Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 exboyfriend is taking 1-2 pills of Lexotan 3mg every night, he also drinks beer every day and sometimes he smokes weed. He s been given the Lexotan due to a back problem and his lack of sleep. Ever since, his mood has changed, becoming extremely anxious, blaming me for almost everything and feeling danger in every corner we go (we live in a 3rd world country). Can that mix of beer, lexotan and weed be causing him erratic behavior, to the point where he is almost hallucinating danger everywhere? Thanks for your answer ### REPLY: HiT hanks for using  What ever he does, in intoxicated condition, is due to effect of beer and weed. Some time due to alcohol and weed, patients become aggressive and violent. In that case, better to avoid the mixing of the two and tell him to take beer only. If he is not willing to follow instruction, that better to stay away from him under intoxicated condition and take help of psychiatrist for detoxification. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have some sort of swelling or lump or something under my neck. Its not a hard lump or anything. Its really soft and squishy. At first, it was just on the right side, but then yesterday there was one on the left side as well. Ever since the first one appeared (about a week ago), Ive experience extreme lightheadedness several times through the day, to the point of feeling like Im about to fall over. Im also extremely tired, and it takes me forever just to get out of bed in the morning. What could be causing this? ### REPLY: HIT hank for asking to ChatDoctorI can understand your concern, look this could be nonspecific swelling of cervical lymph nodes this could be due to undernourished conditioned, and this lumps does not make any harm to you, it is your over consciousness that cause such symptoms, otherwise it may not be any problem, if you have any symptoms like fever pain then it would be matters, take care and have 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: my Gamma GT level is 50. I take less than 60 ml alcohol almost daily. Occasionally, i.e. once in a month or so, it goes up to 120 ml. This habit is there for almost 20 years. I have also been diagnosed for fatty (mild) liver. What is the remedy?Raghunathan ### REPLY: Hi thanks for contacting . Noted you have positive fatty liver. Close follow-up necessary... Here are suggestion..... Take low fatty diet.... Trans fat avoided Like in cheese, butter, meat, baked pastry etc... Avoid refined food. Perform regular exercise. Use very less oil in diet. Udilive tablet can be taken... Papaiya like fruit useful. One tsp cumin seed with milk good herbal remedy..... Maximum safe limit of alcohol is 20 gm per day... Avoid excess alcohol. Hope your concern solved. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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,sir I have chest and stomach pain about a two months Recently. I suffered from TB and I take medicine TB six months regularly. Now I am OK from TB side. test has been done and not detected and TB.The problem is that after completing medicine of TB after some day the stool problem ( constipation ). Now pain in my stomach and waist or backbone always my stomach and chest pull from inside. Please tell the disease name any serious are normal. Some syntomes match to colon cancer is ok or not ### REPLY: Hi, Chest and stomach pain rarely indicate colon cancer. There are numerous causes of chest and abdominal pain, detail history should be taken. Chest pain may be due to cardiac cause. Cardiac pain very often mimic upper gastrointestinal pain, Nature, intensity, duration of pain or history of any radiation of pain to any specific site is very important. Colon cancer is unlikely. Consult your physician. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 father has a creatinine reading over 227 - not sure what this means except that it is way too high and his kidneys are working at 24% - he is 76 and the hospital will not do dialysis as his heart is failing too - what does this mean now for my father - what is his life expectancy and what can I expect to happen ### REPLY: At the age of 76 with 24% kidney function dialysis is not required. When kidney function decrease to 10% or low then he needs dialysis. At the age of 76,before starting dialysis many factors should be considered like burden on caregivers his cardiac status etc. With 24% function I would expect at least 2 more years he can survive without dialysis. The average life span on dialysis at this age is 1-1.5 years and if you're still willing to go for at when it is necessary peritoneal dialysis is good option. But maintain on low protein diet and avoid potassium rich foods. All the best. If you have any questions feel free to contact me. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi sir how are you.i am sohail from pakistan.ist of all im very thankfull to u guys for solving different problems realting our healths.i wanna ask u my younger sister is 21 years old and when she woke up in morning all of her front teeth and mouth is full of blood i consult many doctors but no luck .all of them says different things .plz tell me the best cure for that problem cause im getting very worried about my little sister.plz help me ### REPLY: Thanks for using . Read your query. Bleeding from the oral cavity could be due to gingivitis (inflammation on the gums) and presence of calculus. I wool advice you to consult a dentist and get her teeth cleaned professionally and followed by using mouth wash for a while. Another query is she on any medications which is not being mentioned here. If the bleeding is still persistent, get her complete blood profile done and check up with the physician. Hope this was useful. Thanks and regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My VPM blood test result is 11.2.  What does this mean and should I worry?  I am 54 years old and have had fluctuating High blood pressure for years. I am not on medication right now.  Can you please help me understand my blood test result?  Also my Sodium level is 146.  one point up from normal.Thank youEvelin ### REPLY: Hello and welcome to , I guess the parameter mentioned by you is not VPM, but it is MPV.MPV stands for man platelet volume and its range in between 6-10 fl. The normal range varies between different communities.MPV is a measure of volume of platelets. Value of 11.2 is near normal value, however, it can be interpreted better if platelet count and PLT are also known. Thanks and take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here...Hi my name is  Christina.My baby girl she is 6 months and 2 weeks.She picking everything to her mouth and even eating habit has changed mean low appetite.Should i deworm her at  that age? ### REPLY: Hi... Thank you for consulting in . I take this opportunity to tell you certain scientific facts and relieve your distress -1. An active is a well kid even if she/ he is not eating well.2. Development of a kid is as important as, or I would say even more important than growth alone.3. As the kids grow their interest in food decreases and interest in play activities increases so that they eat small quantity and run away to play. As parents, we need to be more patient and feed than less quantity but more liquors per day.4. This age rather than the quantity of the food I suggest you concentrate more on the number of times you feed her and also make whatever you feed her calorie dense by adding good amount of ghee to it.5. I suggest you not to use appetite stimulants on long run as they may cause . You may deform her and the dose is Albendazole 200 mg today and repeated after 10 days. This is a prescription  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 currently taking crestor, niaspan and lovaza for lowering cholestrol? I have been having terrible leg pain in my inner legs that makes walking difficult. I have been reading about the leg pain that many people have experienced with crestor I am seeking an alternative. What do you suggest? ### REPLY: Hi There are 3 reasons for leg pain with the history that you have given. Of course, it would have been even better if had told us about your smoking habits. 