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Nitral_Medical_Dialog_Fixed

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[ { "from": "system", "value": "Victim of school bullying, home schooled, sleep patterns changed, suicidal thoughts, smoking. Solution?" }, { "from": "human", "value": "I m a 15 year old girl who has suffered with school bullying , I m now home schooled and I m happy but sometimes I feel like some people don t understand what s going on mentally (in my mind) My sleep patterns have changed time and time again, I have suicidal thoughts, I ve also had an addiction with nail polish to try block it out, after my mom found out about my addiction, I ve moved onto smoking and I just don t know what to do anymore..." }, { "from": "gpt", "value": "Hi friend, Welcome to Health Care Magic YOU NEED HELP YOU NEED SUPERVISION You should seek the help of a Psychiatrist – AS SOON AS POSSIBLE. Take your mother into confidence / discuss your problems. Discuss with a good friend / she can help you by herself, help you to see the doctor and help to discuss with your mother too. Shed the inhibition and see the doctor at the earliest Take care Wishing speedy recovery God bless Good luck" } ]

[ { "from": "system", "value": "Is ejaculating without masturbation safe?" }, { "from": "human", "value": "hey doctor i have found another way to ejaculate without masterbation, simple by apply pressure on my penis either erect or not for about 30 seconds i have been doing this method probably from i was about 7 or 8 although i did not start to ejaculate until i was older but even when i was young after about 30 sec it felt great, i am wondering if you have heard about this before and if you know it is safe?" }, { "from": "gpt", "value": "Hi, If you masturbate by hand no issue (few do prone method). If you can ejaculate after masturbation no issue (if sperm not coming out it can be retrograde ejaculation). Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S.R.Raveendran, Sexologist" } ]

[ { "from": "system", "value": "Husband suspicious, protective, negative emotions, complex personality. Ways to tackle him?" }, { "from": "human", "value": "my husband is suspicious, possesssive to such an extent that he checks my phone, emails, facebook a/c. he imagines things and thinks that things are the way he thinks about them. he s very moody, has moodswings all the time. if i listen songs at night on my cellphone he thinks i m texting someone. he wants to control me all the time, to always do things his way, if i fight or argue with him, he starts drinking, though he s a habitual drinker. he threats me if i fight with him, he ll leave the house. there s a lot of negativity in him. he says things and then if i question him he says he never said so. he s an escapist, cannot face any situations and he also does nt take any responsibility for things gone wrong, but always takes credit for things which have gone right. when he s in a right mood one will not find anyone so good as him. he s not a patient listener, he thinks hé gone through alot in life, that the world is bad, people are jealous of him. i cannot be myself when he s around. if i say s thing is good for eg. a restaurant or that s thing new has come has come up in town, he will immediately get suspicious as to who told me about it. has a lot of negative emotions and has a complex personality.he s over protective of me and our 3 daughters which becomes irritating and unbearable at times. pl. advice how to tackle him." }, { "from": "gpt", "value": "As he is a habitual drinker he has Paranoid personality leading to paranoid disorder.If he is not taken into confidence needs treatment-anti psychotic and mood stabilizer like quitiapine and lamitrazine or olanzapine and oxcarbamezepine" } ]

[ { "from": "system", "value": "Tension, prescribed Rinifol, Medlwyo2h, Zeegut, had kidney stones in the past. What are the functions of these medicines?" }, { "from": "human", "value": "hello!! my doc . says i m having too much tension and i should relex more. He has given me Rinifol capsule, Medley o2h, zeegut capsule. In past i had a stone in my right kidney though not s big one. what does he mean ? what are the capsules for.? I cauld had ask him but he wont tell as im not that old?" }, { "from": "gpt", "value": "Neither Rinifol nor Zeegut may cause kidney stones." } ]

[ { "from": "system", "value": "Sperm analysis done, opaque grey, motility, immature forms tested. Are they normal?" }, { "from": "human", "value": "Can anyone suggest me the following report is normal? How is my Sperm count report? Volume :- 2.5ml Appearance :- Opaque grey Viscosity/Liquifaction :- more than 2 hrs Total Sperm Concentration :- 26 mil/ml Active Motility 55% Sluggish motile 5% Non Motile 40% immature forms 6 abnormal forms 4 ph 8" }, { "from": "gpt", "value": "Usually it takes 10 minutes to liquefy. Active motility is fair" } ]

[ { "from": "system", "value": "Swelling under arm. Ultrasound taking too long. Means something?" }, { "from": "human", "value": "Hi. Iam 40 years old and attended the hospital for an ultrasound scan for a swelling under my right arm . The Radiographer told me to make an appointment to see my GP , to receive the results in ten days time. When I phoned the surgery , the receptionist said these things can take longer, and gave me 4 May to attend for the result. I am quite anxious, do these things usually take so long?" }, { "from": "gpt", "value": "I am too late to post answer as I joined this forum recently. Hope you have got ultrasound done" } ]

[ { "from": "system", "value": "Have post traumatic cyst in thigh due to exercises. Walk a lot?" }, { "from": "human", "value": "I have been recently told I have a post tramtic cyst in my thigh due to when I was exercising using a weight and lifting my leg unfortunatly I no longer have health coverage I did have a mri but without showing really the doctor told me walking is good for this area which I do walk 3 miles a day I am 54 years old have also lost a lot of weight in the past year due to stress and losing my husband in 2010 and my job a month ago" }, { "from": "gpt", "value": "I could not got your question. Do you want suggestion about cyst or for stress. First you need consultation with a surgeon about prognosis." } ]

[ { "from": "system", "value": "Why has balls area been hurting? Why is the groin in pain? Why can I not strain?" }, { "from": "human", "value": "I am an athlete, I play baseball, i wear compression shorts. recently my lower area around the ball section has been hurting(sore). I dont think its a hernia because its not so much a groin pain. Im wondering if its because of one of my last games where I didnt where compression shorts but i wore boxers instead (that particular game I did run alot more than usual making freaquent sprints on the base path and field. I am the fastest on my team so I do run above par. Im wondering if its just a strain or if I simply overdid my last game because I can still run but I feel soreness when I do? Its not excrusiating pain either so Im wondering if you could help, or if going to see a doctor is a must. One more thing I didnt do a full out stretch like a normaly do so im wondering if you could tell me if this is a contributing factor to the soreness(strain)." }, { "from": "gpt", "value": "It is better to be examined by your sports doctor before I comment anything." } ]

[ { "from": "system", "value": "Inoperable acetabular fracture, dementia. What are the goals of rehab?" }, { "from": "human", "value": "85 yo female with inoperable acetabular fracture s/p fall. Dementia (alert to name and place only), HTN, CAD, previous MI. Internist and orthopod want to send her to rehab after discharge from hospital. Patient is insisting on going back home. We tend to agree with her and are planning to get a hospice consult. Need to know what the goals of rehab are and if it will be in her best interests." }, { "from": "gpt", "value": "Better living as much as possible. To prevent accidental death." } ]

[ { "from": "system", "value": "Does long-term use of Alfoo or Afdura cause ejaculation problems? Have reduced semen content" }, { "from": "human", "value": "does continuous taking tablet alfoo or afdura cause ejaculation problems. I experienced ejaculation problems like reduction in the semen content.. Does this problem get solved once I stop taking these medicines or is it a permanent probem. I am 63 yrs old. I had prostate infection for which I had taken antibiotics for about a month. Noe the urine exam has shown nogrowth but still some burning at uthera and groin area is there. The doctor asked me to stop antibiotics and take Afdura and Urotel/Suri.Email : YYYY@YYYY" }, { "from": "gpt", "value": "Loss in sexual ability, desire, drive, or performance are noted side effects of Alfuzocin (Alfoo). Decrease in semen content is not noted." } ]

[ { "from": "system", "value": "Concussion after hitting head, loss of memory. How long will it take for memory return?" }, { "from": "human", "value": "A friend of mine hit her head again, after having a concussion just 2 weeks prior. As of right now she refuses to go to the doctor, and I don t know what to do. She barely remembers me, or anybody else. She knows who she is, her sister, stepdad, and mom. She can type and she says she remembers music. She said some of it gives her a sad feeling, or a happy feeling. Just feeling, no memory of why those songs give her those feelings. I m really scared that she won t re-gain any of her memory back, of who anybody is... So, how long does it take for someones memory to come back, after hitting their head after just having a concussion 2 weeks prior??" }, { "from": "gpt", "value": "May be 6 months or more. Depends on your luck." } ]

[ { "from": "system", "value": "What precautions should I take after having oral sex with my partner?" }, { "from": "human", "value": "Hello Doctor, I did suck with penis for other guy only for 5 mts, nothing goes out to mouth . This incident was happened on 25th May 2107. There is no symptoms till now. I had tested ESR,Liver Function and Uric Acid. Everything is normal. Can you suggest your opinion." }, { "from": "gpt", "value": "Hello, If don't have symptoms of any Sexually Transmitted infection. No need to worry rules out most of the infections. Still for completion sake doing a Hepatitis and HIV test will be helpful. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist" } ]

[ { "from": "system", "value": "Had panic attack, discharged from hospital after treatment. Gave Encornate chrono, speaking only few words. Suggestions?" }, { "from": "human", "value": "sir my sister is 15 year old and 17-11-2012 the first panic attack come and con-sis that i admit the emergency ward on BHU Hospital and encronate chrono 500mg dosage but my sister discharge on 19-11-2012 evening that mean today after come home i give the 1 tablet on encornate chrono 500mg after that she telling only some words and others" }, { "from": "gpt", "value": "hi maansingh, encorate chrono contains \"sodium valproate \" a drug used for treating epilepsy/seizures ,rathr than panic attack;hence a review of drug/diagnosis is a must. was an EEG examination, blood electrolytes and blood glucose levels checked in Emergency Ward." } ]

