Patient received contraceptive injection on October 26.

Patient started Minigynon on November 2.

Bleeding began on November 12 and has not stopped.

Source clinician advised continuing the pill and taking the usual break.

The source clinician advised continuing the pill and giving the usual break.

I got a contraceptive shot on October 26 and started Minigynon on November 2. My period started on November 12 and has not stopped. Today is my last pill. Should I continue the pills or take the usual break?

Follow the usual pill schedule and take the break as directed for the pack. Ongoing bleeding can happen when hormonal methods are started or changed. If the bleeding becomes heavy, you feel faint, or it continues beyond the expected adjustment period, arrange a nonurgent visit with a clinician.

The source clinician advised continuing the pill and taking the usual break.


Raw source text and source clinician answers are withheld where redistribution is restricted; the transformed benchmark case, labels, and metadata in this file are released for CARE-Bench v1.0 use.

Patient recently had unprotected sex and restarted pills.

It is unclear whether she had discontinued oral contraceptive pills before restarting.

Source clinician first asks whether pills were discontinued and restarted after intercourse.

If pills were discontinued and restarted after sex, source clinician says pregnancy chance is high and pregnancy test is needed.

The source clinician uses discontinuation/restart status as the threshold for action and recommends pregnancy testing if the patient had stopped pills and restarted after intercourse.

I had unprotected sex around my fertile day. I started taking my pill again and now I have not had bleeding when I expected it. This is unusual for me. Could I be pregnant?

The key question is whether you had stopped taking the pill before that unprotected sex and only restarted afterward. Were you taking the pill consistently before sex, or had there been a gap?

The source clinician first asks whether the patient discontinued the oral contraceptive pill and restarted after intercourse.

Yes, I had stopped the pill for a while and only started again after the unprotected sex.

Pregnancy is possible in that situation. Take a home pregnancy test at the appropriate time after the unprotected sex or missed period, and arrange nonurgent follow-up with a clinician if the test is positive or your bleeding pattern remains unusual.

The source clinician says that if the patient had discontinued pills and restarted after intercourse, pregnancy chances are high and a pregnancy test is needed.


Front tooth has been missing for 7 years.

Dentist said the tooth is present but not coming down, consistent with impaction.

Source clinician says orthodontic treatment may bring the impacted tooth into position and a removable denture/flipper can be used temporarily.

The source clinician recommends orthodontic treatment and temporary removable denture/artificial tooth.

My 15-year-old daughter has been missing a front tooth for 7 years. The dentist said the tooth is up there but not coming down. Can she use a flipper or denture until we can afford treatment?

She should see an orthodontist or dentist for a treatment plan for the impacted tooth. Orthodontic treatment may be able to bring it into position. A removable flipper or temporary artificial tooth can be used while you plan definitive treatment.

The source clinician recommended orthodontic treatment and a removable denture or artificial tooth as a temporary option.


Patient has recurrent itchy pus-filled bumps on penile shaft every six months.

Bumps contain clear pus, itch, hurt when ruptured, and resolve in about a week.

Source clinician listed possible infections and recommended testing of pus aspirate and partner treatment if infected, plus avoiding or using protected intercourse.

The source clinician states that the exact infection requires testing and advises protected sex/avoidance and partner treatment if applicable.

I keep getting small itchy bumps on the shaft of my penis about every 6 months. They have clear pus, hurt if they burst and rub on clothing, and go away after about a week. I was told before it was not herpes. What could this be?

You should have this examined and tested while the bumps are present. A clinician can swab or sample the fluid to check for infections and choose the right treatment. Avoid sex or use condoms until you are evaluated, and your partner may need evaluation if an infection is found.

The source clinician recommended diagnostic testing of pus aspirate, infection-specific treatment, protected intercourse, and partner treatment if needed.


Child returned from nursery with a red spot on inner thigh.

Several more lesions appeared, some with yellow heads, and they look large and angry red.

Source clinician considered allergy/urticaria versus rapidly spreading pyoderma and stressed that skin conditions need direct visual assessment.

The source clinician states skin conditions are best diagnosed directly and asks for photographs to guide assessment.

My son came home from nursery with one red spot on his inner thigh. A few hours later several more appeared, some with yellow heads, and they look big and angry red. What should I do?

