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Nitral_Medical_Dialog_Fixed

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[ { "from": "system", "value": "Does Masturbation has any side effects on the health?" }, { "from": "human", "value": "Is masterbation bad for health.i masterbate three 4 times a week.did this effect to my health.How many times should i masterbate in a week.I feel very laziness after masterbating.please suggest me.Now a days i get ejaculated between 10 -40 seconds in intercouse as well as while masterbating.please help" }, { "from": "gpt", "value": "HiThanks for using healthcare magicThere is no side effect f masturbation. It is just like sex and give almost same sexual pleasure like intercourse. You can do masturbation as many time as you want to do. If you are not getting sufficient duration, that may be due to excitement. You can take paroxetine after psychiatrist consultation that would increase duration.Thanks" } ]

[ { "from": "system", "value": "Cab mesh after hernia operation cause low libido?" }, { "from": "human", "value": "I had a mesh put in to repair an Umbilical Hernia now when I masterbate I can''t reach a climax, no trouble with an erection, could the surgery have something to do with this? The surgery was 02/11, about 2 weeks after, I was able to have a climax, but no luck since then. Thank you. Richard" }, { "from": "gpt", "value": "Hi, The mesh won't decrease the libido level, thus check for any infections and STD. I hope I have answered your query. If you have further doubts , I would be happy to help you. Happy day.Regards, Dr. S. R. Raveendran, Sexologist" } ]

[ { "from": "system", "value": "What is the red rash that burns after shaving the area around penis?" }, { "from": "human", "value": "I just shaved my balls and between my balls and anus now I have a red rash that kinda burns. I didn't check the razor I always use but I'm sure it was bad, I threw it Away before I could look. Anyways what can I do or what should I do or what the heck is this. I'm nervous. I've been doing this for years and never had an issue" }, { "from": "gpt", "value": "hello,the most common thing which causes rash in the groin, thigh folds and anus region is fungal infection(mostly tenia curis)if its a day or two old you can prevent is by> keeping the groin area clean dry by drying off thoroughly after bathing and putting on dry clothing right away after swimming or perspiring.> avoid sharing cloths> wearing loose cotton underwear> avoiding tight-fitting clothes> using antifungal powders or lotions in case if symptoms get worsen immediately visit a dermatologisthope this will solve your problem" } ]

[ { "from": "system", "value": "Can claravis cause strange observation during ejaculation?" }, { "from": "human", "value": "I am on my second month of Claravis. I have noticed in the past 2 weeks that when I ejaculate my right nut goes into my body and comes out shortly after. I was wondering if this is related to the medicine, because I am 19 and this never happened before." }, { "from": "gpt", "value": "Hello,I have gone through your query and understand your concern.No. This is not due to Claravis ( isotretinoin).These testicular movement is due to Retractile testis.In this there is a movement of testis to groin from scrotum and vice-verse.This is due to action of the muscle called Cremaster muscle in scrotum surrounding testis.The contraction of the muscle causes the testis to pull up to groin.You may have short Spermatic cord or failure of disintegration of some structure attaching abdomen and testis.First you have to watch, how frequently it moves and what are all the factor which cause the movement of scrotum up.Note down and consult a surgeon.As you are above 14, My recommendation is for surgery and fixation of testis in scrotum.This can be corrected by surgery - Orchiopexy- in this testis is fixed into the scrotum and regular annual follow up.Hope this helps.Please write back for further queries.Wishing you good health." } ]

[ { "from": "system", "value": "Will i get a baby after marriage as i am masturbating a lot?" }, { "from": "human", "value": "hi doctor, am 25 yrs old male, working in an IT company, I mastrubate once in two days, and now days its quite more comparing to my college days.. am scared will it loose off my nerves and makes body stamina less..! pls clarify, will i be able to get a baby after marriage...!" }, { "from": "gpt", "value": "HelloMasturbating is normal phenomenon which every male do n its a requirement of body. Dont worry it will not effect your future and surely you can have baby in future. This will not harm your nerve or nothing to do with pregnancy of your future wife. Just be careful not to be harsh with yourself. Enjoy youe lifeThank u" } ]

[ { "from": "system", "value": "What could the brown tinge with specks of blood in semen after masturbating mean?" }, { "from": "human", "value": "After masturbating, i noticed my semen had a brownish tinge to it and had a few very tiny specks of red blood. I had no other pain during any urination or during daily activities. I have always had white to whitish-yellow semen. What is the cause of this problem? Thanks." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have noticed that your semen is brownish and contains specks of blood .Most likely this is due to infection of either Seminal Vesicle or Prostate.Please get your semen analysis and semen culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to.You need to take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily for 3 weeks .Dr.Patil." } ]

[ { "from": "system", "value": "How to treat penile red rash with pimple in pubic hair?" }, { "from": "human", "value": "I recently had sex with new partner condom popped. I went to std clinic immediately and they said it was normal but this isn t new for me. I had a red rash for about a wk or two. Now it s ashy underneath my penis where the rash is and I have a pimple in my pubic hairs" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have infection of the glans penis (Ballanitis)due to unprotected sex and boil over pubic region.You need to take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.along with topical antibiotic ointment like Neosporin twice daily.Ensure to wash your genitals with warm water twice dailyEnsure to avoid sexual encounters till it heals up completely.Dr.Patil." } ]

[ { "from": "system", "value": "What are the symptoms of peyronie's syndrome?" }, { "from": "human", "value": "so iv never consulted an 'online doctor' before so obviously im a little skeptical but i am slightly embarrassed about my question so would rather be discrete with it. im worried i may have peyronie's disease and was hoping to explain some of the symptoms to get your feedback.thanksks" }, { "from": "gpt", "value": "HelloThanks for your query.The Peyronie;s disease is characterised by devloping calcified plaques in Tunica Albuginia an envelop that covers erectile tissue.The symptoms due to Peyronies disease are 1)Painful ejaculation 2)Bending of the penis 3) Difficulty in penetration of vagina during intercourse (In severe cases)4) Palpation of hard lump along the shaft of the penis.If you have doubt of having it consult qualified Urologist for clinical examination to confirm the same.Dr.Patil." } ]

[ { "from": "system", "value": "Medications for swollen and painful right scrotum" }, { "from": "human", "value": "Recently, my right scrotum had swollen, for which I was given a pain killer and antibiotic treatment. Pain and swelling is down, but I do feel that my right testicles are much harder on lower part of the ball, compared to upper part of the ball. Other unexplained symptoms, such a urine is often turbid, and white precipitate inner surface of penis. I am diabetic for last 15 years. Any suggestion would be greatly appreciated" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have infection of the Testis ( Orchitis).Please consult qualified Urologist for clinical examinations and get following basic tests done to confirm the diagnosis .1)Please get your routine urine test and urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to.2)Ultrasound scanning of the scrotum.3)Haemogram and total WBC count.In the mean while start taking broad spectrum antibiotics like Cefexine along with urinary antiseptic like Nitrofurantoin twice daily along with anti inflammatory medicine like Diclofenac twice daily. and urine alkaliser thrice daily.Later on switch on to appropriate antibiotics as per culture report.Get the prescription of medicines from your family Physician.Ensure to drink more water.To keep your urine dilute This will help to control dysuria.Dr.Patil." } ]

[ { "from": "system", "value": "Does masturbating over long periods of time decrease the stamina?" }, { "from": "human", "value": "I have been masturbating since i was 13 years old. I remember when i was a young teenager, my erections were much stronger. With that said, i believe the size of my Penis was a lot bigger. I noticed ever since 15-16 my erections have weakened, and now i see my Penis size has decreased. I noticed it decreases every time i masturbate. I'm 19 years old now, I'm not commited to any women right now. However, i fear i will never be able to satisfy any women, nor have be able to pro-crate any children with a women in the future (Sexually speaking) . I wish i was the same like i was when i was a younger teenager. I feel as if I'm a older man, I seriously need some doctors guidance, and help." }, { "from": "gpt", "value": "Hi,Thanks for writing to health care magic.I can understand your concern.The size of the penis does not change with masturbation. Size of the penis has no bearing on becoming a father. Please get some doctors help if the same keeps on bothering you.Continue to ask further queries as required.Hope this helps.Take care.Dr Y V Siva Sankara MurtyM.D.(Pediatrics)Associate Professor of Pediatrics" } ]

[ { "from": "system", "value": "What could cause pimple like spots under foreskin and cut on foreskin after having sex?" }, { "from": "human", "value": "Hi My name is Alison and im sick and tired of being blamed for my partners health issues with his penis..He has spots under his foreskin on his penis like little pimples. I don't sleep around, this is my second partner from a marriage of twenty years which ended. Everytime we have sex he seems to get something, another time he had a little cut on the foreskin of his penis..I do not know what to do.Im starting to think there are problems with me and thats why he wont sleep with me." }, { "from": "gpt", "value": "Hi,Thanks for writing in.It looks like he might be indulging in rough sex and getting the foreskin of his penis injured in the process. I suggest you use lots of lubrication jelly and have a long foreplay session. Emotional bonding is more important than physical bonding." } ]

[ { "from": "system", "value": "Suggest remedy for body weakness and semen in urine due to excess mastrubation" }, { "from": "human", "value": "hello sirs! Im mujeeb... I had the habit of masterburation 4 d past 8 years bt nw i dont hve d habit of masterburation.. Bt after leaving d practice also, i fee some weaknesses like... My hands and legs are shivering.. I cant lift even smaller weights for long time.. Erection also seems 2 be less. after passing of urine i can feel semen traces.. Heart beat is abnormal.. And my body also very thinner' eventhough after consumption of healthy food.. Pls give me a solution 2 overcome all these problems doctor..." }, { "from": "gpt", "value": "Hi, It can be due to retrograde ejaculation. Take complete urine check up and urine culture and test for thyroid issues (palpitation, loss of weight). Kindly send your reports for consultation. I hope I have answered your query. If you have further doubts , I would be happy to help you. Happy day.Regards, Dr. S. R. Raveendran, Sexologist" } ]

[ { "from": "system", "value": "Could itchy, recurring bumps near anus with history of genital wart on penis be just cysts?" }, { "from": "human", "value": "I had a genitial wart on my penis 3 months ago that was cauterized repeatedly till it mas removed. One month before my last treatment I noticed a bump near my anus, more on the taint region. The bump which was red would grow and shrink in size dramatically but never goes away. The dermatologist who was treating my genital warts said that bump was just a cyst. This morning when I woke up I noticed another bump on the opposite buttock near my taint. It is very itchy. Could this be genitial warts? Is it possible the doctor misdiagnosed me?" }, { "from": "gpt", "value": "Hi,Thanks for writing in.You are having genital warts lesions around your anus. Genital warts cannot be treated completely, only the lesions in a particular area can be cauterised. This does not rule out appearance of new lesion in another area as mentioned by you." } ]