1) since your pain is present on the inner side of your thighs, there is a possibility of AVN of the hip joints. What it means is that blood supply to the ball of hip joint socket decreases, causing death of the femoral head(ball bone). This can give rise to pain primarily and also secondarily due to arthritis in the hip 2) PVD. Peripheral vascular disease means narrowing of blood vessels due to high cholesterol. This is the same phenomenon that occurs due to a heart attack, but this is albeit happening in the peripheral vessels. Also, a combination of cigarette smoking, alcohol, and atherosclerosis can give rise to what is called as claudication pain or simply pain due to narrow vessels 3) Creator can cause muscle pain. This is a well known cause of muscle pain in people using anti-lipid lowering agents. Either way you will require a full assessment by an Orthodox with x-rays of the pelvis with both hips, and perhaps MRI of the pelvis looking for AVN, and an arterial duplex looking for narrow blood vessels, if any. If you are diabetic it is imperative that sugars are under control and if you smoke, quit it as soon as you con. Hope this helps, Do let me know if you have any more queries on this one, .  Hyderabad. India ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Started having anterior cervical pain on the right. fever, headaches and abdominal pain. taking Tylenol and tums and this helps. how long should I wait before seeing a Dr. symptoms present for approx. 7 days. 53yo female. No past medical history other than hysterectomy at age 40 ### REPLY: Hello, I have studied your case. Due to compression of nerve root there can be pain in your cervical area. 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: Male 38 has chest pain left side sometime suttle sometimes very painful, under stress mother just passed away two month ago.   Is it just stress realated.  Sometimes lasts a couple of days but then weeks pass and nothing.  its mor noticeable when aggrivated or stressed out ### REPLY: Hello Left sided chest pain may be due to many causes like cardio-pulmonary causes. Other causes may be due to stress, muculoskeletal causes etc. It is always safe to exclude cardio-pulmonary causes in chest pain. You may need proper clinical examination and few investigations. Investigations include routine hologram, random blood sugar, liver function test, lipid profile, urine RE/ME, chest X-ray (PA view), ultrasound of abdomen, ECG,TMT, ECHO. 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 doctor.My father had viral  fever 1 week before. After recovering from the fever , he was having B.P and now when his B.P. is normal he is bleeding from nose.He has sinus problem too. Can u please suggest some home remedies or any other guidance so as to overcome his weakness?? ### REPLY: **1. Before labelling a fever as viral, one must look for [as a compulsory routine] pallor, jaundice,neck stiffness, abdomen for Liver & spleen and auscultate the chest so that cause of the fever [viral hemorrhagic fever] or associated symptom [bleeding] can be evaluated.PS. examine & investigate thoroughly to look for common causes of weakness like:. Auscultate heart for valve lesion. Hemoglobin for anemia. Blood sugar. X-ray chest. Thyroid profile2. Since symptoms associated with sinus are not mentioned thus examination with ENT specialist is necessary for evaluation.3. Prior to opting for any home remedies, investigate in details or consult a physician, do not treat symptomatically ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 husband was diagnosed with Staged 3 Nasopharyngeal Cancer with EBB Metastasis & lymph nodes in the neck in December 2010. He was on chemo treatment for 3 mons. & decided to stop NO treatment at all. He rejected the radiotherapy. He is 49 yrs., in good health, non smoker & he does not drink. What is his life expectancy.  Please advice.  Thank you for the help. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Your husband has nasopharyngeal cancer with metastasis. So surgery is not possible at this stage. Treatment of choice remains chemotherapy and radiotherapy. Despite treatment prognosis is not good. Moreover, there are many side effects of chemotherapy. SO without treatment he can avoid side effects. Life expectancy is not good with or without treatment. There is not much difference in life expectancy. Consult your doctor and plan accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: For last 3 weeks my husband eats and then throws it right back up. He eats yogurt and applesauce and keeps it down. His liver has high enzymes. They did an x-ray and ulta sound and talks about swallow test. From what the nurse told me it sounded as if his bowls were full at he has always had trouble going. He has had lots of things go wrong in last few years. ### REPLY: Hi, thank you for posting. You shouldn't worry because your husbands' problem has solution. I think that your husband suffer from gastric ulcer and bilinear disorder. To prove this he should make fiber gastrostomy to find the damages of stomach, to see duodenum and papilla later to see the biliary secretion. This procedure can be followed by abdominal CT scan. He also needs a blood test and erythrocyte sedimentation rate. All this time your husband need to eat small portion and many times a day, by eliminating spicy foods, coffee, and milk. He should take: 1. Omeprazole(Medium) 40 mg a day.2. Metoklopramide(ampule) 10 mg 2x1 a day to eliminate vomiting. Best Wishes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have a discharge that looks kinda like tissue and its just as googy but its brownish and i have it everytime i have sex and i would like to know what it is i know i dont have an std because i just went to  my gyno i do have hpv the cerivcal cancer though ### REPLY: Hi, Thanks for writing in. It is important to know if you have any wound in TH cervix or cervices with cancer of the cervix. There is a possibility that tissue might slough out from the cervix in a patient of cancer cervix. This is more prominent after having sex because there is close contact between the penis and vaginal vault and cervix of uterus in sexual intercourse. Ejaculation is part of sex and the semen is deposited in the vaginal vault. The semen consistency also might be thick and sometimes there is vaginal secretion also during sex which is more in some people. Sex might cause sloughing of some layers from the surface of cervix and this mixes with the semen and vaginal sections causing a brownish vaginal discharge which you experience. Suggested discussion with your doctor. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: For the last three weeks I have had difficulty ejaculating. What is the problem..?? I am 65 years old and in good health...for the most part. Taking a 5mm dosage of blood pressure medication (Mavik) daily and a multivitamin daily . High BP is mild for the most part . Have noticed a progressive decline in my ability to maintain a hard erection over the last year but have always been able to penetrate and ejaculate until now... ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. Men can have good sexual power throughout the life. But over the year after sixty years the power of sex that is erection and ejaculation decreases and pose problems. I think you are posing the same problems. Some blood pressure medication can affect ejaculation. I think you might be affected by both age and the . But in your age you should not worry about erection and ejaculation now. It's not the disease process but its aging process and so you should not worry. I will be happy to answer your further concern on 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: I have a severe acne problem pimples al over my face ,blackheads etc nd it has lead 2 ugly marks on my face.a week back I have started usonc celltone and I dit not see a diffrence yet,I wanna know wot your views on this product it,wil I see results wit continuous use,and if not wot will u suggest I u use thanx so much awaiting ur reply ### REPLY: Hi, for your acne problem instead of using excessively published over the counter products; use products that are specifically meant to treat acne. Firstly get your blackheads and whiteheads extracted by a dermatologist. Start a good oral antibiotic like azithromycin 500 mg along with oral isotretinoin 10 mg or 20 mg depending on severity of acne. Use clindamycin and Darlene gel topically and a good mild face wash. That will make your skin pimple free. Consult your dermatologist for further queries ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 having pain in my lower right front which feels like cramping almost and goes into my lower back on the right side which is extremely horrible. I have had a full hysterectomy and all ovaries removed. I also have had extreme bloating in my stomach at times for no reason. I havent just eaten or drank anything and it will bloat so bad up to under my breast I look pregnant and causes unbelievable pressure. ### REPLY: Hi, Thanks for your question. I can understand your concern. There may be following possibilities for your pain-1) Pain related to gall bladder calculus, infection.2) Pain related to right kidney and ureteric calculus.3) Inflammation of intestine colitis.4) Pain of appendicitis.5) Muscle spasm. You should consult your doctor for detailed clinical examination depending upon it appropriate investigations can be planned. Following investigations help in diagnosis-- Complete blood count.