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llama3-medical-dataset

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If you are a doctor, please answer the medical questions based on the patient's description.	I had itchy scrotum and groin. After two to three days, I got pimple like bumps and there were some small white pimples which did not cause any pain. But that area smells bad and in some places it is sticky. and the places where the pimples were present is peeling off and that region also sticks .	Hello, From your description, it seems that you are having multiple sebaceous cysts on scrotum. Many males are having this. Because of that you are having itch. It won't require any treatment until it covers the most part of scrotum, or it gets infected badly. Surgery is the only treatment option available for it. Some males are undergoing surgery for cosmetic reason. To get rid of itch, you can maintain good hygiene at private parts, take bath regularly and make the area Chat Doctor. Hope this helps you. Thank you.	<\|start_header_id\|>system<\|end_header_id\|>If you are a doctor, please answer the medical questions based on the patient's description.<\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> This is the question: I had itchy scrotum and groin. After two to three days, I got pimple like bumps and there were some small white pimples which did not cause any pain. But that area smells bad and in some places it is sticky. and the places where the pimples were present is peeling off and that region also sticks .<\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|>Hello, From your description, it seems that you are having multiple sebaceous cysts on scrotum. Many males are having this. Because of that you are having itch. It won't require any treatment until it covers the most part of scrotum, or it gets infected badly. Surgery is the only treatment option available for it. Some males are undergoing surgery for cosmetic reason. To get rid of itch, you can maintain good hygiene at private parts, take bath regularly and make the area Chat Doctor. Hope this helps you. Thank you.<\|eot_id\|>
If you are a doctor, please answer the medical questions based on the patient's description.	I have been on prednisolone continuously for almost 15 years and apparently my natural cortosol production is reduced. Ive had multiple bypasses and it seems there is one artery virtually closed at the junction with the back of my heart. I developed asevere AF after my heart operation 9 years ago, and had RF Ablations because a pacemaker was not optimal (My immune system was/is consequently suppressed). I have finally been able to reduce prednisolone to 3 mg/day after several years of oscilating between 15-5 mg (with occasioinal bursts about 3/yr 50 mg for a period then reduced. For 5 years I have been able to walk 5-8 Km every day. QUESTION	Hi, It looks like you have been coping up well with the gradual reduction of prednisolone. If the prednisolone would not have been enough for you then you would have low blood pressure, or any abnormalities in your electrolytes. The atrial fibrillation can sometimes happen all of a sudden which is known as paroxysmal aphid. As long as it does not cause any dizziness, shortness of breath or chest pain it's fine. I would advise you to see your cardiologist.1. Do 48 hours holder monitoring2. Do an ECHO3. Check morning cortisol level at 7 am (would tell you if cortisol is enough)I hope it helps. Regards.	<\|start_header_id\|>system<\|end_header_id\|>If you are a doctor, please answer the medical questions based on the patient's description.<\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> This is the question: I have been on prednisolone continuously for almost 15 years and apparently my natural cortosol production is reduced. Ive had multiple bypasses and it seems there is one artery virtually closed at the junction with the back of my heart. I developed asevere AF after my heart operation 9 years ago, and had RF Ablations because a pacemaker was not optimal (My immune system was/is consequently suppressed). I have finally been able to reduce prednisolone to 3 mg/day after several years of oscilating between 15-5 mg (with occasioinal bursts about 3/yr 50 mg for a period then reduced. For 5 years I have been able to walk 5-8 Km every day. QUESTION<\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|>Hi, It looks like you have been coping up well with the gradual reduction of prednisolone. If the prednisolone would not have been enough for you then you would have low blood pressure, or any abnormalities in your electrolytes. The atrial fibrillation can sometimes happen all of a sudden which is known as paroxysmal aphid. As long as it does not cause any dizziness, shortness of breath or chest pain it's fine. I would advise you to see your cardiologist.1. Do 48 hours holder monitoring2. Do an ECHO3. Check morning cortisol level at 7 am (would tell you if cortisol is enough)I hope it helps. Regards.<\|eot_id\|>
If you are a doctor, please answer the medical questions based on the patient's description.	Hi, my name is Mrs.Farhana i am 30 having 67kg wieght. My last date was 1st January,2012 I am using (Dirogest 10mg) Once a day as per my Doctor s advice .. i need to know that how long i have to take this medicine is there any side effects..? and also please let me know that this medicine be helpfull for me getting pregnant. looking forward for a positive come back ..	Hi, Generally it is well tolerated. Digest is a synthetic form of female hormone progesterone that is commonly prescribed for delayed period, irregular or heavy menstrual bleeding, endometriosis and other conditions. By regularizing your cycle it will help in getting you pregnancy. To regularize the period it is usually given from cycle days 5 to 25. Its common side effects include nausea, vomiting, headache, and breast pain/tenderness. Hope I have answered your question. Let me know if I can assist you further.	<\|start_header_id\|>system<\|end_header_id\|>If you are a doctor, please answer the medical questions based on the patient's description.<\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> This is the question: Hi, my name is Mrs.Farhana i am 30 having 67kg wieght. My last date was 1st January,2012 I am using (Dirogest 10mg) Once a day as per my Doctor s advice .. i need to know that how long i have to take this medicine is there any side effects..? and also please let me know that this medicine be helpfull for me getting pregnant. looking forward for a positive come back ..<\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|>Hi, Generally it is well tolerated. Digest is a synthetic form of female hormone progesterone that is commonly prescribed for delayed period, irregular or heavy menstrual bleeding, endometriosis and other conditions. By regularizing your cycle it will help in getting you pregnancy. To regularize the period it is usually given from cycle days 5 to 25. Its common side effects include nausea, vomiting, headache, and breast pain/tenderness. Hope I have answered your question. Let me know if I can assist you further.<\|eot_id\|>
If you are a doctor, please answer the medical questions based on the patient's description.	I had a tooth break off several years ago. In the past few years , it had completlely disappeared above the gumline. I guess the roots are still in my gum. It is not painful surprisingly but I have a rather large bump on the roof of my mouth. It has been there for a couple of years at least. It gets tender sometimes. I worry about the effects this could have on my heart. I have read about infections causing heart problems but I dont have dental insurance and dont know what to do. Is this something that should be taken care of asap?	Thanks for consulting. I have carefully worked through your case, and I can realize your health worries. Being your physician, I assure you not to worry as I will take care all of your medical concerns. There is no recent evidence of tooth infection causing heart problems. But throat infection can cause heart problems like rheumatic heart disease. So do not worry about it. Hope it helps. If you need further, detailed and quick assistance related to any health issues in the future, feel free to ask me a question directly from my profile. Have a wonderful time ahead. Best Regards!	<\|start_header_id\|>system<\|end_header_id\|>If you are a doctor, please answer the medical questions based on the patient's description.<\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> This is the question: I had a tooth break off several years ago. In the past few years , it had completlely disappeared above the gumline. I guess the roots are still in my gum. It is not painful surprisingly but I have a rather large bump on the roof of my mouth. It has been there for a couple of years at least. It gets tender sometimes. I worry about the effects this could have on my heart. I have read about infections causing heart problems but I dont have dental insurance and dont know what to do. Is this something that should be taken care of asap?<\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|>Thanks for consulting. I have carefully worked through your case, and I can realize your health worries. Being your physician, I assure you not to worry as I will take care all of your medical concerns. There is no recent evidence of tooth infection causing heart problems. But throat infection can cause heart problems like rheumatic heart disease. So do not worry about it. Hope it helps. If you need further, detailed and quick assistance related to any health issues in the future, feel free to ask me a question directly from my profile. Have a wonderful time ahead. Best Regards!<\|eot_id\|>
If you are a doctor, please answer the medical questions based on the patient's description.	I am an 18 year old female, I had my gallbladder removed in August of 2009, from my understanding it had just shut down functioning at 0%. Since surgery I have had alot of issues. At first I thought it was the norm after that kind of surgery, you know the normal diharreah and nausea. However I am still sick, I have flares I guess you could say. I will be fine for a few days to a couple weeks, and then I am sick again. I will have severe diharrea where I am in the bathroom two or three times in an hour, and then it is solid the next. I will have sharp pain in my stomach that will double me over, I am nauseated all day every day. When I eat my stomach swells like I am pregnant, and it hurts. Other times my stomach will be so thin that my ribs stick out. In one week after surgery I lost 7 pounds. Before surgery I wieghed 125 I think, now I barely weigh 105, and it keeps falling off. I dont really have an appetite most days, but other days its like I cant stop eating. Please help me, I have spent over $1000 sice surgery on medication and doctors visits. I am broke. Please Help me	Hi.thanks for posting query at Chat Doctor. Read your question thoroughly and understood your concern.differential	<\|start_header_id\|>system<\|end_header_id\|>If you are a doctor, please answer the medical questions based on the patient's description.<\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> This is the question: I am an 18 year old female, I had my gallbladder removed in August of 2009, from my understanding it had just shut down functioning at 0%. Since surgery I have had alot of issues. At first I thought it was the norm after that kind of surgery, you know the normal diharreah and nausea. However I am still sick, I have flares I guess you could say. I will be fine for a few days to a couple weeks, and then I am sick again. I will have severe diharrea where I am in the bathroom two or three times in an hour, and then it is solid the next. I will have sharp pain in my stomach that will double me over, I am nauseated all day every day. When I eat my stomach swells like I am pregnant, and it hurts. Other times my stomach will be so thin that my ribs stick out. In one week after surgery I lost 7 pounds. Before surgery I wieghed 125 I think, now I barely weigh 105, and it keeps falling off. I dont really have an appetite most days, but other days its like I cant stop eating. Please help me, I have spent over $1000 sice surgery on medication and doctors visits. I am broke. Please Help me<\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|>Hi.thanks for posting query at Chat Doctor. Read your question thoroughly and understood your concern.differential<\|eot_id\|>