[ { "from": "system", "value": "How to treat pressure between scrotum and rectum,rectal pain and penile discomfort post sex?" }, { "from": "human", "value": "pressure between scrotum and rectum,seems to be worse after strenuos work or long periods of standing.sometimes almost feels like hind end is falling out.it seems to come and go,when it is present it almost feels i have discomfort in penis especially after sex.itchy almost hurtful feelings.sometimes this also comes with rectal painns or discomforts.might last couple days then go away the return in a few weeks sometimes months." }, { "from": "gpt", "value": "Hello!Thank you for the query.Your symptoms are very characteristic for chronic prostate inflammation. This issue is sometimes hard to diagnose with any test. The treatment is long antibiotics therapy.I suggest you to start with urine analysis. There might be some signs of infection. Its better to have urine analysis after prostate massage. Please try to massage the area between the rectum and scrotum and right after it have urine analysis.You should also consult urologist.Hope this will help.Regards." } ]

[ { "from": "system", "value": "What does semen analysis show?" }, { "from": "human", "value": "pls review my semen alanalusus report.quantity:1.5mlscolor:greyish whitereaction: alkalineviscosity:visousliquation time :45 minstotal sperm count:72 millionsactive motile 78%suggshive motile:12%non motile 10%normal forms:76%abnormal forms:24%pus cells occasionalepithelial cells occasionalfructose test positve" }, { "from": "gpt", "value": "HelloThanks for writing to us with your health concern.Let me lead you through the semen analysis step by step.Firstly, the quantity and colour are normal.The liquefaction time measures the amount of time in which semen liquifies, instead of being a solid gel.This time is also normal.The total sperm count is within normal limits.The sperm motility is also normal.The percentage of normal sperms should be 4 % or more for good fertility, which is also true in your case.Occasional pus cells are insignificant finding unless the semen culture shows infection.Epithelial cells and fructose levels are also fine.All in all, it is a completely normal semen analysis.There is no cause for concern.If you have any issues related to the report, please do write in with more details.All the bestTake care." } ]

[ { "from": "system", "value": "What could growing spot on penis, rash in groin area and painful orgasm indicate?" }, { "from": "human", "value": "Hi. My boyfriend has always had this small mole-like spot on the left side of his penis, however, over the last month, I have noticed it has been getting bigger. He said it's not painful to touch or doesn't physically hurt when we have sex. However, over the last month, his sex drive is low, he's always tired, he's been getting this rash in the groin area that sometimes smells fishy, and the past couple of times we've had sex, he's complained that it hurt to orgasm. Not a burning hurt but like a super hypersensitive hurt. What could be going on?" }, { "from": "gpt", "value": "Hi.All the problems looks unrelated to each other.First of all- the black mole can be a mole only. Simple excision under local anesthesia and subject it for the Histo-patho report , this will cure the problems as it is excised and one gets the diagnosis too. Second - Low sex drive is most of the times due to anxiety, worries and tension.Thirdly - the rash and fishy smell in groin can be due to tinaea/ fungal infection and needs treatment with antifungal ointments.Lastly- hurt orgasm can be due to prostatitis or urethritis , urinary tract infection for which he / both have to take antibiotics." } ]

[ { "from": "system", "value": "What is the cause for the pain in penis and stomach?" }, { "from": "human", "value": "Sir my age is 24 i am addicting to shagging from the age of 11 years now there is pain in penis and stomach i cant bear the pain i cant put the belt for pant it pains in the stomach and i am smoker daily 2-3 no's and occational drinkers only beer..kindly give the suggestion i dint consult the doctors till today" }, { "from": "gpt", "value": "Hi. As both your problems are concerned with the most important things of life , you should consult a Doctor ASAP.The pain in the stomach and penis do not look to be related.The pain in abdomen, severe enough to not allow you to put on the best may be due to an internal problem for which you need to consult a Surgeon. This can be due to appendicitis/ large lymph nodes and so many things.The pain in the penis can be excessive or harsh masturbation. Stop the masturbation for the time being and see if the pain settles. If not consult an Urologist." } ]

[ { "from": "system", "value": "Is dark mark on the head of penis concerning?" }, { "from": "human", "value": "I am a 54 year old male, generally fit and healthy. I have a dark mark on the head of my penis, noticeable only when erect. Is there something I can take or should I not be worried.... I don't any pain or bumps on my penis, just a small dark mark in the skin." }, { "from": "gpt", "value": "Hi. There is nothing to worry if this dark mark is of a long duration of a month or more.You should not take anything for this is it is not causing any symptoms.Yet , to get a confirmatory reply, it is advisable to consult a Dermatologist at least once." } ]

[ { "from": "system", "value": "What could cause stinging and inflammed scrotum with skin turning bright red?" }, { "from": "human", "value": "Hi, I am a 70 year old male and for several months now have been suffering from stinging and inflamed scrotum which at times the skin turns a bright red colour, it is most uncomfortable. I would appreciate any advise.Many thanksI wish to withdraw my question as I thought it was for free.i can't afford the costs, many thanks for your time." }, { "from": "gpt", "value": "Hi and thank you so much for this queryI am so sorry to hear about this inflamed scrotum. The symptoms suggest and infection. However, there are several different germ types that can cause this infection like fungal, bacteria, parasites, etc. It would be a great idea to get it examined so as to identify the exact cause and treat for it. Given a generic treatment would most likely not be helpful because we would not know what to target.I hope this addresses your query fully. Thank you so much for patronizing our services and please do feel free to ask for follow up clarifications and information if need be. I wish you the best of health.Dr. Ditah, MD." } ]

[ { "from": "system", "value": "How to reduce the repetitive habit of masturbation that is affecting my memory?" }, { "from": "human", "value": "Hi Doctor, I am facing a problem. I masturbate daily. I wake up I masturbate. I come from ofc I masturbate. If I dont then there is some sensation in genitals which make me masturbate and then I feel good. Masturbation is not affecting my ofc work but it does affecting my work at home. I think it has affected my memory. I read some sexual stuff on net and this eats my 2 hrs daily. I almost daily watch porn pics though i have stopped watching videos. I tried stopping masturbation but i think i am low on will power. After 2 days i again start doing. I even tried to decrease frequency but again after some day i do it daily. I had a good memory once but now it takes a lot of effort to study anything. Even while studying I masturbate. Please tell me the solution for this." }, { "from": "gpt", "value": "HIThank for asking to HCMI can understand your problem, this is real situation this is kind of addiction but you can come out of this all you have to do is control your thoughts try to be with your best friend share the talk, read nice books, take interest in nature, if this does not helps you then in my opinion you may need psychiatrist help, but you have to try it on your own first, hope this information helps you, take a good care and have nice day." } ]

[ { "from": "system", "value": "What causes bruising and inflammation with tissue under skin of penis?" }, { "from": "human", "value": "hello doctor. i am experiencing some bruising and inflammation with tissue under the skin of the penis. this \"knot\" still moves with the skin but there is some hardness with a vein, artery, or ligament. is it still advisable under your recommendation to acquire medical marijuana in treating with this kind of injury?" }, { "from": "gpt", "value": "HIThank for asking to HCMI think you are thinking totally in different way, the way you have stated your pain here and then suddenly you have talking in the sense of some Narcotic drugs which not at all related with your medical condition, you better first get confirm your issue either it is true to your knowledge or it is just your idea is this I guess you may not be having any problem like that, bye." } ]

[ { "from": "system", "value": "Does masturbation affect sperm quality or quantity?" }, { "from": "human", "value": "I am 23 years old and i am fully interested in sex and i used to watch blue films daily and do HP ( homo sex) and ejaculate sperm daily. I am doing this from past 5 years. i mean from my 18 years of age. still i am doing the same daily . I have a doubt that Is there any problem like becoming sperm count less or zero and our stamina in sex will become less and our sperm will be exhausted and no sperm will be generated later when i am doing sex with my wife after 3 or 4 more years later. Does it will effect my regular sex? How many days we can ejaculate sperm per a week (per 7 days).I am from India. please reply by considering south india people." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have been indulged in masturbation frequently since last 5 years and worried about your sexual potency after marriage.First of all there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body.All the problems that you are facing now are mind related and due to anxiety.Following measure will help you to boost up your confidence and getting good erection.and enjoyable sexual life.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..4) Avoid alcohol and smoking..Dr.Patil." } ]

[ { "from": "system", "value": "What causes rashes and itching on the tip of penis?" }, { "from": "human", "value": "hello sir ..i m aryan from chandigarh.... i m in a relation with a girl from last 4months.we made physical relation many times.....two times in her periods..... three or four time i dont use condom.. and one time in periods.... now i came toknow that she has also physicalrelations with four boys... now my problem is that frm some days i feel itching inside the tip of my penis...now i feelit in the middle of the penis.....in starting also some raches are on the tip of the penis bunt now there is no raches..... plz tellme what todo.. is any thing serious...." }, { "from": "gpt", "value": "Hello, If the rashes continue and there is still pain and tingling sensation in the area then i suggest you get tested for herpes and syphilis. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Manuel C See IV" } ]

[ { "from": "system", "value": "Suggest treatment for addiction of masturbation" }, { "from": "human", "value": "My problem is that I’m addicted to sex and only 18 years old. Since am from a discreet religion girls not allowed to have sex till they are married but I insanely do it “ Masturbating I mean” plus I don’t really like boys am into girls more, which leads you to my second problem I can’t resist any hot girl that I see it’s like all I think about is sexual stuff, with any unknown girl that pass by, my friends then I try to wash the idea away because I know it’s wrong [considering that I go to a university only for girls] and sometimes even with my instructors (the females) [considering that there are men in the university]" }, { "from": "gpt", "value": "Hi, Get involved and busy in yoga, regular exercise and physical games. If not relieved then go for anti-psychotic drugs. I hope I have answered your query. If you have further doubts, I would be happy to help you. Happy day. Regards, Dr. S. R. Raveendran, Sexologist" } ]

[ { "from": "system", "value": "What to do for cyst on testicle that pains after sex/masturbation?" }, { "from": "human", "value": "I am 33 and have had pain in my testicles up to my shaft for 2 months now to the point where I can't sit down for long, lay on the couch. It hurts after sex or masturbation also. Have had an ultra sound, std tests and urine tests and a pelvis and groin MRI. All they have found was a 2.4 cm cyst on my right testicle. But my urologist says its almost unheard of for a cyst that small to cause that much dullness and pain. What else could it be? And should I have it removed? What else needs to be ruled out before I decide if I should have it removed? Is there a high risk with this kind of surgery?" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have spermatocele over of a size of 2.4 cm on Rt testicle,.pain in testicle radiating up to shaft of the penis aggravated on masturbation.and sex.Spermatocele is a benign cyst that is painless and does not required to be removed by surgery.The pain that you have could be either due to inflammation of cord structures (Funicullitis) or Epididymitis.Please consult qualified Urologist for clinical examination and get following basic test to confirm the diagnosis.1) Ultrasound scanning of scrotum.2) Colour Doppler study of scrotum.3) Urine routine and urine culture.You need to take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.Dr.Patil." } ]