- Ultrasonography of abdomen and pelvis.- Rena & Liver function test.- Urine examination. You can use antacid with antiemetic with antispasmodic for symptomatic relief. Hope this helps you, if so do vote as helpful. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I was diagnosed with IGA nephropathy at 10 years old, I am now 25 years old and still see blood in the urine each time I urinate and is easily fatigued.  Whenever i have a blood test my kidney function is always normal yet I dont feel normal!  What treatment options are available? ### REPLY: Hi thanks for asking question in . Allow me to know you the fact that there is no single curative treatment available for it. Treatment will definitely delay the renal complication and need for transplantation and dialysis will be delayed. ACE inhibitors are the best . Meat and dairy product has to be taken minimum. TAKE LESS GLUTEN IN DIET. Take low protein diet. The ultimate effective treatment for end stage disease is renal transplantation. In your case regular monitoring has to be done. Enalapril like  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 1 year old daughter has blisters on her tongue and her gums are swollen and she had a fever 3 days ago. It is painfull for her and she cries a lot and does not sleep for long periods of time like she used to. The gums bleed from time to time and she has lost her appetite.. Any suggestions what this could be?? Robert ### REPLY: Thanks for your query, I have gone through your query. The bleeding gum and tongue blisters could be because of the herpes virus infection(herpetic gingivostomatitis) usually associated with fever. You can also take topical anesthetic and analgesics like Anabel gel for the pain. Do saline gargling, You can take systemic antipyretic like Cronin syrup. It is a self limiting condition, just take symptomatic treatment. If it doe snot subside in 5 days, then consult an oral physician. I hope my answer will help you, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son is 5 years old and recently had preop blood work done for tonsilectomy and adnoids. His ptt was 38 with the limit being 34. His absolute neutrophil count was 3000 above and his lymphocytes are low. His MCH and MCV were slightly elevated as well. He is not currently sick. But I would say his energy level is low and has been for a few months now. His blood work 6 months ago was perfect. Should I be concerned? We are seeing a hematologist on Wednesday as suggested and his surgery was cancelled. ### REPLY: OK, lets start with PTT : 38 is not considered prolonged since PTT is highly dependent on blood sampling, any reading above 40 should be repeated before making any diagnosis, so I think 38 is acceptable and don't warrant cancel of the surgery .the neutrophil count is normal(above 1500) , I need to know the total leukocyte count and the number of lymphocytes, nymphomania or reduced absolute lymphocytes count sometimes can follow an infection, it's not a must to have an acute infection.I think repeating the CBC after 2 weeks is the next step, and I highly suspect it to be normal. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: sir,i am 27 yrs old,my sperm count is 16.5 and fertility % is 30%.and doctor recommend me to eat two tablets of paternia, one in morning and other in the evening for 3 months.is it ok to have this tablet and my sperm count will be alright in this 3 months. ### REPLY: HelloThanks for query, Your semen analysis indicates Oligospermia (Count 16.5 millions). Truly speaking there are no medications that can increase sperm count. Paternea contains Zinc and anti oxidants, Following measure will help you to increase sperm count to some extent. 1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning. 2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc 3)Take anti oxidants like Almonds 5-6 every day 4) Avoid alcohol and smoking. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am F. 23. History of mental health, Dx BPD and dissociative disorder. Meds for MH only propranolol. Lately I keep jerking and waving, shaking, repetitively moving my hand over and over again, like a snappy crocodile. Sometimes it is in a rhythm, sometimes random, sometimes I do not even realise I am doing it until it is pointed out. It happens most when I am stressed out. I feel very strange. I feel unable to control my body sometimes and do a skip or my body just moves for me without me telling it to. Is that anxiety related? So I know what skills to try and use or look up please. Thank you. ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much.  Many researches and researchers confirm that medicines alone cannot cure mental disorders. Lifestyle changes, change in thinking pattern, relaxation etc. are as essential as medicines. Psychotherapy can help you to change your lifestyle and thinking patterns. Yoga and meditation help you to streamline your metabolism and neurological balance. Please consult a psychologist for further information. Psychotherapy and yoga should do good for you. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. 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: Mom has dementia. The decision was just made to not replace her pace-maker. Her heart rate is currently about 60 beats per minute with the pace-maker turned down. She is estimated at usinig the pace-maker about 50% of the time. Should I expect se see symptoms soon as the pace-maker stops? ### REPLY: This is a question that, when speaking with my patients, I call, "the great what if". That means a question to which there may be no correct answer until the worst happens. With a pacemaker is use intermittently, symptoms may range from fatigue to episodes of passing out. The best guide is the symptom complex experienced before placing the pacemaker. The more complex issue is performance of a procedure in the setting of dementia. Here, the discussion of whether to perform a procedure should involve the heart specialist as well as the provider helping manage her dementia. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 14 days ago, I had pain in my left abdomen that forced me to sleep on my back for two days. It became more painful if I turned to the side. Now, I still have slight pain in the left abdomen which is elevated after I eat (protein-rich food. I also experience decreased sensation in the big toe. I drank three to four times a week (3-5 bottles) until I felt the pain two weeks ago. ### REPLY: Hi welcome to  forum.  Thanks for calling . Forum.  You have got pain abdomen, on left side, it is so much you can't lie down on left side. Elevated if you take protein food. You're also experiencing decreased sensation in the big toe.  It might be a structural defect on the left side of abdomen like kidney infection, spleen enlargement, or sluggish movement of the descending colon or rectum, numbness of the toe could be due to pressure on the nerves coming to leg through the abdomen etc. I advise you to consult a surgeon for diagnosis and treatment. You may need to have M.R.I.abdomen besides other routine tests for confirmation.  Wishing for a quick and complete recovery.  