If you are a doctor, please answer the medical questions based on the patient's description.	I used Veet Hair removal in my bikinni area this afternoon and some got in my vaginal area. I have been swollen and burning since that time. I have rinsed with cold water atleast 4 times every hour since. I am 7 months pregnant, is there anything I can do to ge the burning and irritation to stop?	Hello and welcome to Chat Doctor Seem you have developed irritant contact dermatitis to the cream. Hair removal cream contains thioglycolates which are irritating to the skin, specially the delicate genital skin. F I was the treating doctor I would suggest you to use a topical moderately potent steroid cream e.g. fluticasone propionate (Cultivate cream), twice daily for a few days. That should take care of the redness and burning sensation. An OTC antihistamine e.g. cetirizine 10\u00a0mg once daily would help in providing symptomatic relief from burning and itching. Regards	<\|start_header_id\|>system<\|end_header_id\|>If you are a doctor, please answer the medical questions based on the patient's description.<\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> This is the question: I used Veet Hair removal in my bikinni area this afternoon and some got in my vaginal area. I have been swollen and burning since that time. I have rinsed with cold water atleast 4 times every hour since. I am 7 months pregnant, is there anything I can do to ge the burning and irritation to stop?<\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|>Hello and welcome to Chat Doctor Seem you have developed irritant contact dermatitis to the cream. Hair removal cream contains thioglycolates which are irritating to the skin, specially the delicate genital skin. F I was the treating doctor I would suggest you to use a topical moderately potent steroid cream e.g. fluticasone propionate (Cultivate cream), twice daily for a few days. That should take care of the redness and burning sensation. An OTC antihistamine e.g. cetirizine 10\u00a0mg once daily would help in providing symptomatic relief from burning and itching. Regards<\|eot_id\|>
If you are a doctor, please answer the medical questions based on the patient's description.	Hi my wife 32 years has thyroid problem since 6 years yesterday we checked her again and found- t3 78ng/ml ref range 60 - 200ng t4 6.3 ug 4.4 - 11.6 ug tsh 3.4 0.39 - 5.5 All in normal range but we also did her liver function test and results are Total Bilirubin 0.9 mg ref range 0.2 - 1.2 direct bilirubin 0.3mg 0.2 - 0.3 inderect bilirubin 0.6mg 0.0 - 0.7 SGOT 52 IU/L 0 - 46 IU/L SGPT 72 0 - 49 Alk PHOS 86 IU 0 - 258 TOTAL PROTEINS 7.6 GM 6.5 - 8.5 GM ALBUMIN 4.5 GM 3.5 - 5.5 GLOBULIN 3.1 GM 2.3 - 3.5 A/G RATIO 1	HelloAlthough there are various causes for high liver enzymes, but the most common causes are Diabetes, obesity,high triglycerides, alcoholism,use of plenty of sweets and junk food, use of herbal medications, antibiotics,anti seizure medicines etc., various types of hepatitis etc. Get tested for diabetes, lipid profile,ultrasound abdomen. If any abnormality found in above tests, rectify it. If no abnormality found in these investigations then try to change your lifestyle by reducing weight, avoiding sweets and junk food and doing regular exercises and taking fresh fruits and green vegetables. Do this for 8 weeks and check your liver enzymes. If they are still high, then go for CT abdomen, liver biopsy and testing of hepatitis markers and consult Gastroenterologist. Thanks	<\|start_header_id\|>system<\|end_header_id\|>If you are a doctor, please answer the medical questions based on the patient's description.<\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> This is the question: Hi my wife 32 years has thyroid problem since 6 years yesterday we checked her again and found- t3 78ng/ml ref range 60 - 200ng t4 6.3 ug 4.4 - 11.6 ug tsh 3.4 0.39 - 5.5 All in normal range but we also did her liver function test and results are Total Bilirubin 0.9 mg ref range 0.2 - 1.2 direct bilirubin 0.3mg 0.2 - 0.3 inderect bilirubin 0.6mg 0.0 - 0.7 SGOT 52 IU/L 0 - 46 IU/L SGPT 72 0 - 49 Alk PHOS 86 IU 0 - 258 TOTAL PROTEINS 7.6 GM 6.5 - 8.5 GM ALBUMIN 4.5 GM 3.5 - 5.5 GLOBULIN 3.1 GM 2.3 - 3.5 A/G RATIO 1<\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|>HelloAlthough there are various causes for high liver enzymes, but the most common causes are Diabetes, obesity,high triglycerides, alcoholism,use of plenty of sweets and junk food, use of herbal medications, antibiotics,anti seizure medicines etc., various types of hepatitis etc. Get tested for diabetes, lipid profile,ultrasound abdomen. If any abnormality found in above tests, rectify it. If no abnormality found in these investigations then try to change your lifestyle by reducing weight, avoiding sweets and junk food and doing regular exercises and taking fresh fruits and green vegetables. Do this for 8 weeks and check your liver enzymes. If they are still high, then go for CT abdomen, liver biopsy and testing of hepatitis markers and consult Gastroenterologist. Thanks<\|eot_id\|>
If you are a doctor, please answer the medical questions based on the patient's description.	Sir, whats the cost for kidney transplantation whats the solution for fistulla failure is their any other option if fistulla often fails	Hi Welcome to Chat Doctor forum A-V fistula surgery often fails, most commonly due to thin veins. There is a new procedure, where a venous graft is used to create A-V fistula. So that's one option, you can talk to the surgeon regarding this. Transplant is a good option, depends on the age and condition of patient, location/city/state where it is done. In India, if the donor is a family member (blood type and tissue has to be matched for THT), it's about 3-4 lack. Take care Further queries- Chat Doctor. [email protected]	<\|start_header_id\|>system<\|end_header_id\|>If you are a doctor, please answer the medical questions based on the patient's description.<\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> This is the question: Sir, whats the cost for kidney transplantation whats the solution for fistulla failure is their any other option if fistulla often fails<\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|>Hi Welcome to Chat Doctor forum A-V fistula surgery often fails, most commonly due to thin veins. There is a new procedure, where a venous graft is used to create A-V fistula. So that's one option, you can talk to the surgeon regarding this. Transplant is a good option, depends on the age and condition of patient, location/city/state where it is done. In India, if the donor is a family member (blood type and tissue has to be matched for THT), it's about 3-4 lack. Take care Further queries- Chat Doctor. [email protected]<\|eot_id\|>
If you are a doctor, please answer the medical questions based on the patient's description.	I am 65 year old indian woman and i had a serious hip fracture recently in which the top of femur was broken into several pieces as i also have osteoporosis.I have undergone surgery and they have put a plate over the fractured area.Do u think will i ever be able to walk on my own without a support?	Hi, Nowadays, we can fix most of the hip fractures and for the remaining that cant be fixed we prefer to replace the broken part. Since your surgeon prefers to do fixation over replacement it means there are high chances of bony union. Only aim of hip surgery in elderly patients is to make the patient walk, so there should not be any concerned regarding the bony union and ambulation. As far as osteoporosis is concerned it is a treatable condition, and doesn't pose to be a threat for fracture union. Take care. Hope I have answered your question. Let me know if I can assist you further.	<\|start_header_id\|>system<\|end_header_id\|>If you are a doctor, please answer the medical questions based on the patient's description.<\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> This is the question: I am 65 year old indian woman and i had a serious hip fracture recently in which the top of femur was broken into several pieces as i also have osteoporosis.I have undergone surgery and they have put a plate over the fractured area.Do u think will i ever be able to walk on my own without a support?<\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|>Hi, Nowadays, we can fix most of the hip fractures and for the remaining that cant be fixed we prefer to replace the broken part. Since your surgeon prefers to do fixation over replacement it means there are high chances of bony union. Only aim of hip surgery in elderly patients is to make the patient walk, so there should not be any concerned regarding the bony union and ambulation. As far as osteoporosis is concerned it is a treatable condition, and doesn't pose to be a threat for fracture union. Take care. Hope I have answered your question. Let me know if I can assist you further.<\|eot_id\|>
If you are a doctor, please answer the medical questions based on the patient's description.	Hi there, my 17yr old daughter is complaining of what she can only describe as an electric shock in her shoulder. She could be out walking or sitting watching TV when she would get a dart of it, she also says that her neck is sore and that when she bends her head forward the bone that she feels in her neck feels like it could snap. She says she has these symptoms for the past week but she only told me about them today. She googled these symptoms today and is worrying that she has MS. She was prescribed Dianette which she has been taken since March this year. Please can you tell me your thoughts?	Dear Sir/Madam have gone through your query and read your symptoms. In my opinion, the symptoms seem more of a disc disease in the cervical region rather than MS, as Ms involves whole body, get an MRI done of the cervical spine and see the problem. Meanwhile, do not use a pillow, under your head, keep a rolled towel under your neck, or can use contoured cervical pillows. I hope that answers your query. If you want any more clarification, contact me back.	<\|start_header_id\|>system<\|end_header_id\|>If you are a doctor, please answer the medical questions based on the patient's description.<\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> This is the question: Hi there, my 17yr old daughter is complaining of what she can only describe as an electric shock in her shoulder. She could be out walking or sitting watching TV when she would get a dart of it, she also says that her neck is sore and that when she bends her head forward the bone that she feels in her neck feels like it could snap. She says she has these symptoms for the past week but she only told me about them today. She googled these symptoms today and is worrying that she has MS. She was prescribed Dianette which she has been taken since March this year. Please can you tell me your thoughts?<\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|>Dear Sir/Madam have gone through your query and read your symptoms. In my opinion, the symptoms seem more of a disc disease in the cervical region rather than MS, as Ms involves whole body, get an MRI done of the cervical spine and see the problem. Meanwhile, do not use a pillow, under your head, keep a rolled towel under your neck, or can use contoured cervical pillows. I hope that answers your query. If you want any more clarification, contact me back.<\|eot_id\|>