[ { "from": "system", "value": "What test should be done for the varicocele pain?" }, { "from": "human", "value": "I am experiencing complete impotency and I have a varicocele that hurts extremely bad on the left side. I had testicular cancer 3 years ago and went through chemotherapy but not radiation. After I pee, I also have to normally pull on my penis or press on my gooch area to relieve all of the urine to be done. I smoke cigarettes but I am trying to quit. What tests should I have my urologist run on me to find out what the problem is?" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have Left sided Varicocele that is painful and have painful urination and have to apply pressure on supra pubic region to empty the bladder.Please consult qualified urologist for clinical examination and get following tests done to grade the varicocele.1) Ultrasound scanning of Scrotum.This will also reveal the status of your testicular cancer after chemotherapy..2) Colour Doppler study of testicles .3) Serum testosterone levels and Prolactin to assess the cause for ED.Dr.Patil." } ]

[ { "from": "system", "value": "Is it normal for stitches to pop after circumcision and form smooth scab?" }, { "from": "human", "value": "hi, I'm 16 and was circumcised on the 12th feb 2014 , most of the stitches have gone hard and begun to scab but on one side the stitches seem to have popped, the bottom skin can be slightly retracted revealing some lighter coloured skin and a yellow(ish) substance seems to have oozed out, it does not act like a liquid but almost like a smooth scab that is moist to the touch, no pain or skin irritation are taking place (without direct contact of course) just wondering if this is at all normal... :/ I don't have a fever of feel unwell in any form btw... :)" }, { "from": "gpt", "value": "Hi,Welcome.Nothing wrong in the stitches pop up spontaneously after 7-8 days after the surgery.If they had used catgut for stitching, it will automatically fall after or within 10 days. If they had used silk or nylon, you would have been instructed to come for hospital for removal of stitches.If you have any raw area or oozing, you better be reviewed by your surgeon once again and ascertain everything is alright. Mostly some external application of antimicrobial will restore normalcy. Get Well soon. Dr S.Murugan" } ]

[ { "from": "system", "value": "How to stop sperm leakage while sleeping? Sexually not active" }, { "from": "human", "value": "hi, Good mornong i have sperm leakage while sleeping since 2 years let me know that how to stop sometimes while day time i'll feel to come out the sperm and i'll do that twice in a day or week. from this my cheeks are gone in and lost hair im look like ager (age 45) but my age isnow 25...please kindly advise what can i do but i never had sex with women sometimes i'll feel to watch bluefilms and but no smoking and drinking so please advise. thanks in advance." }, { "from": "gpt", "value": "Hello Thanks for writing to HCMNight fall(ejaculation at night)is a common phenomenon in young age.It may be due to many reasons like ejaculation after long time,due to excessive sexual thoughts etc.Ejaculation doesn't lead to weakness at all.It is a myth.Semen is just like other body fluids.You are too young to have any organic cause.It is most likely due to psychological causes.You should try to keep yourself busy in your job.You should avoid provocating literature,videos etc.You should also try meditation and yoga.This will help you a lot.If problem still persists then you may need psychological help.Proper counselling can be done by psychologist.Hope i have answered your query.Take CareDr.Indu Bhushan" } ]

[ { "from": "system", "value": "What is causing my penis to fall down 2 minutes after erection?" }, { "from": "human", "value": "I am a 25 year old man and always had sexual problems, visited doctor but no problems found. The problem is: at the start of the sexual act, i have an erection and as soon as I start sex, after 2 min it falls down and I need around an hour to get him back to work.. After that, my sexual intercourse either continues for 40 min or my penis dies.. Rarely, but sometimes it all goes well, 10 min and done. Please advise what shall i do?Thank you" }, { "from": "gpt", "value": "Hello Thanks for writing to HCMYour problem is most likely due to performance anxiety or excessive sexual thoughts.You are too young to have any organic cause.It is most likely due to psychological causes.You should try to keep yourself busy in your job.You should avoid provocating literature,videos etc.You should also try meditation and yoga.This will help you a lot.Try to be natural during intercourse.Don't think much about it. If problem still persists then you may need psychological help.Proper counselling can be done by psychologist.Hope i have answered your query.Take CareDr.Indu Bhushan" } ]

[ { "from": "system", "value": "What causes chest pain after masturbation?" }, { "from": "human", "value": "My name is Hassaan. I am 26 years old Boy. I never have Sex. I have a problem when I masturbate, after masturbating I feel little pain in my chest on rite side near nipple. and My rite breast is more bigger than left side.And I notice that my rite side breast is gradually increase in size. Kindly Tell Me what it is ?" }, { "from": "gpt", "value": "Hi, You should consult with your physician and to run further tests to determine why your right breast is increasing: - breast ultrasound- chest X-ray- cardiac tests (EKG, stress test, Holter monitoring, cardiac echo). The diagnosis will be made based on the test results. To my opinion, it might be lipoma or other tumoral types. Hope it was of help!Dr.Albana" } ]

[ { "from": "system", "value": "Noticed white spots on the skin of the penis" }, { "from": "human", "value": "am having problem in my penis near the head there is a white spots appearing and my penis skin also affected inside it seems like some scraches like that and i didn't get any pain also but it give sometimes itches... to which doctor i want to consult pls help" }, { "from": "gpt", "value": "HelloYou can consult a dermatologist because it reads like a skin problem. it could be due to deposition of smegma or a mild fungal infectionDR SAATIISH JHUNTRRAA" } ]

[ { "from": "system", "value": "What can be done to make my penis long?" }, { "from": "human", "value": "hi, i am Abhinav, and my penis is not enough long as requires. so what i have to do get it long...... and also i cant setisfie my girlfriend when she wants to enjoy long time period because i fall in less time period............ and second round i dont take my penis enough hard that much it requires....." }, { "from": "gpt", "value": "Hi,Long penis give more enjoyment is a myth. Nothing can make the penis long. The things advertised for long penis are fake. One should remain away from such fake things. Remember, not the lenght but the erection of penis has importance in sexual intercourse.be positive and have self confidance. Take anxiolytic like fluoxetin to alleviate anxiety related with performance. I hope you got my answer.Thanks.Dr.Ilyas Patel MD" } ]

[ { "from": "system", "value": "What is the cause of pimples in my scrotum?" }, { "from": "human", "value": "dear sir i Karthi form tamilnadu, India, 29 yrs old i have problem in my scrotum..ihave pimples in that area. when i squeeze it some pimples are breaking but some pimples are not breaking..please give me the solution for this as much as possible.thanking you." }, { "from": "gpt", "value": "Hello,I have gone through your query and understand your concern.I suspect these are Multiple sebaceous cysts in scrotum that is why you do not able to squeeze them.They contain the cheesy white materials.These are not pimples and they are arising from swollen hair follicles.Further these are very common in men and at this age and also in scrotum.Another possibility is as you mentioned pimples because skin is moist and more lot of friction from the skin of the thighs, which can lead to irritation and predispose to pimple formation.Do not prick or squeeze these cysts, it may lead to infection.It usually do not need any treatment, unless infected or for cosmetic purpose.If it is infected, you may need antibiotics and NSAIDs like Ibuprofen for pain and swelling.if you need to remove, then complete excision is advised.My advice is do not prick or squeeze these cysts and you may get infection.Maintain good personal hygiene.Hope this helps.Please write back for further queries.Wishing you good health." } ]

[ { "from": "system", "value": "What causes right testicle size to increase with mild pain?" }, { "from": "human", "value": "It seems that my right testicle is a lot higher than it should be. I haven't gained weight and I'm still the same size but now my Left one hangs but my right side seems to alway go up . That side looks wword almost like I loosing my sack. I been getting mild pain now and them and I haven't felt anything weird on them" }, { "from": "gpt", "value": "DearWe understand your concernsI went through your details. I suggest you not to worry much. I think You are worrying unnecessarily. Scrotum sacks shall be loose or tight. it depends on so many things like your physical state, external temperature, urge to sex, urge to urinate etc. I think you are overly worried about your testicles and that could be the reason behind the mild pain also. I mean worry creates psychological pain. Just ignore and enjoy education and career.Hope this answers your query. Available for further clarifications.Good luck." } ]

[ { "from": "system", "value": "Suggest treatment for less semen volume and ejaculation problems" }, { "from": "human", "value": "hello my name is alan, im 22. i am very concerned. for about the past 2 years, my sperm has been a very low amount, that just dripes out, its cold, water, i have no sensation while ejaculating or peeing, do you think ive possibly damanged a never, is there a fix for this, ive very concerned" }, { "from": "gpt", "value": "Hi, It can be due to diabetes, dehydration, thyroid issue, low testosterone level and varicocele. You can take anti-diabetic drugs to lower your blood glucose level and take adequate amount of water to cure dehydration. Take respective medicines for thyroid hormone and other hormone issues according to your test reports. I hope I have answered your query. If you have further doubts, I would be happy to help you. Happy day.Regards, Dr. S. R. Raveendran, Sexologist" } ]

[ { "from": "system", "value": "Reason for feeling tired, lightheaded and heart hurting after having self pleasures" }, { "from": "human", "value": "Hello doctor. My friend self pleasures himself a lot. He used to do it once or twice a day, but now he does it once a week, if at all. His heart has been hurting after he does it, and even the day after it hurts. He said when he first started to do it, everything was fine, nothing hurt. Then, his heart beat would drop after an orgasm then would hurt, then two times ago, his heart was racing for a long time, then it was normal but hurt, then last time his heart was hurting, beating fast, and the rest of the day and the day after, his heart was still faster than usual. He is reaching out to me for help. I m 14 and he is 13. He gets very tired and kind of light headed after he does it, and even hours later. Please help with what it could be. You can ask questions. He is seeing a doctor soon. Thanks AJ" }, { "from": "gpt", "value": "DearWe understand your concernsI went through your details. I suggest you not to worry much. I can understand the cause behind your friends experience. It is simple tiredness, stress and anxiety. he gets tired after masturbation. Every children does. But worrying about that tiredness makes him anxious and more tired. Anxiety in turn creates fullness of chest and occassional pain.You might need a physician's assistance. Do consult a physician for further details. Visit this answers your query. Available for further clarifications.Good luck." } ]