[ { "from": "system", "value": "28 Yr old. Sleeps all day and night, isolated, feels neglected and cries when spoken to. Suggestions?" }, { "from": "human", "value": "hello sir, I have a sister aged 28yrs she has been so isolated and she didt understand the things much and she cant even take care of herself. Earlier it was going well but know a days she is becoming unpredictable she use to sleep all day and night didt talk much n if we try to talk than she used to cry and say that she has been neglected kept isolated from all and cry. Please help me what to do ???" }, { "from": "gpt", "value": "hello welcome to health care magic She could have following possibilities- 1) Major Depressive Disorder 2) Psychotic disorder (Delusional disorder, schizophrenia) Don't get worried. Consult a psychiatrist for detailed evaluation and treatment. With proper treatment, she will get alright. Good luck Thanks" } ]

[ { "from": "system", "value": "21 year old with fatigue, sleeplessness and severe weight gain. History of eczema. Need help" }, { "from": "human", "value": "Hi, I m 21 years old. I have in the past 3years been experiencing extreme fatigue , being unable to sleep nor wake up, not wanting to be around people, struggling to get through the day, low levels of energy, just feeling really down. This is not quite out of character for me, its how I ve always been but in the last three years its become worse to the point that I can t function and I ve gained a lot of weight. I recently peed in the bed and I itch all over my body so much so that I have to take several showers a day. I don t know what s happening to me. I have a history of eczma." }, { "from": "gpt", "value": "Dear Nadia, Hi. By the complains you have mentioned and that too since 3 years,there could be plenty of reasons. First one has to rule out anemia which is very common among the young girls. The other common reason could be a low thyroid level and will have to be investigated. There is an entity called chronic depression, but then it can be labelled only after a detailed interview with a psychiatrist. It would be good if you can get hold of a psychiatrist (specialist) to get yourself assessed and investigated. The eczema part needs to be treated by a dermatologist with various creams and oral drugs. Get well soon!" } ]

[ { "from": "system", "value": "Suffering from brain fog, stress, numbness, dream like feeling. Used mood stabilizers, vitamins. Cure?" }, { "from": "human", "value": "Hello, for about 8 months now, I have been suffering from brain fog . I have tried almost everything to cure it, from vitamins to counselling to mood stabilizers, but nothing works. I m not exactly sure what caused my brain fog, but I remember I got it during the winter, and I was very stressed because I had a lot of things going on at the time. All of these events have passed now, but I still have the brain fog. Everything in my brain is numb and I feel like I m in a dream. What chemically causes brain fog, and what can I take to help reduce it? Thank you" }, { "from": "gpt", "value": "I understand that you seem to be worried brain fog. However it would be better if you could elaborate more about what exactly has been happening to you and what are the practical difficulties faced by you in past 8 months. A clear account of your symptoms and treatment details can help us to guide you to take correct treatment" } ]

[ { "from": "system", "value": "Difficulty concentrating, tension in neck and head, always tired, cold hands" }, { "from": "human", "value": "I ve been feeling like my head isnt working the same. Its like now I have to concentrate so much harder, alot of the time I cannot comprehend what my teachers ask me and I feel so dumb. I ve been having alot of tension in my neck and ontop of my head. I ve been really tired all the time - my spine feels foggy when I wake up, and my eyes always feel tired. My hands are always cold . People think its weird cause they would feel fine. My appetite is normalish. I only eat when I m hungry which is in the evening." }, { "from": "gpt", "value": "you are suffering from-Anxiety Depression.you should breathing exercise daily and jogging. You also require mild dose of S.S.R.I.(antidepressant) anxiolytic- clonazepam." } ]

[ { "from": "system", "value": "Taking medicine for concentration. How long should the medicine be taken for it to be effective?" }, { "from": "human", "value": "Hello Doctor I want to start taking methylfenidaat HCI to help me to concentrate. Can you please tell me for how long as I have to wait to see the effect of the medecine? Becuase currently I am doing a reserach which needs my full concentration and focus. What do you advice me? Thank you so much and looking for your reply" }, { "from": "gpt", "value": "If you feel better continue for 9 months taper it to minimum dose with breathing exercise and jogging.If that time no problem you can stop.medicine but continue your exercise." } ]

[ { "from": "system", "value": "Audio hallucinations. Taking Zoloft and Vicodin. Was in rehab. Done root canal" }, { "from": "human", "value": "I have seen my family doctor for audio hallucinations that occur only when my mother s boyfriend around, I live with them. I usually hear them talking about me at night or hear him speaking poorly of me when I am in the other room, and in reality he is very passive/aggressive so I consider the possibility of it being true, however every time I ask my mother swears I am hearing things and they never speak of me. I have been on Zoloft since I was 18, I am now 30. My father had me put on it because I was fighting with a friend and sad, now I have been on it for years. I used Vicodin and other opiates, never heroin though, for roughly 10 years off and on, and only became a daily user toward the end which resulted in a rehab stay for 90 days the beginning of 2010. I also used meth for 10 days between rehab stays, a mishap with another client there. The first stay was 44 days and the second I made the entire 90. A slight relapse that lasted 20 days last august with Roxycontin 40 s and I have been clean and sober ever since. They put me on Topamax 50 mg, 1 25mg in the morning and one in the evening when I was in rehab. When I visited my doctor out here in Vegas, I was in rehab and put on Topamax in CA, she changed me from 2-25 mgs to one 50 mg a night. Three weeks later I hear voices. I am curious however if it could be due to the fact that I had a root canal I never got to finish having closed. They drilled the hole and took out the root, put in a small filling, but that recently fell out and I had and still have no health insurance to get a bridge. So what do you think doc?" }, { "from": "gpt", "value": "Your auditory hallucination needs proper assessment by a Psychiatrist. Most probably you require an antipsychotic medicine." } ]

[ { "from": "system", "value": "Getting irritated and losing control. Taken protiaden. Permanent solution?" }, { "from": "human", "value": "I am 48 years old,I worked in a MNC company, as a all india commercial quality manager, my problem is in small cause i become irritate & loose my control, even I know that i am doing wrong. and my voice always high. I have taken protiaden 75 tabs last three months. but when I have finished it again same thing started. How can I solve it?" }, { "from": "gpt", "value": "You have agitated depression. If you are O.K. with that medicine continue it for 8-9 month. with breathing exercise and jogging daily then it can be tapered off." } ]

[ { "from": "system", "value": "73 yr old unable to adjust with anyone, violent, hot tempered, family depressed. Suggestions?" }, { "from": "human", "value": "our family is in depression because of my father. he is 73, mother passed away in 2010. my father does not like any body in this world. he cant adjust even 7 days with family members. he becomes violant because of small small problems. we are suffering since 2010. he is hot tempered, rigid, he writes all negative things of family members. please advise. we have tried all options like keep him with family, old age home, seperate rental house, relatives house but he could not adjust. The present situation is that every body wants to avoid him. Being a son, I cant leave him, please advise." }, { "from": "gpt", "value": "hello welcome to health care magic Don't worry. He could be having following possibilities based on your details- 1) Major depressive disorder (Agitated depression) 2) Bipolar disorder ( manic type) 3) Dementia with depression 4) Psychotic disorder I advise you to consult a psychiatrist for detailed evaluation and management. Good Luck Thanks" } ]

[ { "from": "system", "value": "Feeling sad, excessive worry, insomnia, withdrawal from socializing, ADD. Am I mentally ill?" }, { "from": "human", "value": "Am I mentally ill? I know that the only way to be sure is to check with a doctor in person, but i m a bit nervous. I ve read online feeling sad, excessive worry or fear, insomnia , change in eating habits, withdrawal from socializing with friends, unable to deal with daily life, display of anger, violence or hostility, thoughts of suicide , anxiety of all types, mood swings, depression, delusions, paranoia , split personality, sudden and uncontrolled body movement, ADD, and ADHD are signs of mental illness, and I have and had all of those. Can someone help?" }, { "from": "gpt", "value": "hello welcome to health care magic As per your details, it can't be told with certainity that what kind of psychiatric disorder you have, if any. You need detailed evaluation of your symptomatology so that a particular diagnosis is reached. I advise you to consult a psychiatrist as soon as possible. Wish you good health Thanks" } ]

[ { "from": "system", "value": "What causes uncomfortable vomiting sensation?" }, { "from": "human", "value": "Hi my husband went on a roller coaster ride and immediately started sweating profusely and also felt uncomfortable and vomiting sensation also this happened about 4pm later we had our dinner around 9.30 in the night but still complains of vomiting now he is asleep she we consult dr. Or can he take an ecosprin 75 mg which he usually takes in the morning" }, { "from": "gpt", "value": "Hello, I'm sorry there are two possibilities. Gastric upset - where you should not take ecosprin and need antiemetic and anti gastric drugs. If it's cardiac related due to sudden stress from roller coaster needs immediate ECG and start Ecosprin. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist" } ]

[ { "from": "system", "value": "Breaks into cold sweats, shakes, headaches, nauseated, chest pains. Is this depression or panic attacks ?" }, { "from": "human", "value": "For the past yr and a half my husband has been having what we think are panic attacks. The dr he saw last said depression after doing a cbc & glucose level test- all normal. He breaks into cold sweats, shakes, has headaches , is nauseated. Recently he s started having chest pains from the back of his neck down to his jaw, left arm & ending at his chest. He s lost over ten lbs in a week & not trying to- he does eat but that s the only thing that gets him out of the bed. he is in the bed 15-20 hrs a day unless he has to be up. He says he is always tired & when he is asleep & i touch him to wake him he wakes up startled & disoriented. Says he has the spells in his sleep as well, as he still feels bad once he wakes, when sleeping use to help them stop. He can not function normally at all. In fact he s lost jobs because of this and no one can tell us what s going on. He s not under any stress & he s not unhappy. Can someone point us in the right direction?" }, { "from": "gpt", "value": "Hi there, Thanks for writing in. It is quite possible that he is suffering from depression. However, before diagnosing , I would suggest that he gets his thyroid function test, liver function test, renal function test, Vit B12 levels done. If all these are normal,I feel it would be most appropriate for your husband to visit a psychologist /psychiatrist for the right guidance. In the meantime , I would suggest that he also sign up for yoga classes if you have a good yoga instructor in your area. Deep breathing excercises does wonders for the body. Hope this helps. Have a great day. Regards, Dr. Divya Kuttikrishnan" } ]