If you are a doctor, please answer the medical questions based on the patient's description.	my boyfriend platelets counts has suddenly lowered down .. he is also suffering from malaria 2 days before it has lowered down to 35000 and after todays test it has increased to 49000... is this is matter is to that worried about?.. n why his platelets has decreased in such level??	Hi, Thanks for asking. Based on your query, my opinion is as follows.1. The platelet count in malaria is reduced mainly due to reduced production. Its one of the common finding in malarial infection.2. Even though platelet count is low, bleeding is rarely seen and not to be worried about.3. Now that it's improving, not to worry. If the count were to fall less than 10,000, then internal bleeding possibility is present and needs to be looked into.4. Complete the course of antimalarial. Anybody around, with fever, chills and rigors should get the malarial card test or peripheral smear done. Use mosquito repellents or liquids or screen. Hope it helps. Any further queries, happy to help again.	<\|start_header_id\|>system<\|end_header_id\|>If you are a doctor, please answer the medical questions based on the patient's description.<\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> This is the question: my boyfriend platelets counts has suddenly lowered down .. he is also suffering from malaria 2 days before it has lowered down to 35000 and after todays test it has increased to 49000... is this is matter is to that worried about?.. n why his platelets has decreased in such level??<\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|>Hi, Thanks for asking. Based on your query, my opinion is as follows.1. The platelet count in malaria is reduced mainly due to reduced production. Its one of the common finding in malarial infection.2. Even though platelet count is low, bleeding is rarely seen and not to be worried about.3. Now that it's improving, not to worry. If the count were to fall less than 10,000, then internal bleeding possibility is present and needs to be looked into.4. Complete the course of antimalarial. Anybody around, with fever, chills and rigors should get the malarial card test or peripheral smear done. Use mosquito repellents or liquids or screen. Hope it helps. Any further queries, happy to help again.<\|eot_id\|>
If you are a doctor, please answer the medical questions based on the patient's description.	Squeezing pain under my left breast Q	Hi, This is likely a gastritis and acidity problem. Avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You can get prescribed tab Pantoprazole before breakfast once a day for 2 weeks. For pain, you can ask for antispasmodic like Dicyclomine. Hope I have answered your query. Let me know if I can assist you further.	<\|start_header_id\|>system<\|end_header_id\|>If you are a doctor, please answer the medical questions based on the patient's description.<\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> This is the question: Squeezing pain under my left breast Q<\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|>Hi, This is likely a gastritis and acidity problem. Avoid fatty, oily and high calorie diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You can get prescribed tab Pantoprazole before breakfast once a day for 2 weeks. For pain, you can ask for antispasmodic like Dicyclomine. Hope I have answered your query. Let me know if I can assist you further.<\|eot_id\|>
If you are a doctor, please answer the medical questions based on the patient's description.	Long story short, my girlfriend and i had broken up for a month or so, she had unprotected sex with another man, and he said he was clean and free of STD/STIs. We had protected sex 7 days after she had unprotected sex with this other guy. I dont know the other guy and dont trust what he told her, and i am just concerned that he might have given her an STD. if so, would she be able to pass that on to me a week after her unprotected sex. it has been about 2 days since we had protected sex and i am just worried.	Hello, If you had protected sex, it majorly reduces the risk of the sexually transmitted diseases being transmitted to you. However, it may be wise for her to undergo a sexually transmitted diseases panel and be started on some antibiotics. If you develop symptoms of burning in your penis, burning while you pee and if there is discharge, get yourself tested. Hope I have answered your query. Let me know if I can assist you further.	<\|start_header_id\|>system<\|end_header_id\|>If you are a doctor, please answer the medical questions based on the patient's description.<\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> This is the question: Long story short, my girlfriend and i had broken up for a month or so, she had unprotected sex with another man, and he said he was clean and free of STD/STIs. We had protected sex 7 days after she had unprotected sex with this other guy. I dont know the other guy and dont trust what he told her, and i am just concerned that he might have given her an STD. if so, would she be able to pass that on to me a week after her unprotected sex. it has been about 2 days since we had protected sex and i am just worried.<\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|>Hello, If you had protected sex, it majorly reduces the risk of the sexually transmitted diseases being transmitted to you. However, it may be wise for her to undergo a sexually transmitted diseases panel and be started on some antibiotics. If you develop symptoms of burning in your penis, burning while you pee and if there is discharge, get yourself tested. Hope I have answered your query. Let me know if I can assist you further.<\|eot_id\|>
If you are a doctor, please answer the medical questions based on the patient's description.	if i got copd im 52 and am getting back pain can hardly walk without getting out of breath is back pain a sign of copd and will it get anyworse have been diagnosed with 87 per cent i am 5ft 6 and approx 10 stone have been previously diagnosed with astma	Normalit for posmanagementncern in Chat Doctor. I think whether the pain is related to COPD depends on the site of back pain. An upper back pain with /without fever, chest pain, altered sensorial, dyspnea etc. in a known COPD patient, may be due to lower respiratory tract infection or pneumonia with exacerbated COPD. But, they may also be due to mechanical back pain due to faulty posture, spinal abnormality etc. On the other hand, low back pain may be due to all the above causes except any chest related cause and also may be due to urogenital or colonic infection or pathologpathology. Your respiratory distress on the other hand is due to COPD. But, cardiac causes need exclusion. Therefore, you should consult your local physician for further management. For any further information please write back.	<\|start_header_id\|>system<\|end_header_id\|>If you are a doctor, please answer the medical questions based on the patient's description.<\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> This is the question: if i got copd im 52 and am getting back pain can hardly walk without getting out of breath is back pain a sign of copd and will it get anyworse have been diagnosed with 87 per cent i am 5ft 6 and approx 10 stone have been previously diagnosed with astma<\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|>Normalit for posmanagementncern in Chat Doctor. I think whether the pain is related to COPD depends on the site of back pain. An upper back pain with /without fever, chest pain, altered sensorial, dyspnea etc. in a known COPD patient, may be due to lower respiratory tract infection or pneumonia with exacerbated COPD. But, they may also be due to mechanical back pain due to faulty posture, spinal abnormality etc. On the other hand, low back pain may be due to all the above causes except any chest related cause and also may be due to urogenital or colonic infection or pathologpathology. Your respiratory distress on the other hand is due to COPD. But, cardiac causes need exclusion. Therefore, you should consult your local physician for further management. For any further information please write back.<\|eot_id\|>
If you are a doctor, please answer the medical questions based on the patient's description.	I am a 42 year old female. Ive had intermittent chest pain for the past two days. Nothing severe; more annoying than anything. Today after lifting a fairly heavy box, I got heart palpitations simultaneously with an unusual cold sensation in my fingers. Should I be concerned?	Thanks for your question on Chat Doctor. I can understand your concern. Possibility of musculoskeletal pain is more likely. But since you had heart palpitations, better to rule out cardiac cause for your chest pain. So get done ECG, 2d echo and stress test (trade mill test). If all these are normal then no need to worry about heart diseases. Apply warm water pad on affected areas. Take simple painkiller like paracetamol or ibuprofen. Avoid heavyweight lifting and strenuous exercise. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.	<\|start_header_id\|>system<\|end_header_id\|>If you are a doctor, please answer the medical questions based on the patient's description.<\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> This is the question: I am a 42 year old female. Ive had intermittent chest pain for the past two days. Nothing severe; more annoying than anything. Today after lifting a fairly heavy box, I got heart palpitations simultaneously with an unusual cold sensation in my fingers. Should I be concerned?<\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|>Thanks for your question on Chat Doctor. I can understand your concern. Possibility of musculoskeletal pain is more likely. But since you had heart palpitations, better to rule out cardiac cause for your chest pain. So get done ECG, 2d echo and stress test (trade mill test). If all these are normal then no need to worry about heart diseases. Apply warm water pad on affected areas. Take simple painkiller like paracetamol or ibuprofen. Avoid heavyweight lifting and strenuous exercise. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.<\|eot_id\|>
If you are a doctor, please answer the medical questions based on the patient's description.	hiI am a male 22 years. i have vericocele veins on my left side testicals. Few days before i started feeling extreme pain in my testies. When i Masturbrated sperm was low and yellowish. There was a drop of blood as well. I took antibiotics ( amoxycilin). So every time i Masturbrate it pains a alot. Any suggestions.	Thanks for contacting Chat Doctor with your medical questions. I am sorry to hear that you hare having pain on ejaculation and blood in your semen. These symptoms along with the pain in your scrotum usually indicate infection in the prostate gland. The antibiotic you took amoxicillin is not powerful enough to treat the prostate infection. I recommend that you seek medical attention to be treated for prostatitis which is an antibiotic for 4 weeks. In summary, I think you have prostatitis, and you need to seek medical attention for full treatment of your infection. I hope this answers your question. Please contact Chat Doctor again with any of your health care concerns	<\|start_header_id\|>system<\|end_header_id\|>If you are a doctor, please answer the medical questions based on the patient's description.<\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> This is the question: hiI am a male 22 years. i have vericocele veins on my left side testicals. Few days before i started feeling extreme pain in my testies. When i Masturbrated sperm was low and yellowish. There was a drop of blood as well. I took antibiotics ( amoxycilin). So every time i Masturbrate it pains a alot. Any suggestions.<\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|>Thanks for contacting Chat Doctor with your medical questions. I am sorry to hear that you hare having pain on ejaculation and blood in your semen. These symptoms along with the pain in your scrotum usually indicate infection in the prostate gland. The antibiotic you took amoxicillin is not powerful enough to treat the prostate infection. I recommend that you seek medical attention to be treated for prostatitis which is an antibiotic for 4 weeks. In summary, I think you have prostatitis, and you need to seek medical attention for full treatment of your infection. I hope this answers your question. Please contact Chat Doctor again with any of your health care concerns<\|eot_id\|>
