Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 hav penis problem especially erection one since last year. Owing to reasons better known to you my penis had been de-shaped and reduced to minimum size. Initially I felt slight problem in passing urine while at the later stage there was no pain. A one year has to passed and now there is some improvement in my penis size but still it is not in its orgininal size. Please advice.Zaheer Shehzad ### REPLY: Dear, We understand your concerns went through your details. You have not mentioned the size of your penis. The average of length of penis is 4.5 inches and the average girth is 1.5 inches. You will be able to satisfy any woman across the world with a penis size of 2 inches in erect condition. Woman vagina contains pleasure nerve endings only up to 2 inches from the vaginal opening. Erectile dysfunction (ED) or impotence is sexual dysfunction characterized by the inability to develop or maintain an erection of the penis during sexual activity. This happens due to organic as well as psychological causes. You should rule out organic causes first. Please consult a urologist for investigation. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query.  Further clarifications are welcome. Good luck. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was bitten by my cat.  He gave me 4 puncture wounds in my forearm.  I rinsed it with cold water and ran peroxide on it.  I put ozonol and a gauze over it.  I havent had a tetanus shot for quite a while.  Aside from getting a shot, which I will tomorrow, is there anything else I should do? ### REPLY: Hello, Welcome to , As you were bitten by a cat over the forearm, which has led to punctured wounds. As the cat also has all the potential to transmit rabies, which is 100% fatal, but it is 100% preventable. You should not ignore this, and you should take appropriate and complete treatment. I would suggest you to follow1. Washing the wound under running water with soap2. Inj Tetanus toxide3. Antirabies vaccine, intramuscular on to deltoid on days 0,3,7,14 and 28.4. Antirabies serum or rabies immunoglobulins (Rigs) in and around the wound5. Course of antibiotics. This treatment is most and forget to take all the dose of antirabies vaccines on to your deltoid (shoulder). 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: My sister has night sweats, muscle tenderness/pain, cough, fatigue, chills and as she describes it symptoms very similar to the flu. But since she was on lovistatin for 2 years she thought at first it was from that. But she has been off the drug for threes weeks or longer with no improvement in symptoms. I was thinking she should see an infectious disease doctor. Help? Ashton ### REPLY: Thanks for posting your query to  . As I understand your sister is suffering from upper respiratory tract infection. It could be of invective or allergic in nature. I suggest you to maintain a good hygienic and nutritional condition as lower immunity is a predisposing condition for infection . As I understand it may be viral in nature . So I suggest you to take 1. Antihistamines with mast cell stabilizer : Cetirizine 10 mg with Montelukast 5 mg tablet once in a day.(Adult dose)Tablet Paracetamol 2 times a day as I in standard dose as per age of your sister for fever and body ache. Multivitamin with Zinc tablet to improve immune response. Antibiotic like Azithromycin 500 mg once in a day can be taken after consult local clinician as it has no role in viral illness. Hope I have solved your problem. Feel free to contact me. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: "I have had severe hiccups throughout the day lasting about 20 mind and at least 11 times since this morning. And now, for the past housr Ive had a sever sharp pain on my lower left side. Almost breathtaking.... Have no idea what it could possibly be..? Thinking about going to the Er..?" ### REPLY: Hi! Good morning. I am  answering your query. I would advise you to seek help in the ER of your nearest hospital, as it won't be possible to opine on your condition without a physical examination and related investigations. Take care and good luck. 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: Sir my girl friend 19 year old , her period should be come on dt. 08.05.2012 but till period not come , i check pregnancy test then i found she is pregnant , today i give her MTPROST Kit 1 tablet fro oral , please advised me other 4 tablet how can use for abortion , Rahul ### REPLY: Hi, Because of a high risk of severe vaginal bleeding, cramps, infection, and incomplete abortion it is NOT SAFE to use this kit without consulting a gynecologist. Moreover, the pregnancy should be intrauterine (within the womb) and its duration should be less than 10 weeks. Mifepristone should not be used if your pregnancy is outside the womb (ectopic pregnancy). It will not cause an abortion in this case. In fact, it may cause serious abdominal cramps and internal or external bleeding which can be dangerous. The gynecologist would advise your girlfriend to take one tablet of Mifepristone, followed by 4 tablets of Bisoprolol after 1-3 days. If abortion fails to occur after the administration of Bisoprolol, the second dose of Bisoprolol (2 tablets) is administered. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: She showed the very different behaviour after having a get together with her old batchmates. She was very happy the day she saw them. But the next day onwards she was very depressed and wouldnt talk anything. When she was made to talk with me (one of her elder sister), she opened up and told me very weird incidents. She talked as if one of her friends among boys tried to seduce her. And she felt that he did something to her. She had a lot of doubts.After two three days she started talking senseless things. One of them was she was going on saying the words "lock and key". And it was somedays back i came to know what it is. I asked her what is "lock and key" and she referred it to as sex. And i understood most of the sensless words she was saying.. she was referring those to the word sex.After that when she was taking your medicines she started being ok.After reaching Muscat, she was ok. But used to cry now and then. She feel someone teased her or anything like that and she cries a lot. When we go for small gatherings, suddenly she starts crying and her mother somehow make her stop crying and hide the scene from others. This crying thing happen now and then. ### REPLY: Hi, Thanks for using . I have gone through your available history. It seems that she has developed delusion of persecution and some sort of psychiatric illness possibly schizophrenia. You should take her to psychiatrist for detailed evaluation and management. Doctor may advise you to take anti-psychotic agents like risperidone or olanzapine or piperidine. She may also do well with insight oriented psychotherapy. I hope it will help you. 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 my symptoms are the following: hard lump on the bottom of my mouth (right side) (under the tongue towards the back) small ulcer on left side of top of tongue. Pain on right side of jaw particularly when opening mouth wide. Neck pain radiating from the base of neck down right shoulder. Have recently had implanon inserted (approx 2 wks ago) ### REPLY: Hello! Thank you for posting here. You did not mention your age. This can be an infection in your tooth which turned out to be an abscess. Get an x-ray taken in the tooth affected. You might require to get the tooth removed or a root canal treatment done. This can be decided after a clinical examination. Infection in the last tooth often has radiating pain to the neck, face,head etc. Take a full course of antibiotics and OTC painkiller. Please see your dentist immediately to prevent further spread of the infection and pain.Regarding the ulcer on the left side, use a Qua . Apply it before food, wait for 5-10 minutes and then rinse it off. You did not mention which side you had the implant 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 am having gastirc prolem from past one week, I am facing mild pain in my stomach and also I feel burning sensation while taking food and also I feel body strain. I had been to doctor, he has suggested me to take nexpro - 40mg before break fast, please let me know will it help me or I require to do something extra to get rid of this Gastric problem ### REPLY: Hi ! Good evening. I am  answering your query. Apart from taking Nero 40 mg, the following could also help you more :1) Elevate the head end of the bed with two blocks on each side, so that the regurgitation does not occur while lying down, and the contents of esophagus and stomach flow down with gravity.2) Some modification in your diet like more of roughage, enough liquids, avoidance of oily, fried, and fast food, and avoidance of alcoholic beverages and smoking if you do.3) Regular routine exercises like morning walk depending on your medical fitness.4) Routine stool test for ova and cyst and treat them if positive. 