[ { "from": "system", "value": "Reason for bladder pain during masturbation?" }, { "from": "human", "value": "Hi doctor, hope you can help me with this. Yesterday morning (about 28 hours ago), I woke up with a morning erection, then decided to masturbate, even though my bladder must have been quite full, or at least half full. I usually masturbate after I have been to the toilet. The masturbation was quite short lasting, lying on my back, quite gentle masturbation, not rough, but at the ejaculation point, it didn t feel very good, a little painful during, which I haven t experienced before. I think it must have been related to the bladder not being emptied first. A few minutes later, I possibly made a second mistake, by urinating. It did seem like the urethrea was not ready for urine yet, took a while to succeed. Is it advised to wait a while before one urinates? Then during the day and night I have felt rather uncomfortable, mostly during the night, some pain/discomfort, which feels like it is located at the point where I usually feel if I need to urinate or not. Is this bladder pain? It helps a bit to urinate though. Could I have had some urine in the urethrea accidentally mixed together with the sperm during ejaculation? And is this harmful? I also wanna mention that the night before this I ate two oranges and quite much chocolate, which could make the urine more acid and harmful? I have not had sex for a long time, and never unprotected, so STD is out of the question. Now I am taking some ibuprofen and also some cranberry capsules. Not sure if I should see a doctor yet, since this is so fresh. I have a tendency to see doctor too often and worry about health matters. Could you please shed light to what might have happened? Does it sound like a temporary problem? Or will I next time also feel discomfort during ejaculation? I haven t tried masturbating again, since I think I should rest the system for some days." }, { "from": "gpt", "value": "DearWe understan your concernsI went through your details.I suggest you not to worry much. Because worrying can increase the problem dimension. As far as I can see, you do not have to go to any doctor because you donot have any problem at all. Masturbation with even full bladder is not harm ful, but there will be discomfort. Semen mixed with urine is normal and happens almost every time. Nothing wrong. Had oranges an chocolate. Nice. You should do that. But it has no effect on your semen or urine. I can see your problem.You are overly worried about your health, as you mentioned here. You should be careful about your health. Not worrying or anxious. You should do with a cognitive Behavioral therapy and sex therapy which I can provide you only if you come to me with a premium question.Hope this answers your query. Available for further clarifications.Good luck." } ]

[ { "from": "system", "value": "What is the cause of dry skin on my penis?" }, { "from": "human", "value": "hi2 days back skin on my penis swollen and the dried towards the end of the day. the next day i took a normal bath and cleaned well. the skin was dry even at that time... then it started to pain after 5 hrs.. i rushed to wash room and then i found that skin got stuck to my inners and then got pealed off." }, { "from": "gpt", "value": "Thanks for query.The symptoms you mention correlate with balanoposthitis(inflammation of the foreskin and glans in uncircumcised males).consult a dermatologist at the earliest.he may prescribe you antibacterial and antifungal ointment for that.hygiene is most important.regards" } ]

[ { "from": "system", "value": "What causes bleeding during ejaculation?" }, { "from": "human", "value": "hi I have a question. My fiancé has blood that comes out when he ejaculates...at first I thought it was me but its not...its happened before very little but like I said I thought it was me so I didn't worry too much. He claims hes been fighting a track infection. He had one about a month ago so he says and they gave him a shot and did some blood work and stuff and he got better...but then a few weeks back same thing happened. he said he had discharge coming from his penis it hurt when he peed and he couldn't even masterbate because he said it hurt to even touch it. So he went back to the drs and they said he just had another track infection. Im starting to believe its something else...especially since blood came out mixed with his cum when he ejaculated, and hes not telling me. What else could it be? And should I be worried?" }, { "from": "gpt", "value": "Hi,Thanks for writing in.As an urinary infection has been confirmed, it must be evaluated in detail and treatment completed. He must avoid masturbation and unprotected sex for a while till he is treated completely. I suggest he consults a urologist takes required medicines. You should also get checked for any possible infection" } ]

[ { "from": "system", "value": "Is it a nerval disorder to have less semen?" }, { "from": "human", "value": "hi doctor actually am 26 male I started masturbating from 14 approximately am leaned body usually I eat once a day or rare irrelevant in night sleep as well I cannot suppose to stop masterbating any side effects or nerval disorder or malfunctions ,actually I have less semen release from day one I started its comes like 1 or 2 drops when it feels erect I do 4 times a day every day" }, { "from": "gpt", "value": "There is no side effect for mastrubation. It is phychological. You requere counselling. You have nodisorder or malfunction. All are phchycological disrder, it requeres proper counselling." } ]

[ { "from": "system", "value": "How to treat smelly discharge with burning sensation while urination?" }, { "from": "human", "value": "Everyday i have discharge, sometimes yellow sometimes clear, at times it has a bad odor. Im not comportable having sex anymore with my parter because of the odor and the gowey stuff that comes out, i also have to go pee really bad but only little drops come out, and it burns alot, whats happening to me? Please help me?" }, { "from": "gpt", "value": "Hi and thank you so much for this queryI am so sorry to hear about these symptoms. they are suggestive of a urogenital tract infection. Your symptoms are very much in favor of this, I will suggest that you get consulted and treated for this. It would be best to do a vaginal exam, urine test and samples from the vaginal should also be examined. You would most likely need antibiotics for the treatment of this disease condition.I hope this addresses your query fully. Thank you so much for patronizing our services and please do feel free to ask for follow up clarifications and information if need be. I wish you the best of health.Dr. Ditah, MD." } ]

[ { "from": "system", "value": "Is it normal to have burning sensation after masturbation?" }, { "from": "human", "value": "Hey, I have recently gotten checked for an sti. My results came back and I have clymida. Im prescribed with 4 tablets of co-azithromycin monohydrate, 10 tablets of doxycycline. My problem is that everytime I per or masterbate, it burns. Is this normal? Someone help" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have burning urination every time after you masturbate .During erection and ejaculation there is increased flow of blood to the penis and urine to the extent of 20 times more than normal blood flow that results into congestion of urethra and penis.Moreover there is semen deposited on the walls of urethra during ejaculation .The dual effect of thick semen being deposited in urethra and residual congestions gives rise to pain while passing urine immediately after masturbation.This pain will go away after semen gets washed away during first urination after masturbation.Ensure to drink more water so that your urine remains dilute .Dr.Patil." } ]

[ { "from": "system", "value": "What could be the cause for clotted semen after an intercourse?" }, { "from": "human", "value": "Hi After intercourse and masturbation my sperm comes out kind of clotted with a light colour of normal semen then a little bit of a more cloudy colour in and around the clotted bits of semen, so its like runny and clotted at the same time its kind of like jelly when its all accumulated. Sorry for the poor analysis its just new to me and hard to explain kind of confusing as well. hope this gives a good enough idea and some one could point me in the right direction as to what it is? Thanks" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have noticed that your semen is clotted .This is due to agglutinations of sperms mostly due to presence of infection either in prostate or seminal vesicle .Please get your semen analysis done to confirm the diagnosis .In case semen analysis reveals infection you will need to take broad spectrum antibiotics like Cefexine for 4 weeks to combat the infection completely.Please ensure to drink more water this will help to keep your semen normal.Dr.Patil." } ]

[ { "from": "system", "value": "Suggest treatment to reduce swelling of the groin" }, { "from": "human", "value": "Hi I m 33 years old and recently had a radical historectomy and I m just finishing five weeks of radiation. The right side of my groin is swelling. I m a very active person and just want to know if there is a light at the end of the tunnel? Will my groin swelling go away?" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have developed infection of glans penis and UTI due to anal sex.Please get your routine urine test and urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to.Please take broad spectrum antibiotics like Cefexine along with urinary antiseptic like Nitrofurantoin twice daily and urine alkaliser thrice daily.Later on switch on to appropriate antibiotics as per culture report.Get the prescription of medicines from your family Physician.Ensure to drink more water.To keep your urine dilute This will help to control dysuria.Ensure to wash your genitals with warm water twice dailyEnsure to avoid sexual encounters till it heals up completely.Dr.Patil." } ]

[ { "from": "system", "value": "How to treat small potion of penile foreskin attachment at the lower potion mediated pain?" }, { "from": "human", "value": "My penis foreskin has detached but not fully. A very very small portion is still attached to my penis at the lower portion. So as a result whats happens when it is fully erect and the skin comes down i feel pain because of that very little attached portion. My question is can that little attached potion be cut by visiting a docotor??" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have a band of adhesion between frenulum and glans that gives pain on erection.Please consult qualified General surgeon or urologist .It needs to be excised under local anaesthesia .This is short and simple surgery and will offer permanent cure.Dr.Patil." } ]

[ { "from": "system", "value": "Is nil sperm leakage in the night normal?" }, { "from": "human", "value": "my age is 28 years male and i never got natural sleepfall(natural masturbation) in my life as i used masturbate with hand from the age of 17 and now i stop this habit from past 8 months i did not do it but from past 8 month also did not got any natural nightfall(sperm leakage) in night ? why is it so thankyou." }, { "from": "gpt", "value": "Hi, Masturbation 2 to 3 times a week is normal. If you don't masturbate or have sex then there are high chances of night fall. Yes, it is a normal thing.I Hope I have answered your query. If you have further doubts , I would be happy to help you. Happy day. Regards, Dr. S. R. Raveendran, Sexologist" } ]

[ { "from": "system", "value": "Could sagging scrotum and reduced penis size cause conception difficulty , have history of testicle hydrocele surgery?" }, { "from": "human", "value": "I have been operated for hydrocele at my right testicle in the year 1997 (when I was 23yrs). For a few months my scrotum was in much sagging state, later it adjusted itself and started contracting to original size but, this sagging state surfaced again and again on and off....This sagging scrotum is also causing my penis to get reduced in its size to too small. I thought its unavoidable after surgery and adjusted myself. I comfortably do masturbation. I have been married for three years now and unsuccessful so far to make my wife pregnant. Is there any connection between these two issues?" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have been operated for Hydrocele in 1997 and there is sagging of the scrotal sac.Sagging of the scrotal sac and testes is not related to conception at all.Get your semen analysis done to confirm that your sperm count ,sperm motility are within normal limits as per WHO standards.Please consult your wife to qualified Gynaecologist to confirm her ovulation and follicular study. You may consult infertility specialist to have complete evaluation of both of you to find out any reason for infertility . Dr.Patil." } ]

[ { "from": "system", "value": "What is the remedy for itching, redness and erosion on penis?" }, { "from": "human", "value": "Sir I have an issue of itching and redness on my penis lead to coule of erosions and upon consultation with a Demetologist he presecribed anit fungal tablet and antibiotic cream. It was applied almost 3 weeks and redness and itching has gone but the erosions remain there. As per the doctor it will take sometime to subside however, the erosion seems to be burning sometimes. Do I need to take any oral antibiotics. Appreciate your valuable advise. regards Raja" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have itching of the genitals and redness of glans penis .Please get your blood sugar levels done to rule out diabetes.This could be due to muco cutaneous genital candidiasis.Please take anti fungal medicines like Fluconozole and antibiotic like Cefixime twice daily along with topical anti fungal jelly like Fluconozole for local application,Ensure to wash your genitals with warm water twice dailyIt should get cured within a week.Dr.Patil." } ]

[ { "from": "system", "value": "How to increase my sperm count and quality?" }, { "from": "human", "value": "I started masturbating when I was 11 yrs. I was not even matured then. later I continued it as a hobby for 15 years. Now I am 26. from last 8 years I used to loos sperms during my sleep due to sexy dream. The quantity of sperm I get now is very low, Now, I am no more interested in masturbating. Does this effect my sperm count. what to do to increase my sperm count & quality." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have been indulged in masturbation since last 15years and have doubt regarding gsexulal potency and quality and quantity of sperms .First of all there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body.All the problems that you are facing now are mind related and due to anxiety.Following measure will help you to boost up your confidence and improve sexual potency and sperm quality.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..4) Avoid alcohol and smoking..Dr.Patil." } ]