If you are a doctor, please answer the medical questions based on the patient's description.	hi When taking Avelox for my upper respitory infection, & bronchitis, my heart beat, became so rapid I had to stop taking the Avelox .i have an inhaler for my COPD & take Claritin D Cefizil does not work for the chest cold symptoms only for my ear infections. What antibioitic would you recommend for me? Avelox did work when I was able to take it.	Thanks for your question on Chat Doctor. I advise you not to take antibiotics without culture and sensitivity report. COPD is chronic progressive lung disease. It actually decreases the lung immunity and defense. So recurrent respiratory infections are very common in COPD patients. So better to get done sputum culture to know which organism is causing infection and then get done sensitivity report to guide antibiotic therapy. Haphazard use of antibiotics will increase Chat Doctor. You should take adult respiratory vaccines like pneumococcal and influenza to prevent recurrent lung infection. So better to consult pulmonologist first and discuss all these, rather than taking antibiotics.	<\|start_header_id\|>system<\|end_header_id\|>If you are a doctor, please answer the medical questions based on the patient's description.<\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> This is the question: hi When taking Avelox for my upper respitory infection, & bronchitis, my heart beat, became so rapid I had to stop taking the Avelox .i have an inhaler for my COPD & take Claritin D Cefizil does not work for the chest cold symptoms only for my ear infections. What antibioitic would you recommend for me? Avelox did work when I was able to take it.<\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|>Thanks for your question on Chat Doctor. I advise you not to take antibiotics without culture and sensitivity report. COPD is chronic progressive lung disease. It actually decreases the lung immunity and defense. So recurrent respiratory infections are very common in COPD patients. So better to get done sputum culture to know which organism is causing infection and then get done sensitivity report to guide antibiotic therapy. Haphazard use of antibiotics will increase Chat Doctor. You should take adult respiratory vaccines like pneumococcal and influenza to prevent recurrent lung infection. So better to consult pulmonologist first and discuss all these, rather than taking antibiotics.<\|eot_id\|>
If you are a doctor, please answer the medical questions based on the patient's description.	i am 35 years old. there are gaps in my knee joint. I want to know the natural ways to slow down the degeneration process of my knee tssues. its a ostearthiritis in the earliest stage. please help n wanted to know the excersies also for the same condition	Hello, In most cases reported of knee pain now in the early 30s and 40s are of the early signs of Osteoarthritis of the knee. These degenerative changes are occurring due to the lifestyle and lack of proper physical activity. Due to which there is a weakness of muscles of the lower limbs and leading to knee joint reduced space. There is a method to control the degenerative process to progress. Exercises under a guided physiotherapist in the initial stages and later at home by self-effort is advised. Exercises include - static hamstring, static Qua Chat Doctor. Each exercise is implemented to focus on the required weak muscles and also the muscles which provide imbalances to the joint. Proper training will help to control the progression of the degenerative changes and improve the quality of life. Hope I have answered your query. Let me know if I can assist you further. Jay In	<\|start_header_id\|>system<\|end_header_id\|>If you are a doctor, please answer the medical questions based on the patient's description.<\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> This is the question: i am 35 years old. there are gaps in my knee joint. I want to know the natural ways to slow down the degeneration process of my knee tssues. its a ostearthiritis in the earliest stage. please help n wanted to know the excersies also for the same condition<\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|>Hello, In most cases reported of knee pain now in the early 30s and 40s are of the early signs of Osteoarthritis of the knee. These degenerative changes are occurring due to the lifestyle and lack of proper physical activity. Due to which there is a weakness of muscles of the lower limbs and leading to knee joint reduced space. There is a method to control the degenerative process to progress. Exercises under a guided physiotherapist in the initial stages and later at home by self-effort is advised. Exercises include - static hamstring, static Qua Chat Doctor. Each exercise is implemented to focus on the required weak muscles and also the muscles which provide imbalances to the joint. Proper training will help to control the progression of the degenerative changes and improve the quality of life. Hope I have answered your query. Let me know if I can assist you further. Jay In<\|eot_id\|>
If you are a doctor, please answer the medical questions based on the patient's description.	I just got my blood work done and my doctor has indicated that my MCV count was high at 103. All the other results came back normal (ie	Hello, you should compare this MCV (103) with older measurements. If your values were lower in the past than your implied high alcohol consumption may cause it, although this is usually attributed to malnutrition in alcoholic patients, that is reduced consumption of folic acid and B12 vitamin. Increased MCV may also be found in various hematologic conditions including the myelodysplasia syn Chat Doctor. The comparison will answer whether investigation is needed or not. If you've always had a value around 103 then no further investigation would be warranted. I hope I've helped! If you'd like more information, please let me know. I'll be glad to answer. Kind Regards!	<\|start_header_id\|>system<\|end_header_id\|>If you are a doctor, please answer the medical questions based on the patient's description.<\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> This is the question: I just got my blood work done and my doctor has indicated that my MCV count was high at 103. All the other results came back normal (ie<\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|>Hello, you should compare this MCV (103) with older measurements. If your values were lower in the past than your implied high alcohol consumption may cause it, although this is usually attributed to malnutrition in alcoholic patients, that is reduced consumption of folic acid and B12 vitamin. Increased MCV may also be found in various hematologic conditions including the myelodysplasia syn Chat Doctor. The comparison will answer whether investigation is needed or not. If you've always had a value around 103 then no further investigation would be warranted. I hope I've helped! If you'd like more information, please let me know. I'll be glad to answer. Kind Regards!<\|eot_id\|>
If you are a doctor, please answer the medical questions based on the patient's description.	Hi Sir After unprotected sex I had given my GF Unwanted 72,but on very next adjacent day also we had unprotected sex,whether the same tablet will effective for next days sex also or would I need to give one more tablet at that day.. I am worried as her periods delayed this month,her due date is 8th of every month but still her periods not came	Hello, Unwanted 72 pill gives protection for next 72 hrs theoretically, and you can involve in unprotected sex during this time. However, I suggest taking another pill soon after second time sexual intercourse for safety purpose. It can cause late period due to hormonal imbalance and associated mental stress. Her period may be delayed for 1-2 weeks. I suggest her to undergo one home pregnancy test if period is delayed more than 1 week. On negative result, she can take Progesterone pill to induce period. Kindly, consult with her doctor for if she doesn't get her period within next 10 days. Good luck and practice safe sex.	<\|start_header_id\|>system<\|end_header_id\|>If you are a doctor, please answer the medical questions based on the patient's description.<\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> This is the question: Hi Sir After unprotected sex I had given my GF Unwanted 72,but on very next adjacent day also we had unprotected sex,whether the same tablet will effective for next days sex also or would I need to give one more tablet at that day.. I am worried as her periods delayed this month,her due date is 8th of every month but still her periods not came<\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|>Hello, Unwanted 72 pill gives protection for next 72 hrs theoretically, and you can involve in unprotected sex during this time. However, I suggest taking another pill soon after second time sexual intercourse for safety purpose. It can cause late period due to hormonal imbalance and associated mental stress. Her period may be delayed for 1-2 weeks. I suggest her to undergo one home pregnancy test if period is delayed more than 1 week. On negative result, she can take Progesterone pill to induce period. Kindly, consult with her doctor for if she doesn't get her period within next 10 days. Good luck and practice safe sex.<\|eot_id\|>
If you are a doctor, please answer the medical questions based on the patient's description.	HI, I was in an accident and now they say I have high blood pressure, not now but a while ago. I have an heart injury, back, neck and other. But how can you verify that in case it s just a doctor on a power trip or the insurance company that wont pay you claim or your insurance bills? They have grabbed me and put me on anti depressants and made me grain over 60 lbs and mounting. What if it medical fraud, how can you tell. They grabbed my bp machine and my scale gave a different weight than them and when I got out the hospital fatter the doctor said the weight was the same. But it wasn t true and they seem to play crazy like they don t know what I m talking about. And saying drop my claim.	Hello! Welcome on Chat Doctor! Regarding your concern, I would explain that it is important performing some tests to examine better you clinical situation	<\|start_header_id\|>system<\|end_header_id\|>If you are a doctor, please answer the medical questions based on the patient's description.<\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> This is the question: HI, I was in an accident and now they say I have high blood pressure, not now but a while ago. I have an heart injury, back, neck and other. But how can you verify that in case it s just a doctor on a power trip or the insurance company that wont pay you claim or your insurance bills? They have grabbed me and put me on anti depressants and made me grain over 60 lbs and mounting. What if it medical fraud, how can you tell. They grabbed my bp machine and my scale gave a different weight than them and when I got out the hospital fatter the doctor said the weight was the same. But it wasn t true and they seem to play crazy like they don t know what I m talking about. And saying drop my claim.<\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|>Hello! Welcome on Chat Doctor! Regarding your concern, I would explain that it is important performing some tests to examine better you clinical situation<\|eot_id\|>