[ { "from": "system", "value": "what is the psychological perspectives on glandular fever ?" }, { "from": "human", "value": "What is the psychoanalytical perspective on glandular fever and possible psychological aspects to it ?" }, { "from": "gpt", "value": "Hi,It will depend on many factors and will defer for person to person.Psychoanalysis is exhaustive exercise and can not be done online. So visit nearby psychoanalyst.Take care, www.99doctor.com" } ]

[ { "from": "system", "value": "Suffering from anxiety, bouts of sweat, diarrhea and upset stomach. Taking nexium and indomethacin. Low WBC. What to do?" }, { "from": "human", "value": "Lately I feel exhausted, like if I close my eyes for a second ill pass out or fall asleep. My anxiety is through the roof. My stomach is upset, diarrhea and I get bouts of sweats. This is exhausting and I feel super tired alllllllll day long. Wake up feeling exhausted like I haven t slept. It s taken my social life out and my job suffers because I have a hard time keeping moving while there. Feel like I m goin to pass out numerous times throughout the day. I m taking nexium for acid reflux and indomethacin for paroxysmal hemicrania. I m so tired of feeling this way. The anxiety makes me feel like I m going to explode and I m left exhausted unable to fiction properly. Had lots of blood and urine tests, all came back within limits. White blood cell count was a tad low. Please help!" }, { "from": "gpt", "value": "Hi I think you need relaxation. All problems appear anxiety related. Think about your priorities in life and take medical help. Listen to music, engage in your hobbies and do what you actually want to do in life. You will be fine. Music and meditation can help. Best wishes" } ]

[ { "from": "system", "value": "Not able to concentrate, uncontrollable thoughts. Treated with setraline. Symptoms relapsing upon stopping medication. Need help" }, { "from": "human", "value": "Hello doctor, Age 29. I was worried about get mad. These thoughts made me panic and couldn t concentrate on any where even tv program. I have consulted doctor he given me medicine called sertraline tablet. I was taking it past two years. I am not taking the medicine from past 4 months. Now the feeling started again slowly. Can you help me" }, { "from": "gpt", "value": "As per details given by you, these uncontrollable and irrational thoughts which seem to bother you could be manifestation of Obsessive compulsive disorder. It is recommended to restart sertraline for an early control of these symptoms. It is also recommended that you should stop these medications gradually after consulting your psychiatrist. If you have any additional queries please feel free to raise them." } ]

[ { "from": "system", "value": "Facial numbness, dizziness, lightheadedness and panic attacks. MRI scheduled. Is this Labrynthitis?" }, { "from": "human", "value": "hi i have been dealing with facial numbness on my right side and my ear is hurting. I feel really dizzy, light headed throughout the day and it seems to be worse when i wake up. This condition has led to panic attacks and now i have been diagnosed with anxiety . My doctor has said that my ear has been complicated but it looks fine on normal tests. I do have a scheduled MRI soon. Could this be Labrynthitis?" }, { "from": "gpt", "value": "It is hard to comment whether it is labrynthitis with current information. However inner ear pathology could manifest with symptoms such dizziness, light headedness, which in turn could activate panic symptoms. It may be recommended for you to relax and undergo MRI for diagnostic clarification. Low dose of anxiolytic is advisable if anxiety persists" } ]

[ { "from": "system", "value": "Slight OCD, sometimes constipation, sometimes frequent bowel movements, unable to concentrate, hairloss, pimples around nose after masturbation. What could this be?" }, { "from": "human", "value": "Hi, I wanted to know if I am depressed or what. I have slight OCD , that I repeat a few things. Only there are 2-3 things in total that I repeat but sometimes it increases. Other than this I have some other symptoms as well. I have unstable digestion system, sometimes constipation and sometimes I have to go to washroom little after my meals. Also now I am feeling like I am unable to concentrate. I am a student and I m 22. When I try to focus, it looks like stress on my mind is increasing. Look like everything is being stuffed into my head. Also, I am getting slower and slower day by day. Now when I look back, I remember this slowness started around 6-7 years ago. And I really did not noticed it then. I remember that was the time when it started taking me more time than usual for daily tasks and I remember that was the time when I started reaching a little late at school. From them I can see it increased now. Now I take lots of time while eating and bathing. Late in university class on almost everyday. And all this increasing my stress and I tried my best now to do thing quickly but nothing helped so far. My face also doesn t look fresh. I look sluggish and people say you look in some deep thinking all the time. And yes, I can notice it myself that my mind doesn t stop anytime. It keeps on thinking about different things. Whenever I lay down and free, it started working in one direction or another. With this I have lots of hair dropping everyday, and many of them getting white. I also have continuous big pimples on and around my nose. I use to masturbate even before adolescence . Last night I had a wet dream and lots of liquid flown out. After that I had a very painful tingling sensation(like my penis is going to blown out) and my penis remain fully erected, probably stronger erection than normal. This happened to me earlier 3-4 times in life. The painful tingling sensation goes away when I sleep again after wet dream and when I wake up in the morning everything is normal again. But I have noticed that whenever that happens, I get some really big reddish pimples on or around my nose. When I wake up today, I can see a few on them on right side of nose. I looked swells from right side and really hurts upon touching and do not have any liquid yet. But I said this happened to me earlier so I can say that it will be having liquid(blood etc) after a few days. I m not a native english speaker so please forgive for any English related mistakes. I would really appreciate your help. Could you please tell me what is the problem with me. Edited: As I said earlier, I have problem concentrating. I also forget about things especially names etc... When I started to think about certain things, I keep on repeating my thoughts.... and start thinking or doing sometimes from the start again...... Also I got very angry and flare up on slight things when I am hungry, and when I take meal then everything is again normal......and I also notice that I get tired fairly quickly as compared to my age, especially when I am using my mind. Like I am reading a course book and trying to memorize things, stress will keep on increasing and my whole body muscles feel it.......it looks like I am on my toes and then after some time I take a deep breath and it relaxes my mind as well as whole body muscles." }, { "from": "gpt", "value": "Your have really explained your problem very well and I appreciate it. The current symptom profile is suggestive of mild Generalized anxiety disorder in you. You are always on a tight side, and seem to worry a lot and remain preoccupied with your somatic symptoms. you seem to have an irritable bowl which is common with generalized anxiety, hence your bowl habits tend to be moody. The wet dreams followed by pimples on nose are unexplainable and I recommend you to consult a dermatologist if the swelling persists and becomes troublesome. Do not worry as there seem to be no symptoms of depression or OCD currently. You may benefit from a course of Low dose anxiolytic agent ( say a Low dose SSRI with pregabalin) along with daily practice of Meditation / Muscle relaxation exercises. You may need some initial training in learning formal procedure and may consult expert for it or there is enough genuine material on net to learn meditation techniques / relaxation exercises." } ]

[ { "from": "system", "value": "Severe mood swings, violent, erratic behaviour, maniac. Proper means of getting admitted to hospital?" }, { "from": "human", "value": "I am from Chennai. A close relative of mine has severe Mood swings and is known to exhibit violence as well. Physical abuse was also part of his behavior. His erratic behavior and Mania have been one of fear in the household for quite some time,however this behavior changes with respect to situations and people,He is never known to exhibit behavior depicting Mental Illness when around certain people. He also has a fear that everyone is out to get him. Also note that he is very well capable of talking his way out of any situation as he did the same when we previously consulted a Counselor. What would be the proper means of getting him admitted to a Hospital??" }, { "from": "gpt", "value": "If he is not going to hospital by his own, there is legal provision for such cases- any one of relative who has seen the patient in last 2 weeks may request the magistrate of city in written that the patient requires admission but requires police help. He will help you." } ]

[ { "from": "system", "value": "Taking sertaline for anxiety and trazodone for sleep. Have dizziness, noise in the head" }, { "from": "human", "value": "I am 51 yrd old male. Blood pressure normal /a little hypoglycemic. No other physical ailment.I take Sertaline for anxiety and trazodone to sleep. I am having dizziniess with a high pitched whine noise. If I turn my head it sounds like the noise is tearing in my head. It really sounds like paper tearing just much faster and at a much higher pitch, Please help" }, { "from": "gpt", "value": "You may think to stop trazadone and get your ear examination done by ENT surgeon. Sertaline usually does not cause such problem. For sleep disturbance other options are available." } ]

[ { "from": "system", "value": "Worrying, crying, unable to forget about the daughter's death during accident. Coping strategies, medications?" }, { "from": "human", "value": "Hi, i am 25 years old with two children. In December, almost a year ago, my youngest daughter, Kylee, was accidentally ran over & killed in my driveway when a family friend was leaving the house. I didn t even know she had run in front of the car, it all happened so fast and as you may know, two year old children are very, very quick. I have a four year old daughter also that has definitely been my strength. Immediately after the accident I was admitted into the state hospital to be put on a 48 hour watch. I wanted to die. Because of my hospitalization, Child Protective Services removed my then 3 year old daughter from my care as I was incapable of correctly taking care of her at that time. That made the whole situation worse. The only thing that truly kept me alive and going is the fact that I have another daughter who needs me and it wouldn t be fair to lose her mommy like she did her sister. She is now back home with me which is wonderful but it makes me very sad to realize that Kylee IS gone.. and she is not coming back. The one year mark is quickly approaching and I am very, very worried about ruining Mackenzie s Christmas. Given the fact that Kyky passed away one week before Christmas.. It is going to be very hard for me to deal with. I have also been diagnosed with severe & chronic PTSD with anxiety . I think back on the accident SEVERAL times a day and see images I d much rather forget & no matter how I hard I try they will not escape my brain... it gets to the point where I have to go to my bedroom and scream in a pillow and frantically cry. I also struggle with not knowing whether or not she was hurting... ( she was alive for one hour after the accident ). I freaked out and nobody would let me near her (nor did I want to see her like that) ) so I stayed away, hoping that she would somehow pull through. I very much regret that now. I wish I d held her and talked to her and told her I was there. How do I live with regret and these images and the guilt of It s my fault! if only I had done this.. or that? I am her parent.. I am supposed to protect her from any and all harm! ... They had me on Ativan for a couple of months and then took me off because they were afraid that it was preventing me from grieving. It has now been almost a year and I will grieve for the rest of my life but I would really rather find some help to ease the pain. Do you think it is time for some medication and if so, what would you recommend? Can you also inform me of any coping strategies . Any help is greatly appreciated. God Bless. 3" }, { "from": "gpt", "value": "If there is hypnotherapist nearby, you may contact. To accept the situation in your deep unconscious mind, as I think you need to relive the event in hypnotic regression. That may help you." } ]

