Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my husband had a cabinet fall on top of his head yesterday. he said it did not knock him out, but has been having bad headaches and when he turns his head a certain way it hurts. he said it never became a knot, it is a soft spot on the top of his head. should he go to the er? ### REPLY: Hi, At this stage I suggest he does not need to go to the ED. Take paracetamol and ibuprofen for pain relief. The soft spot on the top of his head is the swelling caused by the impact. This will reduce over the next few days. If the headache persists for longer than 48 hours, I would advise going to the ED for assessment. Other signs to watch for would be problems with vision, vomiting, .  I hope he feels better soon.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I am 60 years old and for the last 15 days have been experiencing electric shock like short burst of pain from my right side of the head going all the way down to my feet.  It only lasts for 15 seconds and disappears.  After that I feel tired and feel little drowsy.  After 30 mins, I become normal.  This is very intermittent and happens to me for e.g. alternate or once in 2 or 3 days. ### REPLY: Hello! Welcome on  ! I would like to know if bending over triggers these episodes. Do you have neck pain or arm pain? If you do not have neck pain and these episodes are not related to bending over, I would recommend performing an EEG and a brain MRI to investigate for seizures. If you experience neck pain and these episodes are triggered by bending over, a cervical spine MRI study may be necessary to investigate for cervical myelopathy. Anyway, a careful neurological exam by a neurologist is necessary to differentiate these two disorders. Hope you will find this answer helpful! Kind regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I injured the right side of my lower rib cage pulling a pull start leaf blower about 2 weeks ago, I had some soreness and pain and it got better. When rolling over in bed I felt a crack and it hurt and then got better. Today out working in the yard I felt a crack again and now it hurts to walk and bend over also to get up out of a chair, I feel some heat and an aching in that area. Are there organs in that area that are in danger of being harmed? If my rib is out of place is there a way to get it back aligned? ### REPLY: Hihope this msg finds u in good health. I have gone through your complaints and understand your concern. Ribs fracture can heal spontaneously with rest and rib belt. If treated adequately. U should get a X-ray done to find out what's wrong. Take analgesics and anti-inflammatory tablets. Organs mostly don't get damaged unless it's a severe trauma nothing to worry about. Hope your question has been answered. If u have any follow-up queries, feel free to consult me anytime. Thanks Take care god bless ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: ive been  suffering  from high blood pressure for the last twenty years im 44yr old female, and have been on medication since, up until recently the medication has not agreed with me and have had side effects,dizziness, weak an tired,ive stopped taking them for the last 3weeks took my bp and its 112/66, it has never been this low even when i was taking medication, what do you think could be happening, thanks ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, you are mostly having early heart failure. You're all symptoms like tiredness, fatigue, dizziness etc. is seen in hypotension. And hypotension is common in heart failure due to poor pumping or reduced blood supply to the heart. So better to consult cardiologist and get done 1. Blood pressure monitoring 2. ECG 3. 2d echo. You may need cardiac supportive .  Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir I am suffering from acne problem on my face and back from last one and half years. I have taken allopathic treatment and many power peels. the acne became better till i was taking prescribed antibiotics. But once i stopped the allopathic prescriptions, my face and back is again full of red painful pimples and black acnemarks. Also there is lot of pigmentation, black heads, white heads and dark circles . Yerterday I went for HB test and ESR Test. HB is 11.6 and ESR is 25 mm/hr. Please suggest me what should i do?? I am fed up of treatments and antibiotics. ### REPLY: Hello, Acne usually takes time to settle. I understand that you have tried various modalities of treatment, but stopping everything at the same time will lead to re occurrence. If you do not want to be on oral antibiotics, you can opt for topical treatment. Use a face wash specific for oily skin such as Neutrogena oil free, use clinger in the morning and Derive at night. Do not rub your face and be gentle to your skin. Please meet your dermatologist for follow up. Take Disregards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 30 years old and am on bystolioc for high blood pressure. Since last Thursday I have been having a sharp pain in the center of my chest everytime I bend over.  I exercise 3 times a week doing Zumba. I wonder if this is a muscle issue or heart related. ### REPLY: Thanks for your question on . I can understand your concern. Possibility of musculoskeletal pain is more. But since you are hypertensive, we should first rule out heart diseases for your chest pain. So get done blood pressure monitoring, ECG and 2d echo. If all these are normal then no need to worry about heart related diseases. Musculoskeletal pain due to Zumba dancing is more likely in your case. So avoid heavyweight lifting and strenuous exercise (like Zumba) for few days. Avoid bad postures in sleep. Avoid movements causing pain. Take painkiller and muscle relaxant .  Apply warm water pad on affected areas. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. The flap under my young is swollen and inflamed. It is very uncomfortable and fell especially uncomfortable when I swallow. I feel an uncomfortable sensation down the right side of my neck. My husband says its looks like it may have puss in it. My insurance does not cover dental. What should I do?! ### REPLY: Hello, Thank you for consulting with . The area which you are mentioning that is below tongue, there can be two reasons for this swelling.-First it can be possible that there is some tooth is infected in the lower jaw only which is causing this problem.-Second it can be possible that the salivary gland below the tongue is infected. In both the conditions you have to visit a dentist and complete examination done. Hope it will help you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Doctor my SGPT is 52, Im not smoker neither I drink alcohol however my diet most of the time is meat, chicket etc. Moreover I am 6 feet tall and my weight is 96, I will appreciate if you kindly let me know how to drag SGBT down to a normal level with in few days through diet and excercise. Kind regards, ### REPLY: Hello, You need to be investigated for other causes of raised SGPT levels. You need to be tested for hepatitis B and hepatitis C along with an ultrasound of the abdomen. If these tests are negative then I would suggest regular exercise/ walk or jogging/ aerobics 3- 5 times a week. Cut down on Red meat, sweets, and fried food and increase fiber in your diet. I might take up to three months for the levels to fall. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 just had an angiogram. They did not put stint because there was more blockage than expected. Is it normal for him to change sleeping habits. He is falling asleep in a second. This has never happened to him. We have been married for 26 years. ### REPLY: Hi Their understand your concern for your husband I would like to tell you that angiogram is only a diagnostic procedure that has no effect on sleeping pattern. You must check his blood pressure if it is staying low or go through his medicines if he was prescribed any sedatives' medicine if yes then consult with his treating doctor and ask if he can stop using that medicine. Hopefully this will help Kind Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My groin began hurting this morning with a pulling or cramping pressure feeling. One testicle is higher than the other. I recently finished a round of antibiotics for a kidney/bladder infection. Are these two events related, or is something new probably occurring? ### REPLY: Thanks for asking in  forum In short: Both the testicles are not in the same line normallyExplanation: One testicle is higher than the other always in everyone, so donor worry about this. Your pain in groin might have caused due to muscle pull. Take muscle relaxants and wait for 2-3 days. If you do not have burning and frequent urination you do not have urinary tract infection.  .  Hope this will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my mother is taking concor 2.5mg after the doctor prescribed her for the last 8 to months but 6 or 7 days before i felt that she has developed allergy and there was a wheezing sound, i took her to the doctor he said stop immediately concor 2.5 and given her ventoline puffs 3 times a day, she has stopped taking concor 2.5 mg for the last 6 days and now there is no wheezing sound. i want to ask you a question that can she be start again concor 2.5mg as one tablet every day like before ### REPLY: HI, thanks for using  If she had a reaction to the Concord, it may be best not to use it again and to try another antihypertensive medication. Concord belongs to a family of .  It is one of the selective beta blockers, this means it only acts in certain parts of the body such as the heart. It is not supposed to affect lung function however persons react differently to medication. Since she reacted negatively to it, it may be best not to use it again I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My brother is 69 and is suffering from severe stomach pain every day. He has been tested for it and the doctors can not find the cause.  They have prescribed medications but the meds only help him for a short period of time and then the pains are back.  What do you think? ### REPLY: Hi. I would have been happy to know the exact site of pain and any associated other symptoms too; like vomiting/ constipation/ jaundice and so on. Please attach any reports done till now. Everyday pain can be due to many factors like pancreatitis, gall stones, gastric ulcers, internal herniation, may be a mas in abdomen and so on. Go for CT scan of the abdomen if not done yet. Consultation with a Gastroenterologist is needed. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was told today that I have a complex cyst or a mass on my kidney...the cyst has doubled in size in the last 10 months...I was told that either an MRI or biopsy would probably be done...have an appt. with urologist in July...Is this always something that has to have surgery...sorta scared ### REPLY: HelloThanks for query. You have been detected to have complex cyst in your kidney which has increased in size over a period of last 10 months. Considering the increase in size and being complex in nature one has to rule out any malignancy. This can be confirmed only by histopathological examination of a tissue from cyst by doing FNAC (Fine Needle Aspiration Cytology). Further mode of treatment will depend upon the histological 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 have a tender lump in/under my eyebrow it came out of nowhere but it feels like its getting bigger and moving onto my forehead it cant be a spot however i do suffer from boils but usually they start out like a spot /: any suggestions as how to make it go away its very painful. Thank you. ### REPLY: Hi ! Good evening. I am  answering your query. Even though it might not be right to diagnose the lesion without a personal physical examination, I feel that possibly it could be a boil with cellulitis around which has spread to the scalp. If I were your doctor, I would after a clinical examination might have advised you for a broad spectrum antibiotic along with an anti-inflammatory and a proton pump inhibitor. If an abscess forms inspire of this, then you might have to undergo a minor surgery like incision and . I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. I wish you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have chronic pain, lower lumber ,bulging disc...the sciatic nerve causes pain down both legs,but sometimes just down the right one ...the pain is awful ...sitting,laying,sleeping and standing up from sitting is difficult...once I m up walking is slow, but once I can get going i can walk ....if I try to take on a project the pain gets worse and if I am able to do any of the project..with in 5 mins. My back is just screaming and all I can see in my head is a sign flashing PAIN over and over..I can t focus on anything....it consumes me.. I have a family doctor...That tells me doctor don t really like to give out pain meds...send me to pain management and told me if you are here for Norcos ...your in the wrong place..I have side affects with a lot of thing food,meds,etc..the only to pain meds my body will except is demoral and Norcos...why r doctors not prescribing pain meds for those who really need it ??? ### REPLY: Hi. Sorry to hear about your back pain. If you have so much discomfort and pain in your back I suggest you to get treated with an orthopedic surgeon. I suggest you to... Get a fresh MRI done...to evaluate how severe the damage is... Kindly fix up a consultation with an orthopedic surgeon to have a complete clinical analysis of your spine...and to chart out management plan. As of now... I recommend you to do... Lot of icing frequently... Do spend most of the time lying in stomach...Don't stand or sit for a long time in a go... I want you to start spine extensions... core stability and glute stability exercises...at the earliest... These exercises will also help you to get back at the earliest in case you need discectomy... Hope this is helpful for you. Kindly get back to us in case you need any further help in this regard... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 19 years old..has normal BMI..i am worried since my last tooth, the one before the wisdom tooth erupts had swollen gum.however my wisdom tooth had recently erupt in the area no further from the swollen gum..is there a need to be worry?..please give an advice.. ### REPLY: Hello! Thank you for posting here. You did not mention if you have any discomfort in the gums, bleeding, pain,etc. Use a mild mouthwash thrice daily. MaIntain a good oral hygiene. Use Flagyl 400 mg thrice daily and MoxikindCV twice daily for three days. Take a OTC painkiller if you experience pain. Recurring swelling or discomfort is an indication of persisting infection. In this case, removal of the third molar must be done. 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 been sick for about 2 weeks with a congested cough and nose. I may have had 2 colds concurrently from two separate sources. Now, in the mornings and evenings my throat and ears hurt very badly, but this pain goes away almost entirely during the day. If I lean my head forward, the pain in my ears increases dramatically. What are the chances that I do NOT have an infection and that is just viral and will go away with time? ### REPLY: HelloWelcome to , The history and symptoms are suggestive of some viral infection affecting your respiratory system and the eyes. The constitutional symptoms are maybe a flu like symptoms which will subside by itself. If the symptoms are not improving you may need lab investigations. For the present symptoms I would suggest you to follow1. Steam inhalation with vocals.2. Oral antihistamines.3. Oral antibiotics like Tab Autoclave.4. Oral NSAIDs. 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: WELL I HAD A PROBLEM I DIDN T KNOW I WAS PREGNANT APPARENTLY I THINK I M STILL PREGNANT BUT MY ChatDoctor LEVEL IS LOW NOW SEEING THAT I DIDN T KNOW I THOUGHT I HAD MY PERIOD I GOT LOTS OF CRAMPS THEN SOMETHING LIKE A BIG CLOTH PASSED AN I VE BEEN BLEEDING HEAVY AT FIRST THEN IT WENT LIGHT BUT TOOK A TEST AND IT SAYS I M PREGNANT WENT TO GET AN U/S THEY SAW SOMETHING SMALL IN A GESTATIONAL SAC BUT COULD NOT FULLY RECONISE IT SO I HAVE TO GO BACK CAN U TELL ME WHAT HAPPENED THER ### REPLY: Hello. It seems you have had an incomplete spontaneous abortion. What you did see pass out as a cloth might well be partly the products of conception and partly blood clots. The unrecognizable mass they saw in the ultrasound might be the leftover products of conception. It needs to be evacuated completely as it might lead to avoidable complications later on, hence I believe you have been called back for the same. 