[ { "from": "system", "value": "Does masterbating multiple times reduces penis size?" }, { "from": "human", "value": "I am 27 yrs of age and started masterbating when i was 14......and since than i have been masterbating almost regularly at least once a day....and many times twice or even more....i remember sometimes i used to masterbate even 4 or 5 times in 24 hours....!!!! i was unaware if it could cause any problem or side effect?? but on more than one occasion i heard or read from some expert doctor or sexologist who were saying that masterbation isnt anywrong. all were confirming USE IT OR LOOSE IT rule.... i tried to stop masterbating , but that became possible for maximum of 2 weeks...and then i was back masterbating even more....!!! but since last 1 year i m feeling that my desire for sex has lessened .....and so does the size of my penis... still i cant stop masterbating...because it has become a very bad habit....i cant even sleep if i dont do it. but i notice that i m not enjoyin it as much as i used to do it....and even my penis has become small....and its not getting as hard as it used to be. is there any solution for it plz me really worried" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have been indulged i masturbating since last 13 years and have some doubts regarding size of penis has reduced due to masturbation.First of all there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body.All the problems that you are facing now are mind related and due to anxiety.Following measure will help you to boost up your confidence and to reduce the frequency of masturbation 1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..4) Avoid alcohol and smoking..5) Get yourself engaged in some activities like reading ,sports.listeneing to music so that you will not get free time to masturbate.Dr.Patil." } ]

[ { "from": "system", "value": "How to reduce the pain in the penis and increase sperm count?" }, { "from": "human", "value": "In semen analysis, 85% dead. 15% motile And when i made Doppler , there is varicocele in left testicle 1st grade and no in right on, The strange matter that I m suffering from sever pain in right testicle and sometimes it swollen and became tough although left testicle is suffered one e varicocele I want to know how can I reduce the pain,and how this percentage of dead sperms can be improved?????and thanks for ur interest." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have Varicocele on left side and your semen analysis revealed what is termed as Asthanospermia meaning there by that motility of the sperm is very less .Truly speaking there are no drugs that can improve the motility of sperms Following measure will help you to improve sperm count and motility of sperm.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..4) Avoid alcohol and smoking..If semen analysis reveals presence of pus cells sugesting infection you may need to take broad spectrum antibiotics like Cefotaxime for 4 weeks.Dr.Patil." } ]

[ { "from": "system", "value": "What is the cause to bleed when i push my foreskin back?" }, { "from": "human", "value": "Cuts and blood coming when iam pushing foreskin back and there white cheese type of cream coming almost from 2 months what to do ? i tried Neosporon but it is giving result but after few days again cuts are coming and skin is tightly going if i do forcefully then it is giving cuts and blood" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have a band of adhesion between glans and frenulum which gets torned while attempting to retract foreskin that results in to bleeding .Please consult qualified Urologist for examination .You need to get it excised under local anaesthesia .This is simple surgery and offers permanent cure.Dr.Patil." } ]

[ { "from": "system", "value": "What causes itching in penis after an intercourse?" }, { "from": "human", "value": "Hi doctor, after sexual intercourse, my penis becomes itchy on the head and foreskin. And the forskin has a very small cut on it. My penis had a few red littlw spots on it too, but thays gone. I have had this about 4years ago, and it went away. I have been with the same partner (my wife) for many years now. Her vagina was itchy too, but has since passed already. Andthing I coukd do? Bactroban or topical cream? Thank you" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have itching of foreskin and glans after intercourse.This could be due to 1) You are diabetic2) Allergy to chemically lubricated condom if you are using condom3) Your wife may have vaginal infection and this could be due to vaginal secretion being acidic in nature.Please get your blood sugar test done to rule out diabetes.Get your wife checked by qualified Gynaecologist and take necessary treatment if required. You need to take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.along with topical antibiotic ointment like Neosporin twice daily.Dr.Patil." } ]

[ { "from": "system", "value": "What causes swelling lump in collar right under penis head after intercourse?" }, { "from": "human", "value": "I am a 57 year old male with a monogamous relationship with my wife of 20 years. I am circumsized. We have to use Astroglide for intercourse due to my wife's dryness after a hysterectomy. Lately I end up with an oblong lumpish swelling in the collar right under my penis head where my foreskin was removed. Could this be some latent std? Or possibly a reaction to astroglide on my part? I have extremely sensitive skin. Thank you" }, { "from": "gpt", "value": "Hi ! Good evening. I am Dr Shareef answering your query. Even though chances of STD are remote because of your monogamous relationship with your wife, I being a doctor would advise you to under go tests for it after getting it physically examined by a dermatologist in your area to rule this out.The lumpish swelling could also be due to friction and the foreskin attachment with the penile shaft being pulled up causing a small hematoma in there. This could be said with certainity only after getting physically examined by a doctor. If you are using astroglide for the first time, sensitivity to this reagent can not be excluded. Whatever it could be, I would advise you to get your self reviewed by your family physician/dermatologist to arrive at a particular diagnosis.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef." } ]

[ { "from": "system", "value": "Treatment for burning feeling on thigh and buttocks and bumps on penis?" }, { "from": "human", "value": "Hi I had this burning like feeling on my thigh and buttocks and now after showering I found 2 pimple like bumps on my penis I have been with the same women for 6 years Neva had this happen before could thus be a STD I'm very scared rite now please help" }, { "from": "gpt", "value": "Hi ! Hi! Good morning. I am Dr Shareef answering your query.It might not be possible to opine on the lesions unless it is examined physically. I would suggest you to report to a dermatologist in your area for a physical examination for a proper diagnosis and management of your problem.For the burning feeling on your thighs and buttocks, these might not be related to the penile lesion. If I were your doctor, I would suggest you to get a routine blood sugar done for you along with routine blood test.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef." } ]

[ { "from": "system", "value": "Normal to have penis staying small after taking shot for itching and pain?" }, { "from": "human", "value": "i think i had a std.i was having itching and pain in the penis and pain in left stomach area and itching all over my body i went to the doctor and was given a shot and today my tests all came out negative.all the symptoms are gone but it seems like my penis is staying small all the time.is this normal after having a shot 5 days ago" }, { "from": "gpt", "value": "HIThank for asking to HCM I can understand your concern and could say that this is not the STD, but could be the allergic disorder and nothing to take any thing with the penis, just forget this kind of thought, keep taking the given medicines, no need to worry about this, hope this information helps you, take care and have nice day." } ]

[ { "from": "system", "value": "What causes testicle pain in kid?" }, { "from": "human", "value": "Hi, may I answer your health queries right now ? Please type your query here... My son has is experiencing very bad testical pain. It started back in Nov, a month after being diagnosed with Mono. All blood tests and ultrasounds show that he is normal, yet still experiencing severe pain. Have you ever heard of this? our doctors have no answers. Can you help us?" }, { "from": "gpt", "value": "Hi, It can be due to urinary tract infection, so rule it out. Did your kid have any injury in the testis? If yes then consult a doctor. I Hope I have answered your query. If you have further doubts, I would be happy to help you. Happy day. Regards,Dr. S. R. Raveendran, Sexologist" } ]

[ { "from": "system", "value": "Noticed white discharge while urinating" }, { "from": "human", "value": "I have been taking cough syrups in huge amounts i.e. 3-4 bottles per day since last 3 years... when I pee, I notice some kind of white liquid flowing out along with urine... Why is this happening...?? will there be any future problems because of this...?? Please help me out...." }, { "from": "gpt", "value": "Hi. The white fluid can be just a normal prostatic or seminal fluid or this can be an infection material. This may not be related to your taking cough syrups ( but you should stop this addiction if possible ) . You have get this checked by Urologist clinically and the fluid tested for infection and also go for culture sensitivity tests to help in future treatment." } ]

[ { "from": "system", "value": "What causes pain in lower abdomen,lower back and a tight sensation in testicles?" }, { "from": "human", "value": "Hi,iam suffering pain in my lower stomach,slightly painfull lower back and a tight sensation in my testicles,ever since i pulled a very heavy object and since then its getting more sore as i continue to work,i pull big bulker bins on my own so the heavier ones seem to strain my lower stomach." }, { "from": "gpt", "value": "Hi. Very well said. All the pains can be due to pulled muscle syndrome. The testicles are supported fr om the abdominal muscles directly and a strain on the lower abdominal muscle will be transmitted to the testicles too. Take a rest, pain killers scrotal support helps a lot. Avoid such activities which gives you strain on muscles." } ]

[ { "from": "system", "value": "Suggest medication for pain caused in anus due to physical abuse" }, { "from": "human", "value": "22 year old male with history of being physically molested at the age of 10 years old. Now has sever anus pain, hurts when doing daily activities and clear leakage from the anus. Pain has been on going for two days. Pain on the first day; pain and leakage on the second day. Please need some answers." }, { "from": "gpt", "value": "Hi. This is not likely that you are developing pain and leakage after 12 years of molestation.Please get this checked by a Surgeon to ascertain the exact cause, start antibiotics as per His advise. SITZ bath = sitting in a warm water helps to sooth the pain. You must tell the past history to your treating Surgeon." } ]

[ { "from": "system", "value": "Is there a home remedy to remove the freckle on my foreskin?" }, { "from": "human", "value": "Hi, I have a small brown freckle on my foreskin. I have freckles on my arms and some on my face, but I find it odd to find one on my foreskin. Is there anyway I can safely remove the freckle with some home remedies or maybe some dark spot cream? Thank you." }, { "from": "gpt", "value": "HI. This is highly not advisable to try to remove the freckles at home ,. If you get infection on foreskin, it can cause more problems. It may be wise to keep them as they are or consult a Dermatologist , who can remove them hygienically." } ]

[ { "from": "system", "value": "How to treat infrequent pain on lateral sides of body?" }, { "from": "human", "value": "hi i am a 2 year old boy from india, i exercise every 1 day gap heavily for atleast 1 hr, i have a habit of long distance walks. lately i am having some mild , tingy infrequent pain or disturbance to be exact in both of the lateral sides of body. sometimes there is stretch in the left pelvic region . infrequently i have seen turbid urines after masturbation. now i have seen on the net that this can be caused by many things like stones, enlarged prostates,etc. but ia ma npot sure. mmoreover is it normal to have urgency to pee after ejaculation. it is highky infrequent and doesnt burn at all. my height is roughly 5feet10inches," }, { "from": "gpt", "value": "Hi.First of all there can be urgency to pass urine after ejaculation.If you have pain on sides of the body with turbidity of urine, You should get the blood, (kidney function) and urine tests done along with an Ultrasonography of abdomen. This will clear all the doubts you have and guide for further treatment." } ]