[ { "from": "system", "value": "Prescribed Depakine and Roxizapin for mental problems. Thinking slowly, making mistakes. Possible to discontinue medicine?" }, { "from": "human", "value": "Hi, Doctor, My brother had mental problems.. He couldnt think the right decision properly and what to say in the talking situation.. He had taken depakine and roxizapin for a year. Because of positive results after taking those drugs doctor advised to take just roxizapin and stop depakine. 6 months later doctor advised to stop roxizapin and to start sizodon.. He has been taking sizodon every day(half tablet)for a year. He has no any generally mental problems. Though sometimes he makes mistakes and he thinks very slowly and talk illogical things...sometimes he forgets things also, When i meant illogical not illogical absolutely, just he cant relates the cases and cant see the big picture of life.. is it possible to discontinue the sizodon? if he discontine with his doctor s advise what threats are expected|? The main question when it is possible to stop sizodon or he has to take it till dying--thank you very much!" }, { "from": "gpt", "value": "It is not good to stop sizodon before consulting your doctor. Slow thinking may be side effect, but unlikely at lower doses. What seems you illogical may have some diagnostic implication to your doctor." } ]

[ { "from": "system", "value": "Suggest treatment for nightfall" }, { "from": "human", "value": "Sir i have problem of night fall in my dream i were musterbate 5years ago and now near about three year i lilke to stop this but i can't and am 18 years night fall becomes nearabout 2 time in a week. My health is not so much am 52 kg. Can i stop this problem by any medicine." }, { "from": "gpt", "value": "Hello, Nightfall is considered normal if you don't masturbate or have sex. Decreasing an aerosol feeling can help you, but letting out the sperm yourself is the proper way. Your produced sperm should be out willingly by you or by it self. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist" } ]

[ { "from": "system", "value": "Depression, memory loss. MRI showed cerebral atrophy, mild hydrocephalus. Treatment?" }, { "from": "human", "value": "My mother s MRI reveals that she has diffuse cerebral atrophy with mild hydrocephalus .She has gone through a depression in which she was emotionally disturbed but after the depression treatment ,She forgets things very soon and even finds difficulty in getting the things which are infront of her. Please help me and let me know the proper treatment for this. Thanks" }, { "from": "gpt", "value": "Better to contact neurologist for hydrocephalus if it is there. No cure for cerebral atrophy. dementia and depression like features my be associated. there is treatment for depression." } ]

[ { "from": "system", "value": "Suffering from ADD. Taking medications. Alternatives to cognitive behavioural therapy?" }, { "from": "human", "value": "hello I have attention deficit disorder, adult female 22. My insurance will not pay for cognitive behavioral therapy treatment. My professors in my program ( occupational therapy ) are trying to find ways to help me so that i pass my next clinical rotation....I am already taking medication for my ADD..but what can I do to prepare myself for fieldwork?" }, { "from": "gpt", "value": "Medicines are required for attention deficits as well as to control hyperactivity. CBT is add on but not a substitute. You may contact your doctor again." } ]

[ { "from": "system", "value": "Having negative thoughts in mind about death without pain. Suggestions?" }, { "from": "human", "value": "hi madam/ sir, my wife aged 34 yr is old and suffering from negative thoughts. she is always thinking to loss her life by the means in which she do not want to bear any pain. earlier she was fully healthy person and this syptom has came in her life since last two years after an incidence of father heart attack kindly guid me for treatment in kolkata area." }, { "from": "gpt", "value": "hello welcome to health care magic The symptoms given by you probably points towards \"Major depressive disorder\" for which proper treatment is required from a psychiatrist. The treatment options are- 1) Antidepressants 2) Cognitive Behaviour Therapy (CBT) 3) ECT (Electro- Convulsive Therapy). Consult a psychiatrist for detailed evaluation Good luck Thanks" } ]

[ { "from": "system", "value": "Impatient, critical, gets angry easily, irritation. Anxiety related symptoms?" }, { "from": "human", "value": "I am a 29 yr old female with 2 kids, ages 2 and 7, I have always been an impatient person.. but it is getting out of control, taking it out on my kids mainly.. Im irritated all the time, and im over critical. I have tried a few anitdepressants but they made me feel worse or in a fog.. I dont feel depressed . But I cant calm down and my husband says im neurotic Hearing the kids play loudly upsets me, and when they dont do something i get very angry with them.. It makes me feel like a terrible mother. I say i will do better tomorrow but then it happens again... :( Does this sound like anxiety or anger problems? Thank you!!" }, { "from": "gpt", "value": "hello welcome to health care magic The possibilities in your case are - 1) Anxiety disorder 2) Depression 3) Personality disorder However, I advise you to consult a psychiatrist for proper diagnosis and treatment (antianxiety/ antidepressants, Cognitive Behaviour Therapy, Relaxation exercises etc). Good Luck Thanks" } ]

[ { "from": "system", "value": "Unable to concentrate in studies due to constantly thinking about others. Ways to control emotions and be selfish?" }, { "from": "human", "value": "Respected sir/mam, I am student, doing M.Sc. and my problem is psychological. I am too much emotional and thinking for others all the time but nobody is there to think about my emotions when I am in need & there for I am feeling lonely and depressed, I can’t concentrate on my study and now I am feeling that my I am losing my interests and spending the whole day mudlessly . Would you please help me to control my emotions? And frankly speaking I want to be selfish." }, { "from": "gpt", "value": "hello welcome to health care magic The symptoms as told by you possibly points towards \"depressive episode\" or \"adjustment disorder\". I advise you to consult a psychiatrist for detailed evaluation and management. The treatment options include antidepressants, psychotherapy (CBT) and counselling sessions. Good Luck Thanks" } ]

[ { "from": "system", "value": "Prescribed Bupropion, hydroxyzine for proper mental health after traumatic loss of son. Right treatment?" }, { "from": "human", "value": "I am originally put on 150 mg bid of bupropion sr and then i have started having episodes of just kinda breaking down out of nowhere. I have a tramatic loss of my son so that can explain that but they still have be on the bupropion sr but have put me on hydroxyzine hcl 25 mg 4x dy. do these 2 mix together because now i feel blaaah all day. they took me off the hydroxyzine suddenly - i ended up in cpep and thats when they put me on it and dont have a mental health appt until the 26th of dec. i started feeling displaced from my whole life like i was on the outside looking in and going even more manic or having to reel myself into myself and telling myself your not going crazy. my pcp put me back on the hydroxyzine until the mental health appt. r these two meds ok or is it good to just cold turkey for that 5 day interim off the hydroxyzine. i feel so roller coasterie but so cryish but so empty all at the same time" }, { "from": "gpt", "value": "bupropion is an antidepressant. Hydroxizine might have been given to control anxiety if associated." } ]

[ { "from": "system", "value": "Unable to adjust with the family. How to handle this situation ?" }, { "from": "human", "value": "Hi, I am AAAA , Service Holder, Age-28. My wife AAAA, Banker, Age-26. Several years has been passing that a mental conflict between my wife and my family is still running. But every situation, i had nothing to do. I want always peace. But now my wife does not like my family and my family does not like her. I am also dislike by all. I am trying to understand her, but i could not. What type of activities will i take for this problem?" }, { "from": "gpt", "value": "hi, one of the best option for you is HEALTHY SEPARATION with family. It will help all of your family member to resolve their conflict. so discuss with your wife and if possible separation is best option. second cause of familial conflict is communication gape and some real events, so improve your in-family communication but it need active efforts from your side and understanding of family member and also needs time... first option is better if possible." } ]

[ { "from": "system", "value": "Mental stress. Feeling that someone will kill parents. What must I do?" }, { "from": "human", "value": "Hi sir my daughter got mental stress which is haunting her in my house ,she keep saying someone talking to her always to kill her parents, if not she will be sent to prison or loose her job,she is Working in the police force with high education,can you help me What must I do ,I am staying in Singapore.How can we meet and what s procedure and how long must I stay in Kerala . Thanks Regards RAvipare" }, { "from": "gpt", "value": "your daughter is having psychotic symptoms and she require medication for that, and with regular medication chance of recovery is high. if u r in kerala, consult a psychiatrist there. and start medication after detail evaluation by any psychiatrist.l" } ]