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: please help me i need free consultation.im 36 yrs old female and 4yrs old child mother.when i was 7yrs old i face to rheumatic fever and now my whold body paining since 2years.so i check mmy esr and it wass 1st hour 40mm and 2nd hour -mm.also a dermoid is in my right ovaron which was 4cm .my hemoglobin level was 11 please help me ### REPLY: Hi, Please do not panic. The symptoms you have mentioned are not clear enough but as you gave the history, you may be suffering from Rheumatoid Arthritis but for a confirmed diagnosis you need to evaluate yourself properly like please mention that whether the pain is particularly high in morning sort of stiffness, small joint involvement, family history?Also, you need to conduct following lab tests: complete CBC with peripheral blood film, RA factor, AS tier and Anti CCP. After conducting all these tests we would be in better position to evaluate your actual disease. Meanwhile, please do not allow yours joints to lock. Conduct regular exercise especially small joints, avoid contact with cold water, go for hot fomentation with sand wrapped in cotton cloth. Hope that clears the doubts. 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 had a burning sensation (not really "pain") in my lower chest for the past two days. I wouldnt say it comes and goes, but moreso that I notice it more when not distrated by other activities.  Sometimes it feels like its more one side then the other. I am a 36 year old female who is overweight, dont smoke.  I have had reflux in the past, but seemed higher near throat.  Also the discomfort lessens a bit when I push my chest outward to stretch, often hearing a cracking.  I tend to sleep on my left side and wonder if it could be related or if its more serious.  Thanks ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, you are mostly having HERD (gastroesophageal reflux disease) and related symptoms. HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of burning sensation in lower chest. So we should first treat HERD in your case. For this, avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. Take proton pump inhibitors and prokinetic .  Lose weight and stay fit and healthy. Don't worry, you will be alright with all these. This is not serious condition. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doc, I am 27 year old woman. Five years have been passed of my marriage. I am having a slight bend in d right fallopian tube. Now i am having thyroid problems. I am fat and having more than normal weight. Will i be able to get pregnant in a natural way?  YYYY@YYYY ### REPLY: Hi, Thanks for writing to . Let me clear your doubts one by one. Bend in fallopian tube can cause infertility by not letting ovum travel towards uterus body. There is no treatment for that. But you have to confirm it by trying natural methods first. If they fail then you should go for IVF. Here fertilization is done outside and embryo placed into uterus. Your tube problem is bypassed. Thyroid problem-with thyroid problem you have regular cycles, and you are ovulating normally then you can become pregnant by natural ways. To know you are ovulating properly you need to get follicular study. Your thyroid should be under control before you try for conceiving.  Yes thyroid disorders cause infertility by disturbing cycle length and ovulation.  Hope I have been helpful. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I am homeless and living I sit in a mostly unheated car at night. Then spend times in libraries during the day my ankles and lower calf are swollen and I have a deep red or pink rash with some pain what is it and what do I do no insurance dr or money XXXX ### REPLY: Hello, I would explain that your symptoms could be related to the hanging position of your legs during all the day. Another possible cause would be a fungal infection, as your hygiene is not the best lately. For this reason, I recommend trying to hold your legs upright position as often as you can and try to wear compression stocks, and see if they help improve your situation. 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 hit my leg multiple times with a glass bottle , a metal 8 oz hammer , and my fist. I was mad and wanted 2 hit sumthing and it ended up being my leg. Now it hurts to walk and there s a large bump on it what happened please tell me i did nt break it ### REPLY: Hi, Good Evening. This is . -I studied your query in depth and Understood your health concerns.-Accordingly on the facts given by you-Causes I would suggest is as follows-a-I think you are a case of-Hematoma? Bony Contusion with cellulitis induration? Muscle trauma with partial tear-causing a large lump.b-For sure fracture is not the possibility as you could still walk through with pain. Hope this would help you with the relief you needed. Wishing you healthy living and early recovery of this query. Wellcome for more queries till you get the satisfied. Thanks for your query to  Clinic. Have a Good Day...!! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have all the symptoms of ovarian cancer.  I even bleed abnormally all the time.  The pain is getting worse and I am more tired than I ever have ever been.  I try to eat healthy.  I am a vegetarian.  My weight has unexpectantly sky rocketed and I cannot get it off.  I already have a bad back, but my back hurts consistently now too.  I am scared.  My grandmother died of ovarian cancer, but my mother and sisters have never had it.  Lately, I have been constipated for weeks and there is no reason to be.  Am I at risk of having cancer? ### REPLY: Hi, As per your statement you have told some symptoms, but your worry was not diagnosed. You bleed abnormally, tired, painful where?, Back hurts, and you have remarkable loss of weight. Your grandmother died of ovarian cancer whereas your mom, and aunt are not having any problem. You have not mentioned your age. All the symptoms you have mentioned may be associated with an ordinary problem without cancer. But your complaints need investigations to rule out your worryEven doctors could not arrive at a diagnosis after hearing your complaints and examining you clinically. Investigations are needed like USG, X-ray, MRI of spines and if needed CT abdomen and blood investigations to arrive at diagnosis. Till then don't worry and spoil your days. Consult a gynecologist, do the investigation and get treatment accordingly. 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: My friend broke 3 ribs 18 months ago at the age of 81. He was in severe pain and the ribs took a few months to heal but ever since the accident he has had upper back pain and can t sit in an upright chair for very long. He had swelling below his shoulder blade immediately after breaking his ribs but the doctor didn t seem to take an interest in it. ### REPLY: Hi, Welcome to . You are right rib fracture generally heals in 2-3 months. But sometimes healed fracture may remain painful for many months. Don't worry about swelling. It is callus formed in the process of healing of fractures. It will gradually reduce in size and may disappear. You can take analgesics(Diclofenac sodium 100 mg slow release tablets) for pain relief. He is advised to check his serum vitamin D level and if it is low then supplement this. I think this will be of use to 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 am 34 years and married for last 7 years. We had a child with anamoly after 3 years of marriage and had to abort at 5 months. The karyotyping of the child was normal. My wife is 29 years and has been diagnosed of PCOD and sacculation in the left tube. I have been diagnosed with a left varicocele. My sperm count is 25 -30 million range with active motility being 20% .Should I go in for varicocelectomy or are there other options? ### REPLY: HelloThanks for query. You have been diagnosed to have Varicocele on left side and facing problem of infertility. At the outset I would like to state that your sperm count and sperm motility is well within normal range to impregnate your wife and having Varicocele can not because for your infertility . The surgery for Varicocele does not give 100% guarantee of resolving the issue of infertility. I would suggest you to consult qualified Infertility specialist for detail evaluation and explore possibility of pregnancy by natural means or need for help of newly assisted reproductive techniques like IVF or CSI. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i m married and recently start the physical relationships with my husband from last two months only. We both are 35 years old and also have a plan for a baby. Doctor advice us to take medicine "Fertyl 50 mg" for 5 days from the 4th day of the periods. Kindly confirm the side effects of the medicine. Shoud I take this medicine to conceive a baby? Is it also important to check the vagina while taking the tablet and also important to do the intercourse while taking the tablet.Request you to advice us on most urgent basis. ### REPLY: Hi, I think you should try naturally for at least 6 months.  Be in contact with your husband every 2 to 3 days after your periods stop.  If you have irregular periods, then you can go for ferry medicines.  You can take ferry tablet for 12 months. After that, the risk of ovarian cancer increases. Side effects may be nausea, mood changes or visual disturbance.  If visual disturbance is there, you should stop the medicines. 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 for 2 to 3 days after injection. 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: hi i have had a bartholin absess wich ruptured on its own at home the day after getting it checked out at the a and e as i was in so much pain doctor put me on antibiotics called clyramphin or something anyway like i said it burst on its own about 4 days ago i have no pain since and all swelling seems to have cleared i was just wondering when i will be able to have sex again i am activley tring to concive and im am around my ovulation days now any help .... also with it bursting on its own how can i tell if i am fully healed and if it all has come out . thankyou wendy ....... i am 22 yrs old with same partner  for about 4 years curently have one child who is nearly 6 yrs old x ### REPLY: Hello, and I hope I can help you today. If a Catholics abscess .  So you may resume trying to conceive as you wish. However, Catholics cysts tend to come back.  If you start to notice swelling in the area or discomfort, immediately begin daily warm baths or application of hot compresses twice a day.  This can frequently help the swelling to go down and prevent the formation of an abscess. I hope I was able to adequately answer your question and that 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: my son anurag chopra is under depression for the last one year.   He is taking medicine vibrania for the last 3 months and fludac for the last two months as advised by the doctor.  but he is still in depression and doesnot able to make his mind for studies.  He has done engineering with a back in one paper.  He has filled the paper which has left but is not desired to study  and is confused.  Please advice of his diet etc.  (Indu Chopra) ### REPLY: Hi, thanks for using . I have gone through your available history. The reason for non-improvement in depression may be because of one of following1) inadequate dose of fluoxetine 2) non-compliance for the . You should consult your psychiatrist for detailed evaluation and to find out the cause of lesser improvement. Doctor may increase the dose of fluoxetine or may change the medication. Diet containing omega 3 fatty acids may increase the concentration level. He can also do Yoga, meditation and Breathing exercise to come out of depression and lack of desire. 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 had tonsil stones for years but in the last couple years i could see something black and hard stuck in there. so yesterday it finally came out and was very hard and black like rock and pointed. then today another piece came out. What is it ? I saved them to show the doctor.I am 57 ,  170lbs , take blood pressure and colesterol med, but it is under control. ### REPLY: Thanks for using . Read your query. The tonsil stones can get extruded a few times which have had happened in your case. Do warm saline gargling which will ease the discomfort caused due to tonsil stones. Please have it checked with your ENT surgeon if you may require a dose of antibiotics, and to check whether the stones are still present. Hope this was of relevance to outranks 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: 22 yrs old male  53 130 Ib this morning I woke up fine three hours later I get a really painful stomachach with sweat and chills. I could not poop, but tried really hard after half an hour, diahrea came out. Still having the painful stomachache, I go to the bathroom again,but nothing, except for som kind of red liquid. I was constipated since yesterday. Is there any serious problem Im having? ### REPLY: Hi. Thanks for your query. There looks to be a serious problem as per your history. The sudden onset of pain in abdomen-sweat and chills-unable to poop in the beginning, followed by diarrhea-pain continues and now red liquid... This is very classical finding of a disease called intussusception. In this condition the part of the intestine enters into the intestine to give a tube-in-tube appearance. You need to rush to ER. Do not take anything orally. You have to go for :X-ray of the abdomen in the standing position and-Barium enema- as for diagnosis and many times it is the treatment on its own. The pressure of the barium can resolve the intussusception. Once the problem is sorted out temporarily, you have to undergo definite diagnosis by way of CT scan, colonoscopy and other investigation and the treatment then is well planned to remove the cause that caused this. At the same time this helps to rule out any other pathology. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my father, a 63 y/o who smokes 2-3 cigarettes a day, and has controlled HTN, has pain in his retromolar area, between the bone and the teeth , according to him, since 3 days. he has been taking painkillers but i only found out right now and i can t take him to the dentist at night. what is the next step i should take? ### REPLY: Hi. Thanks for the query. Pain in retromolar trig one area can be due to a number of causes like infection in the gum in that area, due to wisdom tooth or can be due to trauma with any hard food. These are common causes. For a better understanding you should consult a Dentist and get evaluated, and a proper treatment can be done. For now, he can take pain relievers and along with it apply numbing gel containing Lidocaine over it. Do warm saline gargles and take soft meals. 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: Hey i had unprotected sex 6 days ago, and recently i felt a little lump on my penis and when i pulled my foreskin back, i found a little red dot, sometimes it feels like it burns then it goes away then comes back, then goes away, do you have any idea what this is? i pulled out from having sex within about a minute, could it be a std? ### REPLY: HelloThanks for query. Based on history of unprotected sex the symptoms, lump and red dot over glans penis that you have developed strongly suggest infection of the genitals The possibility of STD can not be ruled out. Get following tests does to establish diagnosis 1) Urine routine and culture 2) Swab test and culture of secretions from the lesion3) Blood tests for STD and basic screening test for HIV.In the meanwhile start taking Alt-rock twice daily with topical antibiotic ointment for local application Ensure to wash your genitals with warm water twice daily. Ensure to avoid sexual encounters till it heals up completely. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 38 years old, male have had no heath issues untill now.  I quit smoking but today is only my 5th day, quit any type of soda for about 2 months now.  Eating better and exercising have lost about 32 lbs.  Feeling bad for 3 weeks now but this week the worst, i am convinced I have lung cancer.  I have pain in right shoulder, light headed dizzy spells, hand look pale and get tingly as do my feet, fatiguied, cant sleep and wake up with bad night sweats, i am scared to death.  