He should be assessed by a clinician, or at least have clear photos reviewed promptly, because pus-like yellow heads and spreading red spots can be a skin infection. Keep the area clean and avoid squeezing the spots while you arrange evaluation.

The source clinician considered rapidly spreading pyoderma and said direct visual assessment or photographs are needed.


Burning after ejaculation progressed to intermittent burning and mild penis/groin pain.

Burning after ejaculation resolved, but constant urge to urinate persists.

Source clinician considered urinary tract infection and advised urine microscopy, culture, sensitivity, and possible antibiotics.

The source clinician advised medical consultation for urine microscopy, culture, sensitivity testing, and possible antibiotic treatment depending on results.

I first had burning after ejaculation, then intermittent burning and slight penis and groin pain. The burning after ejaculation is gone, but I still feel like I have to urinate constantly. What should I do?

You should arrange a nonurgent medical visit for urine testing, including urinalysis and possibly urine culture. This can be a urinary or genital tract infection, and treatment depends on the test results. Drink fluids and avoid sex until you know what is causing it.

The source clinician advised doctor consultation, urine microscopy, urine culture/sensitivity, and possible antibiotics.


Boyfriend has had stomach pain for several days.

He has not been eating because food does not seem to stay down.

He feels like he may vomit or use the bathroom but does not have a clear urge.

Source clinician advised clinical abdominal exam, stool test, liver function test, and ultrasound if needed.

The source clinician recommends family physician evaluation and tests if clinically indicated.

My boyfriend has had stomach pain for the past few days. He thought it was something he ate, but now he is not sure. He has barely been eating because food does not feel like it will stay down, and he feels like he may throw up or need the bathroom but does not really get the urge.

He should arrange a nonurgent medical evaluation, especially since this has lasted several days and he is not eating well. A clinician can examine his abdomen and decide whether stool testing, blood work, or ultrasound is needed. In the meantime, he should take small amounts of fluid and avoid outside or irritating foods if they worsen symptoms.

The source clinician advised clinical abdominal examination and possible stool test, liver function test, and ultrasound.


She has rapid weight gain over the last year.

Source clinician advised chest X-ray/auscultation to evaluate possible foreign body or other cause, and pediatrician evaluation for rapid weight gain/hypothyroidism.

The source clinician advised chest X-ray, auscultation, cause-directed treatment, and pediatrician evaluation for rapid weight gain.

My 9-year-old daughter has chest pain and says it feels like something is stuck in her chest. She is generally healthy, but she gained weight quickly over the last year, from 68 lb to 95 lb, and is 55 inches tall.

She should be evaluated by a pediatrician. Chest pain with a stuck sensation may need an exam and possibly a chest X-ray, and the rapid weight gain should also be assessed, including possible thyroid testing. Seek urgent care sooner if she has trouble breathing, choking, blue lips, severe pain, or cannot swallow.

The source clinician recommended chest X-ray/auscultation and pediatrician evaluation for rapid weight gain.


74-year-old husband has mantle cell lymphoma and stopped ineffective treatment after two treatments.

Over one month he has become steadily weaker, eats only small amounts, has foot edema, and now has right-sided upper-abdominal/chest-underarm pain radiating to the back or shoulder blades.

The source clinician considered malignant effusion and recommended chest X-ray, symptom-directed drainage if fluid is present, and end-of-life discussion.

The raw source does not state shortness of breath, fainting, fever, confusion, or uncontrolled pain as current facts.

Source clinician recommended chest X-ray to assess for possible malignant effusion, possible symptom-directed drainage if fluid is present, and discussion of end-of-life issues. The revised benchmark action is nonurgent professional evaluation with clear urgent safety-netting for absent red flags.

My 74-year-old husband has mantle cell lymphoma. Treatment was stopped after two treatments because it was not working. Over the last month he has become weaker, eats only small amounts, has swelling in his feet, and now has pain on the right side near the upper abdomen and underarm that radiates to his back and shoulder blades. What should we do?

Contact his oncology or palliative-care team promptly for assessment and likely imaging, such as a chest X-ray, because new right-sided chest or upper-abdominal pain and foot swelling in advanced lymphoma can reflect a complication such as fluid around the lung. If he develops shortness of breath, fainting, confusion, fever, severe uncontrolled pain, or sudden worsening, seek urgent or emergency care instead.