[ { "from": "system", "value": "Suggest treatment for urethra problem" }, { "from": "human", "value": "Hi... ok... here it goes.... When I was 11yrs old, I had a bike accident. From 21yrs old on, I have had multiple procedures to deal with my urethra stricture. 5 yrs ago, I had surgery. From that point on, I have noticed that my perineum tends to get swelling when I get an erection. The swelling begins before the erection begins and lasts longer than the erection does. It does not usually hurt. My last procedure was in 11/13. It was a dilation. This Morning (6:30am), when I ejaculated it was v. painful... after I could not urinate, when I tried it was v. painful (tried 2xs 8am, 10am). The pain lasted a while (usually my painful urination stops when the urination stops, for some reason the pain today lasted between 30mins for the first urination and an hour 30minutes plus for the second). At 10:30am, I took a cab to the emergency room... during the ride, I noted that my perineum was still swollen and I had to hip sit and I also had to walk bow legged into the hospital. (the head of my penis was also hurting). At 12noon, I was able to urinate a little (dribble stream with pain). At 1:30pm, I again urinated but the flow was less, pain was same. I believe that perineum was still swollen but it was not on my radar. I told I would have to get a Suprapubic catheter and had decided to have the procedure the next morning. While I was waiting to get admitted, at 3pm, I urinated and my flow normal (my normal) and with pain (still my normal). I also noticed that the swelling in my perineum was also gone. I decided against the procedure. I have urinated once since being home. It was again my normal flow. Am I crazy to connect the two and any ideas on why it is swelling. I spoke with one of the urologists and he didn t seem to think they were connected. In truth, I have never brought the topic of the swelling up with any of the urologists I have worked with over the last few years because it never occurred to me. We are now talking about a urethra re-construction but if this perineum thing is contributing to my urethra problems and could be fixed with a less intrusive procedure... (and buy me some time)... that would be great... again thanks..." }, { "from": "gpt", "value": "Hi. Thanks for the elucidate self explanatory history.The perineal swelling along with the erection is suggestive that the part of the penis root has been herniating through the weakness of its covering.Secondly the other swelling you developed is suggestive of the diverticulum of the urethra, most probably developed due to stricture or the procedures blocked the out flow.I think the correction of this swelling is also a part of the next procedure. The easiest way to diagnose this is urethrography to outline the the urethra. This will help plan the nest procedure well." } ]

[ { "from": "system", "value": "Reason for testicle pain, burning sensation, pain near scar?" }, { "from": "human", "value": "hi there, im inquiring for my husband whom is suffering from aches ect, he had the snip done around 9 years ago, procedure went well, a few years after the snip my husband was suffering with pain and swelling in the left testical, we followed this up and he was told that he had blew a seel, meaning his testy was being choked by variagus veins, so he had an operation to have his left testy removed. every now and then he has been suffering from a pain in the ball that is no longer there, when he urinates he feels a sensation running down the inside of his left leg, also he says he has a light burning sensation running down the same area, and pain near the scar where they made the incision for the removal of his testie, hubby has had prostate checks and all clear, sitting up causes him discomfort in the said areas..any insight would be much appreciated.." }, { "from": "gpt", "value": "HI. Thanks for the elucidate history.This is called a phantom pain and is a very rare thing that there would feeling and pain in a part which is not there.Another possibility is that the nerves supplying this area are entrapped in its course. First thing is to find out where and treatment to be started for this parasthesis or a referred pain. IN old times the nerve causing this problem was excised if the pain is unbearable or irritating the routine life. I hope my answer will help you to get the diagnosis and treatment under the guidance of Urologist or Neurologist." } ]

[ { "from": "system", "value": "Treatment for itching and tingling on head of penis?" }, { "from": "human", "value": "Hi the at the head of my penis just inside of my japs eye sorry very being un PC but don t know proper name,is very itchy and has almost a constant tingle/itch/burn.Its worth mentioning I do have genital herpes but it doesn t feel like this and I ve taken herpes tablets just to double check and iliminate it from equation and I still have this feeling just inside my japs eye.Hope you can help thanks" }, { "from": "gpt", "value": "Hi. The tablets for herpes will not help ease your symptoms. You need different medicines for the pain.I would advise you to see the Doctor to get the thing checked personally to have a proper diagnosis to decide what is most suited for the treatment." } ]

[ { "from": "system", "value": "Could tight, tender and closed testicle be connected to on and off lower abdominal pain?" }, { "from": "human", "value": "Hi, About 10 days ago, I noticed my left testicle stopped hanging low, and has gotten very tight, and tender. For 3 days I had a pain on my left side in my lower abdominal. That pain has gone away now, though it comes back occasionally for an hour or so when my testicle is too high. It is uncomfortable, and even hurts a bit when I am walking. When I am laying down, or when I go to the bathroom (#2) the sack relaxes and goes back to hanging normally. Most of the time though, my left testicle is very close and tight, and does not even loosen much in a hot shower. Is this something that will pass as did the abdominal pain or could it be something more serious? Thank you" }, { "from": "gpt", "value": "Hi. This is a serious problem. Thanks for an elucidate history.This is a recurrent torsion of the left testis giving you a referred pain in the same side of the lower abdomen.First of all go for an Ultrasonography with color doppler studies during an attack to confirm the diagnosis. You may need the fixation of the testis to avoid torsion." } ]

[ { "from": "system", "value": "Any suggestion for tenderness in lions or pubic region, itching in scrotum?" }, { "from": "human", "value": "hi i used to masturbate from along time but recently i feel some tenderness in the loin or in the pubic region . and some times i feel some itching in the scrotum l feel some thing like that hair is pinning and in the loin too . from few day i feel sever pain occure suddenly in the right region of the loin as rupture of vessels . i always feel the tenderness in the right region of the loin the sperm count become low today i have musterbated and the sperm count was so low so i need to know wats the problem here or how i can manage my case" }, { "from": "gpt", "value": "Hi. First of all the pain in the loin region is suggestive of the urinary tract infection may be with symptoms of obstruction. You need an urgent Ultrasonography. It is difficult to relate low sperm count ; the possible reason being the infection of the urinary tract giving a blockage of the ducts of seminal vesicles ( which stores the sperms). The one way to diagnose this is manual per-rectal examination done by a Surgeon ( very much diagnostic). An MRI is he best investigation to diagnose further, to get the guideline for further management." } ]

[ { "from": "system", "value": "Is pain in penile muscle after having sex connected to genital warts?" }, { "from": "human", "value": "The girls I have sex with keep getting UTIs apparently when I have unprotected sex with them. Used to have some burnin urination on and off like once every couple months. Just recently broke out in genital warts, my gf really wanted to have sex so we did even though my breakout wasn't completely gone. I hadn't ejaculated for like 2 weeks before this. But after sex the muscle that contracts my penis hurt and was sore for like 30 mins, is this normal, perhaps due to just a lack of ejaculation for a while? Could it have something to do with the hpv?" }, { "from": "gpt", "value": "Hi, This can be due to Human Papilloma Virus. Your ejaculation can be stopped due to sexually transmitted disease, you both have to get treatment together to avoid further issues and test for std panel. I hope I have answered your query. If you have further doubts, I would be happy to help you. Happy day.Regards,Dr. S. R. Raveendran, Sexologist" } ]

[ { "from": "system", "value": "What are the findings from the semen report?" }, { "from": "human", "value": "Sir, I m presenting my semen report belowVolume : 3 mlReaction : alkalinViscosity : normalMotility :Active : 50%Sluggish : 15%Dead : 35%Total count : 55 million / mlNumerous pus cells / HPF Please give me reply as early as possible" }, { "from": "gpt", "value": "Hello,It is a normal semen report except that pus cells may be due to some type of infection.Sperm count above 20 million /ml is normal and also 50% of the sperms should be active,which is present in your semen.But pus cells should not be present.I would suggest you to consult your doctor and get examined and take proper antibiotics,It will come down.Hope you are satisfied with the answer.Thank you." } ]

[ { "from": "system", "value": "What is the actual motility rate of male sperms ?" }, { "from": "human", "value": "hi...i want to know what is the actual motility rate of male sperm..my husband semen analysis show 40 million sperm but we dont have children since 2 years..doctors suggest my husband to take clomid half a dose in 25 days and i m taking folic acid .. but i m still not conceiving... kindly suggest me any advise... i m greatful to you..thx" }, { "from": "gpt", "value": "HiThank you for asking HCMThe sperm count 40million is good.Motility in normal is greater than 50% and morphology more than 30%normal forms.PH should be 7.1-8.0. You should also check the status of uterus and ovulation. Ultrasound examination will be necessary for that. Intercourse during your fertile period is also necessary.Hope this may help you.Let me know if you have any further query." } ]

[ { "from": "system", "value": "Suggest medication for rashes around the thighs and pubic area" }, { "from": "human", "value": "For the past year or so, I have had small 1 or two inch rashes in the crease where my thighs meets the pubic area. It only goes away the day after I have shaved and then starts to come back with the hair. It smells and is wet or oily. It is only red, not brown and has not spread." }, { "from": "gpt", "value": "Hi,From history it seems that this might be due to chronic rubbing of skin of thigh and pubic area producing rash.Keep local part clean and dry.Apply talc powder after bath.Try to avoid perspiration and keep part dry.Ok and take care." } ]

[ { "from": "system", "value": "Why is my penis sensitive to touch?" }, { "from": "human", "value": "my penis has been sensitive when I touch it. It started about a week ago and is uncomfortable when it comes in contact with my clothes I have also been urinating a lot and have been drinking lots of water because I think I may have UTI. when I am erect the feeling goes away. what it is? and what should I do?" }, { "from": "gpt", "value": "Hi and . The front part of penis is called a glans penis and it is usually covered by skin. This part is very sensitive to touch and its base has many nerve endings which makes it more sensitive. If you have undergone a surgery called circumcision in which the skin covering the glans is removed, u may experience hypersensitivity of glans penis for few weeks and it subsides by itself. Even without surgery when you retract the foreskin the glans may be over sensitive to touch which is common. If you drink excess water, you will urinate more and that's not abnormal. If you have or had UTI please contact a local doctor for further treatment. In mean time drink cranberry juice which helps in preventing future UTI's. All the bestRegardsDr Santosh" } ]

[ { "from": "system", "value": "What does a itchy and raised small patch on penis indicate?" }, { "from": "human", "value": "Hello, i have a small patch just to the left of the base of my penis its constantly red slightly raised and looks to be flaking, when irritated it itch's like mad and is un-bareable its been there for a good two months now never has changed in size or got any worse what could this be and how can it be treated?" }, { "from": "gpt", "value": "Hi,From history it seems that you might be having fungal infection on the part.Apply anti-fungal cream locally.Keep local part clean, dry airy and well shaved.For itching you can take Cetrizine or Benadryl tablet.Ok and take care." } ]