I have an appointment at 10;30 today but really nervous and scared. ### REPLY: Helloi can understand your concern. But directly thinking about lung cancer at this age should not be your attitude, despite the history of smoking. And it's always better to rule out the causes rather than thinking on it. Please do a chest x-ray, an EKG, fasting and post radial blood sugars, BP, complete blood count. This would give you a fair idea. Further course can be decided after the reports. Stay positive, eat healthy, avoid smoking. Rule out diabetes also. Wishing you good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI,Dr. Mia , My name is katreena and i have a problem conceiving and i went to the dr and they say i have pcos , thyroid and type 2 diabetes . I toke a lot of hormone test and they all came out normal except for the thyroid and she gave me 50 mg of synthyroid and 850mg of metformin to take so i want to know what is my chances or of me becoming a mother and what should i do ### REPLY: Hi, Welcome to the forum. It is nice to know that your hormone levels are normal. If you are strict about your diet and take medications as prescribed by your treating doctor. Your type 2 diabetes will get under control. Maintain your blood sugar level so that you do not enter in complications when you conceive. Take your medication for the thyroid dysfunction and stay connected with your doctor. Thyroid dysfunction causes infertility. It is important to get your thyroid function improve. Many patients have conceived after treatment. When your thyroid levels are normal consult a gynecologist and alert her if you have any menstrual problems. You may need to have your follicular study done. Take her help to know your ovulation time for easy conception. You and your partner may have to go through some investigations like blood tests, USG, Semen analysis, etc. You do have chances to conceive. Do control your weight. Maintain a strict diet and adequate rest. Have a nice day, 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: Its been 5 days after I had 3 wisdom teeth extracted and so far I just have a swollen cheek that has been getting smaller by each day. However, theres a small bump by my jawline that feels almost as hard as bone, and hurts when I touch it. Also, today I noticed a white film on my tongue that has a bad odor to it. Will the bump go away in a matter of time? And is the white film something I need to worry about? Ive cleaned it with a toothbrush, but the the top of my tongue feels weird in my mouth. ### REPLY: Hi, Thanks for asking the query, I would like to tell you that wisdom tooth extraction is always associated with post-operative complications like pain and swelling. As you are on the course of antibiotics and analgesics, the swelling will subside after sometimes by itself. I would suggest you to take lukewarm saline and antiseptic mouthwash rinses. Clean the tongue with the tongue scraper or a soft bristle toothbrush. Maintain a good oral hygiene, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 71 year old female with no dental coverage.   I have a very bad toothache resulting from loosing two fillings in the last month.  I was just wondering how much you would charge me for two tempory fillings until I go down to Mexico this November as a Snowbird.  The pain is getting unbearable!  Please send me a quick quote.Sincerely;Doris Christie ### REPLY: Hi, Welcome to  forum, After loosing two fillings your teeth were exposed to the oral environment due to which saliva, food particles kept seeping into it, so infection has developed. This toothache is due to that infection. You can consult a dentist for the temporary fillings of the teeth. Temporary filling will not cost much. Take Antibiotic coverage and Ibuprofen for pain relief. Maintain oral hygiene. Afterwards in Mexico you need a thorough radio graphical examination of the teeth to rule out whether filling has to be redone or root canal is the treatment. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a very itchy rash that started on my legs and is now on my forearms...I have recently had headaches and very achey joints. The rash is almost painful...very unusual. I am a 28 year old female. Not allergic to anything. Very healthy. What could this be? ### REPLY: Hi, You seem to have developed an allergic skin rash. Such a skin rash can occur due to many reasons. It can occur due to intake of some oral painkillers or antibiotics or due to some viral illness in body like after some sore throat or abdominal infection. You should avoid applying any kind of skin irritants like detail, spirit over it. You might need to apply a topical steroid cream over the affected area twice a day for few days. Take some oral antihistamines along. See a nearby dermatologist if the condition tends to persist despite this therapy. You might need a course of oral steroids. Hope it helps, . MD(Dermatology) ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 5yrs old baby and trying for the second one from the last year, still not conceived. Took siphene100 in current cycle and doing folicule monitiring. As I have BP and taking the medicine Natrilix SR regularly, want to know if this medicine is a reason of infertility.Please help. ### REPLY: Hi, Thanks for writing to . The tablet you are taking matrix Sr doesn't cause infertility.  This . I would suggest you to keep your BP controlled as that is important during pregnancy.  I would suggest you to go for tubal patency test and then GUI with sphere. GUI is intrauterine ingestion of sperms. Here sperms are washed and processed and placed in uterus. This will increase chances of conception. Hope I have been helpful. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Respected sir, i have problem of asthma. medical specialist has advised me Seretide evohaler( salmeterol + fluticasone propionate )25/250mcg and Aerolin( salbutamol ) 100mcg. i am using these since last week. but i am feeling weakness and dizziness .and when i use it i feel like my ears are heavy and feel numbness. i need your kind advise please. regards ### REPLY: I am not able to judge Because you have not written historySince how many years you are suffering exact diagnosis and advice for cure can be worked out after your full history in details These inhalers are to control the symptoms According to your signs and symptoms Berlin can cause week lesson can add tab singular 10 MGM TDS and fexofenadine 120 mg once a day to clear ear symptompstake for 2 - 3 weeks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, for about 2 months, I have had naval discharge that is either white or clear. Yellowish/ brown crust is present around the outer edge of the naval. On the inside, it is red and inflammed. We have packed it with neosporin and gauze which helps it clear up, but will return quickly. No piercing. ### REPLY: Hi, Pus in the belly button or umbilicus is caused by a chronic bacterial infection. A navel infection can produce pus as well as a clear discharge, bleeding, redness, and inflammation. The pus in the umbilicus which can be treated by a course of antibiotics and painkillers. It is usual for an infection that produces pus in the umbilicus to cause extreme pain and tenderness in the area. Please consult your doctor for antibiotics and painkillers. Do not try to insert sharp object or fingers. Please use a cotton ear bud and consult a surgeon. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son has mono from previous mono in 2010. He was hiking vigorously before being diagnosed a week ago. His spleen is fine and the slightly enlarged liver is back to normal. Swelling in throat is ok now, only sore throat left. Occaisional ear ache. He is slated to leave for an eco trekk next week in India close to the Himalayas. If he didn t suffer from the other 2 trekks, is it safe to say, now that he is feeling better, that he should be ok in about 12 days? ### REPLY: Hi ! Good morning. I am  answering your query. From the history you have narrated, it seems that your son is recovering well, and the sore throat will also pass off soon in about a week duration. However, exact position will be known to the treating doctor, who sees him regularly with physical examination and the monitored progress of your son. I hope this information would help you in further discussing with your family physician/treating doctor on your sons' problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. Wishing you an early recovery.