If you are a doctor, please answer the medical questions based on the patient's description.	I am having an allergic reaction on parts of my face. I think it is from my limictal or this face med I take. The allergic reaction is bothering me. I keep touching and itching my face. If I put cream or other stuff on it, my face will start burning and stinging. I am gonna look for a Dermotoligist in a few days. What can I do so I will stop touching and itching my face till I find a Dermotoligist?	Thanks for writing in Chat Doctor. You have to avoid the cosmetic creams or other cosmetics which may cause allergy on your face. Wash your mouth three or four times in a day with water. Don't use excessive cold or hot water. Itching may be at least partially controlled with the use of low-sedating antihistamines. You can use lover, it will reduce the burning sensation of your face. Protect your face from direct sunlight and dust. Avoid traumatizing the skin by keeping fingernails short and hands clean to avoid scratching and infecting the skin. Wishing you a good health.	<\|start_header_id\|>system<\|end_header_id\|>If you are a doctor, please answer the medical questions based on the patient's description.<\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> This is the question: I am having an allergic reaction on parts of my face. I think it is from my limictal or this face med I take. The allergic reaction is bothering me. I keep touching and itching my face. If I put cream or other stuff on it, my face will start burning and stinging. I am gonna look for a Dermotoligist in a few days. What can I do so I will stop touching and itching my face till I find a Dermotoligist?<\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|>Thanks for writing in Chat Doctor. You have to avoid the cosmetic creams or other cosmetics which may cause allergy on your face. Wash your mouth three or four times in a day with water. Don't use excessive cold or hot water. Itching may be at least partially controlled with the use of low-sedating antihistamines. You can use lover, it will reduce the burning sensation of your face. Protect your face from direct sunlight and dust. Avoid traumatizing the skin by keeping fingernails short and hands clean to avoid scratching and infecting the skin. Wishing you a good health.<\|eot_id\|>
If you are a doctor, please answer the medical questions based on the patient's description.	Please yes, I had a very bad fall 4 weeks ago, landed on the front of my body, had a concussion, black eye and injured the ribs, stomach, and since then have not had a good bowel movement. I have passed a few hard small rock shaped pieces of stool. For the past 5 days I have taken Pure Max from CVS and till have not passed much. Tonight I feel so full and stressed in my stomach. I please need some help with this. I am also starting to have a fever tonight, finding it hard to lay down, causing pain in lower left side and fullness in stomach. What am I to do.	Hello, I have studied your case. Pain in stomach with fever indicates abdominal or pelvis pathology. Various possibilities include appendix inflammation, gall bladder infection, to muscle strain or renal calculi. Possibility of sciatica can be ruled out by MRI spine. You may need X-ray and Ultrasonography abdomen and pelvis. And also check your it B12 and it D3 level. Medication like methylcobalamine and analgesic will reduce pain. Hope this helps. Wish you a speedy recovery. Take care.	<\|start_header_id\|>system<\|end_header_id\|>If you are a doctor, please answer the medical questions based on the patient's description.<\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> This is the question: Please yes, I had a very bad fall 4 weeks ago, landed on the front of my body, had a concussion, black eye and injured the ribs, stomach, and since then have not had a good bowel movement. I have passed a few hard small rock shaped pieces of stool. For the past 5 days I have taken Pure Max from CVS and till have not passed much. Tonight I feel so full and stressed in my stomach. I please need some help with this. I am also starting to have a fever tonight, finding it hard to lay down, causing pain in lower left side and fullness in stomach. What am I to do.<\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|>Hello, I have studied your case. Pain in stomach with fever indicates abdominal or pelvis pathology. Various possibilities include appendix inflammation, gall bladder infection, to muscle strain or renal calculi. Possibility of sciatica can be ruled out by MRI spine. You may need X-ray and Ultrasonography abdomen and pelvis. And also check your it B12 and it D3 level. Medication like methylcobalamine and analgesic will reduce pain. Hope this helps. Wish you a speedy recovery. Take care.<\|eot_id\|>
If you are a doctor, please answer the medical questions based on the patient's description.	I sometimes get a sharp pain in the left side of my chest (heart area), sometimes stronger than other times. Sometimes the pain runs down my left arm strongly and quickly. it has been happening more often as time goes on. I had a heart murmur when i was born but I was told it went away. Could i be developing a problem with my heart as time goes on? I am in fairly good health, not overweight and have no other health problems. I have used stimulants recreationally in the past, could this be contributing to the pain and should I stay away from them in the future?	Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should definitely rule out heart diseases first because you had murmured in the past. So get done blood pressure monitoring, ECG, 2d echo and stress test (trade mill test). If all these are normal then no need to worry about heart diseases. Apply warm water pad on affected areas of chest and arm. Avoid movements causing pain. Take simple painkiller like paracetamol or ibuprofen. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.	<\|start_header_id\|>system<\|end_header_id\|>If you are a doctor, please answer the medical questions based on the patient's description.<\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> This is the question: I sometimes get a sharp pain in the left side of my chest (heart area), sometimes stronger than other times. Sometimes the pain runs down my left arm strongly and quickly. it has been happening more often as time goes on. I had a heart murmur when i was born but I was told it went away. Could i be developing a problem with my heart as time goes on? I am in fairly good health, not overweight and have no other health problems. I have used stimulants recreationally in the past, could this be contributing to the pain and should I stay away from them in the future?<\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|>Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should definitely rule out heart diseases first because you had murmured in the past. So get done blood pressure monitoring, ECG, 2d echo and stress test (trade mill test). If all these are normal then no need to worry about heart diseases. Apply warm water pad on affected areas of chest and arm. Avoid movements causing pain. Take simple painkiller like paracetamol or ibuprofen. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.<\|eot_id\|>
If you are a doctor, please answer the medical questions based on the patient's description.	I am not having periods since last 5 days and i also tested whether i am pregnant or not the results are negative. But still now no sign of periods. Few days earlier i slipped and fell down badly and it stroke my head and waist. Is this the reason of not having periods?	Hello, and I hope I can help you today. Having your period come late or skip occasionally is common in many women, even when they are not pregnant. Most of the time, a delayed period can just be a chance event, but it also can because by stress, changing time zones or traveling, recent weight gain or weight loss. If that is the case, you will usually get it somewhere between 2 and 4 weeks late. A fall usually will not affect your menstrual cycle, unless the stress of your injury was a factor. Either way, there is nothing dangerous about missing your period once in a while. If you miss your period for more than 3 months, you should see a gynecologist, so you can be evaluated for hormone imbalanced and the doctor can prescribe appropriate medication to help your period to come. If you are at risk for pregnancy (meaning if you had unprotected sex in the last three weeks), you should repeat the pregnancy test in a week or so just in case. I hope I was able to adequately answer your question today and that my advice was helpful. Best wishes,	<\|start_header_id\|>system<\|end_header_id\|>If you are a doctor, please answer the medical questions based on the patient's description.<\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> This is the question: I am not having periods since last 5 days and i also tested whether i am pregnant or not the results are negative. But still now no sign of periods. Few days earlier i slipped and fell down badly and it stroke my head and waist. Is this the reason of not having periods?<\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|>Hello, and I hope I can help you today. Having your period come late or skip occasionally is common in many women, even when they are not pregnant. Most of the time, a delayed period can just be a chance event, but it also can because by stress, changing time zones or traveling, recent weight gain or weight loss. If that is the case, you will usually get it somewhere between 2 and 4 weeks late. A fall usually will not affect your menstrual cycle, unless the stress of your injury was a factor. Either way, there is nothing dangerous about missing your period once in a while. If you miss your period for more than 3 months, you should see a gynecologist, so you can be evaluated for hormone imbalanced and the doctor can prescribe appropriate medication to help your period to come. If you are at risk for pregnancy (meaning if you had unprotected sex in the last three weeks), you should repeat the pregnancy test in a week or so just in case. I hope I was able to adequately answer your question today and that my advice was helpful. Best wishes,<\|eot_id\|>
If you are a doctor, please answer the medical questions based on the patient's description.	hi doctor , i got married 1year 8months back. now i am 23 year old. for last 6 month i cought thyroid. now i am alright. i had taken folliclar sonography(TAS).the report is 13th day of follicular study showing larger follicle in the left overy measuring 10mm and in right overy measuring 9mm. endometrial thickness is 5mm free fluid nil. we consult a doctor she gave me tablet for five days name of the medicine is fertomid-50. next month my husband going back to his work place. pls help me	Hi, actually your follicles are not growing normally. So, Fatimid is given to increase the size of the follicles. Track your follicles' growth by repeated ultrasound and when your follicles is more than 17 mm, take injection for rupturing the follicles. Be in contact with your husband for next 2 to 3 days. Take progesterone for next 2 weeks. Do a urine pregnancy test after that. You can try like that for 3 to 6 months. Don't stop your thyroid medicine without doctor advice. Hope I have answered your question. If you have any other query I will be happy to help. Regards Chat Doctor.	<\|start_header_id\|>system<\|end_header_id\|>If you are a doctor, please answer the medical questions based on the patient's description.<\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> This is the question: hi doctor , i got married 1year 8months back. now i am 23 year old. for last 6 month i cought thyroid. now i am alright. i had taken folliclar sonography(TAS).the report is 13th day of follicular study showing larger follicle in the left overy measuring 10mm and in right overy measuring 9mm. endometrial thickness is 5mm free fluid nil. we consult a doctor she gave me tablet for five days name of the medicine is fertomid-50. next month my husband going back to his work place. pls help me<\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|>Hi, actually your follicles are not growing normally. So, Fatimid is given to increase the size of the follicles. Track your follicles' growth by repeated ultrasound and when your follicles is more than 17 mm, take injection for rupturing the follicles. Be in contact with your husband for next 2 to 3 days. Take progesterone for next 2 weeks. Do a urine pregnancy test after that. You can try like that for 3 to 6 months. Don't stop your thyroid medicine without doctor advice. Hope I have answered your question. If you have any other query I will be happy to help. Regards Chat Doctor.<\|eot_id\|>