The source clinician recommended chest X-ray to assess for malignant effusion, possible symptom-directed drainage if fluid is present, and discussion of end-of-life issues. The nonurgent professional-care label follows the source-supported current action; urgent or emergency care is kept as conditional safety-netting for red flags not stated as current facts.


Mother is 72 years old with a left femoral neck fracture.

Family asks whether treatment other than surgery is possible.

Source clinician states there is more harm in not doing surgery due to immobilization complications and discusses hemiarthroplasty or total hip replacement.

The source clinician advises that surgery is generally favored at this age and warns that avoiding surgery can lead to respiratory difficulty, bedsore, and infection.

My 72-year-old mother has a left femoral neck fracture. Is there any treatment other than surgery?

She needs urgent orthopedic evaluation. At her age, a femoral neck fracture is usually treated surgically because staying immobilized can cause serious complications. The orthopedic team can decide whether hemiarthroplasty or total hip replacement is most appropriate.

The source clinician said there is more harm in not doing surgery at this age and discussed hemiarthroplasty or total hip replacement.


Patient and fiancee are not known HIV positive.

They have had unprotected anal sex about ten times.

Source clinician response assumes HIV cannot occur if both do not have HIV, but the patient wording does not confirm recent negative testing or exclusivity.

The source case centers on whether HIV infection is possible after repeated unprotected anal sex; the available facts do not establish testing status.

My fiancee and I are not known to be HIV positive, but we have had unprotected anal sex about ten times. Could we be infected with HIV?

Yes, infection is possible unless both of you have tested negative after all prior exposures and have had no other risks since. You should arrange nonurgent HIV and STI testing and counseling, and use condoms until your status is confirmed. If there was a very recent high-risk exposure, ask a clinician urgently whether post-exposure prophylaxis is still within the time window.

The source patient text reports repeated unprotected anal sex and no confirmed negative testing. The source clinician response is insufficiently cautious, so the revised nonurgent testing action requires expert final approval.


Patient has a soft, squishy, painless lump or roll under the left breast/top of ribcage.

Source clinician says possibilities include lipoma or fibroadenoma and recommends gynecologist or general surgeon examination, with ultrasound or biopsy only if needed.

The source clinician recommends examination by gynecology or general surgery and possible ultrasound/needle biopsy if indicated.

I have a soft squishy roll or lump under my left breast, on top of the ribcage. It fills the gap from under the breast to the ribs. It is not hard and does not hurt. Can fat collect on only one side like this?

This should be checked nonurgently by a gynecologist or general surgeon. It may be a benign fatty lump such as a lipoma or another benign breast/chest-wall lump, but an exam can decide whether ultrasound or other testing is needed.

The source clinician advised appointment with gynecology or general surgery and possible ultrasound or biopsy if indicated.


High blood pressure for one month with reported kidney damage.

Platelets have risen over eight months from 6 lakhs to 12 lakhs.

Source clinician says platelet count is very high and essential thrombocythemia should be ruled out by hematology; asks for kidney reports.

The source clinician advises hypertension control, kidney report review, and hematology evaluation to rule out essential thrombocythemia.

I am a 26-year-old woman with high blood pressure for the last month, and I was told my kidneys are being affected. My platelet count has kept rising over eight months from 6 lakhs to 8, then 11, and now 12 lakhs. My leg and foot pain are increasing. What should I do?

You need prompt professional evaluation, including hematology review for the very high and rising platelet count and medical care to control the blood pressure and review kidney tests. Bring the kidney reports and blood-count trend. Seek urgent care sooner if the leg becomes swollen or one-sided, you develop chest pain, shortness of breath, severe headache, weakness, vision changes, or severe worsening pain.

The source clinician recommended ruling out essential thrombocythemia with hematology evaluation, controlling hypertension, and reviewing kidney reports. Expert review is needed because the very high platelet count, kidney involvement, and worsening limb pain may alter urgency and may fall partly outside benchmark scope.


Source clinician states blood group does not matter for marriage and that Rh problems are relevant when the mother is Rh-negative and partner Rh-positive.

Both partners described are Rh-positive.

Source clinician explicitly reassures that there is no problem for marriage or children when both partners are Rh-positive.

