had stomach issues for 2 years now. When it first happened he complained of severe stomach pain in his upper middle to left abdomen. He also had a fever. We took him to the E.R. and he was diagnosed with Diverticulitis after a CT scan with contrast. Due to not having insurance at the time, we never followed up until this past month. He had a colonoscopy done and they found nothing to even suggest he has diverticulitis. They also eliminated Crohn s and Celiac disease. The only thing we have noticed that aggravates the pain is steak so he avoids it but still has the pain. He describes it as a bruised feeling. It s a dull pain unless he eats something that aggravates it or if the area is touched then it is a sharp pain, and he says it s not a cramping pain at all, just a very bad bruised feeling. It also causes him weird bowel movements that range from diarrhea one day to close to constipation the next. His doctor is treating him for Irritable Bowel but the medicine hasn t helped at all. ### REPLY: Hi. Thanks for your query. Read the history and understood the problems of your husband. The diarrhea, constipation sometimes, pain in abdomen, CT scan which showed diverticula in the past, but the recent colonoscopy is absolutely normal. Yes, he is suffering from the Irritable Bowel Syn . If the medicines are not helping, the probable causes and the treatment area as follows:-Notice more than the steaks, which food stuffs and beverages cause / increase his problems. -Increase the dose of the medicines o give more effect or may be change over to another medicines. -Stress and anxiety are the biggest contributory factors, and he has to keep them under control at any cost, with yoga, meditation and / or medicines. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 there. Me and my boyfriend had never had sexual intercourse. In other case, we are still virgins. When I last saw him, we rubbed our parts on each other but he didn t cum in me. I had my period that day and it was my first day so I wasn t really bleeding much. Or I was about to start because I had brown discharge. My period was really really light. It only lasted 2/3 days. What does that mean ? Can I be pregnant for this? I am concerned right now. What made my period stop? Was it that or it just happened cause it s normal? I think I should be fine but I just want to make sure ? Thanks. ### REPLY: Hello, and I hope I can help you today.First, I want to clarify, if you are virgin and have not had sexual intercourse or ejaculation directly in the opening of your vagina, your chance of pregnancy is really nonexistent.  Sperm die when exposed to air, so there is no way that you can become pregnant from sperm that ejaculated outside the vagina. Furthermore, is very uncommon to find women who ovulate during their menstrual cycle. Therefore, you were most likely not at the fertile time of your cycle when you and your boyfriend had genital contact. Furthermore, irregular bleeding can be caused by travel, changes in weight, hormonal imbalances and stress, especially the stress of worrying about getting pregnant. Just because your period was light this month does not mean that there was anything wrong. Now omens menstrual cycle is exactly the same every month, and as long as you got a period at the usual time, there is no reason to suspect pregnancy if the bleeding was different in quality than what you usually see. So I think that it is fine to be reassured that you did not conceive from this encounter with your boyfriend.  If you continue to have irregular menstrual cycles for more than three months, you may want to visit your local physician as some hormonal imbalances can cause these problems and should be tested for. I hope that I was able to adequately answer your question today, and that this information was reassuring. 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: Having lower left adominal pain for  about 7 to 8 days.. just started my period one day late, started with heavy cramps and still felt the pain in the same area,, the pe0riod started light, then hour later i had a blood clot... i took midol for the cramps, the cramps stop but still having the same pain... my period did not stop and this my second day on my period cycle..... ### REPLY: Hi. Thanks for your query. You pain in the left lower side of the abdomen may not be related to the menstrual cycle as this is only 2nd day of your periods, but you have pain for 8 days. The most probable cause of such a pain on the left lower side in a female patient can be :Colitis. Salpingitis. Ovarian cyst I would advise you the following:Get a Physical examination of the abdomen done by a Surgeon. Get an ultrasonography and S-ray of the abdomen in standing position. If there is a change in bowel habits, a course of an antibiotic and metronidazole along with antispasmodic round the clock may cure your problem. If not then further study of the abdomen by a CT scan and colonoscopy may be required. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 a 50 year old female, i woke up this morning anf heart was beating so fast i felt the chair that i was sitting on shaking with me. i got into an arguement with my daughter last night and couldnt sleep all night. Does that have anything to do with it? Im also a smoker for the past 30 years and i drink a lot of coffee in the morning. ### REPLY: DEAR USER, THANKS FOR CONSULTING WITH ChatDoctorI UNDERSTAND YOUR CONCERTGOER HISTORY OF AN HOME ARGUMENT WITH YOUR DAUGHTER MORE POINTS TOWARD A ANXIETY DISORDERS ANXIETY CAN CAUSE SUDDEN PALPITATION ...AND FAST HEART RATESMOKING AND COFFEE ALSO PRECIPITATES AND INCREASES THE CONDITIONS SUGGEST YOU TO DECREASE YOUR SMOKING AND COFFEE HABITS AS FAR AS POSSIBLEHOPE I ANSWERED YOUR QUERY. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my father is 75y/o.since 18 months ago he has been diagnosed by Myelodysblastic syndrome.he is pan cytopenic,he has hot recently whole blood transfussion  2 units,but still is anemic,thrombocytopenic and leukopenic.recently he has got bilateral leg swelling with bruises pointed in some areas on the legs.also always he suffers of itching generalised and scratching the areas and is taking oral antihistamines.do you have any specific oponion about improvement of my father general condition?thanx alot. ### REPLY: Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Bilateral limb swelling is due to cardiac failure. Stagnation of blood due to edema is leading to blood perfusion into subcutaneous tissue and itching.2. Limb elevation and diuretics will reduce edema. It's very important for edema to disappear to improve itching symptoms.3. Avoid plasma and go for packed cells during next transfusion in view of cardiac problems. 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 30 years old female non smoker. They found spot on my liver, spleen and lung nodule. The lung nodule is about 2.3cm. two days after the CT i had very sharp chest pain and had to go to emergency. The doctor said it could be pneumonia so i took two kinds of antibiotic for 15days and did another CT after i finished the antibiotics the nodule is still there. I also did bronchoscopy and the result came out negative for bacteria, virus and fungus. I will have another CT two month after.  My life is very busy and stress full on top of that i am also worried about my medical condition. Could this be cancer? What is the possibility? ### REPLY: Thanks for your question on . In my opinion you should not worry much about malignancy, as your age is small for it. Spots on lung, liver and spleen can be due to 1. Benign cysts2. Healed granuloma3. Fibrotic nodules 4. Rarely malignant nodules. And your reports are also normal. So no need to worry about this.  Get done repeat scan after 6 months. If lesions are static or improving than no need to worry. But if lesions are increasing than biopsy is needed for diagnosis. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 a 44 years old female and just recently started having mild breast pain and chest main and also had a hysterromy at 32   but is it common for women to have those pain.Iv alson been under a lots od stress so could that play a big part of it. I also have had a breast mammagram since age 40. Just concern ### REPLY: HelloFresh and chest pain may be due to many reasons like acidity, musculo skeletal, cardio pulmonary causes etc. You may need clinical correlation and further investigations. You may need routine hologram, random blood sugar, chest X-ray (PA view), ECG in all leads. Further investigations like ECHO may be advised after evaluation. After clinical evaluation you may be advised mammography. Proper treatment depend upon findings. Get well soon. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I got braces approximately a year ago. It was not a problem until now. The gum above my tooth has become inflamed. This is only because the orthodontists has put a bracket on the tooth,below the inflamed gum, to force it out and to line it up. I noticed that I have a light-yellowish bump and a dark red dot on my gum, above the tooth. I really dont know what to do and I dont know what I have. ### REPLY: Hello and thanks for consulting . I have gone through your query. It is common to have gum problem during orthodontic treatment as the tooth will be moving from its position. As you said you are undergoing the orthodontic treatment since one year. Its best you visit your dentist regarding this problem. He will check whether the forces applied on teeth is not more. And if necessary he may go for cleaning of your gums. Meanwhile you can use a mouthwash to rinse your mouth and an oral gel with metronidazole like Residing M gel can be applied on the gums. Hope this answers your query. Take disregards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 root canal therapy 5 months ago, but had incredible swelling afterwards, like a golf ball.  Obviously, I went back to have it checked and they found out, after X-ray, that the back molar had a huge crack and infection in gum.  Antibiotics, and Panadeine Forte, then extraction.  However, since then, Im going insane, as my bite is all wrong, and teeth are constantly encrouching on my teeth, and seems the temporary crown is too large.  Anyway, Im at the point that I want to try and file back the tooth myself, as have been back to dentist, and although they said they could see what was wrong and would fix it, its worse and driving me nuts and preventing sleep. ### REPLY: Hello, Thanks for writing to us. Usually after root canal treatment swelling will not arise if the treatment had done successfully. In your case, tooth may have cracked, re-infected or perforated which can lead into swelling. An x-ray of the tooth will help to diagnose the infection underlying. Tooth has to be either extracted or root canal procedure has to be repeated if necessary. Complete course of medicines has to be administered. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello,sirmy father is suffering from alergie at neck due to may be hair colour garnier/color soft.he is using hair colour from more than  6years.it start one and half month ago ,neck satrts getting black with a bit irritation ad now its spreading on face .plz help me out ### REPLY: As you have mentioned in your narrative it is clear your father has allergy of hair color particularly Garnier. For this what he has to do is hair color as much as he can or use some other brand in spite of Garnier. Apart from this he has to take cap doxycycline twice daily after meals with tab Exocet or tab dealer twice daily after meals for itching with tab rant ac or tab carotid twice daily empty stomach. He has to use Clobit-GM or Valnerate-C cream for local application as it is also very helpful in his case. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 to pee a lot. It also hurts a little as I am peeing, like something is blocking my urine. Inside the end of my penis hurts and I also notice that I also have a little pee on the end of my penis when I am done. I have not been sexually active in quite sometime. I also just got over C-Diff. Any thoughts? ### REPLY: Degree understand your concerns went through your details. Frequent urination, burning and obstructing sensation of the penis usually points towards urethra inflammation, calculi or other renal related problems. I suggest you to consult a physician if your problem is persistent. In the meantime, please . If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query.  Further clarifications are welcome. Good luck. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: the doctors say I have cerebellar ataxia which is like a stroke as you know. but I disagree with the diagnosis My symptoms are no balance,wheelchair  bound,blurred vision,dizziness,slurred speech,now having headaches which have alot ,tremors sometimes. Been like this for 7 years with no answers and I am 42 years old. ### REPLY: HIT hank for asking to ChatDoctorI really appreciate your concern and this may not be cerebral ataxia, looking to the symptoms I would say that you have to go for MRI study of brain to clear the diagnosis because without this study diagnosis would not be possible, and it would be better to consult the neurophysician for clinical examination, hope this information helps you, take care and have a nice day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi , hello dear doctor, actually Im 26 year old female married one child complain of upper left back pain , chronic onset with throbbling like , this pain start science 1 year when first i felt like heaviness pain in upper left back  no history of short of breathing or chest pain ... No other abnormalities... Thank u ### REPLY: Hello, I have studied your case. Due to compression of nerve root there can be pain in your upper back I will advise you to do MRI spinor these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. 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. 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 am having pain in lower back for last six months, which goes down to my legs , both hamstrings are stiff , I can not stand for a minute , my age is 52, my legs just give up in less than one minute, further stiff ness at neck area also, while sitting pain in buttock left side,  I can walk normally with little pain, also suffering from high Blood Pressure 150/110 ### REPLY: Hi, Welcome to , From your history and from your age it seems that you might be having generalized osteoarthritis changes in your whole vertebral column. Go for x-ray cervical and lumbosacral region for knowing any osteoarthritis changes. The pain you feel in your lower limb might be due to sciatica. This is due to irritation of nerves passing through vertebral spaces. Go for regular exercise like back extension exercise, qua . Do not lift heavy weight. Take branded Calcium and multivitamin supplements. Take enough milk. Ok and bye. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 mirgi and i dont know about this type of mirgi.my symptoms are blindness for few seconds and i loss my memory and physical control.i am using tegral for last three years but not well please please please do answer and solve my problem i will be very thankfull to you ### REPLY: Hi, I'm afraid I don't know what MARGIN is, however, it sounds to be at the very least you are suffering from some sort of epileptic condition (perhaps, temporal lobe in location) given your transient symptoms of blindness and loss of physical control.  You may need either a change of medication or a change in dosing of the medication being given. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor, i am 55 years old and am a diabetic. For about a month, I began to experience sever back pain . No medication helped me have relief . I got MRI scanning done two days ago and the report says that there is annular disc bulge. Is surgery necessary for this? Or can I have go for homeopathy treatment? Please advise me. thank you very much in advance ### REPLY: Hello Madhusagili, As per you've mentioned regarding your MRI scan report that there is an annular disc bulge, and you are already suffering from D. M, there is no need to go for surgical procedure for that. Homeopathy is fully capable of treating the condition 100%.  Just consult a good homeopathic doctor near your area and talk to him regarding the condition. There is one more important thing that Homeopathy will take care of this disc bulge as well as your D. M in proper manner.  Homeopathy is one of the best treatments for lumbago, cervical spondylosis, lumbar spondylitis, disc prolapse, bulge and many other conditions associated with back as it treats the person as a whole.  With the proper medication you should take care of certain things like regular exercise esp to strengthen your back, posture of walking and sitting, better chair etc.  So, it's better to consult a good classical homeopathic consultant in your locality. You'll be fine soon.... :)take care and ve a good and healthy time ahead ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Broke a stick with my foot & assumed I would meet resistance, which didnt happen.  