Best regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 49 year old Female with a History of a Kinked Ureter to my right Kidney.  Two Surgerys last year to correct one lap and one open. Was pain free for approximately 10 months.  Two months ago my BP started going up I have always been around 120/70. In August I was getting bad HA BP was 150/90, three weeks ago my right kidney started hurting and hasnt stopped, went back to doctoe this past Monday BP 142/98, going back to Urologists tommorrow, took all I could do today not to go to ER.To much pain ### REPLY: Hi, Sorry about your predicament. I guess by kinked ureter to your right kidney you mean retrieval ureter which means ureter goes behind the large blood vessel, and it is compressed by it. You need to consult your urologist as you are still getting pain 10 months after surgery. There is a possibility that your ureter is still obstructed. You will need certain radiological investigation which your urologist will advise you.  Your increase in BP is most likely not related to your surgery. It is incidental, and you will need physicians opinion for that. Your previous surgery will not cause hypertension unless your right kidney has become non-functioning. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Dee and I found a hard lump on my left breast close to my chest, its sore right now, but I keep feeling to see if its gotten any bigger from this morning and yes it has its getten slightly bigger.... Im sure we dont have any family history in my family too.. What do I do??? Or what will it be ### REPLY: Welcome to . 1. The history and symptoms suggest the possible cause could be breast abscess which is of infective etiology - painful sore breast.2. In case of hard and not very painful the causes all be breast cyst, ductal Eurasia, mass lesions.3. In any case you need to get an ultrasound examination done which will evaluate the nature of the lump its source and extensions.4.in case of mass lesion an FNAC - fine needle aspiration cytology need to be done to know the nature of the cells involved. Depending on the age mammogram correlation needed for the tiny / micro calcifications.5. Suggest to get appointment with your GP, get examined and needful investigations and treatment accordingly. Good luck. Hope I have answered your query,anything to ask do not hesitate to ask.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: My husband and I have been trying to conceive after suffering a miscarriage in May. I am 9DPO I have mild cramping, a back ache and my breast are sore, but not as much as I feel they should be. Ive also gained weight. I havent changed my eating habits at all but Ive gained 5 lbs--I swear, over night!  Is the weight gain a sign of bloating. Ive also have a lot of trouble sleeping at night. I just toss and turn...could this be promising of being pregnant? ### REPLY: Hello.thanks for trusting the  doctors for your health related queries. I guess your concern is about.does the weight gain a sign of bloating.right.my answer is...NO. weight gain is not at all the sign of bloating. Let us discuss the sign n symptoms u have. As u told that u had gain weight n having difficulty in sleeping. So u might have PCs (polycystic ovarian syn .  In these patients usually have irregular menses, weight gain n difficulty in conceiving. Few patients having difficulty in sleeping, excessive hair growth in unusual area of the body etc. but didn't give info regarding your menses whether it is regular or not. So it is difficult for me to comment on this. Lastly I want to say that weight gain is not the sign of bloating. With the above discussion u can try out my suggestions-1. First u should reduce your weight because it may pose difficulty in conceiving because it causes hormonal imbalance which causes irregular menses n patients having difficulty in conceiving. So try to change your food habit in a way to reduce your weight.2. For more details u can visit your nearby gynecologist n feel free to ask about your concern. He/she can help u.3. Try to do coitus during fertile period(it is from 10th to 16th day of menses during this period chances of getting pregnant is high. So do more coitus during this period.u may get better results.4. DON'T WORRY about the miscarriage u had in the past. It doesn't effect your future chances of getting pregnant.5. If u r still in hurry then visit nearby infertility specialist. He/she can help u. I hope the above information is useful, informative and helpful for u.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 28.5 weeks pregnant. My due date is 22 April 2011. I remember the beginning of my last period to be 10 July 2010. I would like to find out my conception date. I had unprotected sex with a different person on the 18th of July and with my partner on the... ### REPLY: Hallow Madam, I hope I can be of help to you today. The due date of delivery (DD) is calculated by a formula DD= Last Menstrual Period date (LMP) + 9 months + 7 days. Since you had your LMP on 10 July 2010, the DD would be on 17 April 2011. If DD provided to you is by ultrasonography, a variation of one week is acceptable as Ultrasonography calculated DD is by the size of the baby and is calculated from the date of conception. To calculate the date of egg release (ovulation), it happens 14 days before the next expected menses. So considering your menstrual cycle of 30 or 31 days, next menses would be on 10 August and ovulation would be on 28 July 2010. The life of an egg is 24 hours and the sperms are active for 72 hours. Hence, a period of one week around the ovulation is fertile period. So your fertile period would be 24 July to 1 August. Thus, the conception would be in that period. Now in this calculation, you have to make some modifications depending on the periodicity of your menstrual cycle. Then you can locate your fertile period of that cycle. Thus, the intercourse(s) during this fertile period are likely to cause the pregnancy. If you had a solitary intercourse during fertile period, that day or within 4 days of that day would be the day of conception. Of course this all is based on the clinical calculations. If you want to ascertain the paternity of your child for any legal cause, you may go for DNA test which would be a foolproof evidence. I hope this helps you.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hey im a 22 yr old male EMT no current health history i checked my bp yester day and it was 140/88 today was 160/110 just wondering if i should worry i feel no pain no numbness or tingling in my arms no dizzyness or lighthead should i worry i also have anxiety last checked was 155/97 about 20 min ago ### REPLY: Hello, You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. If Blood Pressure (BP) is persistently more than 140/90 mm Hg, then you should be on medicines for it. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Have lots of green leafy vegetables, fruits, and fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't be abdominal fat deposition or obesity. You being a young hypertensive, therefore you will first need evaluation for cause of blood pressure. You should also undergo tests like kidney function test, renal artery Doppler, Sr cortisol and 24 hr Urinary metanephrines. 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 think i suffer from short term memory loss, cause today i asked a friend if he was a vegan for a 3rd time this month. And i get ideas while praying n doing other stuff, but as soon as i get a paper n pen, its gone.. this has been happenin for a long time now. I asked one of de doctors and he said tht is just my imagination. pls help me. P.S. i suffer from migaine for de past 2 yrs. and tht doctor i said, was then goin thru mri scan of my head.. ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much.  Once your doctor says that this is your imagination, then it is. If you want to be diagnosed as having memory problems, it needs a series of tests or events which confirms this. One or two stray events cannot tag you as memory loss patient. You are going to have the MRI because you insisted, not because the doctor is convinced. Everyone forgets so many things. That is why people keep things in writing. Those who are busy mentally or physically do forget. That is not a disease, whereas it is a healthy symptom. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. 