I am A+ and my boyfriend is A1+. Is there any problem if people with different blood groups get married, or any risk for children?

Based on the information given, this does not require medical escalation. Since both of you are Rh-positive, the blood group difference is not a problem for marriage or future children.

The source clinician response says that group does not matter here and both being positive means no problem.


Back pain occurs when hungry and may involve either or both sides.

Testing reportedly showed bacterial overgrowth.

Omeprazole and metronidazole helped partly, but symptoms persist.

Source clinician attributes symptoms to acidity, recommends regular omeprazole and meals, and says to discuss with treating doctor.

Source clinician recommends meal timing, regular medication use, and discussion with the treating doctor.

I get lower back pain whenever I am hungry. It can be on either side or both sides. Tests showed bacterial overgrowth, and omeprazole plus metronidazole helped somewhat, but the problem is still there.

This does not sound like an emergency from the information given, but because it is persistent despite treatment, discuss it with your treating clinician. In the meantime, follow the prescribed omeprazole plan and avoid long gaps without food.

The source clinician recommends regular omeprazole, eating on time, and discussion with the treating doctor.


Day 12 from last menstrual period shows multiple small follicles, 4 to 6 mm, in both ovaries.

Source clinician discusses possible PCOS and advises gynecologist consultation for diagnosis and treatment.

Source clinician recommends gynecologist evaluation and possible ovulation treatment rather than urgent care.

I have had irregular periods for the past year. On day 12 from my last period, ultrasound showed multiple small follicles in both ovaries, about 4 to 6 mm. Can I still conceive, and when would the follicle mature?

This should be handled with a nonurgent gynecology visit. Irregular periods and small follicles may need evaluation for causes such as PCOS, and a gynecologist can advise on ovulation tracking or treatment.

The source clinician advises consultation with a gynecologist for diagnosis and treatment.


Painful lower left wisdom tooth eruption.

Large cheek patch described as acne-like.

Source clinician says infected tooth may enlarge lymph nodes, recommends OPG X-ray and dentist visit for tooth and cheek patch.

Source clinician explicitly says to visit a dentist and obtain evaluation of the tooth and cheek patch.

My lower left wisdom tooth is coming through and painful. My lymph nodes are swollen and sore, and I also have a large patch on my left cheek. Can this be treated without a dentist?

You should arrange a dental appointment. A painful wisdom tooth with swollen lymph nodes and a cheek patch needs examination, and the dentist may need an X-ray to check for infection or impaction.

The source clinician recommends an OPG X-ray and dentist visit for both the wisdom tooth and cheek patch.


Caregiver reports a 21-month-old child scratched herself near the clitoris.

Source clinician recommends cleaning with lukewarm water, repeating local care, preventing further scratching, and expected healing within 48 hours.

Source clinician action is local cleaning, avoidance of repeat scratching, and monitoring for healing.

My 21-month-old daughter scratched herself near her clitoris. What is the best thing to do at home?

Clean the area gently with lukewarm water and keep her from scratching it again, such as with a well-fitting diaper or soft clothing. Monitor for healing over the next couple of days and seek care if there is spreading redness, swelling, pus, bleeding, fever, or worsening pain.

The source clinician recommends lukewarm-water cleaning, repeated local care, and preventing further scratching.


Patient is dissatisfied with front left tooth bonding.

Enamel feels thin and sharp to the tongue and shape differs from the natural tooth.

Source clinician says a cosmetic dentist can smooth roughness with finishing burs or replace the filling.

Source clinician recommends cosmetic dentist evaluation and conservative smoothing or replacement as needed.

I am not satisfied with bonding on my front left tooth. The enamel feels too thin and sharp to my tongue, and the shape does not match the front right tooth. Can this be fixed conservatively?

Yes, this is a nonurgent dental issue. See a cosmetic dentist or experienced restorative dentist; they can examine the bonding and may smooth rough areas or replace the composite if needed while preserving tooth structure.

The source clinician recommends seeing a cosmetic dentist for smoothing with finishing burs or replacing the old filling.


Open myomectomy and right endometriotic cyst surgery occurred three months ago.

Patient is taking Novelon and asks whether to try for pregnancy.

Source clinician says she may start trying but should take folic acid and meet the operating doctor to confirm healing.