I slammed my foot to ground with straight leg...appears as it my knee took all the shock.  I have had meniscus removed & acl surgery 30 years ago.  Knee is swollen and joint is weak.  Should I treat with rice & hope swelling will subside? ### REPLY: Hello, I have studied your case and I think you are having knee synovitis. I would suggest you to apply ice and compression bandage. You can take tablet Broken 400 mg twice daily for pain relief. In case pain is not controlled then you need to take x-rays of the knee joint to make sure that there is no knee arthritis. As you have meniscus removed long ago, so there is always chances of knee arthritis. In such case you might need steroid shot in the knee joint. I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor i need to do a circumcision surgery, please do let me know about the after effects and treatment days requered for this, as i am a 27yr old professional with busy work schedules,, how many days i need to spend on curing this properly...Regards,Vijeesh ### REPLY: HelloThanks for query. You have planned to undergo surgery of Circumcision. This is a simple surgery done under local anesthesia as an out patient procedure and does not require hospitalization. One can go home one hour after surgery. One has to take rest on the day of surgery and can resume work from next day. The . Normally we use absorbable suture material which get absorbed once the suture line heals up completely, Normally it takes 3 weeks for complete recovery and one can have sexual activities after 3 weeks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Hep C and liver problems>  I need to know what my options are. I had a blood transfussion in 1970 when I had my son and it didnnt show up till now. I am seening Dr. Lake in Hillsboro for my liver issues. Please let me know if there is anything you can help with.  Pam owen 503-848-8283Thankyou ### REPLY: Dear Friend. Welcome to . I am . I understand your concern. You should know that chronicity is the hallmark of Hepatitis C Virus. So you need to get treatment in any case. I would advise you're following:1. Liver Function Test2. HCV Genotypic.3. CV RNA quantitative.4. Ultrasound Abdomen.5. Upper GI Endoscopy. Get these investigations and without giving a second thought start yourself on treatment under guidance of an expert. You may write to us again if you have any other query. Stay healthy. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Doctors, My name is Mohamed , 29 yo, 180cm.. I have been married since 1 year and my wife is not pregnant till now. I made this Semen analysis, please tell me is it ok or I need a cure?? ============== Volume 3.0ml Reaction Alkaline/PH 8.0 Viscosity Viscid Liquefaction time: Prolonged Sperm Count/ml 129,000,000 Sperm Count/Ejaculate 387,000,000 Motility 1st hour : 70 2nd hour 60 3rd hour 50 Type of Motility: Rapid progressive 20% Slow progressive 30% Non peogressive 20% Immotile 30% Abnormal forms 35% Type of Abnormality: Amorphous & pinpoint head Spermatogenic Cells/ml  600,000 W.B.C/ml 400,000 R.B.C/H.P.F 1-2 Trichomonas Absent ### REPLY: Hi, Welcome to  . Your sperm count and motility are normal. Don't worry.  But WBC are more which indicate infection.  I would suggest you to consult your doctor and take antibiotics like ciprofloxacin for the infection. And after the course repeat semen analysis to see for infection cure. I would suggest you to also discuss regarding use of fertility improving .  These will improve fertility.  Hope I have answered your query. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 78 yrs was not feeling good past couple of days so doc said to run a few tests where in my haemoglobin was 9.2,  and my bilirubin -0.5(direct serum), sgot -87.5 and sgot-141.2, and gamma gt(ggtp)serum(ifcc) was -221.5 also alkaline phosphate serum was 294.9 please advice ### REPLY: GOT, SEPT, GET & alkaline phosphate are the liver enzymes increase in any liver insult. Your liver enzymes are slightly increase so most probably you are suffering from disease which affects liver. Moreover your he level is also low. For that you should search the cause for anemia. And take treatment accordingly. And your liver function test is abnormal, for that consult the M.D. Physician to deal with that. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 just had flu symptoms around 2 month ago( extreme body ache ,fever,sweating,rashes,tiredness) for around 7 days  and from that time experienced mild pain around the neck,armpit and behind the ear.no swelling no other symptoms.should i be worry? ### REPLY: Hi, I understand your concern. Flu is often associated with the symptoms you already had experienced like ache, fever, sweating, rashes, tiredness. The pain you are now feeling around the neck, armpit and behind the ear is suggestive of any possible mild complication of the flu (most probably ear infection although at early stage). Now, I recommend consulting with your doctor or ENT specialist to check your ears. If infection is confirmed, antibiotics orally and/or locally (ear .  For the moment, I advise taking OTC anti-inflammatory meds like ibuprofen or paracetamol until you see your doctor. Wish fast 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: Hello. I have noticed lately that I am very dizzy. Especially when I am walking or getting up from sitting. I checked and my blood pressure is high and I have been off my meds for a few days and just started back taking them Monday. But I have never had issues like this. My head has been hurting as well. ### REPLY: Thanks for contacting . Your symptoms are due to high BP. Where you typically get dizzy when you get up. A person on BP medication should never discontinue medication without doctors consultation as this could lead to dangerously high rise in BP. Headache is one of the symptoms of high BP. If you start and stop BP medications without consulting your doctor you are bound to get new and severe complications. Please take good care of yourself. Get in touch with you doctor and get your BP under control and your dizziness will get reduced. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi! I have a pea-sized lump on the buttock hole. Is that caused by sitting too long in the toilet?  What is it and will it just disappear on its own. I only notice the discomfort when im sitting down. I am on my period right now and sometimes it would take me a while to finish than when im not on my period. ### REPLY: Sellotaped on your query1. The swelling/ lump you seem to be noticing is probably hemorrhoids. They are engorged veins which become prominent on sitting or straining.2. Yes one of the reasons for hemorrhoids is constipation. Sitting for long time/ straining at stools are possible causes3. Another reason is having less fiber content in your diet.4. Get it examined to confirm/ rule out hemorrhoidsRegards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 my tongue swells for no reason, other wise I am well five years ago I had some tongue swelling but it stopped I dont get a rash, my iron is a little low and been told to increase it with food also 4 years ago I had to have a stent put in  due to a family history of high cloestrol ### REPLY: Hi. Thanks for the query. Swelling of tongue can be most probably due to allergic reaction causing allergic angioedema of tongue. Other causes can be accumulation of Amyloid protein deposits on tongue, hormonal imbalances, side effects of medication etc. So first consult an Emergency room and get evaluated. If there is any doubt then a blood test can be done to narrow down the exact cause of the swelling. In case if it is due to allergic reaction then it will be ruled out by an allergic test, and you should avoid exposure to allergen. If at all you get exposed and there is swelling anti allergic and steroid shot can help in relieving symptoms. If it is due to other causes then they will be treated once the cause is ruled out. 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: which foods can i eat that contains Oxalobacter formigenes? I have oxalate kidney stone and need some help controlling my oxalate intake but if i decide to cheat on my low oxalate diet i need to know what i can eat to help decrease some of the oxalates. ### REPLY: Hai, Dietary oxalate are usually restricted to 50 milligrams per day Since intake of dietary oxalate accounts for only 10-15% of the oxalate that is found in the urine of individuals which form calcium oxalate stones, many researchers believe that dietary restriction cannot significantly reduce risk of stone formation.  However, I will list the Oxalate containing substances. Avoid or reduce the intake of the followings which contain oxalate in dense level. Fruits blackberries, blueberries, raspberries, strawberries, currants, kiwifruit, concord (purple) grapes, figs, tangerines, and plums Vegetables spinach, beets (root part), beet greens (leaf part), collards, okra, parsley, leeks and quinoa, Celery, green beans, rutabagas, and summer squash Nuts and seeds-almonds, cashews, and peanuts Legumes-soybeans, tofu and other soy products cocoa, chocolate, and black tea regards . Senthilnathan ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have recently been unwell with a common Cold.. Symptoms such as runny nose sore throte a cough aches and pains with a headache... I have also noticed that I have got itchy gums... I have been taken cold a flu tablets along with paracetamol.. I brush my teeth twice a day and i use corsodol mouth wash.... But my gums are still itching... Please help! ### REPLY: Hello, Read your query, understand your concern this itchy gums can be due to viral dermatitis or gingival and periodontal ligament inflammation, for this you can do is do Luke warm saline gargle two - three times a day.  You can apply ointment Gum paint like stolen or Civil, and take vitamin B and C supplements by consulting with your local doctor.  Consult dentist for visual examination, scaling and root planning for healthy gums. Hope it helps you.  If you have further queried I will be happy to help. Regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I know this is probably unlikely but I heard it happens. I had sex while I was on my period 7 times and I had stopped my period three says early, he had spermed inside me each time we did it. By any chance could I be pregnant? Thank you for your time. ### REPLY: HelloThanks for writing to us with your health concern. Pregnancy while you are menstruating is virtually unheard of. For pregnancy to result, fertilization of the egg by sperms should occur. For this to technically happen, the female should be ovulating. Ovulation, that is, release of a mature egg, occurs each month during the middle of a cycle. If your cycle is of 28 days, it occurs around day 14. Hence, during periods, this is impossible. Anecdotal reports exist, but then that's rarest of the rare. The ovum also survives for no more than 3 days inside the peritoneal cavity. Hence, please stop worrying. Even if ejaculation occurred inside, there is no way you can get pregnant. So please stop worrying. Just to be on the safer side, you can go ahead and take a pregnancy test if you skip your period / have an altered period.However, it is quite unnecessary.In the future, please have protected sex so that infections / pregnancy