Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 iam rashmi my husband was caused by jaundice before 1 month in first bilrubin test the bilrubin was 7.7 and after that we started medicin and after 15 days we again do lever test and result is more than before the value of bilrubin was 11.1 hi iam gaurav male gender 25 years old i caused by jaundice before 1 month i was test the bilrubin the first result was 7.7 and i was started medicine after some time i again create test in which result was 9.8 and at last i again do test and my currentely bilrubin value was 11.6 my bilrubin value was not decreases it increases every tiome pls suggested me best doctor in delhi ### REPLY: Hi Gaurav, thanks for query. There is no need to worry.If you do have any have, vomiting,high grade fever, poor urine flow, extreme weakness, severe headache etc. Then there is no need to worry. Please understand that jaundice takes minimum 4-8 weeks to resolve. Please look for level of SGPT rather than bilirubin.SGPT must have decreased. Bilirubin has tendency to rise initially then steady and then in last it will decline. Please take proper rest and good diet, and you will be fine. You can have normal home based diet, and practically you can eat everything. Still have queries or questions please write me at pregneshmv@gmail.comwishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I feel great, I feel strong . I have no problem with a good workout. But my heart feels like its quivering every day. It feels like it beats normal but quivers too. I especially feel it when lying in bed. Makes me think is it always quivering and I only notice it when I am not busy. Whats going on with me? ### REPLY: Thanks for your question on . I can understand your concern. Since your symptoms are only when you are not doing anything, possibility of stress related symptoms is more. But better to rule out heart diseases like arrhythmia (rhythm disturbances in heart) first. Because arrhythmia can cause similar quivering feeling in heart. So get done ECG, 2d echo and Holder monitoring (24 hour continuous monitoring of ECG). If all these are normal then no need to worry about heart diseases. Avoid stress and tension, be relaxed and calm. Divert your mind from this feeling. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,I never had allergies when I was growing up in South Africa.  I am now a au pair in the United States since June 2010.  Last week Thursday when I went shopping at a mall that I usually dont go to I tried out a perfume with my friend which I also do not usually do or wear.  I also tried on some clothes.  On the way home was the first time I remember feeling unwell.  My ears started burning so I took out my earrings.  Then that night my ears, eyes and neck were itching.  I sneezed for a few minutes after the perfume while in the mall but that was the only sneezing and there is no rash on my arms. The next day my eyes were swollen closed and I had a red like rash on my next and sandy grainy bumps behind my ears.  I can keep the swelling down quite a bit with benedril but after 5 hours it comes right back.  And although the swelling is down with the pills my eyes are really red, wrinkly, puffy looking.  This year i have removed 3 ticks after walks in the park.  The only unusual food in the last 7 days was a persimmon but I have eaten those earlier in the year and nothing happened.  I tried changing my soap and lotion yesterday and nothing changed.  Could it be that I ate some Christmas treat at church or Christmas smells in the stores?  Last year I had a cold at Christmas time and my eyes were fine and no rash.  Please help it looks like I have aged from 22 to 40 over night:( ### REPLY: Hello, I read carefully your query and understand your concern. Your symptoms seem to be related to an allergic reaction. There are many possible allergens that cause the allergic symptoms. The exact allergen can be confirmed through allergy tests. I suggest using antihistamines such as Cetirizine 10 mg daily. If the symptoms continue, you may need steroid shots. 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: my mother got operated for stone in golbladder in 1999..in tht year only after the operation she again fall ill n that time again operation for PANCREATITIS ...SHE GOT ADMITTED IN COMMAND HOSPITAL..and she remained in ICU for long and docters did their best and saved her...after d operation she HAD diabities...she started taking medicinces of sugar from tht time only..sumtimes sugar is normal but most of the time it is out s range,she says No to insulin .she had severe headache also,three years back she took treatment of DR,Atul roy...it wasfine in intial years but since 2 months she is not well,earlier it was cold n cough ,then sum liquid statrtd cuming out from the stitches frm tht operation vch was done in 1999.for tht she went to DR parvez of NIDA HOSPITAL,she started taking medicines n in few days she started headche evn twice she fainted n still she complains of chaakar aana n saya ki it seems ki unka sir ghoom raha hai..she has becum weak not eating properly,today she had loosemotion n till yesterday she was constipated.DOCTER PLS HELP ME N SUGGEST A VERY GOOD DOCTER WHO CAN CURE HER,MY MOTHER IS 65 YEARS OLD N LIVES in ALIGANJ.MY email id is YYYY@YYYY u..sir... ### REPLY: Hi welcome to  forum. Your mother got operated for chole lithiasis, and again for pancreatitis, either the disease or the manipulation of pancreas has resulted in diabetes due to lack of islets of Langerhans cells in pancreas. Many of the anti-diabetic .  As the cells are not in a position to be activated insulin injection is only remedy for diabetes in her case.  So first she should be convinced to take insulin then consult a planetologist, or endocrinologist for treatment. There are new methods for giving insulin, just by a prick the metered dose of the  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a problem of being unable to control my sexual energy. I masturbate almost daily, sometimes twice. I feel very comfortable and pleasant during the same. As soon as i am finished i feel very tired and regretful. From the next day, it is the same thing. Apart from that I have no other sex problem. I am masturbating since 4 months and I am 19 yrs old. I am worried about my sexual life in the future after marriage. Will excess masturbation lead to impotency or any other problem ? ### REPLY: Hello, There is a misconception regarding masturbation. It is socially unacceptable in some regions but In general it does not cause any sort of impotence or sexual problem later in life. If you want to quit this act avoid being lonely, think positive, don't watch pornograpChatDoctoraterial, try being in someone's company every time. Keep yourself busy in productive activities and do regular exercise. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I went to the doctor around June last year and he discovered my white blood cell count (neutrophils low and lymphs low) was low around 2.8. He said we would test it again in 6 months to see. In 6 months it went down to 2.3 and a week later 1.8. My total protein is also elevated (gamma globlin). I dont believe I have any other symptoms besides that. Recently I have had pain in my right bottocks and hip and a burning sensation   on my shoulder blades which I sometimes get from stress. I am a little nervous and have a hematologist appointment scheduled, but I am wondering what it could be.  Also last year I had an allergic reaction to penicillin and could possibly be allergic to other things. ### REPLY: Hello, Welcome and thanks for your query. There are several causes for decreased white blood cell count. It is likely to be either an autoimmune destruction or a defect in the formation of the ABCs like in myelodysplasia syn .  A condition called leukemic leukemia is ALO possible but less likely. It is important that you have a bone marrow biopsy done and also investigated for autoimmune diseases like SHE. Do get back to me if you have further queries. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I donat blood and after that make all tests required and the result apaer reactive anti HBCII after that make other test anti HBS result is more than 1000 , my question what does mean that and I am not took any vaccines to protect from hepatitis , Is that mean I infected ? Pleas help me ? I am scared ### REPLY: Hi thanks for contacting . You have protected antibody formation against hepatitis b. So yes you are infected with hepatitis b.... What is your liver enzymes report ??? Let me know you infection can occur through unprotected sex, contaminated syringe and needle, via blood sharing object with infected person etc.... Just now take rest with low fat diet. Fried food less. Take one tsp licorice with honey. Avoid alcohol. Fruit more like papaya.... Your report again done after six months for Bag detection via ELISA to rule out chronic case or carrier.... Hope your concern solved d. 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 wisdom was inpacted into my jaw gums were over it and im on day there since it was p ulled n it still a lil swollen and hurts a lot with slight throbing is that good or not? I have a othrr tooth pulled n there s white tan tissue in it the extraction site is that okay ### REPLY: Hellooo...reading your query I have to say that according to your explanation the area is on the process of healing ...nothing to worry in that....dentist might have given u antibiotics and painkillers right??take it properly...have soft diet for few days...do salt water gargle twice...don't spit hard as it can make clot dislodge.so do slow spitting...and more over be cool...be happy...it is healing!!!!so have a nice day!!! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HiLast Saturday the the tip of my penis was burning. when i check it look irritated and it has something white on the tip. it burn when i do pee.... i trough water on it and when to bed the next day i did not have it anymore but it still burn a little ... what this can be? ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. From the description you gave, it may not be possible to make a correct diagnosis. But from the look and feel, the burning could be because of simple inflammation of the urethra, which often happens when it gets irritated. The white deposit should be the mixture of semen+urine+dust etc. Nothing to worry. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My father is of age 70. He had gone through a CT scan and reports found is Cortical Atrophy. He had a CT scan last month also, but doctors told that compared to last month, that Cortical Atrophy is more i.e. growing.Between last month and this month my father had an accident and for that plates has been inserted in his legs after operation. For thathis sodium and potassium has fall down and suddenly one day he stopped talking and even was not opening his eyes. We hospitalized himand them doctor told us that was due to lack of sodium and potassium. Then they suggested to do a CT Scan again and there after we come to know that Cortical Atrophy is increasing. Now they has asked to visit a psychiatrist and neurologist for consultation. Please suggest remedies.He has high blood pressure these days avg 180 - 95. ### REPLY: HIT hank for asking to ChatDoctorI really appreciate your concern, the atrophy in geriatric age group is common findings in image either CT or MRI moreover this does not manifest in short this age related things happens in the brain, electrolyte imbalance has to be taken seriously in old age patient, as you said about your father that his sodium and potassium was not correct, take a good care for HY .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 dear sir i am 25 years old i had very nice hair 3yrs bak n i been suffering frm fungal infection on the scalp and on the bak n shoulders i consulted dr chandrashekar bangalore he gave me some medicines for the both skin n hair it did nt wrk instead i lost a lot of hair n wasted money there so any suggestions sir ### REPLY: Hello. Welcome to . I am .  I can understand your problem, but few things needs attention like type of lesion, exact locations, presence of itching, discharge, color of lesion etc. If I was your treating doctor then I would have taken infected material from lesion and would have sent it for microscopy and culture. This will help in diagnosis of responsible fungal or other agent and treatment. In my opinion you should consult expert dermatologist for this. I hope this will help you. Do revert to us if you need further assistance. 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: What medication should you suggest for hyper-pigmentation on the face, on a specific area in a female patient of 20 years....(Its not the dark circles , it is on the left upper part of cheek....a dermatologist prescribed melaglow to apply it.....it got very fade after applying it for 2 months but later it got worsened.....it turned red...and scaly....and started itching....so the cream was stopped....now there is no itching but the pigmentation is still present)....please help ### REPLY: Hi, Welcome to .Hyperpigmentation on upper part of left cheek-it needs a proper clinical diagnosis before starting treatment. Common cause of this type of spot is plasma. For management of plasma you could apply a sunscreen cream /lotion (e.g. Spectra ban) at morning and a 4% HY . You might require laser surgery if your diagnosis would nevus of OTA or other conditions.Therefore, I suggest you to visit a dermatologist before starting any treatment. With 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: over a couple of days have noticed blood at the top of mouth just when i wake up first thing in a morning, been to my doctor an he said nothing to worry about it could be a pollip  but obviously it is playing on my mind, he told me to keep an eye on it have hay fever when the pollen counts high and suffered a bad case of tonsiltis last year in march ### REPLY: Hello and welcomeThanks for sharing your concern. As per the history posted here it appears that you have gingivitis, commonly called as gum bleeding. Please see your dentist once. Please remember allergic reactions are seen temporarily, that to only upon exposure of allergen. But gum bleeding is due to bacteria and other microorganism.Therefore, it's better to get it examined once. Hope it helps. Thanks. 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: HiMy husband 30 and I 27 miscarried in November. I am wondering if it is possible to use his sperm and my eggs fertilized and then place back into me? If so are there any specific things required for this to be done or is the available for anyone?Thanks ### REPLY: Dear Ms, yes it is possible .you will receive an ovulation induction that will stimulate your ovaries to produce multiple ova. Then on the day of IVF these oocytes will be aspirated from you. Then your husband will produce a semen sample by masturbation. Then sperms will be taken from your husbands sample providing that he has motile sperms in his semen. These sperms will be used to fertilize the oocytes. Fertilized embryos will be transferred to your uterus after 3 or 5 days from the oocytes aspiration ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 am having problems.for like four years now i have ben experiencing like a musty vaginal odor,,and every time i went to the dr. i had no stds or "absent" of any yeast infections,,they did detect a uti,,and i recieved antiboitics..now last month a bled for a three months straightduring my menstrual cycle(my first abnormal period) so i went to the er,,nd i discovered odor as usual,,m results said negative from bacteria,std,nd yeast,,so just last week i returned to the er because i was having pain in my head and lower back,,they told me i had a sinus infection,,and a uti (again) but just last week they said i didnt,,so now im confused,,but they gav eme antibiotics,,(levaquin) for both infections,,my question is*: say if i do have bacterial vaginosis,,if that antibiotic can cure both infections,,can it cure the BV and th odor? because im still conused to where its coming from?? please help!! ### REPLY: HiT hank you for asking ChatDoctorI have gone through your query. Your problem can be due to change in vaginal PH and normal flora. Using intimate wash regularly will help you normalize this. If urinary infection is there then antibiotic should be taken and culture & sensitivity of urine should be done. Bedouin can be enough for UTI. Antibiotic should be changed if necessary after culture report. But if bacterial vaginosis is positive after doing vaginal swab this is not enough. Metronidazole should be taken orally or as vaginal suppository for this. Hope this may help you. Let me know if anything is not clear. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been diagnosed with Costachondritis and after a year and a half, my chest, armpit and back don t feel any better. I have met with a Rheumatologist and all of my tests came back normal except a titer test. Should I go to a pulmonary doctor? My symptoms are pain across the chest, shoulders and back. Most on left side.Thank You ### REPLY: Thank you for your question. I am  Carlson. From your worry, you had been diagnosed from Costco .  This is however an inflammatory condition and can be caused by many kinds of diseases some of which could be infectious, autoimmune i.e. the body attacking itself etc... You will still need to see your rheumatologist and discuss with him on the fact that you feel no relieve despite the  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 2 days ago I had sexual intercourse. Ive been pooping orange the past two days. Im not sure of its something I ate. But Ive been eating noodles these past days and Im not sure if it that or an early sign of pregnancy. I had protected sex but condom broke. My boyfriend still dont come in me. And it broke a few seconds after checking if it was fine. I think Im just paranoid ### REPLY: Hi, If there was no ejaculation and if you are not around your ovulation period, you need not worry about conception. It could be something that you ate. Please wait for your next cycle and if you miss it, go for a urine pregnancy test 3-7 days later. If you wish for an earlier diagnosis, you can opt for the serum beta-ChatDoctor estimation about a week before your next period and not earlier. This test is more sensitive and specific. Hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my mother 46 year old had a strok on 9th of jan 2014 and unconsoius from 15 days she is a heart patient had a mitral valve replacemnt and also had a road accident 3 days before strok.doctors saying the reason of stroke is thickness of blood(Pt nir) its a ischemic stroke a large part of brain is damge please guide me if there iz any posiblty to recover..nw she is reponcng to our voices blinking, crying.expresing her feeling(like she iz in pain)..plz rply me soon ### REPLY: Hi, Thank you for posting your query. I have noted the details of your mother. It is unfortunate that she suffered a major stroke at a relatively young age. The cause of stroke is related to heart disease. The PT/INR is maintained by using adequate dose of warfarin or citron tablets. If the dose is less, the blood becomes thick, leading to ischemic stroke (lack of blood flow to the brain). The likely outcome and improvement depends on the exact location and size of stroke. So, if you can send the MRI or CT scan of brain report, it would be helpful in predicting the chances of recovery. In the meanwhile, the supportive treatment, physiotherapy, etc. should be continued. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, . 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: Hi, I am a non vegetarian male and working with a bank. Since last 2 years I have been suffering from severe tail bone pain. My uric acid is also 6.5. I have to travel in uncomfortable positions at least thrice in a week and I also have to sit on chair for prolonged hours.Please advice. ### REPLY: Hi, thanks for posting your concern in the . Coccydynia may occur due to abrupt (fall on coccyx) or nonabrupt (prolonged sitting) trauma. Degenerative changes in the sacrococcygeal or intracoccygeal junction may also cause coccyx pain. Rarely hyperglycemia may present with this. A lateral view X-ray of the coccyx both sitting and standing position should be done. Hemorrhoids, lumbar degenerative disc disease, lumbar facet arthropathy, performs syn . Physiotherapy, surgery or sympathetic nerve block may be needed in case of coccyx pathology.  My recommendation is to visit your local doctor for further evaluation and treatment.  For any further questions please write back to us. Regards.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello My daugher of 4 months was born with Multi cystic kidney dysplasia, her right kidney is just a bunch of cysts. She is growing fine and is a calm baby, recently I have noticed her nappies are smelly after she wees like she needs a good wash. Should I check with m GP to see if this could be more serious? Thanks ### REPLY: Hi... even though she is normal and asymptomatic right now, keeping in mind the background problem I suggest that you get a urine routine analysis done. If this is suggestive of urinary tract infection you need to consult your pediatrician for the management and follow up. If it is urinary tract infection she will require a repeat ultrasound abdomen also. The basic line Of management will be antibiotic treatment after obtaining urine sample for culture and sensitivity. 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 recently had a miscarriage at 7th week. .i want to know when i can try to concieve again.this is my first preganacy .i stay in UK and doctors here say you can try when you both are ok abut it.back in india they suggest to wait for three months.can you pls advice me.My periods are always regular ### REPLY: Hi, How are you doing ? It is a belief that, there will be some reason for these miscarriages & will stay on in the body. So it may also affect the next pregnancy. We may not be able to diagnose the cause for each & every miscarriage.Also, the hormones of previous pregnancy, which are supposed to support pregnancy may not disappear from body before 3 months. If there is no other reason to be in a hurry to get pregnant, I too will advise you to try for next pregnancy after 3 months Hope I have clarified your query, do write back if anymore queries the best .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Having fever since last 4 days 101.5 to 104 degree Fahrenheit:Doctor prescribes Augmentin 625 twice Dolo 650 every 4 hours Betadine gargle for throat 3 times A to Z 1 tab But no relief from fever it is on and off.Noted lump slightly painful behind rt ear neck portion .Doc said it is fat tissue CBP WIDAL MP CUE Above test not yet done doc said it will be done after1-2 day ### REPLY: Hi, Thanks for your question. I do understand your pain and discomforts per your clinical history is concerned you are taking right medication for secondary infection, but primary infection is a virus and that lump is a lymph node. So I request you to discuss with your treating doctor to add a prednisone orally. I hope I was able to ad .  If you have any further questions, please do not hesitate to write to me. Wishing you all the best for a quick recovery Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi . I had an MSSA Staph infection about a year ago that was treated at the hospital and then at home with IV antibiotics. I was wondering if in the future I would be more suseptabile to having that happen again in the future than a person that never had that ### REPLY: Hello, I understand your concern. I am , infectious diseases specialist, answering your query. In my opinion you should complete the treatment. Having MSSA won't make anyone susceptible to reinfection if you have completed the treatment. I advise you should carry out culture and sensitivity again after the complete treatment if you found Staphylococcus aureus again than for the eradication purpose you again have to take the complete treatment. I will be happy to answer your further concern, you can ask me on bit.ly/ .  Thank you. ChatDoctorInfectious diseases specialist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my husband found a lump on his neck, under his ear...its painful when he presses on it...no other symptoms with it...I am very concerned it could be serious, hes making an appt. with his doctor...for the past few days, hes had bad headaches...could he be fighting something: ### REPLY: Hi, Dear,Good evening from INDIA. Thanks for the query to . I studied your query in details and understood your concerns.@My impression of your case -is-mostly -Parotid tumor?or Parotitis ?or could be a-benign Pleomorphic Adenoid of Parotid (BPA)Suggested Treatment-a-Consult ER Surgeon and CT study of the lump to fix the diagnosis with FNAC Biopsy.b-Surgical Excision-of the lump / Partial Partotidectomy of the Baptist would help you to plan treatment with your doctor.@Hope this would resolve your worrisome query. Welcome for any further query in this regard, and would love to help you to resolve this problem till it is solved to your satisfaction.