[ { "from": "system", "value": "Cannot concentrate, depression, cannot treat patients. Panic attacks. Psychiatric medicine needed?" }, { "from": "human", "value": "Dear Doctor, Date:15 11 2012 My son is a medical doctor specialized in Social and Preventive medicine MD(SPM) He is frustrated as he says he cannot treat patients and being called as a doctor. Now he wants to appear for competitive entrance exam and do MD or DNB in clinical subject. But moment he opens his medical books he feels that all diseases are with him or his family memebres. He says he is not able to concentrate on studies. He always feels depressed and prefers loneliness If some stranger comes home he will avoid them .may be he subconsciously feels some one will notice him as a doctor . but cannot treat patients .He suffers from inferiority complex He is very good at Public Health and even can write original research papers in his subject. It appears when in 1st year MD ( SPM ) a professor introduced the subject saying that the students who choose Public Health are near to suicide in medical career . He is now 38 years old , highly intelligent and hard working . He complains of panic attacks if hears any loud noise or some thing wrong in health to his family members., or any phone call comes to him when is on work . He is introvert and does not share his worries with any one . He feels he is over burdened by his parents health matters and he has to handle all the responsibilities of aging parents and he cannot treat them . May I seek your guidance to make my son shine in medical field.Does he need a short course of psychiatric medication to make him regain confidence and interest in life., concentrate in studies again. regards SKKChalla EMAIL ID : YYYY@YYYY" }, { "from": "gpt", "value": "hi... currently your son is having both depressive and anxiety symptoms.. his depressive symptoms are secondary to his anxiety symptoms. if initially the cause of anxiety is that you are unable to treat the patient as a medical doctor, if you are having job as a MD-PSM in govt. then i think you are free after 5 or 6 pm, so you can improve your clinical skill to join any good senior physician during evening hrs and by doing this you can improve your clinical skill within 5-6 month so no need for preparation of any exam like DNB.... and preparing for DNB or other exam is not a better option at the age of 38, as even after doing DNB you have waiting period in private practice one good aspect of non clinical side is that you are free after 5pm, you can spend your extra time in other creative activities..... and before any thought about DNB, one advise is to visit few freshly pass out clinical doctors, also to ask them about their working hrs, no of patients they are treating, about their practicing style, about their satisfaction, about their earning.... to reduce anxiety- do routine well, handle day to day issue as much as possible from your side, not blem yourself for everytime give time to your self to think about carrier decision, what should be possible currently take opinion of senior of both clinical and non clinical side." } ]

[ { "from": "system", "value": "Mood disorder. Feeling of being watched after death of father. Worrying for no reason" }, { "from": "human", "value": "I m experiencing mood disorders since I was 15 now I m 23 . I have been diagnosed with psychotic disorder couple of years back and was prescribed medication . I didn t take the medication as the time goes by or trying to meet different people will help. But after my dad passed away I been experiencing very weird thing I feel like someone is watching me all the time and sometimes I feel a dark shadow is engulfing me I didn t tell my about of this I m worried she might think I m weird. Lately its been worse I feel like my dad is calling trying to tell me something. I laugh n the very next moment I start crying. I m worrying for no reason." }, { "from": "gpt", "value": "Hello Thanks for your query.You are definitely having a psychological disorder You must realize the fact that man is bound to get mental illness during his life time in difficult situations . So it is always safe to consult psychiatrist and take medication scrupulously .Please do not discontinue the medicines of your own as these drugs are to be taken for long period Thre is nothing to worry Things are bound to be in your favor" } ]

[ { "from": "system", "value": "How to get rid of itchy sores on foreskin?" }, { "from": "human", "value": "Hi, may I answer your health queries right now ? Please type your query here...i have really itchy sores on the top of my foreskin. I the head of my penis is really itchy but i have no sores on the underside of my penis just on the top. What do i do to get rid of it?" }, { "from": "gpt", "value": "Hello, If you had unprotected sex, can think of Sexually Transmitted Infection. If not it can be due to balanitis - caused by a fungal infection, diabetes. Doing a swab and blood sugar analysis will help you diagnose. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist" } ]

[ { "from": "system", "value": "Prescribed Adderall, on stepping dosage. Should I take 2nd dosage in the evening for meetings?" }, { "from": "human", "value": "I have been prescribed Adderall and am on a stepping dosage - I took 10mg for 7 days, and am on my first day of 15mg. I took the 15mg at 11am (it is not 4pm here). My questions are: Can I expect the benefits to continue into the evening? And would taking a second 15mg dose (I have a busy evening requiring all of my concentration) be inadvisable / likely to keep me up all night?" }, { "from": "gpt", "value": "You need to take it as prescribed by psychiatrist. Do not expect results in one or two doses." } ]

[ { "from": "system", "value": "Suffering from ocd, taking fluvoxin 200mg, symptoms of ocd gone. What to do?" }, { "from": "human", "value": "i am suffering from ocd . i am taking fluvoxin 200 mg at present. but still i fear that someone or people will harm me.i had a loud discussion with one of my workers about six months ago now i think that he may harm me.i have talked to him 2-3 times after that incident.he is presently not working with me. i become normal but when that scene of discussion comes in my mind ,i get disturbed.what shold i do? should i increase the dose of fluvoxin , all other symptoms of ocd which were present earlier have gone.this is ocd or something else" }, { "from": "gpt", "value": "hello welcome to healthcare magic As per your details, the symptom that \"people will harm you\" is indicative of some psychotic phenomenon probably \"delusion of persecution\". Don't stop fluvoxin 200 mg by your own.Discuss all this with your psychiatrist as you might need other drugs like antipsychotics. Hope it helps Good luck Thanks" } ]

[ { "from": "system", "value": "Suffering from illusion, self speaking, fear. Took medicines, no symptoms. Discontinue medicines?" }, { "from": "human", "value": "My brother(25 yrs old) had symptoms like illusion , fear and speak within himself, did not actively respond etc. then he was prescribed t.oleanz rapitab (10MG).The day he took it he slept till 12pm in the morning. so doctor asked me to give him half a tablet a day. But it did not help and we gave him 1/4 of tablet everynight for nearly 45 days. From the very first day, i can feel he is completely ok. But he does not accept medicines, as he says he is good. So we gave him the tablets mixing in milk. So please suggest do we need to continue this or can we discontinue this as he did not have any symptoms now.Thanks in advance." }, { "from": "gpt", "value": "hello welcome to health care magic Your brother might be having psychotic disorder as per your details for which anti-psychotics are required. Don't stop his medication as his symptoms will return. In case he is experiencing side effects or less response, consult your psychiatrist for re-dosage of schedule as it is important to give medication in adequate doses for adequate duration. Good luck Thanks" } ]

[ { "from": "system", "value": "Unable to concentrate, afraid of losing book, feeling the need to meet someone. Want to know your opinion" }, { "from": "human", "value": "I FEEL SOMETIMES THAT I AM NOT ABLE TO CONCENTRATE ON MY WORK DUE TO SOMETHINGS THAT ARE A LEAST MATTER TO ANYONE LIKE WHEN I TRY TO STUDY A BOOK I FEEL THAT IF I LOSE THE BOOK AGAIN THEN HOW CAN I REMEMBER AND OTHER IS LIKE WHEN I AM DOING SOME WROK I FEEL THAT I HAVE TO MEET SOMEONE I GAVE HOM TIME LIKE THAT ITS SOUNDS WEIRD BUT I MYSELF BEING A DOCTOR NOT ABLE TO SORT IT OUT , SO WILL BE HAPPY TO KNOW YOUR OPINION," }, { "from": "gpt", "value": "hello welcome to health care magic As per your details there are following two possibilities- 1)Obsessive compulsive disorder 2)Depression There are different treatment options - SSRIs and psychotherapy. Consult a psychiatrist for detailed evaluation and management. Good Luck Thanks" } ]

[ { "from": "system", "value": "Poor mental health, constantly worried above brain damage. Will psychiatrist consultation help?" }, { "from": "human", "value": "goodevening docter,i am XXXXXXX ,21 years old,i want to consult with a phychiatrist.my problem is that there is some fear in my mind about my body, mostly about brain.i always thiking that there is gonna somthing wrong with my brain fear about to damage . this type of negetive thinking sucks my life .i want to overcome this fear soon . plzz help me. i wnat to enjoy my life" }, { "from": "gpt", "value": "hello welcome to health care magic You possibly have \"obsessive compulsive disorder\" or \"obsessive compulsive spectrum disorder- hypochondriasis\". OCD consists of repeated thoughts (obsessions) and compulsive behaviour (not essential). I advise you to consult a psychiatrist for detailed evaluation, diagnosis and management. Hope it helps Good Luck Thanks Thanks" } ]

[ { "from": "system", "value": "Psychiatric patient unwilling to take medication. Prescribed Oliza and Sizodon. What to do?" }, { "from": "human", "value": "my wife is a psychiatric patiant since 2007 now she is neither willing to take medicine nor visiting to any doctor ,currently taking Oliza-20 and sizodon fort but not finding elevant response.trying to feed her medicine makes her violent,she is assuming that we are trying to make her mental.what should I do so that she is ready to take medicne" }, { "from": "gpt", "value": "hello welcome to health care magic In case the patient is not willing to take medication.........there are various choices of treatments like depot injections (required fortnightly), antipsychotic liquid preparations etc. You can also consider admission of the patient. Try consulting your psychiatrist for proper choice of treatment. Once she is stabilised, she will start taking treatment on her own. Hope it helps Good Luck Thanks" } ]

[ { "from": "system", "value": "Husband talking to somebody nonexistend, nobody goes near him, does not eat or sleep well. Suggestions?" }, { "from": "human", "value": "Hi, for last 1 mnth my husband has started talking alone and behaves as if he is talking to someone, whom we cant see. As per him, that thing(whom he talks to) can be dangerous and thus, none of the family member should go close to him or in the room, where he sits or sleeps. He doesnot eat properly nor he sleeps well. Please help, as I am completely worried about him. Regards, Swati" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query.Your husband seems to be suffering from a psychiatric disorder, probably, paranoid schizophrenia. He seems to be having false, fixed beliefs (called delusions) and hearing non-existent voices (called hallucinations), which are characteristic symptoms of this psychiatric disorder. I would strongly advise you to take him to a psychiatrist as early as possible for a detailed psychological assessment and further treatment. Thre are effective medication called 'anti-psychotics' which can control these symptoms. Also, please keep him under close observation, since these psychotic symptoms can sometimes cause a risk of harm to himself or to others. Best wishes,Dr. Sheeba Stephen" } ]