can be prevented. All the displease feel free to discuss further by writing in anytime at -http://doctor.ChatDoctor .com/doctors/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 large painful lump on the top right side of my cliorus, its very painful and hurts when I walk. I also have swolen lymph gland both sides of my groin, which is very tender, I discovered this this morning and lump had grown since. Im very worried. And in pain. Any help would be great. I aso suffer with cystitus and pain when urinating. ### REPLY: HI. This is definitely an infected lump near clitoris and has caused the secondary lymph node enlargement in groin. You have to consult a Gynecologist to have a direct examination of the part, the possibility of STD and have a proper treatment that will have effect even on the cystitis and burning micturition. Please undergo all the tests your Gynecologist would advise and take a proper care for future as long treatment may be necessary for complete cure. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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.. one of my friends is in the ICU, the doctors have not been able to diagnose the cause and they have put him on dialysis.  His blood tests are normal parameters for all the checks, but his creatinine has been increasing, it was around 8 to start with and he has been under treatment in numerous hospitals for over the past one month, but it started to increase to 14 around 3 days back and today it is around 18.  Could anyone pls let us know what could be the diagnosis.... ### REPLY: Hello, welcome to . I have read your question and understand your concerns. Rising in s.great tier has only one diagnosis-KIDNEY FAILURE(might be temporary or permanent). My advice to you is-1. If s.great is still increasing then it means that dialysis frequency should be increased. We cant allow creatinine to be raised like that. Patient may go into coma. So, ask your doctor about that on urgent basis.2. You have not mentioned any past history of patient or any clinical history. So, its very difficult to tell whether it's a temporary or permanent kidney failure. Hope it will be temporary failure and kidney recover gradually.Otherwise, if kidney failure is permanent then he has to undergo lifelong dialysis or renal transplantation.3. Repeat kidney profile and electrolytes daily and strongly avoid fruit juices and coconut water. Thank You. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir, My brother is 62 years of age and suddendly on April 18, the food was not going down in stomach and it started blocked. After that no water, and no fluid was to enter into the food pipe and when the CT Scan was done, it was found that there the food pipe was blocked and there was cancer . After that 5 days RT were done on June 10 to June 15. After one month doctors advised to operate the food pipe. But when they took him for operation and started operated , after one hour the doctors told us that the operation can not be done because it is disbursed and started going upward. Now the patient is on death bed and doctors are doing nothing and nothing is going inside him. Yes they operated a tube on side of the stomach and only a small quantity of milk they had given to patient. As there any doctor can help us by giving some medicine. We are helpless before GOD. Can anybody help me without any payment or fee. Promila Kapoor ### REPLY: By your description, your brother is suffering from last stage of cancer of the food pipe. Technically whatever has been done so far seems to be scientifically correct. At this point, it is not a matter of money or fees, but there is not much that can be done for him except to provide him whatever comfort is medically possible with painkillers and the like. Your brother presented at an advanced stage and that is the main reason for his present state. It is nobody's fault. If there is any other advice you need, then please let me know. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 2months old pet dog in my house . He is not vaccinated. Few days before he scratched my 4yrs old son. It ws just a minor wound. I have started anti rabbies treatment After 5days.three doses r complete nw. Should I need to continue rest of other two doses. Be coz I heard tht if the dog is not rabbid then later on it will effect my son dangerously . Is it true. ### REPLY: Welcome to the ChatDoctorRabies is a vaccine-preventable viral disease which occurs in more than 150 countries and territories. Infection causes tens of thousands of deaths every year, mostly in Asia and Africa.40% of people who are bitten by suspect rabid animals are child . Dogs are the source of the vast majority of human rabies deaths. Immediate wound cleansing and immunization within a few hours after contact with a suspect rabid animal can prevent the onset of rabies and death. I would strongly suggest you to complete the whole course of anti-rabies injections. If the dog is not rabies infected, then there is nothing to be worried about. It's important to get completely vaccinated because it protects your child completely and also in case he is exposed again later in life the number of injections will reduce to just 2 in number. For any further questions, do contact us. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: sir, ive suffering from skin problem i.e. pimples on my face. my age= 19 yrsWeight= 65 kg Height= 5.10 Ive consulted with many skin doctors and also treatment but never got satisfied result . so, would you please suggest me a effective solution? ### REPLY: Hi, Thanks for writing to us. The treatment for acne depends upon the grade and severity of acne. So what would suit your skin best can only be decided once your skin has properly been analyzed. However, you may follow these guidelines to help you to some extents a salicylic acid or glycolic acid face wash twice in a day(if your skin is too oily). If your skin is sensitive use a mild cleanser like episode, detail OS or cutirinzIf having comedones, get them extracted. Avoid facials and massages. Avoid using greasy creams or cosmetics. Use water based moisturizer(Neutrogena/Clinique)Apply Darlene clindamycin/Darlene benzoyl peroxide cream full face in night. Use only pea size amount for full face. Follow these for two weeks to see, if you are having response. If not much improvement is seen, meet a dermatologist. 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 husband has not been feeling well. He has chest pain in the upper left side, feels nauseous, dizzy kinda out of sorts and has a few spider veins on his rib cage. He has been to the Er and Heart specialist and checked out ok. Any ideas what to pursue next? ### REPLY: Thanks for your question on . I can understand your concern. Chest pain with spider veins on rib cage is commonly seen with lung conditions like pneumonia, tuberculosis or lung cancer. So better to get done chest x-ray first. If chest x-ray is normal than no need to worry much. Gastritis can also cause nausea and left sided chest pain. So give him proton pump inhibitors and prokinetic .  If he is having stress than ask him to avoid stress and tension. Don't worry, he will be alright, but first get done chest x-ray to rule out lung causes. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. 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 suffered a dvt in 1998 aged 23. Suspected contraceptive pill as cause. No dvt for 15 years, despite surgery, long haul flights and a previous pregnancy terminated as I had a coil fitted. However in September this year got pregnant and suffered severe anxiety, depression and was immobile for a few weeks. Doctors, husband and myself all agreed that termination of pregnancy was sadly required as i was suffering mentally and phsically. Had termination and despite a preventative dose of clexane (heparin) I suffered a dvt later that week. There is a family history of dvt in grandparents. I dont want to go on warfarin for life and Im depressed I may have to. Normally Im fit and active. I feel hormones are to blame.  Please do you have any advice? ### REPLY: Hi, Thanks for asking. Based on your query, my opinion is as follows.1. One of the causes of thrombosis is a hypercoagulability, i.e. increased risk of coagulation.2. As you have a family history, and already suffered one episode and future risk is present, you need to be on anti-coagulants.3. Hormones are responsible, yes. However, if you try to reduce the hormones, other complications will happen. You need to be on warfarin for life to avoid risks. 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: Hi . My girlfriend got the birth control shot in June. It warred off and then she wasn t on it no more we have protected sex . The last time we have has sex was about a month ago . She hasn t bleed sence the shot. But now there is fluid and white stuff coming out of her vagina . We don t know if she Is pregnant or not we need help ### REPLY: Hello, Thanks for choosing  for posting your query. I have gone through your question in detail and I can understand what you are going through. The best way to diagnose if she is pregnant or not is to use urine pregnancy kits. White fluid coming out of vagina doesn't suggest that she is pregnant as there are many other causes of white discharge per vagina. Even in pregnancy white discharge increase, but it is not specific to pregnancy. Get a UPT test done. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, or want to further details about your query, you can use the below-mentioned link:bit.ly/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Good Morning. I had a question about my Father-in-law who is prone to polydipsia from schizophrenia. He has been informed by a doctor to *only* drink Propel (which after review has very little sodium) and told to avoid water, etc. What would your suggestion to be? ### REPLY: His understand your concern. How it can possible to diagnose polydipsia in schizophrenia. It is only excessive . Due to excess water there is dilution hyponatremia. It is necessary to give less sodium supplement otherwise due to diuresis electrolyte imbalance occur. Please consult nephrologist to get best help. Restrict water intake is the best key to treat it. Propel can be given. Still have a query then feel free to ask. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been sick with chest congestion, cough, severe headache, dizziness since Sat. Saw my GP Mon. and he says its a virus. Headache gone yesterday, but today everything I eat tastes funny, kind of like medicine. Can you please tell me what this could be. Never has happened before. ### REPLY: Hello, The medicine like taste can be due to infection only and in case if you are taking any medicine then it can be due to the side effect of medicine also. But you need not worry; as the infection will subside the taste will gradually improve. For now, you can do warm saline gargles. Use a tongue cleaner to clean the tongue as it will help in removing any particles from tongue and make the taste better. You can do soda bicarb gargles. You can also chew flavored sugar-free chewing gums to mask bad taste. 