@I would take opportunity to request you to Write strong recommendations promoting my services for the benefit of my new and old patients at  clinic. Wishing you fast recovery.!! Have a Good Day. With Regards, . N. Super-specialist in NCCD-Non-Curable Chronic Disorders and Rejuvenation therapies in tissue and organ failures. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Dr. Prasad,I have incomplete SLE and I have a rash on my lower arms that gets worse with sun exposure. They are tiny bumps grouped together that look somewhat white on the "tip". They itch a bit sometimes but not all the time. Could this be subcutaneous lupus or PLE?Thanks. ### REPLY: Hello. Thank you for writing to us at  LE or lupus erythematous can have varied clinical presentations on the skin. The lesions which you describe are likely to be either those of either sub acute cutaneous erythematous (SCALE) Or Disseminated Discoid lupus erythematous (DALE). Classically these lesions are distributed on sun exposed sites, are scaly and may have features of atrophy as well e.g. pigment loss and therefore appear white at places. Sun sensitivity and exacerbation on sun exposure are classical features of LE associated skin lesions. The lesions of LE would respond to topical potent steroids like clobetasol propionate 0.05%. Oral steroids and Antimalarial like HY . It is important to emphasize here that sun protection and sunscreens are an essential part of management of LE. I would suggest that you visit a dermatologist for a confirmatory diagnosis as well as appropriate prescription. 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 am woundering if you can help me myself and partner are trying for children he has a child allready of his own but not with myself i came off the injection september 09 after being on it for 5 years i am having periods and i am ovulating but i still cant get pregnant what can you advise ### REPLY: Hi welcome to . I have gone through your question. As your husband already have child that means his reproductive system is ok. You ovulating means have you done your ovulation profile.? I would advise doing thyroid profile, and histosalpingography HSG to rule out tubal blockage. Then consult gynecologist with these reports. He/she will advise you further. Hope I answered your question. Would be happy to help you further. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doc,Im worried about the prospects of intestinal parasite. Last night i went to bath in my bath tub it was like a short 15 minutes bath during the time i was fully submerged and rinsed with the water present in the tub. Now in between half way between the bath i realized the water to be little murky and there was like stain spots left on the side surfaces of the bath-tub. Im concerned about catching any type of intestinal parasite by bathing in un-clean bath-tub? Are my concerns justified..? Please helpthanks ### REPLY: Hi, Thanks for posting in . I understand your concern. Intestinal parasites are generally not transmitted by taking bath in an unclean bath tub. The usual mode of transmission of many parasites in by entry in to the body by means of .  If you have swallowed the water from the bath tub, then there is a chance of contacting infection, which appears very unlikely. Hence, do not be worried about it. Even in case you have an infection, you can get it off the body by taking a single dose of road spectrum deforming tablet Albendazole. Hope the information provided would be helpful. All the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: -> I have chest pain from 1 years ego.-> Phlegm always stopped in my throat, feel like this always.-> I have Asthma also, i uses Symbiva 400 Inhaler. Now it is in my control.    But chest pain while im pressing on my ribs, this pain exactly on middle line of    chest.-> Sleeping well. Hungry well. Every think is ok.-> My age :26-> No smoking & Drinking. ### REPLY: Thanks for your question on . In my opinion you are having musculoskeletal pain due to pressing. No need to press that part. It OS fixed bony structure, so if you press it, you will definitely feel pain. So better to avoid pressing. Apply warm water pad on affected site. Avoid strenuous exercise and heavy weight lifting. In my opinion you will be alright by doing all these. But if you still feel pain then start painkiller and muscle relaxant. Don't worry, you will be alright. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I havent been able to sleep much in the last 3-4 days. I have had 11 hours of sleep altogether. I have to make myself eat and even then its something small. Its not that I get sick to my stomach its just that Im not hungry. The only thing that I want at all is chocolate milk. Could something be wrong? ### REPLY: Hi dear. I understand your concern. Sleeplessness can be part of psychological stress or disorder. You have mild behavior abnormalities too. So need to evaluate yourself to reach conclusion. Sleep problem can be treated with medicines like holiday or benzodiazepine.  But before that you need consultation to psychiatrist for evaluation of behavior problem and mental status. So consult and get help. Still if you have a query then feel free to ask. Wish you a very good health. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I fell and hurt landed on my rib cage under my breast 3 weeks ago and the pain seemed to go away a bit and now has come back on the front and back of my chest area and it hurts when I breath and sneeze. I haven t had any medical advice as I just though I d bruised them should I go to get them x/rayed? Thanks Laura ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have pain in ribs post injury. Well there can be many reasons for symptoms you mention in query like soft tissue injury, muscle spasm or fractured rib. I would suggest you to consult orthopedic surgeon for proper examination. Doctor may order x-ray or do physical examination. Doctor may recommend complete bed rest, physical therapy, prescribe muscle relaxant, anti-inflammatory along with vitamin supplement for quick recovery. For now take ibuprofen or acetaminophen for pain and apply warm compresses. Avoid lifting heavy things. Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My partner has cirrhosis of the liver - non-alcoholic - & Hep C.  Today, he underwent a fairly routine procedure - colonoscopy & endoscopy. Several hours after the procedure he received a call from his liver doctor, (present during the procedure), informing him that his blood levels are of great concern.  He spoke of bone marrow - Unfortunately, I am in FL - (his procedures were in PA) his team of physicians is in PA.  What does this mean?He underwent the TIPS procedure in July of 2012. He had a blood transfusion in May of 2013Any assistance would be greatly appreciatedThank you,Jo Ann Putney ### REPLY: Hi, It is likely that your partner has low blood element counts. Anemia (lack of enough blood (hemoglobin)) is probably the one calling for concern and this level may be so low that another blood transfusion would be needed. In such a case immediate blood transfusion is required, and your partner should go to his doctor soonest for advise. However, another concern may be low blood defensive cells. But anemia is most likely. Hope this is helpful .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have this really bad habit of chewing the sides of my cheek, gums, and roof of my mouth to the point where I break open skin in which it bleeds and is really painful. IS there any possible way to help with this habit? Ive heard its an anxiety or stress thing but I am also worried Ill end up with cancer of the mouth because my mouth hurts so bad, I cant eat or anything. ### REPLY: HiT hanks for using  You are right. It is a sign of anxiety disorder. You may have OCD. In that case, you need some antidepressant like paroxetine or Escitalopram that would help to control anxiety symptoms. You can also try some relaxation exercise like JPMR or deep breathing exercise. That would help you to keep calm in tense situation. Better to consult a psychiatrist for proper diagnosis and management. In case, you need further help, you can ask. 