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: Hi, i am diagnosed with kidney cancer.  Doctors said I need to remove right kidney since the cancer is located right in the center of the right kidney. The problem is I do not have health insurance, and worried about the totla costs. Can you give me an estimated of the operation & all the costs? Thanks. ### REPLY: Hi and welcome to . As a Urologist, I can understand your anxiety. Are you worried about the treatment of kidney cancer or operation cost.? The charges for the operation, vary from hospital to hospital. You should get it operated it as urgently as possible, if it hasn't spread much. There are two types of surgery, open or laparoscopy. Its done in 2 ways :1. Partial neurectomy, removing the tumor and surrounding normal part.2. Radical neurectomy. That's removing the kidney and surrounding part. .  Manga. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 need the expertise of a immunology and human male sexuality. I have been a professional hustler in my prime, being disabled I found it paid well to get through Graduate school. I always used a condom. Now my future wife wants me to wear a chastity device, which I have been doing for almost three months. but recently I have developed swelling in my legs and feet, and increased pain from neuropathy. Have the simptoms I m having related to constrictions of the penis ### REPLY: Hi, The device may cause nerve compression also compress the nerves like lateral cutaneous nerve or perineal nerve lead to numbness. But if it is compress venous system lead to pedal edema. Please check for local eczema or compressive neuropathy.  Better to take neurophysician consultation he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi...I have a bubbly rash appear on my chest,,back and arms and hands there like small pimples and red.. i started a new job in a hospital tuesday and when i got back from work i noticed them.. when i went back in on thur and fri they told me it may be a allergic reaction but it has got worse and also ive been being sick and lossed my apitite what could it be? ### REPLY: Hello. Thanks for writing to us at heallthcaremagicJudging from the information that you have provided I will keep a possibility of a viral exanthem. I would specifically like to rule out Chicken pox, since as you say that the rash is composed of fluid filled lesions. Chicken pox classically presents with red lesions which later on become topped with fluid filled lesions. The lesions of chicken pox are mainly distributed on the trunk, face and proximal extremities. Palms and soles are usually spared. Fever and other systemic symptoms are present. I will suggest that you visit a dermatologist in your region. Your dermatologist after examination would be able to either confirm or rule out chicken pox. Treatment of a confirmed episode of chicken pox is with oral antivirals e.g. acyclovir or val acyclovir. Symptomatic treatment for fever and malaise should be provided with OTC paracetamol and ibuprofen. 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 sister in law recently suffered a heart attack.  Her heart is reportedly functioning at 25% according to her doctor.  what does a healthy heart usually function at?  she is also having a lot of fluid buildup.  Does this indicate anything in relation to her heart? ### REPLY: Hello, What you have mentioned is called ejection fraction. Anything above 55 % is called normal. So for your sister the heart is working at nearly half normal. There is a fluid build up and in all probability it is because of a weak heart. When the function of heart is low, less blood is supplied to the kidneys which in turn MIS quotes it as lack of enough blood in the circulation and over the period of time accumulates fluid to increase the quantity of circulation.  Optimization of medication and treatment to strengthen the heart according to the cause would help her. 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: Yes I have had for about the past three months a throbbing pain on my right side lower toward back area. When I lay at night and go to turn it feels as though I am bruised inside in that area although that is lessening. About a week or so ago I had alot of blood in my urine it look almost like coca cola but I could tell it was blood. That lasted for about 3 days. I still have the blood but it is very pale. Nothing like it was. I am worried about kidney cancer. Cancer runs very high in my family. ### REPLY: Hello, Thanks for the query to . Forum. Remove a misconception from your mind that kidney cancer is in your family, that's why, you are prone to this disease. This blood in urine is known as ISOLATED Hematuria and may be due to, Calculus (stones in urinary tract system), Tuberculosis,prostatitis (in male), Trigonitis (bladder trig one), Nephropathy, Glomerulosclerosis, CANCER urinary system. So need not worry at all, consult a urologist and get in examination as well opinion. Thereafter move accordingly. Hope I have answered your query. If further any question I will help. Good luck.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have diagnosed moderate hapatomagely , diffuse fatty infiltration of liver , stopped alcohol completely already  my body workout time is 40 minutes  now I increased to 1 hour , taking green tea , amala juicr and liv52 tablets following low fat diet taking fruits like pappaya banana orange my question is is moderate hapatomagely is reversible , if it is reversible how much time it will take. ### REPLY: Hi and thanks for this query. Hepatomegaly is reversible if the cause is treatable. From the information you have provided it sounds most likely like alcohol induced. Stopping alcohol and adopting a healthy lifestyle like you are currently doing is going to cause these changes to disappear. However, the timeline varies for one person to the other and greatly depends on the extent of the disease and commitment to treatment. What I can assure you is that you will progressive witness regression in the coming months. Hope you find this helpful and informative. Wish you the best and hope you stay the course of living healthy. Wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI, I AM A NEW IN-HOME DAYCARE PROVIDER. ONE OF THE PARENT BROUGHT HER 19MO OLD BOY TO MY HOUSE COUGHING. (FOR 3WEEKS) JUST FOUND OUT THAT HE HAS AN ASTHMA. AND SHE BROUGHT HER CHILD AGAIN THE NEXT MORNIG AFTER THEIR VISIT FROM  THE ER.  is he ok to come to daycare ? ### REPLY: Dear friend . I don't think having asthma is a contraindication for visiting your day care. I am sure you are knowledgeable enough to manage the emergency situation if it arrives. Ask the parents first to meet the pediatrician and get proper treatment. See that child is not exposed to dust. Provide hygienic food and water to avoid infections which may exacerbate asthma. Better keep an inhaler for emergency learn to operate. Inform the parents that must be available on cal if required. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was diagnosed with diffuse large b cell lymphoma July 2013 and have finished chemo. PET scan (23.01.14) showed small infection in right lung that had been noticed in Nov/Dec hospital admission. Why would there be an ongoing or persistent infection in right lung? ### REPLY: Thanks for your question on . Diffuse large B cell lymphoma is blood malignancy. In blood malignancy immunity of the patient is very compromised. And chemotherapy makes it even worse. So these patients are at great risk of infection. In such patients infections tend to stay longer and chances of resistant or uncommon infection are more. So possibility of Fungal infection, tubercular infection or parasitic infection is high. Since you are having chronic lung infection, fungal and tubercular infection appears more. Better to consult pulmonologist and get done bronchoscopy and BAD (Bronchoalveolar lavage) analysis to find out the causative organism and start appropriate treatment. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Thank you. While in the hospital after a recent widowmaker heart attack I contacted mersa. While still in the hospital I received two or three days of IV treatment and then discharged with the order to continue IV treatment at home, twice a day. Since leaving hospital I have had eight days of IV treatments, twice a day with an additional ten or eleven day more to go. I was told to wash my hands thoroughly and to keep myself clean. My recent blood work has been deemed good by the infectious disease doctor. Q: Is my infection still contagious to others? ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. Yes, it is contagious. It can be spread by substances like napkins, towels etc. But as you have taken the enough treatment, you probably are clear of the MRSA bug. But for confirmation purpose you should be swabbed from the part like umbilicus, groin, maxilla nose septum etc. If this swab show no evidence of MRSA than you are clear form the bug. Otherwise, you have to go for mupirocin treatment. This . Please adopt good handwashing practice for all family members. I will be happy to answer your further concern on bit.ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I m a 14 year old male and have been getting wet dreams since i was 13. But i never really masturbated to ejaculation. When i masturbate and feel i almost cum i start shaking and i stop wanking and still shake for a minute or so ( my hands and legs mainly). So my question is if this is normal, thanks. ### REPLY: Hi, Thanks for writing. Shaking or shivering at or just before climax is experienced by few people. This can be due to exhaustion, muscle spasm and tiredness. This is due to the intense contraction of muscles in different parts of the body. This usually happens when deeper orgasms are experienced. There is nothing to worry as it happens only momentarily for a minute. It might be the result of a more focused masturbation leading to greater excitement, especially if your feet are off the ground. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 boil, non painful on my upper gum at the upper right incisor for 4 days. When at the dentist yesterday, it opened and has yellow pus,  he started me on antibiotics and suggested a root canal for that #8 tooth. The XRay of the tooth didnt show anything. He says the drainage & swelling surrounding the tooth are indicative of infection.  Is a root canal my only option?  Wont I also loose the tooth? I have just completed invisalign treatment for that tooth and dont want to loose it. Please advise and thanks. ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concerns. As per your complaint in case if you have a non-painful boil over the gum that . . Root canal treatment is advised if there is tooth related infection and not for gum infection. I would therefore suggest you to consult an Endodontist and get evaluated and a thorough clinical evaluation and x-rays from different angulation has to be done to rule out the exact cause and treated accordingly. In case if it is not due to tooth infection and is due to gum infection then Scaling and curettage will be advised. Hope this information helps. Thanks and regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was just diagnosed with gestational diabetes. I am 26 weeks with history of preterm labors/contractions. This is my 5th pregnancy. I will be seeing a dietician to modify/strengthen my diet but can t exercise. Will this rid of gestational diabetes prior to delivery? ### REPLY: Hallow Dear, Diabetes is never cured since it is a genetic metabolic disorder. It can be managed by keeping the sugar levels under control. Gestational diabetes is the existing diabetes becoming overt from the latent stage due to the change in carboy .  It can be definitely kept under control by modification in the diet; however, by and large, supplementation of antidiabetic medicines and/or insulin is required for effective management of Gestational diabetes. Hope this helps you.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was involved in a car accident a week ago where I was wearing my seat belt and the airbag deployed. I ve experienced different areas of pain since then but now the right side of my chest has tightened to where it hurts to extend my right arm through a full range of motion, blow my nose and even breathe too deeply. Is this internal brusing that could heal on its own or should I go to the emergency room and if I were to go a hospital/doctor what should I expect? ### REPLY: Hello dear, thanks for your question on . I can understand your situation and problem. In my opinion you are having blunt chest trauma due to car accident. Following are the possible complications of blunt chest trauma that can cause similar symptoms. 1. Rib fracture2. Pulmonary contusions 3. Pneumothorax4. Muscular injury. So better to get done chest x-ray. If chest x-ray is normal then you are mostly having muscular injury. So follow these steps for better symptomatic relief. 1. Avoid heavyweight lifting. 2. Avoid strenuous exercise. 3. Avoid bad posture and movements in sleep. 4. Start painkiller and muscle relaxant. 5. Apply warm water pad on affected site. Don't worry, you will be alright. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi , thanks for your help. My boyfriend has a pain in the abdomen, in between the bottom part of his ribs,a feeling of pressure. He has emazole capsules that were prescribed to him last year when on antibiotics. Would this be helpful to take? Thanks, Sinead ### REPLY: Hello dear, The symptoms as mentioned in your post is attributed to accumulation of gas secondary to increased acid production in the stomach. Symptomatic relief can be obtained with intake of Mazola (to be taken twice a day before meals) & antacid gel (to be taken after meals). They prevent formation of excess acid in the stomach & provide symptomatic relief. And it is also needed that he takes certain precautions regarding his diet & lifestyle, such as:1. Take soft, plain, non-spicy foods2.  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Dr. ,my husband undergone a medical Examination, after we get the result its shows that  his sGTP is at 130.in his ultrasound it says that he has a fatty liver.his gallbladder and pancreas is normal.  before he drink alcohol occasionally , but now its more than a year since he stopped.what should we do to reduce his sGTP?is it too high?is it complicated?he is 27,67 in weight.hoping  for your help. thank you! ### REPLY: Hello Thanks for writing to ChatDoctorYes, Your SGPT is high and increased SGPT indicates liver injury. It may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines etc. You need few more investigations like random blood sugar(RBS), renal function test(RFT), lipid profile, viral markers, urine RE/ME. In my practice, for patients like you, I suggest tablet Ursodeoxycholic acid 300 mg twice daily for three months more. It will help in regeneration of liver cells. You may need more . You should avoid red meat and high fat milk products. You should avoid fried and junk food and avoid alcohol completely. Get well 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: sir/mam i am 23 year old male...unmarried i use to do 2 time masterbate in a day (if free)  think 8-10 time in a week. and i having doubt...i cant sty long time it will out within 2mins. if any problem after marriage? i can give satisfaction to my wife? ### REPLY: Degree understand your concerns went through your details. Masturbation has no direct side effects. Masturbation is healthy, natural and is a normal adult procedure. Almost everyone across the globe masturbate and get sexual pleasure. But in your case, at your age, masturbation twice a day is not advisable. You can do it thrice a week safely. Otherwise, your wrong knowledge about the negatives of masturbation can make you anxious and health obsessive. May be because of this health anxiety, you are experiencing the premature ejaculation. Don't worry. You will be able to do well sexually after marriage. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, we have completed 5 years of our marriage. Me & my hubby is 30 years old i m trying to conceive last 5 years but till here is not any issue. I have done HSG & Laproscopy. According to doctor my one tube is patient but till i dont conceive.so what you suggest us for conceiving ### REPLY: Hello and thanks for the query, Since you have already attempted pregnancy for 5 years, I assume that husbands semen analysis has been done and is normal. I also assume that endometriosis and endometrial tuberculosis have been ruled out by histopathology and culture tests after laparoscopy. If this has not been done, it needs to be ruled out as if a tube is blocked there was most likely a tubal infection sometime and a concomitant endometrial pathology may be present. If the above reports are normal then you may go for an ovulation study and if the ovary on side of the open tube is ovulating, get an Intrauterine insemination [GUI] in that cycle. Sometimes there is problem with ascent of sperm inside the cervix to the tube, so GUI helps in such cases. If there is still no luck either a tuboplasty procedure to open the blocked tube may be done. Hope this helped. Best of luck, and I am sure you will conceive. A few more efforts and a positive attitude will help. Thanks for using , have a good day. ChatDoctor BagdeConsultant obstetrics and gynecology. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 can only describe my symptom as electric shock or lightening strike down the side of my neck. It originates from behind the rgt ear and down toward the front. First began 35 years ago, once a year or so. This year, multiple strikes every week. What is this and should I be worried? I went to new Dr yesterday and reported this. She googled on her phone to find an answer and then said something illegible. I only heard Don t worry about it. ### REPLY: Hi, Thanks for writing in. The nerves to the neck originate from the cervical spine. The cervical spine is made up of 7 small bones aligned on top of each other. There are spongy discs between these small bones which give it a cushioning effect and help in forward backward and turning movements. There is a possibility that your discs at particular levels have been degenerating for some time. The symptoms first noted 35 years back indicate a benign condition and over the years the disc problems might have worsened. The tingling sensation is more frequent when there is pinching of the nerves in the region. Doing an MRI scan of the region might be required. Treatment depends on findings. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I m trying to distinguish what might be the cause (or causes) of the swelling of my forearm. The area of the swelling starts below the outside of my right elbow, about halfway through where the ECU and FCU muscle are. There is no pain, just swelling, and movement is not restricted at all. I m 25 I went to the gym for the first time ever exactly one week ago. As result of that, last week I also had DOMS in my arms for a few days. The DOMS subsided about two days go and I thought my arm was on its way back to normalcy until I notice the swelling today. I few other things to mention: The swelling is on my right arm, and I am also right handed. I have a metal plate on the same elbow that has been there since I was 9 without any complications. Also, last night I played tug-of-war with my feisty 70lb dog, I game we playoften. And this weekend I also had an irregular intake of wine and champagne. I do not drink, but this weekend was a special occasion. I ve also been attempting to eat more protein and carbs lately in hopes to workout more and gain muscle mass, so my food consumption has change slightly to accommodate. It s nothing drastic though, just some omelettes, steaks, salad, and wheat bread. Once again, there is no physical discomfort, it s just swollen and visibly different from my other arm. I wanted to gain more muscle but after one 40 minutes trip to the gym I cannot believe results would show this fast and this great. I hope I ve given enough info to at least limit the scope of investigation. Thanks for the help! ### REPLY: Hello, As per your history, it may be due to blunt trauma. For further assessment, you may require X-Ray of affected hand after orthopedic consultation.  Restrict your hand movements. Use support while walking. In case of fracture, you may require surgical intervention after orthopedic consultation. Keep your self HY .  Hope I have answered your query. Let me know if I can assist you further.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My wife was treated for brain tumor anaplastic astrocytoma discovered 4 years ago. Surgery removed lemon size mass followed by 8 weeks of radiation and chemotherapy (temador). then Temador 5 day monthly for 24 months. The tumor is stable but she has developed several what I think are side effects. Diabetes , controlled by insulin injections. Fatty Liver and what dermatologist are calling psoriasis It started in th scalp in the area of the radiation treatment and now appears in various locations.  So far they only give her ointment and creams that sort of relive the itching but do little to stop the outbreaks . Is psoriasis typical with this cancer treatment?  Where can she actually receive help? ### REPLY: Hi, Thank you for your query. Radiotherapy has only local effect, that is effect/side effect is seen only in organ or site where radiotherapy was given. Psoriasis is unlikely to be due to radiotherapy. In fact there are reports suggesting radiotherapy can flare up psoriasis, which may be the case with your wife.  Similarly, Fatty liver and diabetes also seem not related to the chemotherapy. A dermatologist can help with her psoriasis. 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: on december the 8th my husband rushed me to the er with abdominal pain I was told that I was preganant(8 weeks) and had a bladder infection was given meds and told to see an ob I did and neither of them gave me a due date and I asked thay just changed the subject and also how many weeks does that make me now thank you. ### REPLY: Hello, I have gone through the query and understood your concern. If you have always had regular menstrual cycles, you can easily calculate your age of pregnancy from your last menstrual period. A sonogram of the pelvis, preferably in the trans-vaginal route, done during the early phase of pregnancy can give very good approximations of the age of the gestation and also the expected date of delivery. If you did not have a sonogram till-date, please have one immediately to know the status of your pregnancy. Hope your query has been clarified. 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 an asymptamatic rash under my right eye, my doctor diagnosed me with SLE because my liver enzymes were up, but I had been drinking 2 days before the blood test was done. Could this be a mistaken diagnosis? I have no other symptoms and again, the red mark is only on one side of my face and doesnt hurt and it periodically gets smaller but comes back to its original size. ### REPLY: Hi! Welcome to ! The diagnosis of systemic lupus erythematous (SHE) must be based on the proper constellation of clinical findings and laboratory evidence. Patients with SHE may present with any combination of clinical features and geologic evidence of lupus.a patient is classified as having SHE if the patient has biopsy-proven lupus nephritis with ANA or anti-dsDNA antibodies or if the patient satisfies 4 of the diagnostic criteria, including at least 1 clinical and 1 immunologic criterion. You have a Malay rash you can get the immunological tests done like ANA or anti-dsDNA antibodies and if they are positive, then diagnosis can be confirmed. Hope this will help you! Take care! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had a flu bug since last week. My chest now feels tight, my heart feels like it is beating harder and my vision is blurrier than usual. I have taken erithromycin for a suspected chest infection but it hadn t worked. I am worried as I am so exhausted I haven t left bed in days ### REPLY: Thanks for your question on . In my opinion you should immediately consult doctor and get done chest x-ray and blood pressure measurement. As flu does not last this long. You might be having chest infection and due to this hypotension has developed. Signs favoring hypotension in your case are1. Rapid heart rate2. Bed ridden3. Blurring of vision. So better to rule out chest infection first. Start intravenous fluids fast to restore your fluid volume. You may need intravenous antibiotics too. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 swollen gum on the lower left jaw bone. It only seems to be around the one tooth but there is no pain. The only time that there may be pain is when I push on it. (Not done very much) It has been there for a couple of days now. My jaw is tight to move on the one side. When I move it, it kind of feels as if it is frozen/numb from dental work. (Best way I can describe it) ### REPLY: Hello, how often do you visit your dentist and get the check-up?swollen gums around the tooth may be due to gingivitis or periodontitis. This may be due to accumulation of plaque/calculus around the tooth due to poor oral hygiene maintenance. Get the deep scaling and root planning done. Get an x-ray of the tooth to see the bone loss/periodontal pocket/periodontal abscess if present.in case of abscess, . Also check for any proximal/incipient dental caries. If present, get it restored. Always brush your teeth twice daily and after every meal's clean your mouth. Use soft interdental brush to clean your teeth. Use dental floss and chlorhexidine mouthwash to prevent plaque accumulation. Use gum astringent to tone your gums. 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 was wodering cause my husband a problem he always complaning that hes hearts is going to fast and it hurts and he thinks is not normal and he cant sleep on hes left side. like 2 months a go he couldnt breeth and he had a sharp pain on the left side of hes ribb and hes heart goes fast ### REPLY: Hello, I understand your concern and would explain that his symptoms could be related to gastroesophageal reflux. For a cardiac arrhythmia can not be excluded either.  For this reason, I would recommend performing some tests in order to investigate for the possible underlying issues: - a resting ECG and a cardiac ultrasound- a chest x-ray study-complete blood count, PCR, ESR for inflammation- thyroid hormone levels for thyroid gland dysfunction- blood electrolytes for possible imbalance.  Performing a fibrogastroscopy may be needed, especially if his situation improves after taking omeprazole.  Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i am suffering from infertility can u suggest any good dr. in gurgaon . going for a treatment from past 2 n half years recenty went for ivf but did not get successful so plz can u help me what can be done next me n my husband both are normal all the reports are clear ### REPLY: Hi. With everything normal, even IVF should not have been suggested. A couple trying to conceive for more than a year in vain is considered to have fertility issues. But if all the tests (as you mentioned) are normal, maybe it is just a matter of luck. Do not worry and keep trying. Use ovulation kits to help find out when you are ovulating, once you get a positive or close to positive result, go about the baby dance for the next 2-3 days. Also, make sure you lie on your back after your partner has ejaculated inside you for at least 20 minutes or more. Write to me using our paid service, and we can have a more detailed discussion, I would love to help. 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: hi i have a yeast infection and was wondering the best way to get rid of it at home. i had it a few months ago and got rid of it with a 7-day medicine from the store. but i dont have any money now and i read putting garlic in the vagina will cure it quickly, i put a clove in tied with floss last night and it s not irritating or anything. so would it be okay to do it again? what should i do? ### REPLY: Hello, THX to contact us. If I am your treating doctor I would like to advice you that they do not go with the home remedy you have suggested these things is not accepted in allopatChatDoctoredicine. If you have consulted some Ayurveda doctor than you will go with it. But I suggested you to take antifungal agent. You can think for clotrimazole vaginal pessary. If you have anything else to ask please contact me. Than.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doctor.i want to ak you i have tremor for one week i b been drink propanol but it was too strong for me this medication,now i want to now what to take as a medicine to small the tremor,and i also have a arithmia and my chest are in pain.i have takwe a verapamil from 40mg in the morning and now i feel again pain in my chest and in my back.pls tell me do i needc to take again veramapil from 40 mg?thanks you for your answers.im 30 years old,im 51 kg,156cm,and i have as hipotireoidea,small function of tirokisin.i take medicine eutirox from 50 mg end from 75 once a week.now i have not controleed my tiroksin for 6 months.is it possible this simptoms to come from my small function of tiroksin?i have the thiroidea for ten years,but i dont take my medicines often in the last monts,is is possible that to make me arithmia,tahikardia and tremor?thank you again ### REPLY: Hello, If you have minor (small) tremors and are not disabling you, I would not recommend you to take any treatment. If tremors are affecting your daily activities, and you have not tolerated 40 mg propranolol, you can try 20 mg. Medications like Elton can cause small tremors. I personally feel your tremors are not disabling, and you may not need any medications for the same. If not you need to see a Neurologist and discuss alternate options like pyrimidine for his tremors.  Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Firstly my ankle just hurt, a couple of days later it started bruising, and now (5 days later) it is swollen (but a little above the bruising). The pain is over my whole ankle and specifically where the bruising/swelling is, it is a dull pain that is greater when I am walking and occasionally shoots up to my knee or hip. I may have sprained my ankle or it may be poison from a blister I had, any idea which? ### REPLY: Hello, I read carefully your query and understand your concern. The symptoms seem to be related to a sprained ankle. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the pain. I also suggest using cold compresses for local application. I recommend maintaining a splint to avoid moving the ankle. Hope my answer was helpful. If you have further queries feel free to contact me again. 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 only recently found out what is wrong with me, is called anxiety attack. it happen at a funeral after several deaths have happen. it stopped, but now it started and my doctor says i am lacking iron psychiatrist says i m depressed. i thought i was crazy. but i have been through this about 9 yrs ago and drs said it is my mind playing tricks on me.i lived in fear of it returning. it did. it is more fearful to not know what s wrong and if there is a cure. can i be cured ### REPLY: Thanks for the excellent question. Let me try to give you as complete an answer as I can. Anxiety and depression march hand in hand quite often. After suffering a life trauma (as you did) one can develop anxiety, depression, or both. These are treatable, and sometimes, though not always, curable. Medication and psychotherapy will help with your panic and anxiety symptoms. Seek out a mental health professional (a psychiatrist is best) as soon as possible. Best of luck and good health to you. I hope I helped orient you a bit. -J. Clive Spiegel MD ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im 32 years.My last Periods date was 4 Jan.Now its 15 feb.I have too much pain in lower abdoman,back & in breast also.But No periods.Last year in Feb/March same situation was but not much pain at that time?I used pain killers last month for back pain and antibiotics for sore throat as awell. ### REPLY: Hi. Thanks for your query. The most probable cause of pain in a female patient of 32 years in lower abdomen with the history of missed period can be related to the Gynecological / obstetric problems such as :-Tubal pregnancy-Ovarian disease like twisted cyst, -Salpingitis-PID Pelvic Inflammatory Disease-Other causes can be enteritis, lymph node mass, appendicitis and so on. I would suggest you the following:Get a consultation and a direct internal examination done by a Gynecologist. Get blood, urine and stool tests done. Ultrasonography can really help us a lot. Once the diagnosis is made the treatment will be according to the cause. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 leathal dose of CO poisoning resulting in 3 hyperbaric chamber treaments. I had a 3 day hospital stay followed with 8 days in patient at a rehab hospital. The injury was diagnosed hypoxic brain injury. I have numbness in arms, hands, legs and feet. Doctors now would like to to conductive nerve survey. Is it needed.My email is YYYY@YYYY Thank you ### REPLY: Hello. Thanks for asking from . I can understand your concern. It is good that after CO poisoning, your consciousness is intact. It means that your brain is almost spared. Your numbness can be due to nerve or spinal cord damage. To find out the cause, the doctor is advising you some investigations like nerve conduction study. Nerve conduction study helps in evaluating nerve damage. In case of nerve damage, conduction velocity decreases. Spinal cord damage can be found out by MRI of spine. At home, you can follow few tips like: Avoid touching excessive hot or cold objects if your extremities are numb, as they can cause damage to your skin.: Wear soft shoes and gloves to protect your skin.  You should eat food which are reach in vitamins and minerals like green vegetables, fruits, curd. It will help in healing of nerves. Thanks. Hope it will help you. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My wife only has one kidney and was admitted to the hospital when a 5mm stone put her in complete renal failure. A stent was placed 72 hours ago and she is still recording high BUN and creatinine levels. Today her BUN is 326, down from 330 yesterday and her creatinine is 3.2, down from 3.3. Should we expect these numbers to continue downward toward more normal levels? Is acute dialysis indicated if they do not decline? Urine output is normal with the stent in place but what happens when it is removed? ### REPLY: Hello and welcome to . Your concern regarding acute dialysis is decided, on daily creatinine and urea levels, as well as potassium and other electrolyte levels. Symptoms of fluid accumulation levels in body, due to acute kidney failure is another dialysis indication. As your wife has one kidney, a block caused by a stone is an emergency. The block is cleared by placing a stent. Gradually, her creatinine and urea levels and potassium levels shall start reducing to normal levels. She may even pass the stone spontaneously. Pray for that. After kidney function levels are normalized, It's back to healthy life. Wishing her a speedy recovery. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, Im 24 yrs old, 185 cm ht, 79 kg wt.I am unable to maintain my erection during sex and my penis goes limp..And thats a really embarrassing situation, I have tried penegra tablet, its good but I was unable to ejaculate inside and I want to have good sex life without any medicinePlease advice what should I do? ### REPLY: Hi thanks for contacting  ..... You should consult psychiatrist for detail history and physical examination... Your history taken for smoking, alcohol habit etc.... Your blood pressure checked as hypertension can lead such problem.... Investigate with random blood sugar, serum cholesterol for rule out diabetes and hyper cholesterol. If you have excess stress or depression in routine life then also problem can be there. Take healthy diet and more fruits vitamin A, E helpful as rich in antioxidant. Do some foreplay and be relaxed while sex Regular exercise done.... Do sex in comfortable position.... If still your cause not clear then serum testosterone and prolactin estimation done. Consult psychiatrist with keeping this answer in mind. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My sister asked me to go here and try to find out what s going on with her . She is in constant pain. It doesn t matter where you touch her it causes her extreme pain. She says when someone touches her legs it feels like her bones are breaking. She hurts from head to toe. When she stands she says that it talks a few moments for her legs to get the message they have to move. She would have done this herself, but it s too painful. Thank you. Kathy ### REPLY: Hi Thanks for your query and Welcome. I am . Actually pain at calf/Leg region can be due to many reasons, commonly it is muscular in nature, but it can also be due to Tendons, Nerves, Blood vessels etc. For me to actually answer your question in detail, I would have wanted a thorough clinical examination as there could be many reasons for your sisters leg pain and other associated symptoms. My advice to you for initial 2-3 weeks will be : - Ice packs application intensively with elevation of your limbs at night-Take a short course of anti-inflammatory medication as per your bodies suitability- Stop your physical activity till pain completely subsides-Intensive physical therapy, training and proper muscle conditioning once pain has subsided-Slow resumption of physical activities with proper pre activity warm up and stretching of muscles and short increments in duration of physical activity each day as per pain tolerance.- Some blood tests like Serum vitamin D and serum Potassium levels, ESR and CRP help in better diagnosis of such condition. Do not hesitate to contact me if you need any further assistance/SOS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 about 4-6 days away from starting my period, I did have intercourse around the time I would ovulate. First day of my last period was 6/11/10 and I had sex early morning around 2:30am on 6/24/10. I am now having mild cramps at times they feel like it is my period and other times it feels more like a bladder infection. I also have been a little bloated yet it comes and goes, as well as chunky white discharge. Wondering if this sounded more like my period or beginning on pregnancy. ### REPLY: Hallow Dear, Yes, you did have sexual intercourse during your fertile period and the chances of pregnancy are quite high. Please remove the concept from your mind that in pregnancy there are cramps in the abdomen. In fact, any pain in the lower abdomen during pregnancy is not a good sign. You are yet to miss a period. You have got two options:1. Wait for the period to be missed. A week after that, perform pregnancy test on the overnight first morning urine sample. 2. Perform Beta  test. This test is very specific and sensitive and provides reliable results even few days before missing period. Wish you 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. this morining I woke up with something that can only be described as an ulcer or blister on the roof of my mouth, Just had a dental work up, and have never even had a cavity. This blister type thing eventually popped. and now I have raw exposed skin. I have esopageal crohns disease , and I am on heavy meds like Remicade , so stuff like this scares me ### REPLY: Hello there.... Crohn's disease is associated with oral ulcerations. Medications used to treat such conditions usually cause ulcerations.... Do not keep middling the ulcer as that might aggravate. Use topical anesthetic to get over pain...you must surely be taking vitamin supplements.if not do take them... ulcer in the oral cavity is like any other injury over the body...to get healed it takes 4- 5 days... the topical anesthetic such as denote/McCoppin would give you transient relief from pain. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 44yrs old I m a truck driver but haven t driven in a few weeks but the past few days I ve been having bad pains like someone picking me with a million pins in my right leg not much in my left leg but my right leg Lord have mercy. What is going on please help ### REPLY: Dear Patient, Welcome, and thanks for sharing your concern I went through your query, and I feel, the pain you are feeling has spinal origin, and probably you are suffering from slip disc problem which we call as prolapsed disc. What you need is a proper examination and an MRI scan to see if the compression of the disc is sever enough to go for surgery or measures like rest and medication can help. I hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. 