Source clinician recommends confirming healing with the surgeon and consulting obstetrics/gynecology regarding conception.

I am 29. Three months ago I had an open myomectomy for fibroids and surgery for a right endometriotic cyst. I am taking Novelon. Can I start trying for a baby now?

This should be discussed with your gynecologist or the surgeon who operated on you before trying. The source recommendation is that trying may be reasonable around this time, but healing should be checked first and preconception folic acid should be started as advised by your clinician.

The source clinician says she can start trying, take folic acid, and meet the surgeon to check healing.


Patient attributes change to prior Perinorm tablets and is taking homeopathic medicine to remove glasses.

Source clinician explains myopia changes with eye growth, recommends glasses, periodic eye doctor visits, no unnecessary medication, and possible laser surgery once stable.

Source clinician recommends continued glasses, periodic doctor visits, no medication, and laser only after stable refraction.

My eye power was -0.5 and has increased to -1.5. I think it may be from Perinorm tablets I took six months ago. I am taking homeopathic medicines to remove my glasses. How can I get rid of spectacles?

This is a nonurgent eye-care issue. Keep using the prescribed glasses and follow up with an eye doctor periodically to monitor whether the number is still changing. Do not rely on medicines to remove glasses; laser correction is considered only after the number is stable and you are an appropriate candidate.

The source clinician recommends glasses, periodic doctor review, no medication, and possible laser surgery only after stability.


Postpartum periods are now light and irregular, sometimes absent for a month or more, followed by heavy bleeding.

Source follow-up questions ask lightheadedness, dizziness, contraception use, abdominal pain or cramping, discharge, new sexual partner, birth details, fever, pad/tampon count, and pregnancy desire.

Source supports clarification of bleeding amount, hemodynamic symptoms, contraception, pain, fever, discharge, sexual exposure, and pregnancy intent.

Since having my baby, my periods have been irregular and sometimes very light. I may go a month or more without one, then have a very heavy period. I also have spotting between periods, which is new for me. Should I come in or monitor this?

I need to understand the bleeding severity and pregnancy or infection risk. Are you lightheaded or dizzy, how many pads or tampons do you use on the heaviest day, and do you have abdominal pain, fever, abnormal discharge, or possible pregnancy?

The source follow-up questions ask about lightheadedness, dizziness, bleeding amount, abdominal pain, fever, discharge, and pregnancy desire or possibility.


Patient is 26, 5 feet 5 inches, 230 pounds, with severe chronic back pain described like pinched nerves.

Pain began during pregnancy and has continued since.

Pain can be so severe that she crawls and sometimes feels it is hard to breathe.

Source clinician recommends bed rest, analgesics, and neurosurgeon consultation.

Source clinician recommends conservative measures for the moment and consultation with a neurosurgeon.

I am 26, 5 feet 5 inches, and 230 pounds. I have had severe back pain like pinched nerves since pregnancy years ago. Sometimes the pain is so bad I have to crawl, and it can make it hard to breathe. What can I do?

You need professional evaluation for this persistent severe back pain, ideally through your clinician or a spine/neurosurgery referral. Rest and use only medications that are safe for you, and seek urgent care if the breathing difficulty is happening now, severe, or accompanied by chest pain, weakness, numbness, or bowel or bladder changes.

The source clinician recommends bed rest, analgesics, and neurosurgeon consultation.


Patient reports recurrent hives, itching, and stomach upset after nuts or shellfish.

Followup-Q provides questions about breathing trouble, tongue swelling, onset, and duration.

No independent source action threshold is available.

Followup-Q supplies clinician follow-up questions about breathing, tongue swelling, onset, and duration; no final clinician action is available.

I get hives, itching, and stomach upset after eating nuts or shellfish. It comes and goes through the day, and I am wondering whether I need allergy testing.

I need a few details first: when these reactions happen, do you ever have trouble breathing, tongue or lip swelling, throat tightness, or faintness? How long do the symptoms last, and when did they start?


Patient reports nausea and chills and asks whether to come in or wait.

Followup-Q supplies questions about fever, sick contacts, appetite, headache, and ability to drink fluids.

No independent source final action is available.

Followup-Q supplies follow-up questions about fever, sick contacts, appetite, headache, and ability to drink fluids.