[ { "from": "system", "value": "Health deteriorating after imagining that the job might be lost, insecurity. Suggestions?" }, { "from": "human", "value": "Hello Sir, my father is recently going through a psychological problem.He is imagining that he will lose his job for somebody else s mistake.This keeps him aloof from everything and his health is also deteriorating.He is losing his confidence in every field.He is feeling insecure basing on his imagination.Please help me out." }, { "from": "gpt", "value": "hello welcome to health care magic As per your description, two possibilities are there- 1) Mood disorder (Depressive episode) 2) Psychotic disorder (Delusions) Consult a psychiatrist for detailed evaluation and management. With proper treatment, he will be alright. Good luck Thanks" } ]

[ { "from": "system", "value": "Physical depression, unable to concentrate, lethargy. Suggestions?" }, { "from": "human", "value": "I believe my physical depression is caused by a hormonal imbalance, that started soon after I started menstruating at the age of eleven. I suffered from severe debilitating menstrual cramps that would wipe me out, but I also remember going from an honors student to failing school because I had no interest and I could not focus. I also never could get out of bed in the morning because I was always so tired and lethargic throughout the day. Now my symptoms are similar but I also get really irritable 2 weeks before my period Wellbutrin helps me with all these symptoms, but I currently am off of it and am having all these troubles again including my brain being in a fog and having trouble thinking. My current Psychiatrist does not seem to have a clue about what is my main diagnosis and took me off of my webitrin but I cannot function without it. I started it again on my own today and was thinking of trying a progesterone creme. I am a very happy person inside I am emotionally very fit. Now I just need my body to work for me. Please help should I see my gynecologist or just another psychiatrist?" }, { "from": "gpt", "value": "hello welcome to health care magic Since your problem relates with menstruation..........you should consult a gynaecologist first as hormonal imbalance could cause these kinds of symptoms After gynaecological consultation, visit a psychiatrist for treatment of depressive symptoms you are experiencing as there are lots of treatment options as antidepressants/antianxiety drugs and psychotherapy Wish you good health Thanks" } ]

[ { "from": "system", "value": "Unable to get over breakup, loss of interest, crying episodes, anger, suicidal. Suggestions?" }, { "from": "human", "value": "I am nt able to get over my breakup even after 9 months i cant stop thinkng about my ex and all the past events i have lost all interest in doing good things.he is in my college and hang out with his gf for whom he left and i m nt able to make my life normal yet.i cry very often and get angry with people very often.in my mind i even thought of suicide or killing hids gf.what should i do?" }, { "from": "gpt", "value": "Hi friend Welcome to Health Care Magic You should see a PSYCHIATRIST - AS SOON AS POSSIBLE. You need counselling and/or medicines. You need to change your attitude. If he could have a girl friend, why not you have a boy friend? - that may send him crazy!? Why should the past influence the present? Why should another person be allowed to interfere with your thinking? You should be your own master. Be bold. Confide with your true friend. Take your mother/family into confidence and discuss. Develop hobbies. Go out and see the world - you will understand - you are far better than several others out there... Take care Wishing speedy recovery God bless Good luck" } ]

[ { "from": "system", "value": "What does the sperm analysis test indicate?" }, { "from": "human", "value": "My wife and I are wanting to have a child for nearly four years since marriage. I am already 41 years old. In my sperm analysis made three days ago, the laboratory result mentioned that there is a pus found but no unit to measure quantity. Have not talked to a doctor yet on this." }, { "from": "gpt", "value": "Hello, If the pus quantity is less than 3, no need to worry. It's normal to have a few pus cells in the genital sample. If it's more than 4 then need to think of infection. Prostate infection, bladder infection, urine infection. Starting proper antibiotics will help you. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist" } ]

[ { "from": "system", "value": "Severe sadness, hear loud scary voices that worsen at night after treatment for mental illness. Help?" }, { "from": "human", "value": "I just got out of the hospital for mental illness two days ago for hearing voices and extreme sadness. Now they ve come back. I m not suicidal but am scared. I do live with my parents so I m not alone right now. The voices talk to me loudly and seem to get worse at night. I also feel like I could cry at any time. I feel pissed right now. How the hell am I going to sleep tonight with the freaking loud voices in my head. I m scared. How do I tell my supportive parents the truth after just two days of being back home? Please help. I just need to chat with someone right now who can help." }, { "from": "gpt", "value": "Hello, It is distressing to have such voices called auditory hallucinations. You must continue with your medications as prescribed from the hospital. It takes some time for the psychiatric medications to have their full effect. Till that time you have to hold yourself and face these things. You should tell your parents and it will be a lot better if they know about it. They are the one who will understand you and you will find chatting with them easy. Do not hesitate to get back to your doctor if you feel that you are not able to handle it. Good luck." } ]

[ { "from": "system", "value": "Dementia, taking Aricep and Serlift. Sleepiness, headache. Due to Serlift?" }, { "from": "human", "value": "hI, MY FATHER IS 86 AND SUFFERING FROM DEMENTIA . HE IS TAKING MEDICINES , ARICEP & SERLIFT 2 (IN NIGHT), ADMENTA AND REJUNEX (IN MORNING)OD. HE FEELS SLEEPY AND LAZY RIGHT TILL AFTERNOON AND IN EVENINGS FOR 3 TO 4 HRS HE SEEMS OK. CAN WE STOP SERLIFT SINCE IT IS AN ANTIDEPRESSENT AND HE DOES NOT HAVE DEPRESSION WHILE CONTINUING WITH THE REST OF MEDICINES.I THINK HIS LAZYNESS N SLEEPYNESS MAY BE DUE TO SERLIFT. BESIDES HE ALSO COMPLAINS OF MUCH HEADACHE ALMOST ALWAYS. HE ALSO HAS PAGET S DISEASE MORE TOWARDS THE FRONT OF THE SKULL . PL. ADVISE. THANKS. SAANJAY HUNDOO 0000 AND YYYY@YYYY" }, { "from": "gpt", "value": "Hi, Serlift is uncommon to associated with increase sleep. There is need to investigate for other cause for excessive sleepiness/laziness like delirium and complication of paget disease. There is no harm to withhold serlift for 2-3 days, under physician supervision to see changes. I hope this information has been both informative and helpful for you. Wish you Good Health. Regards, Dr. Ashish Mittal www.99doctor.com" } ]

[ { "from": "system", "value": "Want good pyschiatric for emotional and neurological treatment" }, { "from": "human", "value": "Hi, I am looking for India s top & best Psychiatric, for my brother s treatment at emotional and neurological (specially brain-functions-failure to use natural-brain-process & body-control/functions through brain) level immediately at urgent basis to save his life. He is in such condition in which he can t explain what he has been thought in his mind to tell the doctor about his own problems to get a treatment, so I am looking a top & best expert who could enter his brain by hypnotism and could note/check all the thoughts stored from the last 10 years frequently (along with related sketches if needed), before deciding/fixing a entire treatment strategy and before starting his treatment. If someone can suggest a reliable foundation/Charity or NGO to provide a completely free of cost treatment, so that would be a hugely great for our family & specially for my brother s life. I am eagerly & deadly waiting for a so much deep supportive & cooperative response from your side. Ashish Sharma." }, { "from": "gpt", "value": "Hi, As a family member, I can understand your concern. Your primary duty is to bring him in treatment. Nature of treatment left to the psychiatrist, as it will depend on nature of illness. You can visit NIMHANS Banglore or any government medical college with hospital for adequate treatment. In psychiatry cases regular attention is needed, so prefer place nearby your home. I hope this information has been both informative and helpful for you. Wish you Good Health. Regards, Dr. Ashish Mittal www.99doctor.com" } ]

[ { "from": "system", "value": "Palpitations after taking steroids, taking augmentin for sinus infection" }, { "from": "human", "value": "Last Tues I gave a 16 yr old female an 80 mg injection of depo medrol. I then started her on 20 mg daily starting the next day. The steroids made her nervous and she had heart palpitations. She was also put on augmentin all of this for a significant sinus infection . After one dose of 20 mg steroid and 2 days of augmentin she is still complaining of muscle spasms. It has been 7 days since the pill and 9 days since the injection YYYY@YYYY" }, { "from": "gpt", "value": "Hi, Nervousness, palpitation and muscle spasms are symptoms of anxiety. Steroid preparations are known to associated with anxiety symptoms. As symptoms are still there after stoppage of steroid, then she need attention. If problem is very severe and leading to frequent interpersonal problems, then for assessment and treatment, you can visit specialists like psychiatrist. I hope this information has been both informative and helpful for you. Wish you Good Health. Regards, Dr. Ashish Mittal www.99doctor.com" } ]

[ { "from": "system", "value": "Prescribed with lonazep and buspin after a panic attack. No history of anxiety or depression. Can I stop taking these medications?" }, { "from": "human", "value": "I have been taking Lonozep and Buspin for the past one month...actually I had high BP n got admitted in hospital..really I got panic on that day when my BP shoot up (180/110)..A psychatrist prescribed theses medicines...but I don t want to continue taking theses medicines since I don t have a history of anxiety and depression ...it happened only on that day..so I plan to quit taking these medicines..if I do so, will it be a problem?" }, { "from": "gpt", "value": "Hello, Thanks for writing your query to us. Since you are taking these medicines last one month, i would advise you not to discontinue medicines suddenly. Kindly continue them as advised by your doctor. You may develop withdrawal symptoms if medicines are stopped suddenly. So dont quit your medicines without consulting your doctor. Blood pressure tend to rise during panic attack due to adrenaline that triggers the panic attack. Take care." } ]