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 .. For about a week now I have noticed this weird rash that is blotchy and bumps that are a little raised and itchy it comes and goes and it actually went away for 2 days and then came back just now but was all over my body and a little warm .. I noticed when I get a little stressed or nervous/excited/anxious it gets more intensified .. Can you please help? ### REPLY: Hi.thanks for the query. The symptoms you mention seem to be a part of a disorder known as URTICARIA. This is manifested either for few days or months to years depending upon the severity. Although it is not something that you should be very worried about, it runs a prolonged course of exacerbations and remissions in most cases. As IT IS ONLY A WEEK, I suggest you go ahead with a course of oral anti-histaminic medicines which are available OTC in most countries. If it is persistent over 6-8 weeks, you might require a blood test to be done. Observe your daily routine carefully. Rightly said, some people do see the lesions after stress etc. In some, a particular kind of food/inhalation may cause it. Take care! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband has had a hard lump on the right side of his head( a couple of inches above his ear) it has been there for a couple of weeks, it almost feels like a bone under his skin. He went to the doctor on Monday and was given a course of antibiotics (7days) with instructions to go back and see him in 3-4 day if the lump is still there. Today he noticed another lump the same just below it more painful and bigger then the first. I have made him another appointment for tomorrow morning. ### REPLY: Hi, dear. I have gone through your question. I can understand your concern. You may have some enlarged lymph node due to reactive hyperplasia.  Or you may have some benign soft tissue tumor or some skin adnexal tumor. You should go for fine needle aspiration cytology.  It will give perfect idea. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have been having burning and increased tingling or sort of tingling in my legs, i am 41years old and weigh 235 lbs, i need to lose a bit of weight, i noticed the burning about 3 months ago and i feel it most when i have been seated for a while, upright i feel much better, i have a degenerative disc at l1 s5 or vice versa ### REPLY: Burning and tingling in the legs may be probably due to degenerative disc pathology. You need to reduce weight definitely. Please wear a lumbosacral corset and check how you sit in a chair during working time. Your back should be supporting properly in the chair with entire contact of your back and also keep your legs on foot rest at least 10 CMS height from the ground. Take mild analgesics and multi vitamin tablets like reserve plus which has bento thiamine and methycobalamine and along with bed rest for 2 - 3 days. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 severe adbominal pain that starts on the right side than it goes up the abdomine and makes my chest hurt than my back is in pain. I can hardly move when I have these pains. I have had bile duct reconstruction surgery and no one can figure out what is wrong with me. ### REPLY: Hi. Read your query and understood your problems. With the history of bile duct reconstruction surgery I would advise you the following investigations to get the correct diagnosis. .-ERCP -MRCP and MRI of the spine too. Such pains can be due to bile duct colic. Other causes can he is Sensory system problem related to the spinal cord. The treatment would be according to the findings. May need stenting if there is a bile duct stricture or so. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: How affective is marvelon? I took it before and it did me wonders, i had unprotected sex with ejaculation inside and it never ended badly. I stopped taking it for about 2 months for period reasons and now I m back on it, just wondering if it would be as affective as before? ### REPLY: Hallow Dear, Marvel on is a combined contraceptive pill for avoiding pregnancy. You had taken it in the past and has suited you well to serve the contraceptive purpose. Even though in between you had taken a gap of 2 months, restarting Marvel on will definitely be as effective as it was previously. To avoid its failure and to have its action right from the cycle you are starting the pills, make sure that you start the pack from the second day of the cycle. Also be sure that you are regular and punctual in consuming the pills. The pills will not betray you. I hope this helps you.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My Father has alcoholic liver disease, he is currently in the hospital for it. for the last few weeks he has been having High Levels of Ammonia in his system and is getting very confused, Trembling hands, very very tired, Not responsive unless you pasture him. His eyes are yellow which they have been for the last few years. Currently the meds the Doctors here are giving him are not working. The Doctors here have basicly said theres nothing ells they can do for him. My Father is in his 50s, hes not in shape, hes got high blood pressure, hes diabetic. I was wondering if theres away to cure him.... to make him better.... This is his 4th or 5th time hes had to much Ammonia in his system in 3 weeks. ### REPLY: HiT hanks for writing to  Alcoholic liver disease results from damage to liver. This causes difficulty in the elimination of toxic wastes like ammonia from the blood. Their levels accumulate and cause the symptoms described by u. Ammonia is toxic to brain. The treatment of alcoholic liver disease would reverse the condition usually. But in case of a severe problem we need to get dialysis done and sometimes doctors advise for organ transplantation. Elevated ammonia can also occur with renal problem. So please get his renal parameters also checked. Tremors, confusion, anxiety, restlessness, fatigue etc. canals occur with alcohol with .  Diabetes and hypertension themselves are risk factors for kidney and liver disease. Strict abstinence from alcohol is very important. Hope this helps thanks and regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I ve had a sinus problem for a few years, had an operation to open the sinus up and shave the walls, I ll be honest it didn t do much, I was given a steroid spray which also doesn t help. I was reading a few articles tonight about sinus plugs and that s what I always seem to get, is there anything to help or and operation to prevent this ? Thanks ### REPLY: Hi. Thanks for the query. Sinus plugs are nothing but mucous plugs or thick mucous that gets accumulated into the sinuses leading to congestion. In case if you are not relieved with surgery of sinuses I would suggest you to consult an ENT Surgeon and get evaluated, he can advise you to get investigations like PNS view x-ray or MRI scan of sinuses and get treated accordingly. You can be advised to take a course of antibiotics like Augmenting, anti-inflammatory painkiller like Ibuprofen, anti-allergics like Levocetrizine, oral decongestants like Phenylephrine, Multics like Aerosol, decongestant nasal sprays like Xylometazoline, steam inhalations, saline nasal irrigation and use a humidifier in your room. You should avoid chilled foods and air-conditioned atmosphere. Hope this helps. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi my dad keeps coughing off and on, he is 76, but never had a cough like this one, evne though he is taking his antibicotic and puffer the cough still is pressiant, it reallybothers me, should i take him to the hospital, or back to the doctor. please e-mail me back right away.  YYYY@YYYY ### REPLY: Thanks for your question on . I can understand your concern. Yes, you should definitely take him to pulmonologist for chronic cough despite treatment. Possibility of following is more 1. Uncontrolled of worsening bronchitis2. Chronic lung infection like tuberculosis or fungal3. Lung cancer. So better to take him to pulmonologist and get done clinical examination of respiratory system, chest x-ray, PFT and CT thorax to identify the cause for his persistent coughing. Hope I have solved your query. I will be happy to help you further. Wishing good health to your father. 