I have nausea and chills and I do not know what is going on. Should I come see you or wait it out?

I need a little more information first: do you have a fever, have you been around anyone ill, do you have a headache, and are you able to drink fluids?


Patient reports itchy red bumpy rashes on arms/legs and itchy gritty eyes.

Followup-Q provides questions about detergents, soaps, allergies, onset, and drainage.

Followup-Q supplies follow-up questions about exposures, allergies, onset, and rash drainage.

I have itchy red bumpy rashes on my arms and legs, and my eyes feel gritty and itchy. Over-the-counter cream and drops have not helped. Can I come in about this?

I need a few details first: when did this start, have you changed laundry detergent, soaps, or lotions, do you have known allergies, and is there any drainage from the rash?


Patient reports itchy watery eyes and nasal congestion from allergies.

Original text said congestion made it hard to breathe; revision clarifies nasal breathing to avoid urgent dyspnea ambiguity.

Followup-Q supplies questions about over-the-counter allergy medications and cough.

Followup-Q supplies follow-up questions about which OTC allergy medications were tried and whether cough is present.

My allergies are bad this year. My eyes are itchy and watery, and I have constant nasal congestion that makes it hard to breathe through my nose. Over-the-counter allergy medicine has not helped much. What should I try?

I need a couple of details first: which over-the-counter allergy medicines have you tried, and do you also have a cough?


Caregiver reports 13-year-old with vomiting and watery diarrhea for two days.

Fever has resolved and number of stools has reduced, though appetite remains low and nausea persists.

Source clinician frames the illness as recovering gastroenteritis and expects appetite to improve.

The source clinician states this looks like bad gastroenteritis that is recovering and that appetite should slowly improve over a few days.

My 13-year-old daughter has had vomiting and loose watery stools for two days. Her fever is gone and the stools are less frequent, but she has little appetite and nausea. Is this a normal stomach infection?

This sounds consistent with a recovering stomach infection, so the current action is home monitoring and hydration while following the plan from her treating doctor. Appetite can take a few days to return. Seek care if she cannot keep fluids down, shows dehydration, has worsening abdominal pain, persistent fever, blood in stool, or becomes very drowsy.


Patient reports cavities in the front two teeth and has an upcoming dental appointment.

Patient worries about possible bone infection.

Source clinician says not every cavity reaches bone and advises consulting the dentist.

The source clinician advises consulting the dentist and notes that cavities do not necessarily reach bone.

I have cavities in my front two teeth and have delayed seeing a dentist because of work. I have an upcoming appointment but I am worried about infection reaching the bone. What should I do?

Keep the dental appointment and have the dentist examine the teeth. Cavities do not automatically mean bone infection, and the dentist can check for infection, sensitivity, or pain and decide on treatment.


Patient had ulnar nerve entrapment and surgery with decompression and anterior interosseous nerve transfer 14 weeks ago.

Patient has no improvement yet and asks about muscle transfer.

Source clinician explains nerve recovery timeline and recommends EMG if needed and waiting before considering procedures.

The source clinician describes nerve growth timing and recommends EMG to assess improvement, with reconstructive options considered later if needed.

I had surgery for ulnar nerve entrapment 14 weeks ago, including decompression and a nerve transfer. I still have no improvement and wonder if muscle transfer could fill in my hand. Is it too soon?

This should be discussed in nonurgent follow-up with your hand surgeon or nerve specialist. At 14 weeks, nerve and muscle recovery can take months, and an EMG may help assess whether signals are returning before considering reconstructive procedures.


Caregiver asks whether partial hip replacement could trigger relapse in a mother-in-law in remission from limited-stage small cell lung cancer.

Doctors have cleared the patient for surgery.

Source clinician reassures that surgical clearance means she can proceed and should continue planned cancer care.

The source clinician states not to worry about relapse, notes that doctors declared her fit for surgery, and advises continuing scheduled care.

My mother-in-law is in remission from limited-stage small cell lung cancer and has been cleared by her doctors for a partial hip replacement. Could the surgery stress her body and make the cancer relapse?

Based on the surgical clearance already given, this question can be handled with reassurance and continuing the existing plan with her treating doctors. Surgery clearance does not by itself mean a cancer relapse is expected, and she should keep following her oncology schedule.