If you are a doctor, please answer the medical questions based on the patient's description.	Over the past 3 months I have had a lot of abdominal discomfort. Pain seems to be random and often occurs under both ribs. I also expecrience discomfort in my lower abdomen and on both sides. I recently had a lot of pain in my right testicle and when I went to the doctor she said I may have epidytimitis and gave me doxycycline. The pain went away later that night but I continued to take the pills. Urine and bowel movements are normal. Discomfort seems worse when I am sitting around and doesnt seem to bother me when I am working or exercising.	Hi. Thanks for your query. You have pains in the abdomen for the past 3 months occurring randomly below the ribs, on both sides and lower abdomen and now started in the right testicle which got better with Doxycycline. Doxycycline worked well for the most probable cause of pain in abdomen which might have been due to urinary tract infection. Please continue Doxycycline and get fully investigated as you are having this problem for a long time of 3 months	<\|start_header_id\|>system<\|end_header_id\|>If you are a doctor, please answer the medical questions based on the patient's description.<\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> This is the question: Over the past 3 months I have had a lot of abdominal discomfort. Pain seems to be random and often occurs under both ribs. I also expecrience discomfort in my lower abdomen and on both sides. I recently had a lot of pain in my right testicle and when I went to the doctor she said I may have epidytimitis and gave me doxycycline. The pain went away later that night but I continued to take the pills. Urine and bowel movements are normal. Discomfort seems worse when I am sitting around and doesnt seem to bother me when I am working or exercising.<\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|>Hi. Thanks for your query. You have pains in the abdomen for the past 3 months occurring randomly below the ribs, on both sides and lower abdomen and now started in the right testicle which got better with Doxycycline. Doxycycline worked well for the most probable cause of pain in abdomen which might have been due to urinary tract infection. Please continue Doxycycline and get fully investigated as you are having this problem for a long time of 3 months<\|eot_id\|>
If you are a doctor, please answer the medical questions based on the patient's description.	I have had a severe toothache in my upper right side tooth for seven days now . I just also noticed a swelling which is bulgy and a little hard at the middle of my hard palate. it hurts when I eat something hurt or cold. when pressed, it does not really hurt. the pain from my tooth is felt in my ears, eyes and mouth. what can that swelling be? Do u think it can be caused by the toothache	Thanks for your query, I have gone through your question the swelling in the palate could be because of a tooth infection like periapical abscess or cyst, or it can be because of any salivary gland tumor also...consult an oral physician and get radiographs like IOP AR, and OPG.later we can treat the condition...you might have to take a course of antibiotic if there is infection... I hope my answer will help you.take care.	<\|start_header_id\|>system<\|end_header_id\|>If you are a doctor, please answer the medical questions based on the patient's description.<\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> This is the question: I have had a severe toothache in my upper right side tooth for seven days now . I just also noticed a swelling which is bulgy and a little hard at the middle of my hard palate. it hurts when I eat something hurt or cold. when pressed, it does not really hurt. the pain from my tooth is felt in my ears, eyes and mouth. what can that swelling be? Do u think it can be caused by the toothache<\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|>Thanks for your query, I have gone through your question the swelling in the palate could be because of a tooth infection like periapical abscess or cyst, or it can be because of any salivary gland tumor also...consult an oral physician and get radiographs like IOP AR, and OPG.later we can treat the condition...you might have to take a course of antibiotic if there is infection... I hope my answer will help you.take care.<\|eot_id\|>
If you are a doctor, please answer the medical questions based on the patient's description.	Hi I am 26 years old and married for 1.5 years. My husband and I are now trying to have a baby. I have been diagnosed with PCOS. There have been instances where I havent had my periods for over 40 days. My gynac advised me to take Memprate and I got my periods thrice in 15 days intervals. This was 40 days ago. My gynac asked me to stop Memprate and take Duphaston from the 15th day of my regular period. But it has been 38 days now. I still havent had my period. I am starting to get concerned about getting pregnant. My gynac is out of town for the next one month. I am getting a bit restless. Please help!	If you have already been diagnosed with PCs, your treatment is clear. In PCs, the problem is that the eggs are getting matured but do not get released from the ovary. There is hormonal imbalance in this. Infertility, irregular menses and coarse hairs on the unwanted sites are few symptoms of the whole underlying syn Chat Doctor. The main aim is to get the eggs released. There are different types of medicines which are given to get these eggs released. I am specifically not prescribing them here as they are to be prescribed by a specialist only after thorough investigations. Moreover, these medicines have to be taken under an expert supervision. There is another mode of managing these cases by surgical intervention. Now-a-days, puncture of the ovaries is done through laparoscope (telescope). Some prefer to do it as a primary line of treatment while others only after the failure of conservative line of treatment. However, while your treatment is on, please get your partners evaluation also done. After all you two are going to have the child.	<\|start_header_id\|>system<\|end_header_id\|>If you are a doctor, please answer the medical questions based on the patient's description.<\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> This is the question: Hi I am 26 years old and married for 1.5 years. My husband and I are now trying to have a baby. I have been diagnosed with PCOS. There have been instances where I havent had my periods for over 40 days. My gynac advised me to take Memprate and I got my periods thrice in 15 days intervals. This was 40 days ago. My gynac asked me to stop Memprate and take Duphaston from the 15th day of my regular period. But it has been 38 days now. I still havent had my period. I am starting to get concerned about getting pregnant. My gynac is out of town for the next one month. I am getting a bit restless. Please help!<\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|>If you have already been diagnosed with PCs, your treatment is clear. In PCs, the problem is that the eggs are getting matured but do not get released from the ovary. There is hormonal imbalance in this. Infertility, irregular menses and coarse hairs on the unwanted sites are few symptoms of the whole underlying syn Chat Doctor. The main aim is to get the eggs released. There are different types of medicines which are given to get these eggs released. I am specifically not prescribing them here as they are to be prescribed by a specialist only after thorough investigations. Moreover, these medicines have to be taken under an expert supervision. There is another mode of managing these cases by surgical intervention. Now-a-days, puncture of the ovaries is done through laparoscope (telescope). Some prefer to do it as a primary line of treatment while others only after the failure of conservative line of treatment. However, while your treatment is on, please get your partners evaluation also done. After all you two are going to have the child.<\|eot_id\|>
If you are a doctor, please answer the medical questions based on the patient's description.	12 year old boy. In November of 2012 he developed a painful right knee with mild swelling. There was no history of trauma. Radiographs and MRI of the knee were normal. Lyme and autoimmune profile were negative. Normal CBC and chemistry. It resolved late December without treatment. Sudden onset of chronic frontal headache on January 13, 2014. Pain is described as pressure with occasional ice pick spiking. There is chronic nasal congestion and hyperesthesia over the entire body. His joints crack often, causing pain. MRI, MRA and MRV normal with the exception of congenital sinus abnormalities which were thought to be incidental. No response to IV DHE, baclofen, hydroxyzine, tizanidine, ketorolac, indomethacin, acetominophen, ibuprofen, methylprednisolone. Currently on Bystolic and topamax with little response. Light and sound make headache worse. Minimal sleep apnea not thought to contribute (Pulse ox gets down to 97% during apnic episodes)	Here in headline you have asked for treatment for swollen knee pain. And in your explanation you have mention many other issues like headache and sinus problem too. You have mention patient have taken many medications, but I suggest when MRI showing every thing normal for head and if it is only sinus. Then for that you can give him multi vitamin and multi mineral supplement from natural source along with some exclusive vitamin c supplement. And also ask him to do yoga and paranasal regularly for some more relief. For sinus if it does not work then visit a good ENT doctor for further examination and treatment. For knee pain again if MRI is normal and there is no history of trauma then it can be knee cap movement disorder. I suggest visiting a good or tho and physio for further examination and treatment. Here in physio they will also help with different exercises which will help to correct the biomechanics of knee joint. As well electron therapy along with heating will help for some more pain relief. You can also use on your own cold pack at home to reduce inflammation and swelling. Follow all above steps, and I am sure it will be helpful. Take care.	<\|start_header_id\|>system<\|end_header_id\|>If you are a doctor, please answer the medical questions based on the patient's description.<\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> This is the question: 12 year old boy. In November of 2012 he developed a painful right knee with mild swelling. There was no history of trauma. Radiographs and MRI of the knee were normal. Lyme and autoimmune profile were negative. Normal CBC and chemistry. It resolved late December without treatment. Sudden onset of chronic frontal headache on January 13, 2014. Pain is described as pressure with occasional ice pick spiking. There is chronic nasal congestion and hyperesthesia over the entire body. His joints crack often, causing pain. MRI, MRA and MRV normal with the exception of congenital sinus abnormalities which were thought to be incidental. No response to IV DHE, baclofen, hydroxyzine, tizanidine, ketorolac, indomethacin, acetominophen, ibuprofen, methylprednisolone. Currently on Bystolic and topamax with little response. Light and sound make headache worse. Minimal sleep apnea not thought to contribute (Pulse ox gets down to 97% during apnic episodes)<\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|>Here in headline you have asked for treatment for swollen knee pain. And in your explanation you have mention many other issues like headache and sinus problem too. You have mention patient have taken many medications, but I suggest when MRI showing every thing normal for head and if it is only sinus. Then for that you can give him multi vitamin and multi mineral supplement from natural source along with some exclusive vitamin c supplement. And also ask him to do yoga and paranasal regularly for some more relief. For sinus if it does not work then visit a good ENT doctor for further examination and treatment. For knee pain again if MRI is normal and there is no history of trauma then it can be knee cap movement disorder. I suggest visiting a good or tho and physio for further examination and treatment. Here in physio they will also help with different exercises which will help to correct the biomechanics of knee joint. As well electron therapy along with heating will help for some more pain relief. You can also use on your own cold pack at home to reduce inflammation and swelling. Follow all above steps, and I am sure it will be helpful. Take care.<\|eot_id\|>