[ { "from": "system", "value": "Treatment for acne, thinning hair, difficulty gaining weight?" }, { "from": "human", "value": "Hello doctors ,First of all thank you for your help and services that you provide for those who need it ,, respect.i`m a 21 years old male i`m an over mastrubator , i mastrubate once or even twice a dayusually during the process and when i cum i hold my penis hard preventing the semin to get out so i can empty it on the bathroom .that`s the condition and the filthy habit ,,about the symptoms i`m experiencing the following :- acne- thin and incomplete facial hair- Difficulty at gaining weigh and muscle mass no matter what i eat or exercise - oversleeping during day time perhaps 10-12 hours and waking up during the night - i`ll not say fatigue . laziness is a more correct word- sometimes leaking penis of some transparent fluid before visualizing and semin after cuming - dark spots around the eyes- depression most of the timemy question is what`s the proper steps and solutions to deal with the problem ?!and what should i do medically and on health levels to treat the symptoms that i mentioned such as thin incomplete facial hair - acne - difficulty at weigh gain and putting on muscle mass .. extra ?!i`m so sorry for bothering you and that you have to read thisplease excuse my English .." }, { "from": "gpt", "value": "Hi ! Good morning. I am Dr Shareef answering your query.Even though masturbation is a normal physiological process in adults, over indulgence in this may affect your vitality and you may feel tired due to this over indulgence. However, there is no such pathological sequence to masturbation as such.Hair growth and mustaches etc are usually liked to the genetic make up of a person. There is not much medically one can do to grow more hair. However, you can consult a dermatologist for this.Similarly, if you are active enough, then there is no worry for not having muscle mass. Health is measured by how active a person is and not by his muscle mass or fat.On your sleeping habits, you have to modify your life style habits. you should not sleep in the day time and keep your self engaged in some work or studies or in some outdoor activities. If you do this, automatically you will be getting good sleep in the night. You have to develop habit of changing your life style and it depends on your strong determination and not on any medications.I hope this information would help you in discussing with your family physician/treating doctor in solving this problem. Thanks for using the healthcare magic forum for your health query. Wishing you an early recovery. Dr Shareef." } ]

[ { "from": "system", "value": "What does 'total sperm count 65million/ml'mean?" }, { "from": "human", "value": "Hello, Could you please review and advice about my semen analysis report. I got married since last ten months ago and still without baby. Although we both tired too many times a month.Semen Analysis PhysicalQuantity ……………. 3 mlColor…………………. Grayish whiteTransparency……… OpaqueViscosity…………….. ViscousTime of collection…. 10:05Time of liquefaction…. 30 minPh……………………………… 7.5 Semen Analysis ChemicalFructose……….. PositiveSperm countTotal count…………………. 65 million/mlLive count…………………… 45 million/milSperm per ejaculate……. 195 million MotilityPercentage motile sperm………………… 69%Rapid linear progression………………….. 9%Slow/Non linear progression……………. 60%Non progressive………………………………… 31% Sperm MorphologyNormal form…………………….. 50%Head abnormalityLarge oval………………………….. 20%Small oval………………………….. 30% Mid piece abnormalitiesOther cellsGerm cells…………………………. 3WBC’S………………………………… 2RBC’s………………………………….. 0Squamous cells…………………… 0" }, { "from": "gpt", "value": "HI. The report : 'total sperm count 65million/ml'means , this is normal. Your semen analysis reports looks to be withing normal limits.What are the reports about your wife and a gynecologist;s opinion. There may be a problem with Her." } ]

[ { "from": "system", "value": "What treatment is suggested for enlarged prostrate?" }, { "from": "human", "value": "Ihave a problem of slightly enlarged prostrate with a volume of 25 gms. Median lobe normal. Grade I BPH with urinary bladder diverticula and post void resodie of 200-250 cc. I got PSA test which is normal i.e. 0.59. Kindly give your suggestion please. M.V.R.Sarma, Proddatur. India." }, { "from": "gpt", "value": "HIThank for asking to HCMI can understand your problem, let me clear something about the prostrate, if it get enlarged then it is to be seen whether this is symptomatic or not, mostly the prostrate enlargement detected accidently, otherwise when this glands start manifesting then only patient comes for the treatment till then it was too big, so the medical treatment of this is only depends upon the clinical complain, and second if it is malignant, even medical treatment can not be given for long time even if it is benign, the, surgical removal is recommended, hope this information helps you, take care and have nice day." } ]

[ { "from": "system", "value": "How to cure severe pain in right pelvis?" }, { "from": "human", "value": "I am not able to pass stool normally and having severe pain in right pelvis refering downwards.I had 4 laparotomies and 3 laparoscopies bcoz of several reasons like,multiple ovarian cyst,lscs,hysterectomy,endometriosis,appendisectomy.I am 35 years old and weight is 66kgs.Please help as I get severe pain when not able to defecate properly even after taking laxative like isaphgul." }, { "from": "gpt", "value": "HIThank for asking to HCMI really appreciate your concern, you have to keep your stress level very low this is the first thing you need to do, then start drinking more water, have fibber containing diet, eat more leafy vegetable, stop any pain killing medicine, keep the schedule for defecation and follow it, go for it even you do not feel to go but go in and sit there for half an hours, do not apply any force, never bother even if you do not pass the stool till a week, keep taking Isabgol at bed time only 4 teaspoon, hope this information helps you have good luck." } ]

[ { "from": "system", "value": "Noticed a small hole in the crease of the groin and thigh area" }, { "from": "human", "value": "I have a small hole in the crease of my groin and thigh area that puss and blood came out of. What do i have to do for it to heal? Should i use alcohol/peroxide to clean it and use NeoSporin? A little pain is associated with it but i can walk and do everyday things with no hesitation." }, { "from": "gpt", "value": "HIThank for asking to HCMI can understand your problems, this could be infective boil if this is filled with the pus then taking antibiotic would be good, antibiotic will eradicate the infection part, and the best option is Tab Amoxicillin 500 mg three times in day for five days hope this information helps you, best luck." } ]

[ { "from": "system", "value": "Suggest treatment to improve the erection of penis" }, { "from": "human", "value": "one day i went outside to play with the handle of a pickaxe with a missing end to spin it for relaxation. i keep dropping it so i descided to fidn a quicker way to pick it up. i did the exact thing that scoccer players do is put the ball between their feet, jump and bend to pick it up, unfortunately i did the same thing with the staff, i put it between my feet, i jumped, the staff tilted towards me, and i landed on the end of the staff and IMPAILED ME in the groin!. most pain i felt in years, but it was only instant pain that lasted for 1 minute then i was fine. but un aware of the side effects, at first. the problem was that my erection wont reach the maximum size and it also takes forever to get one!" }, { "from": "gpt", "value": "Hi, Take ultrasound test and check if any internal bleeding is present. Then only treatment can be said. I hope I have answered your query. If you have further doubts, I would be happy to help you. Happy day.Regards,Dr. S. R. Raveendran, Sexologist" } ]

[ { "from": "system", "value": "What is the remedy for penile papules around my scrotum?" }, { "from": "human", "value": "hello doctor..i am 24yrs old i have a pearly penile papules around my scrotum many are saying it is due to some illegel affair or something like that but i swear so i haven't done anything like that except masturbation.so pls guide me what should i do now..its haunting me like anything i need to remove it asap." }, { "from": "gpt", "value": "HIThank for asking to HCMI can understand your problem this could be warts, and this is viral infection you have to see the dermatologist to remove this, hope this information helps you taka care and have nice day." } ]

[ { "from": "system", "value": "What causes red spots on head of penis?" }, { "from": "human", "value": "Hello, For the past few months I ve had a small reddish / brown (very light) spot on the head on my penis. It s in the centre on the front (not near the urethra). STD tests were negative, so I m not concerned about that. It doesn t appear to have changed size, nor is it rigid. It is completely flat. Any thoughts?" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have infection of the glans penis (Ballanitis).You need to take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.along with topical antibiotic ointment like Neosporin twice daily.Ensure to wash your genitals with warm water twice dailyEnsure to avoid sexual encounters till it heals up completely.Dr.Patil." } ]

[ { "from": "system", "value": "What is the cause for blood dripping from the penis while urinating?" }, { "from": "human", "value": "Hi! While my husband was urinating this morning he sneezed really hard. He immediately felt pain inside his penis and then had a decent amount of blood dripping from it. Each time he s urinated since it has been painful and has had a small amount of blood. Is this something to be concerned about or will it heal on its own? I have him drinking a lot of water to dilute his urine." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that your husband had bout of Hematuria .You have not mentioned age of your husband in your query.The common causes of hematuria in men are 1) Infection 9UTI) 2) Enlarged prostate in old age 3) Cancer of the kidnye or bladder tumour.Please consult qualified Urologist for clinical evaluation and get following basic tests done to confirm the diagnosis,1) Ultrasound scanning of abdomen 2) C.T scan of Kidney ureter and bladder.3) Endoscopic examination of bladder (Cystoscopy).Further treatment will depend upon the findings of these tests and final diagnosis.Dr.Patil" } ]

[ { "from": "system", "value": "What causes dull pain in testicles?" }, { "from": "human", "value": "hello, I have been having a problem on the right side of my groin area (my right testicle, my whole right pelvic area, and at the base of the top right side just before the shaft) for about 6months now. It feels like a dull pain all over that side. I have no lumps or anything. (Things I think I should throw in)One night I was sleeping on my stomach and I guess I was having a happy dream and it felt like I tore something under my penis connecting to my right testicle. It didn't really hurt but it definitely felt uncomfortable and I haven't felt the same since. I've been to doctor but she said it might be a hernia and sent me to a surgeon who then told me its not a hernia. I really just want to figure out what the problem is so I can get it fixed because its been annoying me for 6 months. No problems with sexual intercourse. If u need more info just ask. Please help" }, { "from": "gpt", "value": "Hi,From history it seems that you might be having chronic epididimo-orchitis giving rise this problem.Consult urologist and get examined.a course of antibiotic will give you relief.Ok and take care." } ]

[ { "from": "system", "value": "What to do for painful ejaculation after had urethral reconstructive surgery?" }, { "from": "human", "value": "My boyfriend had end to end urtheral reconstructive surgery and it s been about five months and every time he ejaculates it hurt it s painful and the last time he threw up not to mention him the scrotum bruises I feel that the urthera is to tight now and he may need to repeat this procedure but using the grafting technique could I be right" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that your boyfriend who has undergone surgery of end to end anastomotic urothroplasty six months ago has painful ejaculation. This is most likely to due to recurrence of stricture urethra.Please consult qualified Urologist and retrograde Cystourthrogram done to rule out recurrence of stricture.He will be the best person to decide regarding any need for surgery like Buccal Mucosal Graft surgery.Dr.Patil." } ]

[ { "from": "system", "value": "Why penis is not standing up?" }, { "from": "human", "value": "hi ...i am 23 years old .i have a problem that my penis is not standing at all from 4 to 5 days..whenever i want to stand to my penis i am unable to do that. Before that my penis did t get full erection and now it is not standing at all.. plz give me some suggestions that can help me..i am really worried about that" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have problem of erectile dysfunction since 4-5 days .This does happen sometimes due to stress or anxiety and nothing to be worried about.Following measure will help you to boost up your confidence and getting good erection.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..4) Avoid alcohol and smoking..Dr.Patil." } ]