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: Can you please let me know What is the use of this capsule Lycobal OD (Prescribed for 90 days)? What are the side effects ? ### REPLY: Hiit contain Lycopene, Methylcobalamin, L-Arginine USP. ALFA Tocopherol mainly .it is anti oxidant tablets it increases immunity of body and reduce oxidative stress substantial scientific and clinical research has been devoted to a possible correlation between lycopene consumption and general health. Early research suggested some amelioration of cardiovascular disease, cancer, diabetes, osteoporosis, and even male infertility. Side effect sit is very safe and may cause mild discoloration of the skin if taken in excessive dose ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter (34) was admitted to hospital with severe lower abdominal pain, (10 out of 10) and stabbing right shoulder pain. No fever, UTI symptoms or discharge. Initial diagnosis was ruptured ovarian cyst and no treatment, apart from pain medication given. She was discharged 2 days later (pain still 7 out of 10) and told to see a Gynae specialist in a month. After checks by her GP, Urinalysis revealed citrobacter koseri (she is now on Cephalexin). Why would this cause so much pain? And will the pain come back? Thanks ### REPLY: Hi ! Good evening. I am  answering your query. Yes ! Severe neglected UTI could also give rise to severe abdominal pain, which might be co-existing with pelvic inflammatory disease. If I were your doctor, I would also go for a repeat ultrasound of the abdomen if it was already done over there. In case of a lone UTI only, the antibiotic treatment would have to continue for a longer duration (at least 2 weeks) for a permanent relief. 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: Good day Doc, Please help me, I really need someone to talk to if there is any solution to the problem that I am having right now. I am suffering from a gender identity crisis and I m really confused with myself. I m a male and in a relationship with my girlfriend for almost 3 years. I love my girlfriend but it seems that I am attracted to men. I don t know what s wrong with me. I really need help. What are the things that I need to do. I don t have any experience with male to male intimate relationship coz I am controlling myself and I don t want to cheat my girlfriend coz I love her very much. I just want to become straight guy doc. Thank you and I hope you ll give me useful answers and recommendations pertaining to my problem. Thank you so much and more power. ### REPLY: Hi mysteryman123185. Thanks for your questions. You are suffering from gender identity disorder where a male/female thinks his/her mind as opposite sex, and they attract with person of same sex. But actually why it happens nobody knows and we don't have any preventive measure for that neither we have any . The best therapy is psychoeducation or psychological counselling and that help a lot to cope up with the problem, so please visit a psychiatrist and tell your problem in detail, he will surely help you. Best wishes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been seeing a psychiatrist for a year with no luck on treating my depression and anxiety . She said next step is ECT but she wont try anything in the stimulant family . She did non - stimulant and it helped a little then quit. I just want my life back again to be a wife and mom. I lay in bed cry, isolate no. Motivation . Please help ### REPLY: Degree understand your concerns went through your details. I think you don't need any more education about depression. But I still suggest your know how about depression and cure is limited. Depression is usually treated with the help of medicines, psychotherapy, motivation therapy, CBT and lifestyle changes. You are having medicines, alright. You need to consult a psychologist for information and treatment in the other forms of therapies. Furthermore, you will be able to manage your depression your own if you learn practice these therapies. Medicines are also part of the treatment regime. But you will become less dependent on medicines. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a bad fall three months ago and while most symptoms are gone I have a pronounced swelling from right below my knee to about halfway down my shin. There is no pain and just a bit of twinge when rotated outward. I never went to a doctor, have no insurance and money is tight. ### REPLY: Hello, Post-injury of the knee, there is a possibility of the fluid accumulation and also muscle weakness to the extent. Also, to avoid such features post fall I Will advise you to do regular exercise like - ankle toe movements which will help correction of the muscle imbalances and also improve the venous return thereby reducing the swelling. Static qua .  Hope I have answered your query. Let me know if I can assist you further. Jay In ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries hi am vishwa my mo is suffering from urinary bladder cancer she is 48 yr old.. she is at now 4th stage of cancer... she is having pain in hip joint leggs, and at back boon... we gone trough chemotherophy ... and radiation... so now she is feeling some what good.. is but littel pain in her hip joints after radiation she lossed about 5kg.... so please help us by other new idias... ### REPLY: Hi, dairy have gone through your question. I can understand your concern. She has urinary bladder cancer of stage 4.  So surgery is not possible at this stage.  Treatment options are chemotherapy and radiotherapy.  BCG is also one option.  Despite treatment prognosis remains poor. Life expectancy is not good. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a laparoscopic done july 16 2013. Inside my belly button still has a cut on the top but its closing (some meat shows it looks a lil nasty) & im thinking about getting my belly pierced next week for my birthday. Will it be healed by that time? Can i get it pierced ? Is it ok ? Any info that i need to know ? Please help me ! ### REPLY: Hi, I would like to know more information such as what procedure was done and why you are able to see muscle which is unusual. Is it not sutured? Is there any discharge? It is usually seen that in such cases that it takes longer than a week to heal and close. If you get pierced by a belly button there are chances of it getting infected, and it is best to avoid it and wait for the cut to heal and close completely. If it doesn't, you should see a doctor who can do the needful to see that it heals and closes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 blood suger level are 160mg/dl in fasting blood glucose and 233mg/dl in post prandial blood glucose by hexokinase method .. I am consuming Glynase-MF Combination of Generics - Glipizide, Metformin. My suger level are not reducing and one of my relative suggested me to go with trajenta duo (fixed dose combination of linagliptin and metformin hydrochloride)and glucophage XR (prolonged release metformin hydrochloride) tablets plz suggest me in correct dosage of this tablets ### REPLY: Dear friend, Greeting from . I understand your concern. Tab. Talent DUO is definitely better. But do check your HAC, lipid profile, microalbumiuria and thyroid profile and get the prescription form your treating doctor. But please do remember that changing tablets alone is not the solution now. You need to follow some lifestyle modifications too. You avoid carboy .  Do exercise, practice yoga and Panama 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 there, I have been on Microlite pill for nearly 2 years. Last month my period came one week early ( still had a week left to take it and I did) . Whilst this month it has arrived with 9 more pill days to take. Is this normal, do I need to change pill? ### REPLY: Hello, When there is some hormonal imbalance then you may have early or delayed periods even if you are on Microliter. Yes, you can get clinically assessed & examined by a gone. Other medical conditions like thyroid issues, PCs, anemia, cervical cyst, fibroid, polyps, etc. can be detected & treated at the earliest. You can change your BC pills if you so desire.  Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries r. I have been getting hives for the las 5 years. They cover my whole body at times and my face swells. I have been to an allergist and nothing seems to help except predinsone. I am now having pain in my ankles and it is very frustrating.  