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: im 29 years old,female height is 170cm and weight 98kg.i have chest pain, chest tight and breathlessness, sometimes my hand and my feet is very cold. i feel panic and feel weak. i alrdy see a doctor and do ECG and check blood pressure, all is ok. so i want to knw what actualy happned to me? ### REPLY: Hi Dear !! Thanks for your query to . Read and reviewed your query and health concerns. IN the given situation, You seem to suffer from-Bronchial Asthma. As your blood pressure /ECG is normal-indicating the obesity is yet to affect your Cardio-Vascular functions with heart failure causing breathlessness / chest pain/ cold feet. Other causes needs to be verified before any further treatment is planned. Remedy-After Consults with Chest Physician and assessment of your case, follow suggestions-to deal with this case accordingly. Bronchodilators / antibiotics to control precipitating infection/ NSAIDs/ Montelukast to control eosinophilic reaction leading to bronchospasm. Plenty of fluids for proper HY . Hope this would help you to plan further of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following  link-http://doctor. .com/Funnel?page=askDoctorDirectly&docId=70229Dear, if satisfied, Dont forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at  services. If you want to update more details and ask more update queries, You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 28 yr old female. Last year in my blood test my GP found that I have thyroid antibodies in my blood. He said in future I d suffer from hypothyroid.He put me in iodine tablets. I have took those for one year approx. Then in other blood test everything was fine. In the mean time I had a baby too. She is 10 months old now. I stopped the intake of iodine after the delivery of my baby. I was noticing that I can t loose my weight and mummy tummy. My skin is dry, face is totally dull and patchy. Hair are getting worse.From last week , I am excessively tired, having joint pains and from last two days too sharp headaches. Are these the symptoms of hypothyroid ? Am I really suffering from that? Please suggest me something what should I do now ? I am really very worried . Should I have to take the hypothyroid medicine for whole life? ### REPLY: Hi, as you mentioned the deficiency of iodine, and now you delivered a baby girl. For a baby girl congrats for it. Usually after delivery there is a change in bodies hormonal levels. For which you shouldn't be panic. maybe you need little general body exercises to maintain the metabolism of the body. Since from 9 months due to the pregnancy you had a high physiological process and now post delivery your physiological metabolism needs little regulation. Also, I am sure you are eating healthy diet and for the absorption of what you consume needs the metabolism to be proper turned. I personally feel with exercises your symptoms will come down, and you will have healthy motherhood. I have seen many females coming to me complaining the same, I put them on exercises and within 3 months of time 99% recovery is attained. With the grace of God I wish you a good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have several symptoms about a family member from that started from birth that I would like to know the diagnostics for. Her ears have has always been extra sensitive to load noises but is more tolerated now. Around age 1 she used to bite her fist when she got excited. We got her to stop that but she started to shake her hands widely instead of biting fist and at her now age of 9 she still shakes her hands widely when she is excited. She was not very sociable until she started school. She is mentally a normal child. Whatever she has is very mild and getting better with age. Do you think her symptoms are related to Asperger? ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. Asperger syn .  The social interaction should come naturally after some time. Given situation is not that bad. Shaking of hands, if it is really a problem, should be analyzed. For that consulting a neurologist should help you. I can help you in this aspect. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. 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 high TLC Count (0000), high Neutrophil (88), low Lymphocyte (7.5) and low Eosinophil (0) and high Erythrocyte sedimentation rate (44). My examined and found many white color formation on my tonsil. Also my doctor told me my kidney also got strained (In Urine test report it showed Protein - Trace ). So what is the level of risk I am currently in. Please explain, waiting for your valuable answer eagerly... ### REPLY: Hi and welcome to . These are nonspecific findings of any inflammatory process in our body. Most common are respiratory and urinary infections. And it can be caused by tonssilopharyngitis of course. Proteins in urine can be sign of kidney glomerular damage or reinfection but sometimes can be found in healthy people. I suggest taking antibiotics for throat infection and repeat blood tests in 2-3 weeks. Wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had unprotected sex 12 days ago, I think I was supposed to get my period this morning and did not.  I am usually 28 days on the dot.  I also took Plan B within 72 hours of unprotected sex.  I took a pregnancy test this morning and it was negative.  Can I be pregnant and if so how likely is it? ### REPLY: Hi, Thanks for asking. I understand your concern. Plan b contraceptive prevents pregnancy when taken within 74 hours of sex... earlier the consumption better are the results As you had taken the pills in 74 hours . You have the least chances of conception.  Pregnancy test of urine is reliable when done after 8 days delay in periods. If you want early reports you should go for blood pregnancy test ( test).or go for repeated urine test after 8 days delay in menstrual date.  Thanks. ### END