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: Have been on augmentin for 10 days for sinusitus.....with the terrible intestinal side effects, virtually no sleep, first really dry mouth and now it feels like the inside of my mouth, etc., is burning up and on fire.  I have officially stopped the medication today....had enough.  It was a 14 day prescription.  Is 10 days enough to do the job? ### REPLY: Dear Friend. Welcome to . I am . I understand your concern. For Sinus problems you can stop Augmenting now. I advise you to follow:1. Take Steam inhalation at least 3-4 times a day.2. When ever you develop rhinitis, you should take anti-allergic like Levocetrizine. Gastro intestinal side effects are due to Augmenting. They would eventually go once medicine is stopped. You may also take:1.  .  Pro biotic like Similar once a day. This is my personal opinion for you based on available details. If you have any further query please ask me. Stay HealthyChatDoctor, MD ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 would like to know if there is something out there that i can take that is natural for health recovery sexual wise, i used marijuana,ciggarates,cocaine,alcahol and crystal meth from the age of 14-19 and i have bin sober for 3 years now, when i have sex with my gf i dont get up as quick and hard, plz help me out ### REPLY: Hi, First, get relaxed and avoid those erections. Many a time, anxiety is the factor. However, in some cases, there may be serious problems like hormonal disorders, problems in blood and heart. Therefore, it's better to check for those problems (blood test for Testosterone, sugar, lipid profile; physical examination by the doctor). Try Keel exercise.  Do not take any medicines without consulting doctor. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My Age is 30 Years I am suffering from HTN for last 3 Years. And my liver is fatty infiltration liver. And just few days i came to knw i have obnormal glucose levels. i am working as Computer operator, i dnt have physical work. my parents having history of HTN, Type 2 diabets. i want to reverse this conditions may i ### REPLY: Hi, you can't reverse Han or dm, but you can reduce the risk of complications of dm and Han.first you have to be strict in your diet, you have to exercise regularly with your busy schedule and lastly take your medications prescribed regularly. Once you manage the above you will not be at risk of developing the complications.I would suggest get reviewed by your physician, nutritionist. For the fatty infiltration of liver if you will take care of your diet it will disappear. Hope to have answered your query thanking 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 have had upper abdominal pain mostly just above my belly button but also right around my sides and back for about 2-3 months plus soft light coloured stools that float and sometimes diarrea . It has gotten worse causing pain all day, but particularly bad at night. I then developed headaches, bad heartburn, sore throat and got very sick overnight vomiting. I had an ultrasound done and it picked up I had an enlarged spleen but all other organs fine. My doctor thinks I have a stomach ulcer and prescribed me Pantoprazole until the endoscope can be done. I am feeling way better in just two days of taking this medication. Does this mean he is correct in suspecting a stomach ulcer or is it possible to be stomach cancer? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have gastritis, peptic ulcer or stomach cancer.  Pantoprazole is Proton pump inhibitor. It causes blockage in acid secretion.  You should go for endoscopy.  If needed go for endoscopic biopsy.  Then you should 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: My brother has Hepa A and has been discharged lately from the hospital. He then went back to gym to do his weight lifting or gym exercise after a week. He uses whey protein shake. Is it alright to do this again? Is there any complications or effects on his liver if he will continue doing weight lifting and drinking this protein shake? ### REPLY: Dear Friend. Hepatitis A is transmitted by face oral route. If he has improved, his liver functions have settled, he can resume his gym. Ask him to carry his own water to gym. Regarding protein supplements, see excess of everything is bad. In relation to hepatitis A, he can consume high protein diet if he has recovered and has no encephalopathy that is disorientation, disturbance in consciousness which may occur during the course of hepatitis A infection, and during that period low protein diet is recommended. If he has recovered totally he can do his workouts and consume protein supplements in moderated qualities. Stay Healthy ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, these pimple sized rashes have been growing all over my body. They first developed on my feet , then they spread to the side of my torso, breasts, and back. Now some are starting to grow behind my knees and under my forearm . They re itchy and it gets more irritating at night when I try to sleep. They seem to get redder as time progress. None of it has go away yet. I have these rashes for 4 days now. I visited my doctor 2 days ago and he said i may be allergic to something I ate and gave me medicine and cream. For the last two days, the rashes just seem to grow redder and more are slowly growing. What are some possibilities for the cause of these rashes? ### REPLY: IF YOU HAVE CHRONIC ALLERGY OFF AND ON OR YOU ARE HAVING FIRST TIME ALLERGY STYMPTOMPSYOU HAVEN OT WRITTEN IN YOUR HISTORYALLERGY CAN OCCUR AT ANY TIME AT ANY AGE AT ANY SUSTANCEYOU HAVE TO THINK OF ANY CHANGE IN SOAP CREAMS OINTMENT DYE HELENA SHAMPOO OR ANY MEDICINE YOU HAVE Taken MAY BE PAIN KILLER OR PARACETAMOL OR VITAMINS CALCIUM IRON DIETARY SUPPLIMENTYOU CAN GO BACK TO THINK OVER WHAT CAUSED THIS IF THIS IS FIRST TIME ADVISE YOU TO TAKE DOOR 100 MG BD FOR 7 DAYS ALLEGRA 120 MG ODS YP PRISON 1/2 SF SUPPLY LOCAL NONALLERGIC OINTMENT FLUTICASONE ON AFFECTED BREAKUP .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 feel a dull pulse between my anus and testis that when pushed on feels more to my right on the pelvic bone and it looks on a diagram as if it is coming from my prostate. I am a 24 year old caucasian male. I used to masturbate a lot but in the last few weeks i have stopped. I regularly smoke marijuana, I am not very active other than riding my bike a lot. I have noticed patterns of more bowel movements also recently. I do not have problems urinating or defecating but sometimes after masturbating in the past 2 months I would feel this pulsing feeling. Any ideas? ### REPLY: Thanks for contacting ChatDoctorYou are concerned about a pulsating feeling in between your rectum and penis. This is the exact location of the prostate gland. And what puts you at more risk for prostate problems is riding your bicycle. The bicycle seat puts extreme amount of pressure on the prostate and can cause damage. If you want to reduce the pulsating feeling then you may need to reduce your bicycle riding or get a more ergonomic seat. I hope I answered your question. Please contact  again with your health care questions and concerns ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. Since a few weeks ago Ive started getting these white puss filled pockets on the top back of the roof of my mouth as well as on the inside of the lower gum on the same side. Ive quit smoking some time ago and have been chewing Nicorettes. Is this reason for concern? They burst and reappear every now and then, this morning after eating some yoghurt. Thank you ### REPLY: Thanks for your query, I have gone through your query. The pus filled bumps can be because of the tooth infection or gum infection leading to periapical or periodontal abscess formation. Nothing to be panic, Consult an oral physician and get it evaluated. If I am your treating doctor, I would have suggested you to take radiographs like RVG or IOP AR to rule out gum and teeth infection. If it is a gum or teeth infection I would have prescribed a course of antibiotics like amoxicillin 500 mg and metronidazole 400 mg TID for 5 days (if you are not allergic). Then I would have suggested going for scaling and root planing for gum infection. RCT or extraction if it is a tooth infection. I hope my answer will help you, take care. ### END