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I dont know where to begin. But I think that to describe my problems You need to know the facts that I have been molested by my father in my childhood, I reflected it in my plays, these plays really took the stress off me. I usually took the doll, undressed her and I pretended that someone other than my father, but still somebody adult wanted to see her naked and to touch her, I always did it on myself, I mean I took off my underpants and cried that I didn t want somebody to touch me, but still they told me they have to. In the role of somebody were my teachers, actors, adult people I had known. I felt psychological relief. I still continue it (I am adult so I imagine situation where I am dependent on somebody)but only in my thoughts. Simultaneously when I was about four I started masturbating by crossing my legs, my mom saw it and hated it, she admitted that throughout the childhood she didn t like me at all. It was very compulsive, I even counted it and it could be even 40 per once ( I don t know if they were orgasm, but it was definietely the climax of sth, usually after one time when I imagined myself very dependant on somebody touching me I started feeling angry and sad but my body still had the pleasure and some climaxes throughout the other 39 times). When I was 14 I started to feel pressure on my bladder, an urge to urine, nothing else, no pain or pinching just an urge and I urined in droplets, I still do. It s very annoying but I got used to. But know I see it gets worse after orgasm ( I never get orgasm through touching my clittoris but only through squeezing my legs, but now it s usually 2 to 3 times). My questions are : 1.Are the problems with urining connected to my psychology or it may be something wrong with me inside me, physically? 2. Is it wrong that I don t get climax when I touch my clittoris even when I am aroused, it sometimes gets even not pleasant, and may be painful although I am not violent in it? 3. May these problems mentioned above be connected with the fact that when I was 11 my father violently put me on ground in the way I was lying and then kicked me, mostly in the lower parts of body, and the next day I had the bleeding from the vagina. I thought I got my period then, but lately I started thinking that it could have been because of this kicking, especially that next bleeding was after a year when I was 12, then I had maybe 2 periods and a gap year. I read somewhere that it s normal to have a year gap after two periods so now I think I didn t have 2 gaps, but the 1 st bleeding was because of kicking. I have a problem with going to a gynaecologist because in some way I want to, to feel the pleasure I have from imagining, and in the dependency the situation makes I feel aroused, it s very embarrasing. Unfortunately so far I met gynaecologist who were rather brittle, and for instance told me Come when You start your sexual life , moreover I am so embarrased that some man/woman it doesn t make difference may see I am aroused. It s very uncomfortable, and most importantly I would use her/him by going to gynaecologist. Would You feel used knowing that your patient feels sexual arousement because of the situation? ### REPLY: DearWelcome to  understand your concerns went through your details. I suggest you not to worry much. I sincerely opine that your fantasies and obsessions are revolving around that incident happened when you were 11. This happens because you are keeping your thinking around what happened then. You must shake your self off. What ever happened is past and has nothing to do with future. But if you become obsessive about it, then it shall ruin your future creating anxiety. The mannerism you are showcasing are normal and do not worry about that. Please describe the whole problem detail and post a direct question to me. I shall definitely help you with psychotherapy techniques to overcome obsessive thoughts. 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: Hello Doctor, myself Mounika from Bangalore. Weve been planning for children from the last 5-6 months. From the last 3 months I didnt get periods. Checked for pregnancy test but it came negative. Before the past 3 months the periods were regular for 4 months every month, before that it was irregular. Really dont know what to do. But we are looking for children. need your best advice and solution. Thanks in advance ### REPLY: Hello dairy understand your concernAbsence of the period from the three month is not normalizer irregular period could be due to hormonal imbalance, endometriosis, ovarian cyst, adenomyosis, thyroid dysfunction would suggest consulting the authorized gynecologist and undergo reproductive and thyroid hormone analysis, USG scan and ovarian follicle study to confirm the cause. Specific treatment will depend on the causePeriod can be induced by the progesterone pill in the absence of the pregnancyPeriod can be regularized by the birth control pill. Clomiphene citrate can be used to maintain the fertility. Avoid stress, take healthy diet, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: August 14th I missed a step while walking and fell. I had a lot of pain, went to urgent care and was told it was bruised (possibly fractured) rib(s). It gradually got better but around September 14th I started having a difficult to describe pain/discomfort in the center of my chest, near the sternum area. Back to the doctor and had x-rays taken. X-rays all looked fine. I was told it was from the fall and it could take another month or two to heal. I m just not feeling that this is fall related. It seems totally different. ### REPLY: From August once you have recovered from pain it will not start again in September suddenly until and unless you have not damaged it again.  Here your pain could be related to an acidity also here actually after food if you have habit of going to bed or sleeping, the acid gas and juice of digestive system can travel up and give pressure on heart.  And will start paining. But if you have chest pain with few steps walk as well with breathing difficulty then it could be related to your heart.  In that case you need to do electrocardiogram as well treadmill test and then further guideline will be given by your cardiac doctor. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a kidney infection about 2 months ago, I was vomiting and felt very unwell but took antibiotics for a week and then felt better. About two weeks after this the symtoms (besides vomiting) came back. I sent off a urine sample and took another weeks worth of antibiotics however when I got the results back there was no sign of an infection. I am now still getting symptoms, such as nausea, stomach pains and I am bleeding from where I pee, not as a result of my period. I am not having symptoms such as pain when I pee but I didnt have that symptom when I first had a kidney infection. Please help, what could be wrong with me? Im finding it very difficult to eat and need advice! ### REPLY: Hello, Thanks for the query to H.CM. Forum. From last two months you are having nausea, stomach pain, bleeding in urine. Treatment took for renal infection. In my opinion these may be due to .1 Chronic renal failure, diagnosis can be confirmed by ultrasound and M R I of both kidneys as all symptoms are an indication of renal involvement. 2 Stone or calculus may be in the kidneys, diagnosis can be confirmed by ultrasound of kidney. In my opinion as you were a patient of renal infection, which don't treated completely. This recurrent infection causes bad impact over kidneys, so consult a urologist and get his opinion. Good luck,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, i am wondering if I can get pregnant 25 days after my period? Well, i am married and my husband has a vasectomy and i have been seeing a someone who also says he has a vasectomy done. I am not sure if he did get it done or if he is lying to me to get me in bed. But i had my period around jan 10...i had sex with him on feb 2... i wanted to know if i can be pregnant? ### REPLY: Hello, I have gone through your query and understood the concern. If you have regular 28-30 day cycles, you had the intercourse during your safe period and hence have almost no chance of conception. Yet, if you have any doubt, you can get proper clarification by performing an estimation of the serum beta-ChatDoctor titles at least ten days after the intercourse. This can be followed up with a trans-vaginal sonogram a week after your expected period, if you miss it. Please use regular contraception in future to avoid such issues. Hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a bicyclist. Had a lump on left ischium, thought bursitis, then realized it changed from one lump to three. Shotty nodes. We treated w keflex, maybe got smaller. Rode again and developed an inguinal node also. Pcp thinks muscle inflammation, chiropractor says not likely, gyn says leg shaving. C.T. Negative, ultrasound negative. Still there, month four. Any suggestions? ### REPLY: Thanks for your question on . I can understand your situation and problem. In my opinion you are having inguinal lymph node enlargement. The most common cause for this is infection. Since your reports are normal and still swellings are persistent, better to get done excision biopsy of the nodes. Histopathological examination of these nodes will diagnose your problem. If this is also negative for infection then no need to worry about any major disease. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 ive been out of hospital a week after chest infection as i have copd and this rare bug citrobacter koseri .the drs had never heard of it but even though i have finished all my anti.biotics the dr said i have to stay away from the family .also gave my husband a dose of antibiotics in case he gets it i was wo dering if it is contagious . ### REPLY: Respected user, HiT hanks for using .come have evaluated your query thoroughly.* Treatment of chest infection has multi modality approach - Antibiotics according to the culture report.- Bronchodilators, decongestants according to the symptoms.- Supportive care of nursing.- Balanced nutritious diet.- Regular walking in fresh air, exercises, YOGA-Avoidance of alcohol, smoking-Sound regular sleep of 7 - 8 hrs.- Avoid exposure to dusty environments, if needed to use face mask Hope to clarify your query Welcome for further assistance Thanks for using  .com & giving opportunity to assistWishing fine recovery Regards dear take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: please let me know whether it s confirmed pregnancy or missed my careles had beend ib auto hello doctor ,am priya 34yrold, & got married in Nov19th 2010, got ma 1st period on 23rd nov 10 2nd period on jan 26th 11 ,3rd 5thmar 11, 4th april 11,& 5th on may 5th 11 and 6th on may 23rd 11 and doctor suggested me to take carnisure500mg for 20dys .... will it harm in getting pregnant doctor had prescribd 1st with fertly super100mg ,clomid progestrone , levtol 2.5mg& now carnisure ....and my husband is taking tablets for depression as follows Parkin ,Azur , Stalopam, Telma-H, Amlip-5, Matilda,Glizard... and my hubby done semen analysis was Nrmal ... and 2day had gone for pregtest it appear 2lines should i await until 23rd /24thjune to confirm whether m pregnant..... had consulted a doctor and she had prescribed me again with Miprogen , Fol123 , ulgelsyrup ,&nosic tablets... m worried whether m really got conceivd or not .... one of my friend told Miprogen shouldnot be taken .... is it true please let me know as soon as possible had already taken 3tablets... m quite worried about my pregnancy... had been continued with tabletsregularly but on july 2nd 11 got little bleeding in evening and doctor suggested me to take scan immidately done pelvis scanwas performed as follows--UTERUS; Anteverted, measures9.2 x4.3x6..0cms. endometrium is uniform.Endometrial thicknesss measures 8mm. OVARIES:normal in size ,shape & eechotexture. right ovary measure2.5 x1.8cms. leftvovary 3.5x 1.4cms ... IMPRESSION:No Identifiable gestational sac . sugested 2 follow up after 2weeks.. TRANSVAGINAL SCAN WAS PERFORMED: Uterus is anteverted, normal in size & morphology. Endometerialcavity is closed. No gestational sac or foetal pole noted.Fluid is noted lowervendocervical canal & cervical canal . this may represent ongoing bexplusion of products of conception. 2 be correlated with ChatDoctor levels. both ovaries are well visualised & more normal.... ChatDoctor (Beta subunit):serum ChatDoctor (Eclia) specimen-serum -896.3 mIU/ml male & nonpregnantfemale: 100000 pregnant female post LMP Range 4wk 5-100 5wk 200-3000 6wk 10000-80000 7-14wk 90000-500000 15-26wk 5000-80000 27-40wk 3000-15000 yet didnoted consulted particular doctor but other doctor told me 2 await for another week 2 go & confirm ..... and worried about ma prgnany can please want to know what s my stage .... some pple are telling its excess of heat .... please reply 2 ma question ### REPLY: Hi welcome to  The above USG of pelvis clearly states that the pelvic organs are normal and there is no abnormality seen... The bleeding which you had on 2nd June, need to be known whether it's a single episode and little quantity or large amount... if its large amount, then chances of pregnancy is less. If it's small in quality, then you need to get urine pregnancy test done to rule out the pregnancy... Do not worry, since there is no problem with your reports, you will get conceived soon...hope I have answered your question Take Care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a lump on my right side Back Dimple.  Ive been prescribed muscle relaxers, they dont help much.  I wake up with severe pain that alleviates after urinating.  I have taken an MRI, this caused GREAT DISCOMFORT.  Ive been unable to find a solution to this problem, or what the problem may actually be.  Any ideas? ### REPLY: Hi, Dear,Welcome to . Based on the facts of your query, You seem to suffer from-Lump on right Back with dimple on it-Mostly Sebaceous Cyst.USG and Surgeons Second Opinion would help you find out its cause.Hope this reply would help you to plan further treatment with your doctors. Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Good Day!!  . S. Genl-CVTS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: doctor my son have motion that to semi solid motion from last 6 days with stomach ache he is taking medicines also for the same but not releived.he is 11yrs old.he is taking oflomac, nizonide,econorm and racigyl from last 5 days but not a bit improvement.it will take time what doctors are saying. ### REPLY: Hi, Welcome to , Semi solid stools are never a matter of concern in a child. As long as there are no loose stools or blood in stools, you needn't worry much about. I honestly feel he might not even need those many medicines which he is getting. However, if a doctor had prescribed, there should be some genuine reason and so follow that as per instructions. Make sure he gets a good fiber rich diet, fruits, liquids and they will recover 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, Im 19, skinny, and a smoker. For the past month Ive have trouble going to sleep because of chest pain and random tingly feelings in my left arm and leg. With the occasionally pressure headache. Early I experienced a strong time stopping pain in my chest and about 5mins later it felt like a bubble burst, then my leg went numb. Any help thanks. ### REPLY: Thanks for your question on . I can understand your concern. Since you are smoker, you are at risk of heart diseases. So we should first rule out heart diseases for your symptoms. So get done ECG, 2d echo and stress test. If all these are normal then no need to worry about heart diseases. Sometimes stress and tension can also cause similar symptoms. So avoid stress and tension, be relaxed and calm. Quit smoking as soon as possible as this is not a good habit. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am a 41 year-old female with right parietal cavernoma. I have been slightly symptomatic (headaches, blurred speech, vision issues at times). Recently I developed pain on the left side of my neck, as well as pain on the left side of my head. I have been experiencing blurred vision more than usual. Is this yet another symptom of cavernoma? ### REPLY: Hello !  