If you are a doctor, please answer the medical questions based on the patient's description.	hello, its currently almost 3am where i live (california) and im worried because my mother, 48 yrs. old, and a diabetic, just woke me up a little bit ago, and she was shaking because shes freezing, and has a really bad lower abdomen pain... then she vomited, and she cant go #2 in the bathroom.....	HI. Thanks for your query. I have read the history, albeit small and understood the problem. This looks to be gastroenteritis with septicemia. Septicemia gives rise to chills. IF the infection is of a specific gram negative variety, there may not be any fever and that is why this becomes misleading. I would advise you to take your Mother to the nearby hospital / ER and get investigated and treated on an urgent basis. She needs intravenous antibiotics and fluids to correct the deny Chat Doctor. Additions test may be required for ruling out diabetes.	<\|start_header_id\|>system<\|end_header_id\|>If you are a doctor, please answer the medical questions based on the patient's description.<\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> This is the question: hello, its currently almost 3am where i live (california) and im worried because my mother, 48 yrs. old, and a diabetic, just woke me up a little bit ago, and she was shaking because shes freezing, and has a really bad lower abdomen pain... then she vomited, and she cant go #2 in the bathroom.....<\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|>HI. Thanks for your query. I have read the history, albeit small and understood the problem. This looks to be gastroenteritis with septicemia. Septicemia gives rise to chills. IF the infection is of a specific gram negative variety, there may not be any fever and that is why this becomes misleading. I would advise you to take your Mother to the nearby hospital / ER and get investigated and treated on an urgent basis. She needs intravenous antibiotics and fluids to correct the deny Chat Doctor. Additions test may be required for ruling out diabetes.<\|eot_id\|>
If you are a doctor, please answer the medical questions based on the patient's description.	I am 19 and have 2 pituitary tumors. was told that the tumors are not causing headaches but i have one everyday some days are very bad and i feel shaky all over and anything i take for my headache does not work. I have recently loss my appetite i am getting worried and feeling bad.	Hello! Welcome on Chat Doctor! I understand your concern and would explain that the pituitary gland is the most important hormonal gland in our body. It regulated the balance of many hormones. Your symptoms could be related to a hormonal imbalance. That is why I would recommend consulting with an endocrinologist and performing some hormone levels (TSH, LH, GH, GRH, TRY, FSH, ACTH, cortisol, etc.). A new MRI would be needed to evaluate the possible progression of the tumor. Hope you will find this answer helpful! Wishing all the best,	<\|start_header_id\|>system<\|end_header_id\|>If you are a doctor, please answer the medical questions based on the patient's description.<\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> This is the question: I am 19 and have 2 pituitary tumors. was told that the tumors are not causing headaches but i have one everyday some days are very bad and i feel shaky all over and anything i take for my headache does not work. I have recently loss my appetite i am getting worried and feeling bad.<\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|>Hello! Welcome on Chat Doctor! I understand your concern and would explain that the pituitary gland is the most important hormonal gland in our body. It regulated the balance of many hormones. Your symptoms could be related to a hormonal imbalance. That is why I would recommend consulting with an endocrinologist and performing some hormone levels (TSH, LH, GH, GRH, TRY, FSH, ACTH, cortisol, etc.). A new MRI would be needed to evaluate the possible progression of the tumor. Hope you will find this answer helpful! Wishing all the best,<\|eot_id\|>
If you are a doctor, please answer the medical questions based on the patient's description.	Hi, may I answer your health queries right now ? Please type your query here...47yo 58 220 lbs started sneezing wednesday night was nasally congested thursday and friday today I have painful lungs when inhaling, wheezing crackling and hard to catch my breath small bits of sputum but nothing significant yellowish green, its getting harder to breathe each hour like the pipes are closing up I tried the hot steam from the shower for a few minutes but didnt help	Hi welcome to the Chat Doctor According to history provided bronchoconstriction present... Hence, rule out acute bronchitis or asthma like allergy inflammation of bronchi... Your work up done as follows... -first thing needed is Auscultation -CBC with AEC value -Chest x-ray -Spirometry if needed after seeing x-ray -sputum examination only if x-ray shows consolidation According to reports further treatment decided You will be given decongestant for Symptomatic relief like defense Chat Doctor. . Avoid excess spicy foods and fatty meals	<\|start_header_id\|>system<\|end_header_id\|>If you are a doctor, please answer the medical questions based on the patient's description.<\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> This is the question: Hi, may I answer your health queries right now ? Please type your query here...47yo 58 220 lbs started sneezing wednesday night was nasally congested thursday and friday today I have painful lungs when inhaling, wheezing crackling and hard to catch my breath small bits of sputum but nothing significant yellowish green, its getting harder to breathe each hour like the pipes are closing up I tried the hot steam from the shower for a few minutes but didnt help<\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|>Hi welcome to the Chat Doctor According to history provided bronchoconstriction present... Hence, rule out acute bronchitis or asthma like allergy inflammation of bronchi... Your work up done as follows... -first thing needed is Auscultation -CBC with AEC value -Chest x-ray -Spirometry if needed after seeing x-ray -sputum examination only if x-ray shows consolidation According to reports further treatment decided You will be given decongestant for Symptomatic relief like defense Chat Doctor. . Avoid excess spicy foods and fatty meals<\|eot_id\|>
If you are a doctor, please answer the medical questions based on the patient's description.	Hello, I am 21 years old, 120lbs. and a female. I have been having a health problem that I cant seem to get resolved by any of the doctors I have seen. About a year and a half ago, I have been extremely gaseous. It feels like I have suppressed gas trapped in my chest and I am constantly burping or trying to burp to relieve it. However, as soon as I do so, the suppress gas returns. I am gaseous at both ends. I never had my tonsils out and I also notice that when I get run down, I have swollen lymph nodes in my throat and my voice gets hoarse. I have been to an ENT doctor and they told me that I do not have a deviated septum even though I sleep with my mouth open. I also am now seeing a gastroenterologist and they said it is not reflux etc. Do you think my sinuses are causing me all of my problems?	His, you said you have had gaseous feeling since one and half years, from what I understand it can be gastritis or acid reflux both of which can be relieved by taking antacids. If I were your treating doctor, I would have suggested you tab. Omez 20\u00a0mg or tab. Panto 40\u00a0mg once daily on empty stomach. If these doesn't relieve the symptoms, combination of an antacid with McCain gel is better in relieving gastritis. Avoiding spicy foods and having proper meals at regular intervals can greatly decrease the gaseous feeling. Lymph node swelling usually can occur in minor bacterial or viral infections of throat even though there is no septal deviation. Sinusitis (infection of sinuses) also causes lymph nodal swelling sometimes. I would suggest you to get a X-ray of para nasal sinuses which gives a clear picture if the problem is with sinuses. These conditions can be treated with taking antibiotics like amoxicillin 500\u00a0mg twice daily when u have episodes of swelling. I hope my answer helped you in clearing your doubts. Thank you.	<\|start_header_id\|>system<\|end_header_id\|>If you are a doctor, please answer the medical questions based on the patient's description.<\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> This is the question: Hello, I am 21 years old, 120lbs. and a female. I have been having a health problem that I cant seem to get resolved by any of the doctors I have seen. About a year and a half ago, I have been extremely gaseous. It feels like I have suppressed gas trapped in my chest and I am constantly burping or trying to burp to relieve it. However, as soon as I do so, the suppress gas returns. I am gaseous at both ends. I never had my tonsils out and I also notice that when I get run down, I have swollen lymph nodes in my throat and my voice gets hoarse. I have been to an ENT doctor and they told me that I do not have a deviated septum even though I sleep with my mouth open. I also am now seeing a gastroenterologist and they said it is not reflux etc. Do you think my sinuses are causing me all of my problems?<\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|>His, you said you have had gaseous feeling since one and half years, from what I understand it can be gastritis or acid reflux both of which can be relieved by taking antacids. If I were your treating doctor, I would have suggested you tab. Omez 20\u00a0mg or tab. Panto 40\u00a0mg once daily on empty stomach. If these doesn't relieve the symptoms, combination of an antacid with McCain gel is better in relieving gastritis. Avoiding spicy foods and having proper meals at regular intervals can greatly decrease the gaseous feeling. Lymph node swelling usually can occur in minor bacterial or viral infections of throat even though there is no septal deviation. Sinusitis (infection of sinuses) also causes lymph nodal swelling sometimes. I would suggest you to get a X-ray of para nasal sinuses which gives a clear picture if the problem is with sinuses. These conditions can be treated with taking antibiotics like amoxicillin 500\u00a0mg twice daily when u have episodes of swelling. I hope my answer helped you in clearing your doubts. Thank you.<\|eot_id\|>