[ { "from": "system", "value": "Pain in the chest near the breast bone. Due to stress or anxiety?" }, { "from": "human", "value": "Hi, I have been having this weird pain in my chest , In my heart area and it hurts to touch my breast bone. I sometimes get it really bad for an instant but then it goes away and i forget about it, But lately i have had it constantly for the past 5 days, it hasn t gone away .It hurts when i drink hot beverages and sometimes when I eat . but there is a smaller pain constantly. It gets a second of relief if I burp but then it comes right back . Its sharp and really painful. I m a 19 year old female and I rarely drink, and I am a non smoker.could this be from stress or anxiety ?" }, { "from": "gpt", "value": "Dear Concerned., Thanks for writing to us. As per the available info ,it seems to be Acid Peptic Disorder or simple Hyperacidity due to irregular/non timely food habits. In addition in all probability you could also be suffering from a benign /harmless condition called Costochondritis. Sometimes without Physical examination it is difficult to pin point the diagnosis.It could also be due to Fibromyalgia. The above three pointers to Differential Diagnosis. Kindly try over the counter anti inflammatories and antacids .If the condition does not subside get a check up done by a physician. In all probabality please be reassured that you have no heart ailment even though the location of pain is to the left side of your chest. Best regards, Dr Lt Cdr ASN Bhushan." } ]

[ { "from": "system", "value": "22 year old having tremor in the hands while in front of people. How to get rid of this?" }, { "from": "human", "value": "hi i am male 22 i have hand tremor just on my hands specially when i am in front of any person i start become more nervous and my hand start shaking cannot hold a simple camera to take someone pic but if i am alone i feel more comfortable and my hands are not shaking plzzzz tell me any cure of it and i iam phycially fit and not any type of prblm..." }, { "from": "gpt", "value": "hello welcome to health care magic As per your details, you possibly have social phobia or social anxiety disorder. Consult a psychiatrist for detailed evaluation and treatment as final diagnosis rests on clinical history and mental status examination. Don't worry. There are various kinds of treatment options available like medication, psychotherapy (Behaviour therapy) and relaxation techniques (meditation, progressive muscle relaxation, yoga etc). Wish you good health Thanks" } ]

[ { "from": "system", "value": "Unable to cope up break up, palpitation, nausea, drug overdose, unable to focus. How to overcome?" }, { "from": "human", "value": "i am 21. i am unable to cope up with a breakup that happened 5 months ago. i fear going to college now, i palpitate, and experience nausea . i tried cutting my hand and doing a drug overdose to divert the pain to t he physical wounds. i have lost 9kg and i am too disturbed to focus on studies. i have missed exams and my performance has severely gone down. i dont have enough money to see a psychologist. please advise how i should cope up. i tried eating well, meeting other people..every possible thing one should do to beat depression but nothing seems to be working. i see him every day with someone else ( and that someone else happened to be my own best friend). i feel exhausted and have given up now." }, { "from": "gpt", "value": "hello welcome to health care magic I can understand what you are going through. According to your details, you have depressive symptoms and you might be suffering from \"reactive depression\". The best thing you should do is to visit a psychiatrist as there are wide range of treatment options available. But since you can't afford, so you can try the following- 1) Discuss all the stuff with one of your friend or family member if you feel comfortable and let your thoughts come out. 2) Divert yourself with the things you really like to do (your hobbies etc). 3) Try relaxation exercises like meditation, yoga or deep breathing. 4) Have a break from college and plan some family trip 5) Make new friends if possible Hope this helps Wish you good health Thanks" } ]

[ { "from": "system", "value": "Developed memory loss, shivering. Psychiatrist prescribed medicines, able to socialise now. Side effects?" }, { "from": "human", "value": "Hi Doctor, My mother started developing mild memory loss problem since she was 53yrs, but was able to carry out all works independently. During 2009, when my father met with road accident, her memory loss worsened, she used to shiver alot(she was 55yrs then) and became dependant on others for her daily routine works and was taken to neurlogost/ psychiatrist . Though her medical reports were normal, based on her symptoms she was prescribed following medications: Syndopa 110mg 1-1-1, Donep 5mg 1-0-1, Deplatt 75mg 0-1-0, Ramcor 0.25mg 1-0-0, Phnergan 25mg 0-0-1, Restyl 0.25mg 0-0-1. Is it good to take all these medicines for so long - 3yrs now? She is neither fully better nor worse now. But can talk well as per circumstances and able to socialise better since taking them, but still we have a caretaker for her as she can not carry out tasks independently. Please let me know if such medicines can be taken for longer periods like this?" }, { "from": "gpt", "value": "Hi friend Welcome to Health Care Magic The medicines seem to be appropriate to the situation. Her present state could have been worse without the medicines... Most of them, have to be taken life long - with time, there may arise a need to add or alter some medicines, according to her condition. Take care Wishing speedy recovery God bless Good luck" } ]

[ { "from": "system", "value": "Feeling of fear on seeing new person, driving, fan movements. No relief with treatment. Cause and remedy?" }, { "from": "human", "value": "hi i am S.K.NAG from bhubaneswar,i am always feel affraid to see building,new peson ,whn drive bike,when i sleep at room ,to fan movement, when i going on lift ,when i see showroom.i am suffering this since last 1 year,i am consult doctor but i am not ok til now. plase give me information about the problem what can i do ." }, { "from": "gpt", "value": "Dear Cocerned., Thanks for writing to us. The condition you are describing is a simple mood disorder termed as \"Phobic Neurosis\". The treatment involves finding out the root cause of Phobia by Pschoanalysis and treating the same by constantly speaking to you or invoving you in Psychotherapy by a qualified Psycho therapist/Psychiatrist.It is a long term treatment. In addition Oral Anxiolytics or Tablets are also prescribed for this as adjuvant therapy. Consult a Psychiatrist pls. Thanks, Regards., Dr Lt Cdr ASN Bhushan." } ]

[ { "from": "system", "value": "What does this semen analysis report indicate?" }, { "from": "human", "value": "my husband semen Analysis report is volume is 3.5 millions/ml, pus cells are 2-4/HPF, Spermatazoa count are 35 millions/ml., active motile 10%, sluggishly motile is 30%, non motile is 60%, normal sperms 72%, abnormal sperms are 28% tell me it is normal report or not ?" }, { "from": "gpt", "value": "Hello, I'm sorry it's not a normal report it says active motile sperm is only 10%. Low motility can be due to: 1.     Infection due to sexually and non sexually transmitted infection 2.     Injury 3.     Inborn errors 4.     un-descended testicles 5.     Previous surgery 6.     Testicular malignancy. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist" } ]

[ { "from": "system", "value": "Increased anger, popping veins with pricking feeling. Recently started Celexa. Is it due to medicines?" }, { "from": "human", "value": "Hi I am Celeste! I started on this new medication called Celexa , and I got really angry Over something my sister told me and now my veins are popping out and it feels like in one spot of my win that I am getting scratched or stuck with a needle.. This has never happened to me before so I was wondering what it is an if it might have to do with this new medication ?" }, { "from": "gpt", "value": "Hi friend Welcome to Health Care Magic Obviously you need Psychiatric assessment and assistance. The drug you are getting is for depression - it is good but takes some time to benefit. If you feel worse, see your doctor again - they may adjust the dose / alter or add another medication. Take care Wishing speedy recovery God bless Good luck" } ]

[ { "from": "system", "value": "Always feels like someone knocking at the door. Mental problem?" }, { "from": "human", "value": "I hope sol This has been going on for sometime and I m tired of it. Guess a little worried. I can be half asleep and there will be a distinct knock as someone is at the door. Always go to see it is that convincingl No matter the time. What is this? It is so loud that when in bedroom sounds like door. In fact, always sound like door. YYYY@YYYY" }, { "from": "gpt", "value": "Hi friend Welcome to Health Care Magic It is called Hallucination. It is most likely a Psychiatric problem. See a psychiatrist and you will improve with counselling and/or medicines. A general medical examination by an Internist could exclude organic causes, if any. Take care Wishing speedy recovery God bless Good luck" } ]

[ { "from": "system", "value": "Pain in the chest. History of panic attacks. Is it a heart related problem?" }, { "from": "human", "value": "I have a pin pricking pain in the center of my chest between the breast and slightly close to the heart side, left side. I have premature heart beat and panic attack twice in the past. The pain I feel is not from the outer but from the inner. I kinda worry it is my heart. What do you think it is? is it heart related problem?" }, { "from": "gpt", "value": "hello welcome to health care magic First of all consult a cardiologist for detailed evaluation and get investigations like ECG, Echocardiography etc. Once any cardiac pathology is ruled out, visit a psychiatrist for anxiety disorder such as panic disorder. With adequate treatment, you will be fine Good Luck Thanks" } ]

[ { "from": "system", "value": "Feeling lonely, irritated, mood swings, tension about future, unable to concentrate. How to recover?" }, { "from": "human", "value": "i sachinjeet kumar i m pursuing my Mba but from sometime i am facing a problem of being loanly in crowd i thnink noone is my friend. I feel irritated with fake people, i used to get angry very soon dat too very furious. I assessed myself with problem of moodswing. I take too much tention for my career and future. I stated prefering being alone. I AM not fedup with my life but still i thnink is wrong and i am ignoring. Moreover everytime when i take to somebody after a minute i start thinking that what should i say now this happens even when i talk with my parents my brother and frnds. I dream too much. I can t concentate, i forget things as well sometimes. Please suggest me something." }, { "from": "gpt", "value": "hello welcome to health care magic You have symptoms of depression with obsessions. Forgetfullness is also a part of depressive episode (pseudodementia). Consult a psychiatrist for Medication, psychotherapy and relaxation exercises. You will be alright soon. Wish you good health Thanks" } ]