Do u have any recmendations? I need help please. ### REPLY: Hello, Thank you for asking at . I went through your history and would like to know more about your hives and swelling as follows:a. Do they last for more than 24 hours or less? b. Do you have any other allergies, like food, rhinitis, asthma, etc.? c. Do you have any other medical conditions? d. Do you need to take any medications regularly/frequently? Above information would help me to understand your complaints better. At present, from your given history, I would make suggestions for you as follows:1. I usually suggest such my patients' cetirizine in morning and HY .  As you have complaints for last 5 years, I would suggest taking them regularly for at least a month.2. I also suggest my patients to avoid too spicy/too hot foods/fluids.3. Please do not scratch the itchy area as it can worsen itching. I would suggest you to apply a lotion like calamine or a moisturizer over itchy areas.4. I would also suggest you investigations like complete blood counts, ESR, CRP, SEPT, serum proteins, thyroid function tests, ANA, urine and stool examination, etc. This may help me for diagnosis.5. If stress is a significant factor for you, I would also suggest you stress-reduction measures like relaxation, meditation, etc. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at . Wish you the best of the health ahead. Thank you & 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: sir, i had continued fever for last 20-22 days. Now fever is not there but Antigen H continues in the range from 1-160 in WIDAL test. Symptoms developed post fever : Sleeplessness , weak sensation , working efficiency slow, uneasiness in understanding/grasping. Kindly suggest. ### REPLY: Thanks for your Query at ! You have not mentioned your treatment? If you have completed the course of antibiotics and fever has subsided I see there is no need to be concerned. "H" title usually persist for 6-8 weeks before they start to decline. You must eat healthy diet, take some mineral and vitamin supplements. I see no serious problem with you unless you have some serious abdominal complaints. Happy to take more queries! Taker 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 adult american daughter is in South Korea and is very sick. Her symptoms indicate mono and doctors over there have not done any blood tests since most adults in South Korea dont get mono. Her school expects her to come to work. What should she do? ### REPLY: Hi and thank you so much for this query. Please, if her symptoms are suggestive of mono, then should be tested for mononucleosis. There is no harm in bringing this up directly to her doctors and asking the to test for. It is the right thing to do. If she is sick, she cannot show up for work. Let her doctors issue a note to her employers to attest to her ill health and grant her some rest. I hope this helps. I wish her well, and thank you so much for using our services. Feel free to ask for more information and clarifications if need be. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Dr., my name is babu, 41y, i have been suffering with neck pain and later the pain expanded to right shoulder. I have taken little spicy food last two days, could it gastric pain, now no pain at neck, but little pain around the shoulder. This is the first time of this problem. Please could you suggest what is the reason and how to control? ### REPLY: Hi, The pain is most probably caused due to a pinched cervical nerve. As we age the cushion disc between the vertebrae becomes more dedicated and .  This can sometime compress the nerve and cause pain at the part it supplies. You will need to see a Spine specialist and get an MRI of upper back done, and a hard cervical collar can certainly help with your symptoms provided the MRI has shown the cause. You can also take over-the-counter  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: abdominal pain, vomiting, acute leg cramps and arm cramps, pains in my back, pain in my chest, muscle weakness, twitching, depression, anxiety, racing and slow heart rates, frequent constipation, also I get bouts of diarrhea. I get jaundice too (i know what it is my 3 yr old daughter had it when born so i know the color and all that), and irregularly light colored stools (like light tan cardboard).  Also I am paler than average Asian.  Also I when I was pregnant I had diabetes even though I had a healthy diet prior to pregnancy and required insulin twice a day. ### REPLY: Hi. Thanks for your query. Read and understood your history of pain in abdomen cramps all over the body, depression, twitching, anxiety, changing hear rates, alternating constipation and diarrhea, altered color of the stools is all indicate that you may be suffering from Cancer of the Gastrointestinal tract may be with involvement of liver and bile ducts too. Diabetes on the insulin would have enhanced the problems and given secondary infections. I would advise :CT scan of the abdomen. All investigations of the blood including sugars, urea, creatinine, liver function tests, electrolytes. Tests of urine and stool. A proper diagnosis, control of the diabetes and proper treatment will lead to a better life. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello. I went to the cardiologist today and had both an electro cardiogram and an echo cradiogram done. I ve had a heart murmer since my birth, though I am not sure exactly what kind it is. However, I do know for a fact that it is an innocent murmur, and that I should expect to outgrow it within the next few years. I am fifteen by the way. Now, I have smoked marijuana several times. I began this year. Usually it went fine. Then when i began to do it more frequently and at higher doses, I would feel the increased heart-rate, panic, etc. I realize this is normal. But i once fainted for a few seconds as a result of standing up too quickly while high. I understand that this is brought about by a rapid decrease in blood pressure? That s only happened once though. Other side effects have been a slight cold/fuzzy feeling in the left chest at the very beginning of the buzz, which goes away shortly. My question is if I can safely use marijuana in moderation, like once a month or probably less. How does my heart murmur play into all of this? Thank you. ### REPLY: Hello, I suppose your echo was normal, if it was then we can consider it as innocent murmur. Marijuana will not affect this murmur, but even if you consider it using occasionally it's very difficult to craving and one usually progress to abuse. Also, addiction is associated with high risk behavior and psychological issues like impairment in school or work function, giving up of previously enjoyed social and recreational activities, and use of cannabis in potentially hazardous situations, that is, while .  So it is always better to refrain yourself from this, and you are too young. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am having almost constant severe headaches. I have had an MRI which showed only spinal stenosis in C 3 and C 4. I have had physical therapy with good results except a month after stopping the therapy the headaches returned. I am not supposed to take Nsaids. What can I do? ### REPLY: Return to the physical therapy which apparently was very helpful....at least by your history it was helpful.  Could that therapy have coincidentally helped you may ask?  Well, if you go through the same program again for the same amount of time and the headaches again get .  If you would like to ask me more specific information as a neurologist and headache specialist please write to me at: bit.ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had some stomach pains/nausea for the last week.  Cramping pain is above belly button below rib cage in the center of my stomach.  Tonight I noticed a small hard lump right above my belly button ...what could this be?  Sometimes the sharp pains wrap around to my back ### REPLY: Hi ! Good morning. I am  answering your query. Due to the development of the hard lump above your belly button, I would urge you to get yourself clinically assessed by your family physician/general surgeon, who might go for an ultrasound abdomen to assist in the diagnosis and proper management. It might not be possible to opine on it over net without a clinical examination. Take care. 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. 