I understand your concern. In my opinion these troubles are not related to a recurrent cavernous. The neck pain may be caused by a disc bulge or just cervical spondyloarthrosis. This causes pain in the neck, irradiating the head, caused by muscle contractions. The blurring vision, is an important sign, but it may also be caused by a cervical disc problem, especially when associated with dizziness or vertigo. Have you had these problems lately ? I would recommend you to go to the doctor and have a physical examination and a cervical column x-ray. If the headache and blurring visions get worse, a head MRI may be needed to exclude brain lesions. Hope to have been helpful! Thank you for using ! Best wishes,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: dear doctor my 4 yr 9 month old daughter is suffering from thalesemia major. is there any treatment in any pathy ? i want to know about stem cell transplant.is it possible in india or abroad(where) and what will be the cost? i heard about some chinese herble medicine ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. There is no treatment as such for thalassemia patients. But you can try for stem cell transplantation. Yes, it is now also available in the India. Stem cell transplantation can also be possible i n India. Some reputed government institute like AIMS also doing it. So I suggest you to it. Till you do it you can continue with the blood transfusions. There are risks of high iron load, but there are no other option available. This disease is genetically modified, so I don't think Chinese herbal dedication can add the gene who is not present. So on my opinion it will not work. But if you believe it works you can try for it. I will be happy to answer your further concern on bit.ly/ . Please hit thank you for me if you are helped. Thank you, ChatDoctorInfectious diseases specialist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, i am 16 years old and i masterbeat alot like everyday and recently i had this feeling in my knees that i cant move because of them and when i move my knee or my leg theres this weird sound that comes out of my leg , is that from masterbeating ? And what can i do to get back to normal ?! ### REPLY: Hi Dear !! Thanks for your query to . Read and reviewed your query and health concerns. IN the given situation of Yours, You seem to suffer from-OA (Osteoarthritis)with Synovial thickening, which is mostly causing noise while knee movements. This seems to be independent and mostly related to your obesity. This plan would reduce your dilemma from weird sound from knee. Other causes-like torn meniscal cartilage, bubbling gases in joint, sesmoid loose bodies need to be ruled out. Consults with Orthopedic doctor are suggested. Hope this would help you to plan further of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question Tod ME, at following  link-Dear, if satisfied, Dont forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at  services. If you want to update more details and ask more update queries, You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! . N. Senior Surgical Specialist. S. Genl-CVTS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi , I had a throat infection and i took Azee500 for three days , while my throat was ok i suddly woke up with two small bumps on my skull just behind my left ear. Its too painful and as if i have a nail stuck in it. I put some neosporin but it hasn t helped much . I spoke to a friend of mine who is a doctor and he said it might be a Hairl folicle infection. Can you please tell me why this happened and is it serious? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You already have sore throat due to upper respiratory tract infection.  So you have high chance of reactive hyperplasia of lymph node.  You mostly they are enlarged lymph nodes due to throat infection or other infection.  You should complete the course of azithromycin.  If lumps remain persistent then biopsy diagnosis is advisable. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Around 3:00 am yesterday morning I started feeling a dull pain, mid-abdomen, L side, worsens when I inhale. Then this morning, in addition to the above symptom, which has persisted, I am having numbness, tingling down my left arm to my left hand along the left edge, with coldness in this hand compared to the other one. Not even sure these two symptoms are at all related, other than laterality. I m not sure what may come next and I do not want to wait to find out. Your thoughts? ### REPLY: HelloI think you need both orthopedic and heart check up with EKG, chest X-ray to rue out causes due to heart and lungs, also physical checkup to locate any specific tenderness in upper abdomen due to abdominal organs. In any case, it should be urgently checked in ER.certain blood tests like Troponin T and troponin, CBC may also be required so Visit an Ergot your BP and pulse checked and avoid all physical exertion and heavy meals for a while till ER visit 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 hole in y tooth but theres pasta on in too .. The hole isnt in the middle its from te side going middle ... Im not really sure if it reached the middle but how is this possible i have been having this pasta more thatn a year already what shold i do? ### REPLY: Hi. Welcome to . I read your query. As you mentioned you have cavity (hole) in your tooth on side face of tooth. This kind of cavity is like a block hole. Whatever you eat goes and stick inside, but it is very difficult to remove it from the cavity. And as long as the food stays in that cavity, it tends to spread faster towards the middle of the tooth as well as on the adjacent tooth. I suggest you to visit a dentist and get an x-ray done. If the cavity is not up to pulp of tooth, it can be restored by simple filling. Or you need to get RCT done. I suggest you to have treatment as early as possible as you already have had it from long time. Use mouthwash along with brushing twice a day for good oral hygiene. Hope the answer helps you. Thank you! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I was having boils on my feet continously doctor detected that i am having skin infection, so he ask me to have CBC test, followings are my test reports:WBC-8.33, RBC-5.72+,HGB-16.8,HCT45.9,MCV-80.2,MCH-29.4,MCHC-36.8,PLT-312,RDW-SD-38,RDW-CV-13.2,PDW-12.3,MPV-10.3,P-LCR-26.8,PCT-0.32,NEUT-36.2,LYMPH-56.4+,MONO-4.9,EO-2,BASO-0.5.In the reports it says that i am having lymphocytosis want to ask Is it some thing serious???? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have lymphocytes. However, your total WBC count and platelet count is normal. Lymphocytes can be due to some viral infection or non-specific cause. You should repeat your blood count after 1 month. It will mostly come down to normal. If it remains persistently high or if your total count is also increased then you need further investigation. Right now no need to worry. No treatment is required for that. 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: I m 30 years married women having two year old baby. I want to use Overal L for birth control. I want to know as I am hepatitis B positive, is it safe for me ? I want to know about side effects of this pill. I have a history of diabetes in my family as my mother is highly diabitic and at last tell me if it may be taken from 10th day of cycle. ### REPLY: HelloThanks for the query to . Forum. Two points are very important in your case.1 Hepatitis B positive .2 Diabetic history in family. Now about "ORAL -L i.e. (levonorgestrel+ethinylestradiol) is no doubt a very potent oral contraceptive. Its side effects are many, but I am only mentioning just for your interest. It may cause. Cholestatic jaundice (you are already a patient of Hepatitis). Hepatic tumors liver impairment. As there are so many other side effects but these above-mentioned are only related to LIVER, so in my opinion you should not take this . Good luck.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son-in-law, 37, fit and not overweight, went into the hospital emergency yesterday with face numbness and very high blood pressure. His cardiac enzymes were elevated. He was admitted and received heparin to reduce his blood pressure and he just went through a cardiac stress test...what are they looking for and should he expect to be discharged today? Would that be a good idea? His mother died of cardiac arrest in her mid to late forties. ### REPLY: Hi, The cardiac stress test is done to rule out Coronary artery disease (CAD) since cardiac enzymes were elevated with high BP. Anticoagulant heparin is given to reduce commutability of blood for Acute Coronary Syn .  The outcome of the investigation will dictate the further course of action. Family history of premature heart disease/Sudden cardiac death (SCD)/cardiac arrest in a first-degree relative. Hope I have answered your query. Let me know if I can assist you further.   ### END