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 a prolonged cough for about two months,I have tried Antibiotics,cough syroup,and some natural way of treating cough.I also have been prescribed for an alergic medication.However with all the above curing treats I am still experiencing the cough.I really do not know what to do .Any advice please ### REPLY: Thanks for your question on . I can understand your concern. You are having chronic cough. And you are not improving with routine .  So possibility of chronic lung infection or bronchitis is more. So better to consult pulmonologist and get done clinical examination of respiratory system. Also get done chest x-ray and PFT (Pulmonary Function Test). Chest x-ray is needed to rule out lung infection. PFT is needed to rule out bronchitis. So better to first diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Pls help me ..I am 33yrs old and was pregnant last year but unfortunately it was missed abortion as the heart beat does not come ...Now i tried again taking lutrazole 2.5 mg tablets and done follicular studies also ..report are good ..but i did not conceive...now should i go for HSG test . ### REPLY: Hi, I think you should go for HSG test. After that you can try for 3 to 6 months naturally with metro medicine. Track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles.  Be in contact with your husband every 2 to 3 days after your periods stop.  It will increase chances of your pregnancy.  Take progesterone for next 2 weeks.  Do a urine pregnancy test at home after that.  Hope I have answered your question. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I Am SUFFERING FROM GENERAL ANXIETY  SINCE COUPLE OF YEARS. pREVEIOUSLY i HAD  PANCIK FOBIA. i TOOK NEXITO PLUS FOR  6 MONTHS. nOT  pANIK PHOBIA HAS GONE  BUT  gad EXISTS TILL NOT . nOT USING nEXITO. wILL I CONTINUE , IF YES  AT WHAAT DOSE..... tHANK YOU ### REPLY: Hi, I read your query and can understand you concern due to anxiety. Your condition is highly amenable to treatment provided you seek proper treatment. That will also include regular follow-ups with a psychiatrist. Nexito plus contains Escitalopram and clonazepam. Generally I don't suggest using clonazepam for a long term. If at all needed, it must be used for a short period only. For your condition, Tab Escitalopram 10 mg/day would be recommended as a starting dose and depending on improvement, dose increment is done, up to a maximum dose of 20 mg/day. The treatment will have to continue at least one year after improvement in symptoms. In addition, it would be advisable that you start exercising which will help you relax and control your anxiety. Hope this information was helpful. Best wishes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 26yrs old, about 56 and weigh about 200. Im about 10 weeks pregnant and was stung in the neck by my ear by a bee. Ive been stung before when I was a child and had no allergic action then. I was at the zoo when it happened and the fellow at the nurses station said I appeared to be fine. Im still worried cause its two days later and the sting site is still swollen, red, tender, and itchy. Should I seek medical attn? Will my baby be okay? ### REPLY: Hi, Thanks for posting to . It is unfortunate to note that you have been bitten by bee when you are pregnant. Also, from your description it appears that it has been only local allergic reaction. Since you are pregnant, avoid any other medication and kindly do the following.1. Wash the area of bite with water and using mild antiseptic like Salon every day twice daily. This will prevent the bite area getting infected.2. Remove the sting carefully if it is still present at the bite site. 3. Apply ice packs to reduce swelling. 4. Take Tablet. Paracetamol combination twice a day for 3 days after food. 5. Apply Calamine lotion at bite site. You should get better soon by doing this. Wish you speedy recovery. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have a mass growing on my left side of my gum line that led to the back of my last molar i was sitting at work and was bothering me so i pressed the side in ass hard as i could and the back by the molar popped and what looks like puss started draining it is yellow tastes bad and still just keeps on coming out everytime i press it i thought it was a tumor and was planning on going to a doctor but i just switched jobs and have no insurance what can i do i have a hole in the back of my moth now i feel a hug e relief on my side now but the yeloow puss that is coming out keeps coming out and tastes nasty ### REPLY: Thanks for using . Read your query. Pus and swelling in the last molar suggests chronic abscess in the tooth. I would advise you to visit your oral and maxilla facial surgeon and have a radiograph. If the tooth is impacted and infected, please have it extracted. For pain ibuprofen can be taken (if not allergic to any medicine). Antibiotics like amoxicillin 500 mg and metro lag 400 mg for infection on prescription. Do salt water gargling. Do not apply hot bag externally. Hope this was useful. Thanks and regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, Im 24, 5 foot 4 and about 120 pounds.  I am on antidepressants and the birth control Yasmine.  For the past few weeks I noticed a very tiny, painless bump about four inches below my knee, on the side (lateral) that seems to be just underneath the skin.  It is hard to the touch, doesnt seem to swell, does not seem to have pus in it, and is about the size of a seed (in an apple), so about 2-4 mm.  What could this be? ### REPLY: Hi, Dear,Good Evening from INDIA. Thanks for the query to . I went through all the details of your query. On the details given by your query, In my opinion you suffer mostly from-on the facts there in-mostly you suffer from-sebaceous cyst?pr lump with acne healed out. Consult ER doctor for the script of . Hope this would resolve your query. Welcome for any more query to  and ME, in this regard. Wishing you fast recovery. Write review ASAP with strong recommendations for  and for ME, for the benefit of other new and old patients. Have A Good Day. With  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, Two weeks ago, i woke up with low back pain, i didnt lift anything heavy or do anything to aggrivate it. Now i have pain on and off in the inside of my thighs. It started to get better with chiropractic care but now every time i try to walk somewhere, it gets bad again. Its almost impossible to stand straight up too, im always just a little slouched over now. What is wrong with me? By the way, heat and cold packs dont doa thing for me....neither does Advil. ### REPLY: Severe back pain with waling for few steps or standing for few minutes indicates there is problem at your lower back that is at lumbar spine and disc level. I strongly recommend you to go ahead with MRI of lumbar spine and based on the report do consult orthopedic doctor here the or tho will suggest you treatment either conservative physiotherapy management with medication or surgical opinion based on your MRI report. If you need, you can also take second opinion with one more orthopedic doctor or spinal surgeon.in case there is no much issue in MRI I also suggest consulting a good physiotherapist take a physiotherapy treatment which can help to relax your soft tissues as well as reduce the inflammation along with this do take complete back strengthening exercise program which will help you to improve strength and stamina of your lumbar spine. 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 my mri says mild broadbased disc bulging c4-5,c5-6,c6-7 then mri lumbar region l2-l3,l3-l4,l4-l5 and l5-s1 indenting the ventral aspect of the thecal sac.every few months pain gets worse.im housekeeper and lift couches /floor lamps and lots bending.now pai going in left leg.i also have pinched nerves . ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have back pain radiating to leg and pinched nerves. Well I would suggest you to consult orthopedic surgeon for proper examination and treatment. Doctor may order CT scan or MRI of spine. Doctor may prescribe anti-inflammatory, muscle relaxants, narcotics or tricyclic antidepressants. Doctor may also recommend surgery. Doctor may also recommend surgery in which surgeons can remove the bone spur or the portion of the herniated disk that's pressing on the pinched nerve. For now apply warm compresses and take ibuprofen or acetaminophen for pain.  Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am 19 years old man. i have my problem early from my 15s. Now it is severe to me. i decided to go for a surgery. My problem is that i face severe pain when the stool discharges from my body. Some times it also bleeding. But bleeding is not regular to me as it last happens with me at 8 months before. Local doctor suggested that i have a polype growth & mucasse formed there inside the passage of stool. I need suggession. ### REPLY: Hi. You already know the detailed diagnosis, which surely must have been told to you by a proper qualified person (a doctor)! Here goes my assessment and suggestion:You seem to be suffering from a chronic anal fissure. Any form of conservative (i.e. non-surgical) treatment is unlikely to work at this stage; and I am sure you must have tried all sorts of them by now. At this stage, surgery seems to be the only option left for you. Lateral internal sphincterotomy (the name of the surgical procedure) is a minor operation (even if the name is slightly lengthy!) with ~ 95% of success rate. The sentinel pile can also be excised easily at the same time. 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, I have had severe sharp shooting pain on left side of head the pain comes anywhere from 6 seconds to a minute. now pain has gone more on top of head . pain is not stabbing now it is very painful. lasted 2 days Went to er. could not diagnose me ### REPLY: Hi, Thanks for writing in. It is possible that you might be having symptoms related to trigeminal neuralgia. Irritation of the nerve can cause shooting or stabbing pain as described by you and this pain occurs on the face lasting for seconds to a minute. Minor activities like brushing teeth, eating or cold wind blowing across can trigger the pain. The condition needs to be confirmed after consulting a neurologist. Clinical neurological examination and MRI scan brain might help in making a diagnosis. Trigeminal neuralgia treatment usually starts with medications like carbamazepine, and many people require no additional treatment. For those people, injections or surgery provide other trigeminal neuralgia treatment options. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, for the last 3 days I have had cough, fever after 4pm, sensitive skin, dizziness, and headache, the fever comes and goes and gets to about 101.5. I have also had night sweats Im guessing because of the fever.  Do you think this is just common flu or something else? ### REPLY: Hello, Welcome to , The history and symptoms suggest that you may be having flu like symptoms of viral origin. Most of the viral infection are self limiting, which will subside by itself without any treatment. For your symptoms I would suggest you to follow1. Take adequate rest.2. NSAIDs like Tab Ibuprofen. 3. Course of antibiotics for 5 days to prevent secondary bacterial infection. 4. Take diet rich proteins to boost up your immunity. 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 fell on the stairs and, at the time I hit the left side of my ribs and back so jdhard I couldnt move. A couple days later the pain is still there. Not bad enough to where i cant move, but bad enough to where it huts a fair amount when I do move. What do you suggest I do? Thanks ### REPLY: Hello, As you had a fall. An x-ray of the chest is suggested. Any direct fall over the rib cage may lead to hair line fracture and takes some time to heal.  In the meantime taping technique is used for allowing the healing process and less movement in the rib.  Also doing simple breathing exercises will help improve muscle strength and reduce pain. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: After someone has been treated with lymph node TB and has completed the medication 1) What is the chance of relapse 2) how can the patient be sure that the TB does not exsit anymore 3) Does the tB medication affect future pregnancy 4) If someone who has completed TB medication happens to have a miscarriage could it be related/associated due to TB medication ### REPLY: Hi Dear !! Thanks for your query to . Read and reviewed your query and health concerns. You seem to suffer from-TB lympadenitis. Please find replies to your queries as follows-1) What is the chance of relapse Ans-1-With 18 myths of Dots treatment-you should have cured by this treatment. But in conditions of certain stress in life, which is out of hands of a common man, chances of recurring Glandular /or Lung Tb do exist. The cause for this relapse, is the weakened immunity, which leads to reactivation of some dormant bacteria, at the opportune time. Q-2) how can the patient be sure that the TB does not exist anymoreAns-2-IGRA blood test with gain of body weight and reduction in the lymph node size, and lac of fever with increased appetite, are the signs of recovery. But practically-its not possible to be sure that the TB does not exist anymore. As one can't reach out the organisms buried in the fibrosis healed scars in lymph nodes. Being omnipresent, recurrence of TB can't be prevented in times of stress, when either the old dormant bacteria in patients body/ or from the outside aggravate the relapsing infection in TB. Except IRA blood test-which indicates the active TB infection, there is no certain test to declare that the TB does not exist anymore. This declaration is subject to these practical limitations.Hence, practically, those patient in whom the patient comes out of the symptoms of the disease and maintains the criteria of clinical recovery with weight gain and recovery of complaints, it is not certain to define and declare the total cure of EXtra-pulmonary lymphadenitis, by now with current techniques. Q- 3) Does the tb medication affect future pregnancyAns-3-Its not the TB medication which affects the future pregnancy. ON the contrary, chances of having future pregnancy, after TB medication have increased comparatively. But in certain percentage, the failure is from the permanent changes which are out of correction tools either by medicines or by surgical correction of the anatomical barriers-like adhesiolysis. Q- 4) If someone who has completed TB medication happens to have a miscarriage could it be related/associated due to TB medicationAns-In the given scenario-Miscarriage is not related to TB medication as such, as the .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I have a question last night I had sexua intercourse with my husband and right after my abdominal area started hurting real bad like labor cramps I was in tears and coulldnt move everything hurt I had to walk bent over it hurt for hours and I am concerned ### REPLY: Hi. The probable causes of Dyspareunia that is painful sexual intercourse are:Pelvic Inflammatory disease (PID). AppendivitisTO (Tubo-oavarian) marshy .  I would advise :::First a manual per-vaginal examination by a Gynecologist after careful complete history is told. Secondly - Ultrasonography CT scan may be necessary if clinical impression suggests something is missing or to confirm the findings of the USG. The treatment will depend upon the 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: I think I might be pregnant and have pcos and been trying to conceive over 5 years. My stomach has gotten big boobs hurt as well as stomach and belly button. What could t his be if I m not pregnant? I took home pregnancy test and was negative. Have doc appt this week cause it s driving me crazy with only a fww hours of sleep. ### REPLY: Hi. This may be Pseudocyesis : Means there is no actual pregnancy, but the patient gets all the signs and symptoms. This is confirmed by a negative ultrasonography. He is patient who has the extreme desire of having Motherhood again develops this sort of problem. No one really knows the reason and the exact mechanism by which this happens. Consult your Senior Gynecologist who has seen such more cases for counselling and further management. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter (age 6) pulled a very loose top front tooth out this evening. The tootChatDoctore out easily, but there is a dangling piece of her gums left hanging in its place. The tooth itself is hollow, it looks as if the hanging bit of gums came from inside the tooth. Will the hanging gums go away or is there a chance the roots of the tooth are still inside? Do I need to take her to the dentist? ### REPLY: Hi, Thanks for asking the query, There is nothing serious about this, there is exfoliation of primary tooth and eruption of permanent tooth due to which there can be a piece of loose gum hanging. As the permanent tooth is not fully erupted, it will disappear when the tooth will fully erupt. The age of your child is six, so there you can see the corrupting permanent tooth from inside which is not the roots of primary tooth. The roots of primary tooth undergoes physiological resorption during its exfoliation. Do not worry, maintain a good oral hygiene. Hope this helps out. 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 high prolactin level.periods come 8days earlier.before it it comes 3days before.i have comietely driness.my age is 42years.i have thyroid problem but now a days normal.in these conditions pregnancy can happens or not?plz also tell me prolactin controll diet. ### REPLY: Hello, thanks for writing in. A high prolactin level can cause ovulation problems, hence It's essential to do a workup for the cause and treat it- usually medicines suffice.Additionally, it maybe linked to an under functioning thyroid as well as the . Hence, please consult a gynecologist or endocrinologist who can diagnose, correct and monitor the hormonal imbalances. Your periods also need to be regularized. A healthy lifestyle, exercise, with a nutritious diet devoid of processed & preservative rich food will help you to feel healthy, achieve a hormonal balance naturally and increase chances of pregnancy. Please do write in if you have any more queries. 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: Im asking this question to sex specialist.Im 19 years old.I usually masturbate 2-3 times a day.I heard that masturbation is good for health.I want to know that are there any problems and benefits around masturbation.If there is any benefits or problems about masturbating please inform me details of that. ### REPLY: HIT hank for asking to ChatDoctorI really appreciate your concern looking to the history given here I could say that masturbation is natural instinct or physiological phenomenon this is neither harmful to health not helpful but if someone performing this then there should be some limit, not all the person do this, all those do it not benefited and all those are not doing this not in loss, hope this information helps you, 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: Due to a masive and invasive brain tumor, I have total glandular atrophy to include the hypothalmus, pituitry, synthroid and adrenal glands. Because of untreatable back pain, I have received 2 epidural injections which have helped reduce the pain and increase mobility. However, at this time, I now have mid and low abdominal pain when I bathroom or reach down to pick something up from the floor, etc. Could this be a side effect of the injections? ### REPLY: HI. Sorry to know about the Brain Tumor and Back Pain. It is good to know that the Regional anesthesia in the form of epidural injections have helped you. The pain which you have described - like mid and low abdominal and when you bend down does not look to be due to Epidural injections. This is more likely to be due to intra-abdominal problem like urinary tract infection or enteritis. Ultrasonography and a trial of an antibiotic can help you to get this problem solved. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I think im alergic to water,or i have aquagenic pruritus??? When i get out of the shower or sweat i get a prickly feeling almost like little tiny needles being pushed on the surface of my skin, sometimes I even get red blotches or its itchy! I am currently getting alergy injections to treat me for bilomia dust might and I have done that for the past 14 weeks, is it possible that as a side effect the injections have caused a chemical problem in my body and in result given me this weird outcome?? what should I do?! Please help me! ### REPLY: The treatment you took for dust mite allergy in allergic patients the immunity is low and the body cannot tolerate variations more than 12 degree above the normal temp and 12 degree below which is tolerated by healthy persoknour body temp is 37 and any variation which takes body to 25 degree below can cause allergy or 49 above there will be problem there is sometimes associated fungus which increases in sweat you have to increase immunity of body there are immunoglobulins injections which increases the immunity of body 3 sets of one injection per week is required and is to be repeated after specific trestle doctor you consult can detail you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, can I answer your health question? Please type your question here...in fection in my tooth, i am on antibotics for over 24 hours and im getting head aches and the infection went into my nose and puss and blood is draining, i must have popped it while i was blowing my nose.. what should i do... i dont have a car and hospital is 30 mills away and no dentist till monday... my head ache has gone away since the puss and blood came out of my nose ### REPLY: With your query, why were you kept on antibiotics for what reason? And coming to the puss coming out from your nose you might have had infected maxillary sinusitis or sometimes if you had periapical infection of any upper teeth of which some roots of the teeth may go into sinus may also cause this. I would suggest you better visit your ENT specialist and your dentist as well. Get an PNS x-ray done as a part of investigation. DEFINITELY VISIT YOUR DOCTORS FOE THE BEST TREATMENT. HOPE THIS HELPS YOU. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my emotions and moods have been all over the place for the past month or so. i am very stressed, cant concentrate on anythihng and have feelings of hopelessness and low self esteem. sometimes i get so upset that i want to hurt myself or others. i become very destructive, cry uncontrollably, and have a hard time getting myself to calm down. i cant seem to have a stable sleep pattern and am very irritable and edgy most of the time. this is affecting my relationships with others in a negative way. i look terrible and i feel like my moods change 100 times in a day. its exhausting. please help me ### REPLY: You need help.from family, friends and psychologists for support and counselling. What you really need is an evaluation by a psychologist, start some medicine to control your symptoms based on the evaluation findings, and also support both emotional and mental from family, friends and people generally around you to help you come out of all these along with the treatment and behavioral modification therapies combined with counseling sessions.do not lose hope.there is a way out, there has to be a solution to every problem, otherwise it is not a problem. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have under gone laproscopic myomectomy in july 2010. Now we are trying to conceive. I am suggested to take tab. Siphene twice a day from day 3 to day 5. From day 16th I have to take tab.Duphaston twice a day till day 25th. Kindly tell me how is it going to help? ### REPLY: Hi, For pregnancy, you need to have ad . I am assuming that all these have been checked and are OK. Siphene (Camphene) is given when we are anticipating ovarian problems, if you have not been diagnosed with PCs or ovulation problem, taking Camphene will not increase your chances of pregnancy. Phaeton can be given to help implantation, but as such has no role. Please consult an infertility specialist and do not take sphere empirically without a clear diagnosis. As every medicine has side effects which have to be discussed. Hope this helps. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I have a son that is going to be one on friday.. I have notice that one of his buttcheeks is larger than the other for a while. I have taken him to the doctors and done test. they say its fat tissue, but i think differently. Today i was giving him a bath and i wash by that cheek and push down on it a little harder than i normally do and he seems more in pain. He does not sit straight in highchairs, shopping carts and ect. What do you think it is? Do you think its cancer? Please help ### REPLY: Hi, It seems like you are too worried. It is quite common to have subtle asymmetry between two sides of our body parts on close observation. As your doctor said, it is because of the difference in amount of fat tissue beneath skin on both sides. The pain is caused by undue pressure. This an extremely rare site for cancer in child .  