If you are a doctor, please answer the medical questions based on the patient's description.	I have what can be referredTo as trench mouth and have been on zpack and steroids for 3 days. I have seen not much improvement but it hasnt gotten worse	Hello, Welcome to Chat Doctor. Trench mouth is a bacterial infection of mouth and gums in which gums become painful and ulcers also develops. Sometimes bleeding too. It is mainly due to bad oral hygiene, poor nutrition, smoking, alcohol and stress in life. It affects in your age group more. Maintain good oral hygiene, avoid smoking and stress to cure it. Brush twice daily. Apply lidocaine gel before eating. Take paracetamol or ibuprofen to relieve pain. Hope this will help you. Take care...	<\|start_header_id\|>system<\|end_header_id\|>If you are a doctor, please answer the medical questions based on the patient's description.<\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> This is the question: I have what can be referredTo as trench mouth and have been on zpack and steroids for 3 days. I have seen not much improvement but it hasnt gotten worse<\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|>Hello, Welcome to Chat Doctor. Trench mouth is a bacterial infection of mouth and gums in which gums become painful and ulcers also develops. Sometimes bleeding too. It is mainly due to bad oral hygiene, poor nutrition, smoking, alcohol and stress in life. It affects in your age group more. Maintain good oral hygiene, avoid smoking and stress to cure it. Brush twice daily. Apply lidocaine gel before eating. Take paracetamol or ibuprofen to relieve pain. Hope this will help you. Take care...<\|eot_id\|>
If you are a doctor, please answer the medical questions based on the patient's description.	I m an 18 year old virgin. Do you recommend taking an i pill, since there wasn t any penetrative sex involved but the genitals did come In contact, we re rubbed against each other. This happened less than an hour ago. Is it safe to take one pill just as a precaution?	Hi, Welcome to Chat Doctor. I am Chat Doctor. I appreciate your concerns. The pre-ejaculate fluid (pre-cum) does contain few sperms. As the genitals did come in contact (even though there was no penetrative sex), there is a small possibility of pregnancy if this is your fertile period now. When was your last period?Therefore, take Pill immediately. Pill taken within 24 hours is 95% effective in preventing pregnancy. Pill does not have any long term side effects. So don't worry. Please consult your doctor and start using regular contraceptive pills. They are more effective than Pill in preventing pregnancy. If you think you are at risk of STDs barrier contraceptives like condom should be used during sex. I hope this is helpful. If you have further concerns, I will be happy to answer. Best wishes, Chat Doctor.	<\|start_header_id\|>system<\|end_header_id\|>If you are a doctor, please answer the medical questions based on the patient's description.<\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> This is the question: I m an 18 year old virgin. Do you recommend taking an i pill, since there wasn t any penetrative sex involved but the genitals did come In contact, we re rubbed against each other. This happened less than an hour ago. Is it safe to take one pill just as a precaution?<\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|>Hi, Welcome to Chat Doctor. I am Chat Doctor. I appreciate your concerns. The pre-ejaculate fluid (pre-cum) does contain few sperms. As the genitals did come in contact (even though there was no penetrative sex), there is a small possibility of pregnancy if this is your fertile period now. When was your last period?Therefore, take Pill immediately. Pill taken within 24 hours is 95% effective in preventing pregnancy. Pill does not have any long term side effects. So don't worry. Please consult your doctor and start using regular contraceptive pills. They are more effective than Pill in preventing pregnancy. If you think you are at risk of STDs barrier contraceptives like condom should be used during sex. I hope this is helpful. If you have further concerns, I will be happy to answer. Best wishes, Chat Doctor.<\|eot_id\|>
If you are a doctor, please answer the medical questions based on the patient's description.	my wife was diagnosed with ovarian cancer 9 years and has been on various chemos the entire time.She recently deveoped pleurel effusion and had the fluid taken out.The results showed cancerous cells consistant with the ovarian cancer in the fluid.what does this mean as far as her treatment goes and is this the begining of the end stage?	Thanks for your question on Chat Doctor. Presence of malignant cells in pleural effusion means your wife is having Malignant Pleural Effusion. This is because of spread of ovarian cancer in the pleura. It is commonly seen in ovarian cancer. Malignant spread of pleura most commonly present as effusion and rarely as tumor mass and nodule. So this makes your wife stage 4 cancer patient. And despite various chemotherapy if she develops malignant pleural effusion means she is going towards end stage disease. Put pigtail catheter for removal of fluid. This gives her symptomatic relief. So consult pulmonologist for treatment options.	<\|start_header_id\|>system<\|end_header_id\|>If you are a doctor, please answer the medical questions based on the patient's description.<\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> This is the question: my wife was diagnosed with ovarian cancer 9 years and has been on various chemos the entire time.She recently deveoped pleurel effusion and had the fluid taken out.The results showed cancerous cells consistant with the ovarian cancer in the fluid.what does this mean as far as her treatment goes and is this the begining of the end stage?<\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|>Thanks for your question on Chat Doctor. Presence of malignant cells in pleural effusion means your wife is having Malignant Pleural Effusion. This is because of spread of ovarian cancer in the pleura. It is commonly seen in ovarian cancer. Malignant spread of pleura most commonly present as effusion and rarely as tumor mass and nodule. So this makes your wife stage 4 cancer patient. And despite various chemotherapy if she develops malignant pleural effusion means she is going towards end stage disease. Put pigtail catheter for removal of fluid. This gives her symptomatic relief. So consult pulmonologist for treatment options.<\|eot_id\|>
If you are a doctor, please answer the medical questions based on the patient's description.	Hi, I am a nurse, 2 days ago I got needle prick with a patient hep c positive, it happen given an insulin shot in the tummy and when he moved i got prick with the tip of the needle on the borrom of my thumb, it was superficila but I bleed a little. I did my baseline labs but I panicking	Hello, Thank you for your contact to Chat Doctor, I understand your concern and will give a resolution over it. If I am your doctor I advise you that there is practically a chance of getting Hepatitis C virus infection to you. The chances of getting infection decreases if you have taken the primary care like washing hand applying antiseptic solution etc. I will be happy to answer any of your concern, kindly contact me for further informationChatDoctorInfectious Disease Specialist.	<\|start_header_id\|>system<\|end_header_id\|>If you are a doctor, please answer the medical questions based on the patient's description.<\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> This is the question: Hi, I am a nurse, 2 days ago I got needle prick with a patient hep c positive, it happen given an insulin shot in the tummy and when he moved i got prick with the tip of the needle on the borrom of my thumb, it was superficila but I bleed a little. I did my baseline labs but I panicking<\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|>Hello, Thank you for your contact to Chat Doctor, I understand your concern and will give a resolution over it. If I am your doctor I advise you that there is practically a chance of getting Hepatitis C virus infection to you. The chances of getting infection decreases if you have taken the primary care like washing hand applying antiseptic solution etc. I will be happy to answer any of your concern, kindly contact me for further informationChatDoctorInfectious Disease Specialist.<\|eot_id\|>
If you are a doctor, please answer the medical questions based on the patient's description.	my husband is in the hospital with low to moderate fever, platlet count of 0000and hemoglobin count of about 7.9. he is an alcoholic. they have put him on a ventilater to keep him quiet for detoxing. my question is is he in danger of late stages of liver chirrosis. his liver already shows fatty cells and fluid arount the stomach. thank you	Hi and thanks for the query, The hemoglobin count you present is actually low and needs urgent attention. Depending on the clinical presentation, if the patient supports this hemoglobin level, Iron medication could be used and monitored. The injection or addition of vitamin K might be useful if his slotting profile is non-satisfactory. Liver cirrhosis is diagnosed on bases of an ultrasound, a liver work up and at times a liver biopsy. It might be necessary to consult a gastroenterologist for proper diagnosis and management. Thanks and best regards, Luchuo, MD.	<\|start_header_id\|>system<\|end_header_id\|>If you are a doctor, please answer the medical questions based on the patient's description.<\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> This is the question: my husband is in the hospital with low to moderate fever, platlet count of 0000and hemoglobin count of about 7.9. he is an alcoholic. they have put him on a ventilater to keep him quiet for detoxing. my question is is he in danger of late stages of liver chirrosis. his liver already shows fatty cells and fluid arount the stomach. thank you<\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|>Hi and thanks for the query, The hemoglobin count you present is actually low and needs urgent attention. Depending on the clinical presentation, if the patient supports this hemoglobin level, Iron medication could be used and monitored. The injection or addition of vitamin K might be useful if his slotting profile is non-satisfactory. Liver cirrhosis is diagnosed on bases of an ultrasound, a liver work up and at times a liver biopsy. It might be necessary to consult a gastroenterologist for proper diagnosis and management. Thanks and best regards, Luchuo, MD.<\|eot_id\|>
If you are a doctor, please answer the medical questions based on the patient's description.	My almost 3 yr old son has perfect circle red spots in hid lower back along his spine and 2 spots at the top of huts spine. He isnt itching them. They r not scaly and r flat. They just showed up like 2 days ago w no temp. What should I do and what could it b?	Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.	<\|start_header_id\|>system<\|end_header_id\|>If you are a doctor, please answer the medical questions based on the patient's description.<\|eot_id\|><\|start_header_id\|>user<\|end_header_id\|> This is the question: My almost 3 yr old son has perfect circle red spots in hid lower back along his spine and 2 spots at the top of huts spine. He isnt itching them. They r not scaly and r flat. They just showed up like 2 days ago w no temp. What should I do and what could it b?<\|eot_id\|><\|start_header_id\|>assistant<\|end_header_id\|>Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.<\|eot_id\|>