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: Thank you for writing. You had indicated that the recurrent numbness or twitching in the hands could be a result of the concussions - diffuse axonal injury - frontal and/or temporal lobe.It has not completely gone away after this most recent concussion (2 years ago) as it did with the earlier ones. Am I correct that with repeated concussions, the chance of lasting symptoms increases - and why is it that the axons? won t heal all the way - as before ### REPLY: Hello! Welcome and thank you for asking on ! Regarding your concern, I would explain that the atonal damage is important damage of the brain cells. It is usually irreversible. Repeated brain trauma, can lead to repeated brain cell death, which leads to a more severe clinical situation. I would recommend performing a brain MRI to examine the possible brain lesions. An EEG is necessary to exclude possible epilepsy (including mycology) which could be responsible for those twitching in the hands. There is no cure to brain damage. But we can try to improve the situation with physiotherapy and antiepileptic .  Hope you will find this answer helpful! Best wishes,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: We are planning to have a baby now from the past 4 months. We have had intercourse on the right days, we both are healthy but still my wife could not concieve, she is 28 years old and myself is 35 years old now. Her periods are regular with a cycle of 28 days. but somtimes its like 2 days earlier or 3 days late. She had her period on the 18th of this month and will end on 22nd... please advice us what to be done & when are the perfect days for sex, so that she can get pregnant. Thank you very much Doctor. ### REPLY: Hi, Go for ovulation time testing for your wife. After ovulation or just ovulation took place, go for intercourse daily for 3-4 days. Do not allow her go to toilet for about one hour to prevent semen coming out. Ask her to touch her legs to her chest to prevent semen coming out, and this position helps sperms migrating into her vagina and cervical canal and in the uterus. Try for few months. If there is no pregnancy then go for your wife for investigations for having any problem.at the same time go for your semen examination as well. Ok and take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: no pituarity tumor found. Cortisol base was .30. Second base was .50 before given Cortisol IV then 3.1 after 30 minutes and 5.1 after 60 minutes. Multiple tests negative but Endo is saying Adrenal Insufficency with Addison s. Endo is suggesting multiple epidurals (back, neck, shoulder) may be the cause. Now on meds. I don t understand my at 62 this is just now being discovered. Could this be caused by an injury such as a fracture L1 endplate (Aug 2013)? Thanks ### REPLY: Hi, thank you for providing the brief history of you. A thorough neuromuscular assessment is advised. As you have an L1 end plate fracture, this is totally aging factor and called as a pathological fracture. Since you are 62, this kind of fracture is commonly ad .  Also, the steroids are given for temporary pain relieving factors of which the side effects are totally unknown. But as you age and no exercises then chances for degenerative changes to occurs is possible and aging is an added  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 age is 30/male. i have sgpt 108 and sgot  80. also my sugar remains high. my cholesterol is also high. so my question is would i be able to reduce my sgpt and sgot without taking medicine , just by eating proper food .if yes than what diet should i follow. i mean what to eat and what should i not eat? ### REPLY: Hi & Welcome. I can understand your concern. The high levels of liver enzymes (GOT & SGPT) reflect some sort of liver problem like liver or gall bladder disease or alcohol intake. So, the exact cause should be detected and treated accordingly. As far as the foods are concerned, eat home cooked foods, increase the intake of vegetables, fruits, avoid fatty meals and fast and junk foods. Alcohol and smoking should also be avoided. For high cholesterol level . A regular exercise is also recommended to reduce the body weight. Hope this answers your query ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my husband has been suffering with mouth ulcers and they have also been bleeding very heavy but just today he pulled out this big thing it was full of blood out of his ulcer can you please explain what this could be thankyou. ### REPLY: Dear friend. Thanks for sharing your concern. According to the history given, it appears that your husband has authors ulcer. It is caused due to vitamin deficiency, especially vitamin B. Also stress is the aggravating factor here. Do not worry. Ask him to take tablet becasolues for a month. Locally apply colonel for relief. Avoid stress and hot and spicy foodstuff. Hope it helps. Thanks. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: we were trying to conceive so i was testing for ovulation. i got a positive on the early morning of the 16th. the last time i tested was the night of the 13th and it was negative. was unable to tests on the 14th and 15th due to travel. the las time we had sex that resulted in ejaculation was the 11th. on the 26th and 27th i saw a faint line on the pregnancy test. wanted to know how could this be possible? ### REPLY: Hi,First, sperm can live in the female genital tract for up to five days. So if you had sex on the 11th, there certainly could have been viable sperm still in your system to be there to fertilize your ovulation on the 16th. Furthermore, modern pregnancy tests are extremely sensitive, and can become positive even 10 days after conception. However, if the test is not performed correctly, or if the test is left out too long beyond the time recommended reading the test on the package, a faint line can appear. So at this time, I recommend waiting for your menstrual period, and if it does not arrive on time I would repeat the pregnancy test at that point.  At this time this has should give you an easy to see, accurate answer.  But it is certainly possible that you could have conceived this cycle. I hope I was able to adequately answer your question today, and I hope this information was helpful to you. Best of luck in conceiving. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 an allergic reaction while having a bowel movement.  In the past week it has happened 3 times, and it gets worse every time, first time just red and itchy, next time red and itchy and lips swelled and this last time, red and ithcy all over with hives and swelling in the hands feet and lips. ### REPLY: Whenever any allergen is made to enter body through any route, and it manifests reactions, re-entry of same/ similar allergens knowingly or unknowingly, into same body manifests reaction manifolds, and it keeps on multiplying. The basic rule is NIDAANPARIVARJAN (in Sanskrit language) i.e. avoidance of course. Still if it can't be avoided anti allergic are given. If not found effective, immunity of body should be raised to resist allergies. Here Ayurveda has an important and sustainable treatment to offer by way of natural herbal combos. It enhances immunity by balancing vitiation of Data Pitta humors which are culprits to cause allergy. Simple herbs like Need, curcumin, Manisha etc. are effectively controlling such conditions practically. It may act slow but what have fast acting toxic .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here...Dear sir we found that my wife is conceived ( confirmed in self checking using the strip which is available in pharmacy, on 5 days before). we are in south india right now. I am planning to take her along with me to dubai after 10 days since i am working there. does the travelling will create any problem to her  since she is at the early stage of pragnance. Kindly advice me. ### REPLY: Hello dear, I understand your concern. In my opinion the smaller journeys can be planned in first trimester if there are no complications. I suggest you to get an ultrasound done and once it is normal you can plan for journey. As it will be an air journey and of short duration it can be done. But do take care about the diet and fluids during the journey. Avoidance of physical strain and intercourse and good rest is advisable in 1st trimester i.e., upto 12 weeks of pregnancy. Any long journey is restricted to 2nd trimester i.e., from 13 to 28 weeks of pregnancy. Air journey is preferable always. And rail journey is preferable to road journey. Hope this helps. Best regards... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 22 year old female with chronic swollen lymph nodes only on my left side,which then leads to ear pain and jaw pain. I had my tonsils taken out a little over two years ago because of chronic tonsillitis.  I had blood work and the only thing that came up  was that my liver enzymes were really high, they were 250.  I had tests done on my live and everything came back to normal. Could my liver an lymph nodes be linked? ### REPLY: Hello, Enzyme values of 250 are not at all a matter of concern, and do to indicate any disease condition. In liver disease, the values will be above thousands. The swollen lymph nodes not linked with liver, and it could be due to infection or inflammation at the other sites. Look for any dental cavities or sore throat which are the common cause for swollen nodes in the neck. You can start on a short course of antibiotics, like most cases, the nodes will respond well with antibiotic therapy. Hope I have answered your query. Let me know if I can assist you further.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had an ectopic pregnancy at May09,2011 which my right fallopian tube was removed. When is the right time for me to get pregnant again and how can I avoid the risk of ectopic pregnancy again? ### REPLY: Hi! Thanks for choosing  .com. Post A Ectopic gestation, the outlook for future pregnancies depends on several factors, especially whether the other Fallopian tube is patent and also that side ovary is normally ovulating. As a general guide, after one ectopic pregnancy, 20 per cent of women will experience another ectopic pregnancy, 30 per cent will not become pregnant again and 50 per cent will have a successful pregnancy inside the womb. Best to start conceive is wait for a cycle or two for  levels to . 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 SOME KIND OF ALLERGY WHICH I AM UNABLE TO UNDERSTAND. MY SKIN GET GETS RED AND ITICHY I HAVE SHOWED TO TO SKIN SPECIALIST HE GAVE ME CETREZOH TABLET IF I TAKE IT THE SKIN DOES NOT ITICH. BUT IF I DONT TAKE IT THE PROBLEM CONTINUES. I AM FACING THE PROBLEM FROM PAST 6 MTS. IS THERE ANY PERMENANT SOLUTION TO THIS PROBLEM ### REPLY: HelloThanks for your query. I will try my best to provide you with the best possible professional recommendations to your questions. Allergies are pretty common. Both genes and environmental factors play a role. Common allergens include: .  Some people have allergy-like reactions to hot or cold temperatures, sunlight, or other environmental triggers. I advise you to find out the cause which is responsible for it and then sensitization should be done.  Allergy testing may be needed to find out whether the symptoms are an actual allergy or are caused by other problems. For example, eating contaminated food (food poisoning) may cause symptoms similar to food allergies. The best way to reduce symptoms is to avoid what causes your allergies. This is especially important for food and  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: So to make this short and quick Im a 33 year old male who has been disabled by a loosely or undiagnosed condition, as I see it, including symptoms ranging from chronic neck pain, eye pain, muscle spasms, body wide muscle tension, neurologic abnormalities, cervical radiculopathy, fatigue, pain in lower back/coccyx, low testosterone, low vitamin D, osteophytes mainly in my cervical spine/lumbar spine, mild stenosis in cervical, many different blood work abnormalities(IGG IBB.... antibody, ACE high, low RBC, high rheum factor, etc. Ive been seeing my pain management dr. for about 1 1/2 years+ who is a nurse practitioner. She seems to know less about pain management than I have accumulated throughout my 3 years of debilitating pain, and treats me like Im a statistic. Ive never violated my pain contract in anyway and have passed all of my drug tests. Ive also given her permission to talk to my family, friends, girlfriend, doctors. Anyways, my question is when is it time to seek the care of a new pain doctor. Ive gotten every procedure that theyve suggested, continue to see a slew of dr.s trying to get a confirmed dx so that I can work at the core of the problem and not just the symptoms. I realize I forgot to mention my problem with her care. She has me on 75mcg fentanyl patch, which has been the only long acting medication that even keeps me moderately functional though she refuses to prescribe a short acting med for breakthrough pain. Shes been putting me on a wild goose chase where she tells me to do something like see a pain psychologist then tells me not to, then told me to see him again last week. I feel that my pain is the primary symptom that is keeping me from finishing my bachelors and being a more functional person. I dont want to be on opiates all my life but I believe that keeping me as functional as possible until I find out what is causing all of this is a lot better than not. Ive tried physical therapy, yoga, meditation, ice packs, heat, hot baths w/ magnesium, distraction, etc. and nothing else seems to help. My PCP, psychiatrist, and family all believe its a logical idea but she does not. There is a Dr. in charge of the pain center and the last ditch effort is to ask him to intervene but Im afraid of getting nowhere and if I have to find a new Dr. I know that many are reluctant to take on patients whove seen pain doctors in the past. I hope you may help steer me in the right direction. Thanks in advance. Sincerely,Matthew Olsen ### REPLY: Hi Dear Mathew welcome to ChatDoctoryour concern regarding your health is normal, and you have got degenerative changes in your bones very early due to inflammation of joints and synovial membrane, I will advise you to visit again your orthopedic Doctor and ask him for further investigation like CRP, ANA, and HLAB27there are some immunomodulator which can retard the progress of ailment and some time reverse it, for pain management you can try .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 18 and recently started getting hair around my belly button and a bit on my chest. I really want children but i am worried that (after doing abit of research) i wont be able to. me and my boy friend have been having sex for 2 years and sometimes nothing has been used to provent pregnecy, but i have still never had anything sign of a pregnecy. Is there a chance i can not have children? ### REPLY: Hellos you mentioned that there are hairs around belly button and also on the chest but don't be desperate. Further hairs' growth (in female) never interfere in conception. Hairs may be due to Poly Cystic Ovarian Disease (pod) , as this is the most common cause of hairs, but pod cases have child . Hirsutism may be the another reason. You can get conception, but it depends on many conditions. As you stated that you are doing sex without protection, but it may be mere coincidence that dint got pregnancy. So get in ultrasound of uterus with tubes. Also get in semen analysis of your friend. Size of follicle should be around 19 to 20 mm on day 14th 15th at least to rupture and endometrium thickness must be around 11 mm to conceive. In my opinion consult an INFERTILITY SPECIALIST and get his opinion. Hope this will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 26 years old.I am married for 3 and half years. After one year of my marriage i was diagnosed with PCO and within 3 months I conceived.I delivered a baby last July, but within 15 minutes baby died due to heart problem. I started treatment after 6 months of my delivery, still i didnt conceive. I took letrozole, glucophage and follic acid tab for first 3 months, but i was not getting big follicle.then i took clomid, glucophage and follic acid tab now also am getting only small follicle.nowadays mentally i am very tired.Please help me to know how much chance is there to get a healthy baby?. ### REPLY: Hi welcome to . I have gone through your question. Clomid is generally prescribed to stimulate follicle size. Glucophage to reduce blood glucose level. If your follicles don't mature up to the size that can rupture then I would suggest changing the medicines, and you can go for injections also after consulting your gynecologist. If follicle develop properly then you can conceive. Hope I answered your question. Would be happy to help you further. Take care. ### END