Since he is totally asymptomatic and your doctor has reassured you after examining, you need not worry, just be relaxed. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here...I have had an oval shaped lump in right groin area for several months.  It is not painful, and does not seem to be getting larger.  Would like to know possibilities of what it is. ### REPLY: Hello, You have not mentioned if it does decrease in size in any position if there is a difference in size, then it could be an inguinal hernia. Other possible causes are lymph nodal enlargement, due to infections or inflammations and underlying medical and systemic diseases. I would recommend you to see your general physician, and if you have any cause get treated. If you have no medical condition, then get an ultrasound swelling done, it will characterize the lesion and its extensions. Hope I have answered your query. Let me know if I can assist you further.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am 27 yrs old weight 5ft 65kilo, i have never on hospitallized beforei have sex with my gf that was 8 months ago when i get vacation then this february i was wondering i have small red spot on my forehead of my penis, i think that that is nothing then disappears then it comes again and its becoming a small line no can you tell me what exactly is this and how can i cure this one ### REPLY: Hello, As per your history, it may be dermatitis or penile irritation. For that, you can apply HY .  Take tablet loratadine for itching.  Avoid harsh cosmetic products. Maintain proper hygiene.  Along with that watch for symptoms like fever, penile discharge, open sore, testicular swelling. In that case, you may require a detailed evaluation by a physician. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mum was diagnosed with lymphoma 5 years ago and then about two months ago she was told it had returned and it was terminal.  SHe has all the swelling back in her groin, stomach and also been told it has spread to her spine and ber back.  Her feet are so swollen that she can hardly get her shoes on and she is in terrible pain all the time.  She has trouble with her breathing and is always tired.  We asked the doctor how long she has left and he told her weeks?  Not sure if this was right as that was a month ago?  help ### REPLY: Thanks for your question on . I can understand your concern. Lymphoma is having very notorious prognosis and spread. They are highly chemo and radio sensitive. So in my opinion, you should first consult good oncologist and start chemotherapy and radiotherapy. If she is improving then it is good. But if she is not improving then she is having life expectancy of less than 6 months. Hope I have solved your query. Wishing good health to your mother. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My Wife, had a BP 90/40 with a high pulse rate.She does have asthma for some many years. That day no Asthma attacks. Gave her Diazem-30 one tablet, much better in the morning. She has palpitations at times (twice / thrice a year). She is always on the Low BP side. Any suggestions? Thanking you. Len. ### REPLY: Hello Len! Thank you for asking on ! Regarding your concern, I would explain that her actual blood pressure values are a little low. From the other hand, her symptoms could be related to a cardiac arrhythmia. That is why I would recommend consulting with her doctor and performing some tests: - a resting ECG and a cardiac ultrasound- an ambulatory 24-48 hours ECG monitoring to examine better her heart rhythm trends and exclude arrhythmia- blood electrolytes for possible imbalance-complete blood count for anemia. Meanwhile, I would recommend continue taking Diadem, because beta blockers would be not well tolerated because of asthma. Hope to have been helpful! Wishing 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 doc.my daughter is 6yr old.she was unable to walk at the age of2.i took out MRI which says non myelination of peri ventricular white matter at the face of bilateral occipital horns .what this prob is actually called,is it a disorder?now she understands everything can walk but has a prob in talking,does she needs a speech therapy?her paediatric told me to give her this therapy ,what do u suggest. ### REPLY: Hi, From the history provided, it looks like lesions in periventricular white matter which may be the reason for delayed walking in your child. There are many conditions that may cause walking and talking problem (Global developmental delay) such as muscle related problem, Nerve related problem or could be due to brain injury during birth (perinatal asphyxia leading to cerebral palsy). At present, I would advise you to go for speech therapy as advised by your pediatrician and get a baseline hearing test. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I HAVE A CHRONIC PROSTATIS SO FAR NO BACTERIA FOUND IN URINE I AM SUGGESTED TO TAKE DAPOSURE TABLET AND TAMFLO TABLETS, I STARTED TAKING THIS MEDICINE AND GOT RELIEF FROM SYMPTOMS. BUT I STOPPED FEARING SIDE EFFECTS, WILL PROSTA-Q OR Q-UROL WILL HELP TO GET RELIEF FROM SYMPTOMS ### REPLY: Thanks for asking in  forum I appreciate your concern. Many times you may not find bacteria in urine though you have infection. You have not mentioned your age and associated illness if any. So, consult your urologist regarding supplements(Pros ta Q) for prostatitis as medical data regarding this is not valid. Also, I would like to advise you not to stop any medications without doctors consultation. All the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 76 year old male, status post triple bypass  1998,  more recently had an episode of atrial fib and put on coumadin. The last two times we have engaged in sexuual relations, ive had a fairly large amount of frank blood mixed with the semen. any cause for concern?  Frank in New YORK ### REPLY: Hi Frank. Thanks for the detailed history. Bleeding is due to the Coumadin most likely. I would advise you to consult your Doctor to get your PT and INR tested and decrease the dose of your Coumadin. They decrease the clotting ability of the blood leading to such bleeding episodes. So it is safer to monitor its effect by testing the PT and INR which tells us the clotting ability of the blood. Take care and let me know if there are any clarifications which I can help with. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am a healthy 22 year old woman and my husband is a healthy 23 year old man on 1-7-11 we started trying to concive a child and it didn t work i just ended my period and we are going to try again with the help of day by day ovluation kits should we be worried it didn t work the first time? ### REPLY: Hello, and I hope I can help you today. First, I would like to advise you and your husband to relax about conceiving. 80% of couples will conceive within one year it's having regular, unprotected sex. By regular unprotected sex, I mean having sex 2 to 3 times a week from the time your period finishes, until you start to feel premenstrual symptoms-which means that you are either already pregnant, or cannot conceive that cycle. If you have regular menstrual cycles, and you are young, there is no reason to predict that you are infertile. I do not recommend the use of ovulation kits to attempt pregnancy at this time. Too much stress about trying to get pregnant can inhibit your efforts. So I suggest you and your husband try to relax and let nature take its course. I recommend that you begin taking a folic acid supplement, or prenatal vitamin, as these both are beneficial for conception. If you and your husband try to get pregnant for a year and are unsuccessful, I would then recommend seeing a GUN doctor or infertility specialist in order to diagnose what may be wrong. I hope I was adequately able to answer your question today, and that my advice was helpful. Best wishes and good luck,  ### END