[ { "from": "system", "value": "How to stop the habit of masturbation causing memory loss and concentration problem?" }, { "from": "human", "value": "Memory lossand concentration problem. I am a student and exams are at the door. I have a bad habit of masturbatuon and i think so.....it has affected my body and brain leading to weakness...backpain, headache, and most important IMPARED THINKING and MEMORY LOSS. Dont understand things at one time and FORGET SILLY THINGS. PL HELP........DOCTOR" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have varied problem of health which you attribute them to be due to masturbation that you are doing since a long time.First of all there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body.All the problems that you are facing now are mind related and due to anxiety.Following measure will help you to boost up your confidence and getting good erection.and delay ejaculation.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..4) Avoid alcohol and smoking..Please get yourself engaged in some activities like reading ,sports, listening to music etc so that you will not get free time to masturbate .This will help to curb your habit.of masturbation.Dr.Patil." } ]

[ { "from": "system", "value": "What causes burning while urinating and rash on the head of penis?" }, { "from": "human", "value": "I have a rash on the head of my penis/irinary meatus it started about 2 wks ago. I thought it was an alergic reaction to the condom. 3 days later it I had painful/burnig urination and itchyness. I applied a triple antibiotic ointment it made it worse. I am using clotrimazole 1% and with in 5 days it was all gone, but I read on line that for a fungul infection I would have to use the oinment for 4 wks and now that is has been 2 full weeks it looks like it is starting to come back, but now there is no pain when urinating but it is itchy." }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have muco cutaneous genital candidiasis .Please take anti fungal medication like Fluconozole twice daily along with topical anti fungal jelly for local application which has to be used for 2-3 weeks.As this is common in diabetic individuals Please get your blood sugar tests done to rule out Diabetes .Dr.Patil." } ]

[ { "from": "system", "value": "What causes burning sensation in penis before urination?" }, { "from": "human", "value": "Hello,I went to pee on Sunday,when I held my penis to stop the urine coming out I got a sharp burning sensation,this went away as soon as I started urinating.i has been like this everything I hold my penis before letting the urine out.Why is this happening?Peter" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have pain in your penis before passing urine.This is most likely to be due to inflammation of urethra(Urethritis).Please get your routine urine test and urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to.Please take broad spectrum antibiotics like Cefexine along with urinary antiseptic like Nitrofurantoin twice daily and urine alkaliser thrice daily.Later on switch on to appropriate antibiotics as per culture report.Get the prescription of medicines from your family Physician.Ensure to drink more water.To keep your urine dilute This will help to control dysuria.Dr.Patil." } ]

[ { "from": "system", "value": "Is surgery needed for enlarged prostrate?" }, { "from": "human", "value": "I am aged 67. I have problem of enlarged Prostrate. Recent tests indicate PSA - 4.34, Creatinine--1.10, Ultra sound results show Prostrate volume 36.5cc significant Pstvoid residue with Grade-II Prosatomegaly Now Do I need a Surgery now or can I wait for one year more" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have enlarged prostate with significant post void residue .You can certainly take medication alpha blockers like Tomsulosin This will help to improve urine flow and to some extent reduce the frequency of urination and nocturnal frequency too.However consult qualified Urologist for clinical assessment .He is the best person to decide regarding need for surgery.Dr.Patil." } ]

[ { "from": "system", "value": "Suggest treatment for itching and red patches on scrotum" }, { "from": "human", "value": "hi...doctor...now its around been a week since mine scrotum is itching like hell.....i had put lotion on it 3-4 times but its not working.....nd now there is a red patch on right side nd a fluid like discharge(which smells like yakk)....what can i do...?? Plz tell...my age is 18 (i dont know itz of any use)" }, { "from": "gpt", "value": "Hi,It may be due to fungal infection and secondary bacterial infection. You can take local anti-fungals with antibiotics to see better results. I Hope I have answered your query. If you have further doubts, I would be happy to help you. Happy day.Regards,Dr. S. R. Raveendran, Sexologist" } ]

[ { "from": "system", "value": "What are the findings from the semen analysis report?" }, { "from": "human", "value": "Sir gd morning,my semen volume is 2.5,colour- Milky White,ph-Alkaline,Viscocity-Viscous,Liquification time-35 min.,Total Sperm Count-64 %,Pus Cells-1-2,Progressive Motility-40%,Non Progressive:30,Immotile:30,Normal-80,Abnormal:20,tell me if any point is week" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts and report of your semen analysis that you have posted I would like to state that your semen analysis is normal as compared to WHO standards as far as morphology, sperm count and motility of sperm is concerned.The presence of puss cell indicate infection of either seminal vesicle or prostate.This can be cured by taking antibiotics like Doxicycline twice daily for three weeks.Dr.Patil." } ]

[ { "from": "system", "value": "Suggest treatment for nocturnal emission" }, { "from": "human", "value": "hi Sir . iam ahamed jameel from india my age is 32, from age 15 have problem i am loosing sperm in during sleep time(night falls).in a 2 or 3 times in weak.i try to make medicine English and Ayurveda no solution's and some doters says my it is no solution . i am feeling week and unhealthy do to this problem.please surges me that it is normal or have solution.thank u waiting for your prompt response.thanks jameel" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have problem of night emission since a long time.Night emission is normal at the age of adolescence and there is nothing to be worried about it .The problem gets resolved without any treatment .Following general measures help to resolve the issue .1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday..4) Avoid alcohol and smoking..Dr.Patil." } ]

[ { "from": "system", "value": "How to overcome the problem of semen leakage ?" }, { "from": "human", "value": "I am have problem of semen leakage(white sticky clear) whenever i talked with girl-friend on phone. Talking matter is always normal. Due to this i feel very uncomfortable and next day i feel weak and low energy. Some times i feels to do something wrong with the life too." }, { "from": "gpt", "value": "Hi,     Thank you for choosing Healthcaremagic. It is normal to have some secretions mainly due to SEXUAL AROUSAL, kindly do not worry. It is not any serious thing to worry. kindly meet a psychiatrist if you are not convinced.Please ask if you have more questions. If you are satisfied, please make sure that your ACCEPT my answer so that I receive credit. Good luck!!" } ]

[ { "from": "system", "value": "How to treat sperm leakage and weakness after excessive masturbation?" }, { "from": "human", "value": "Respected Sir, I am a 29 year old male.. past few day i did alot of masturbation.. and i am suffering sperm leakage .. when i pass my stool sperms come out from my penis .. in a month my face became so weak. i am very upset because of this... my face was healthy but now its looks so weak and dull.. how can i get my healthy face back and what is the treatment of sperm leakage" }, { "from": "gpt", "value": "Hello Thanks for writing to HCMOver masturbation may be due to excessive sexual thoughts.Masturbation is practiced by most of the males but its obsession is bad.Slight leakage of semen is common during defecation,it is due to straining.This condition doesn't require any treatment.Semen loss is not related to weakness at all.This is a myth.You should try to keep yourself busy in your job.You should avoid provocating literature,videos etc.You should also try meditation and yoga.This will help you a lot.You are very young and you should try to make your carrier.If problem still persists then you may need psychological help.Proper counselling can be done by psychologist.Hope i have answered your query.Take CareDr.Indu Bhushan" } ]

[ { "from": "system", "value": "How to treat genital warts on penis and testicles?" }, { "from": "human", "value": "I got some genital warts at my dick and as well at my testicles, they are about 7 to 8, but keep me worried. I am 32 years of age, and have an active sex life. Moreover, I used to smoke, just quit two months ago. MY genital warts start appearing about 4 months ago. I need some suggestions and some basic treatment. Note that, I am living in Japan." }, { "from": "gpt", "value": "You should apply ointment POLYFAX on affected areas three times in a day and u should take tabletERERYTHROMYCIN or tablet VALOSEF(CEPHRADIN) 500mg two times in a day" } ]

[ { "from": "system", "value": "What is the remedy for the pain in the testicle when i lift weights?" }, { "from": "human", "value": "Ive been bodybuilding since 14 and im 22 and ive never had a problem when lifting except 9 months ago i was working my biceps and i guess i used too much weight and a wrong position and my left testicle swole up and then it swells up and hurts every time i lift so i havent been able to lift comfortably" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you are getting pain and swelling of the left testicle while doing weight lifting exercises.This is due to increased intra abominal pressure that causes varicocele.This can be confirmed by clinical examination by a qualified general surgeon and colour Doppler study of scrotum,Please go ahead and get this done to confirm the diagnosis.Further treatment will be decided by him and will depend upon the final diagnosis and grade of Varicocele.Dr.Patil." } ]

[ { "from": "system", "value": "2 tiny bumps between the scrotum and anal area that is stingy" }, { "from": "human", "value": "2 tiny bumps between the scrotum and anal area but very close to the anal area. Slightly stingy and have been there for a week now. They have gotten smaller but not going away completely at this point. Would an ingrown hair cause anything like this?" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have two small bumps near anus.Most likely these could be what is called as Perianal abscess in a stage of induration.These are due to infection of the mucus glans around the anus .Please consult qualified general surgeon for clinical examination to confirm the diagnosis.You need to take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.It will get cured within a week.Dr.Patil." } ]

[ { "from": "system", "value": "Is difficulty in ejaculating normal at the age of 70?" }, { "from": "human", "value": "I am just coming up to my 70 th birthday dont smoke drink occasionally still feel like sex but have difficulty in ejaculating. When ejaculating have semen but only oozes out no force behind ejaculation is this common at my age? Also seem to have slight pain in my testicles ," }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have noticed that you have difficulty in ejaculation and the quantity of semen is very less.With increasing age production of semen is reduced due to low serum testosterone levels.This is normal at the age of 70 and nothing to be worried about.The pain while ejaculating could be due to Prostatitis which can be controlled by taking antibiotics like Doxycycline for two weeks.Dr.Patil." } ]

[ { "from": "system", "value": "Is it normal to have smear semen when aroused?" }, { "from": "human", "value": "hi pls i want to know if its is normal or abnormal to have smear semen from my penis when i am aroused but without intercourse. it happens to me most of the times that when i think of having sex and could not, after shrinking in of my penis, semen is smeared. pls advice me if it is normal or not" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you are getting watery discharge from penis on arousal.Watery discharge that you get on arousal is a secretion of the Bulbourethral glans located in urethra which get stimulated on arousal and secrete a mucus secretion which acts as a lubricant to help in passage of a thick semen during ejaculation.Do not worry this is a normal phenomenon Dr.Patil." } ]

[ { "from": "system", "value": "How to treat white dry layer on the penis?" }, { "from": "human", "value": "Dear Doctor I am 28 year old male married.. I am seeing a white dry layer on my penis head lately.. i tried to clean it with warm water but couldn t rub off.. Penis head is very dry n red during intercourse it pains a lot to me and also to my wife.. please suggest a cure" }, { "from": "gpt", "value": "HelloThanks for your query,based on the facts that you have posted it appears that you have infection of the glans penis ( Ballanitis).You need to take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.along with topical antibiotic ointment like Neosporin twice daily.Ensure to wash your genitals with warm water twice dailyEnsure to avoid sexual encounters till it heals up completely.Dr.Patil." } ]