[ { "from": "system", "value": "Is treating acute psychosis with Loxapine and SSRI a current treatment?" }, { "from": "human", "value": "I was diagonized acute psychosis in 2005. Was on chlorpromazine and serenace for a couple of years but since I had 2 relapses I changed doctor who prescribed loxapine succinate 25 mg, paroxetine hydrochloride and nitrosun. Now currently on loxapine 10mg and paroxetine. Is treating acute psychosis with loxapine and SSRI a current treatment? Is there any chance of complete recovery? How is acute psychosis different from schizophernia?" }, { "from": "gpt", "value": "hello welcome to health care magic Loxapine is an antipsychotic drug and SSRIs are newer antidepressants. There are many other newer antipsychotics these days which are effective with less significant side effects like olanzapine, risperidone, aripiprazole etc. Acute psychosis consists of episodes of psychosis having onset within 2 weeks and with proper timely treatment, can be treated with short term treatment easily. However long term treatment is required in recurrent cases (as in your case). Schizophrenia is a chronic illness which requires usually long term treatment, perhaps lifelong. Complete recovery is possible in cases of acute psychosis whereas in schizophrenia it may or may not occur. Continue your treatment and have faith in your doctor Good Luck Thanks" } ]

[ { "from": "system", "value": "Suffering from crying fits, occurs ever week, holding something while crying. Is it mental disorder or depression?" }, { "from": "human", "value": "Hello Dr. I m 26 yr old female doing M.ed. in special education.Since last few weeks i m suffering with a thing like crying fits .this occurs to me after a week.I don t understand the reason.When i starts crying i use to hold something very tight as my hands keep on shaking.And on completion i relax and loose the thing i had hold.Please tell me if m suffering with some mental disorder or may i m in depression ." }, { "from": "gpt", "value": "hello welcome to health care magic As per your details, you might be suffering from depression. Consult a psychiatrist for detailed evaluation and treatment. Treatment options are antidepressant drugs, Cognitive Behaviour Therapy (CBT) and Relaxation techniques. Good luck Thanks" } ]

[ { "from": "system", "value": "Lack of interest in life, no enthusiasm in studies, sports. Suggestions?" }, { "from": "human", "value": "I feel that i have no interest left in anything. It seems that there is nothing left in my life. I don t know why this is happening to me.. I feel no enthusiasm in my studies and even in playing with friends. I have everything but I feel something is missing from my life. I am an engineering student of 3rd year and 20 years old. Plz help me.." }, { "from": "gpt", "value": "hello welcome to health care magic You are probably suffering from \"major depressive episode\". Don't worry and relax. There are many efficacious treatment options available (medication, Cognitive Behaviour Therapy etc) these days with less side effects. So consult a psychiatrist for detailed evaluation and treatment. With adequate treatment, you will be relieved of your suffering. Good Luck Thanks" } ]

[ { "from": "system", "value": "Suffering with stammering problem, difficulty in speaking fluently during stressful conditions. Precautions?" }, { "from": "human", "value": "myself kiran .from hyderabad.I have a stammering problem occured in the middle(i.e 10 class) till now i do not rectify the problem and when ever i go for any interview i will get fear and i cant speak fluently i that time i will very fastly and suddenly my words gets stopped in the middle?Is there any precautions to be followed,any changes in the food." }, { "from": "gpt", "value": "hello welcome to healthcare magic you can do the following things- 1) Relaxation exercises like deep breathing, yoga or meditation 2) You can take Propranolol 10mg/20 mg half hour before facing any interview (Consult a doctor for that) 3) Speech Therapy Hope it helps Good luck Thanks" } ]

[ { "from": "system", "value": "Under stress, do not like smokers, habit of smokers, overreacted in a certain situation, feeling bad. Advice?" }, { "from": "human", "value": "Hi, I m 47 years old single mom of 2 kids; 19 and 17. My eldest in is college and my youngest has a mild autism . I spent all my life providing and guiding my kids. I m under a lot of stress . I try and manage for most parts but sometimes trivial things really bother me and I get upset. I don t like being upset for more than 10 seconds. I wonder if I can eat some mood enhancing food to control my mood even more. Last night I got upset because my gentleman friend left me at a pub for the 3rd time in the night to go out for a smoke . I am not a smoker and dislike the whole package from health perspective to smell and the habits of smokers. He has supposedly quit regular smoking but does social smoking. I tried to brushoff the first and the second time I was left by myself but the 3rd time got to me. I don t know why it got to me so much. I don t know if I was too tired and so I reacted to such trivial thing. I felt like leaving and almost took off. I stopped talking and smiling and sat there like I hated the world. Today I feel bad about my reaction though I was not disrespectful or rude. Maybe I should drop it all together. thanks, Pira" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. East irritability could sometimes be a manifestation of underlying stress or depression. If these symptoms are frequent and distressing or if you are having difficulty handling your stress, I would advise you to consult a psychiatrist for a detailed evaluation and further management. There are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome your problems. Wish you all the best. - Dr. Jonas Sundarakumar consultant Pychiatrist" } ]

[ { "from": "system", "value": "Chronic depression, anxiety, harms self, personality disorder. Taking alprazalam, addicted to drug. Alternative?" }, { "from": "human", "value": "What can a psychiatrist give that works well to help treat my anxiety and depression (both chronic and severe). I already take venlafexine and have been scripted for alprazalam twice which really helped although she is reluctant to script me for it again as it can become addictive. What else could help? I have been in therapy and told i have a personality disorder , something like BPD although do not really fit the criteria. I am a chronic self harmer." }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. There are several options available, both in the form of medication as well as psychotherapy for your depressive and anxiety symptoms. If one anti-depressant is not working for you, then there are several other options available. If you have mood instabilities, mood-stabilizing medication can also help. For your chronic self-harming behaviour and a likely diagnosis of borderline personality disorder, treatment is predominantly in the form of psychotherapy. There are several effective and proven therapies like cognitive behavioural therapy, dialectical behaviour therapy, rational emotive therapy which can help you control your emotions and reduce the self-harming behaviour. So, engaging regularly in therapy, staying motivated and putting in sincere and persistent efforts from your side are essential for successful treatment. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "What causes erectile dysfunction with premature ejaculation?" }, { "from": "human", "value": "having eraction problem.. only 30-40 percent erection and early discharge also ... tried tadalifil & viagra alson but no satisfactory result..age 46 ht. 5'8\" wt. 78 kg having diabetes since 6-7 years...pl. note this problem is old i.e. 10 yrs approx. i.e. before diabetes" }, { "from": "gpt", "value": "Hello, Diabetes can be an important cause of your issue. Even if you keep your blood sugar under control there are chances for neuropathic symptoms persist. And if your blood sugar is not under control the chances for Erectile Dysfunction ED and Premature Ejaculation PE are high. Also, need to check for hormonal imbalance and prostate pathology. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist" } ]

[ { "from": "system", "value": "ADHD, depression, aggression, anxiety, back and hip pain. Taking vyvanse. Cure for symptoms?" }, { "from": "human", "value": "My daughter has been taking vyvanse for 3 yrs to treat ADHD . (30 mg per day) She is experiencing major depression , aggression and anger issues, anxiety, major back and hip problem. From the research I ve done, it looks like these symptoms are likely vyvanse related. What is the best and safest way to wean a teenager off of vyvanse?" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. It is not advisable to make treatment decisions without a proper evaluation and advise of a doctor. Though Vyvanse has been known to cause psychological side effects, you can never be sure if her depression and anxiety are co-existing or underlying her other ADHD symptoms. Moreover, stopping Vyvanse can lead to an increase of her ADHD symptoms and this issue needs to ne tackled. So, I would advise you to arrange for a consultation with a psychiatrist for a detailed evaluation and planning further treatment options. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Have blackouts, cannot see, feel or hear, lumps in the scrotum, infected. Suggestions?" }, { "from": "human", "value": "Hi I have had blackouts fore as long as I can remember I have very little memory Before the age of 6 ½ years old apparently my mum said I sounded like I was deaf And dumb the blackouts vary I don’t even realise I have some of them just people say I stop talking and stair when they go over the 30 seconds I get very confused and cannot concentrate its like my brain turns off some times I carry on walking and have walked into cars and other thing I have had cuts browses and apparently a broken nose so my ENT said it has healed crooked I don’t see feel ore hear when I have blackouts I also get very weak I cannot get all the lumps of skin that are attached On the inside of my skin I took the top off one of them in my ball bag in 1998 It hade a round ring of dead and pink in the middle the one in my chest got a cist By the side of it and I was on holyday the cist burst and all the pus came out And so did part of the growth it was just like a ½ inch lump of very moist dead skin And I have had a height pitched noise in the back of my head that I first noticed When I was 8 years old I cannot get treated on the Wirral ore Liverpool Because I have had problems with some of the families in the Wirral and Liverpool And I am know trying to save money for a privet scan away from hear if you can give me some advice i would be very grateful Yours truly john orange thank you" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. The blackouts and its associated symptoms could be indicative of a seizure disorder. Since you also have multiple physical problems, you need a thorough medical evaluation. Please see a doctor for a detailed physical examination, certain investigations and further treatment. Wish you all the best. - Dr. Jonas Sundarakumar" } ]

[ { "from": "system", "value": "Depression, anxiety, PMS disorder. Taking venlafaxine. Can I increase dosage?" }, { "from": "human", "value": "I am 41 year old woman who has been taking Venlafaxine 75 mg/OD since May 2012. The medication helped me with Major Depressive, Anxiety attacks and severe PMS disorder initially for a month or so after that I seem to fall back to my previous state. I am unable to get in touch with my primary or a specialist. Is it alright for me to increase the dose to 150 mg/BD. i am also Dx with Hypothyroidism and take Levothyroxine now at dose of 50 mg/OD. I was taking armourthyroid 60mg/OD but cannot find that medication hence the change" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query.Increasing the dose of your antidepressant Venlafaxine from 75mg OD to 150mg BD is a drastic increase and may have adverse effects like increased anxiety, agitation, drowsiness, etc. I would advise you not to alter the doses of your medication without consulting a doctor. You can try some relaxation exercises and deep breathing for your anxiety and try to meet your doctor as early as possible.Wish you all the best.- Dr. Jonas Sundarakumar consultant Pychiatrist" } ]

[ { "from": "system", "value": "Poor mental health, drank poison for killing insects, difficulty breathing. Prognosis?" }, { "from": "human", "value": "Hello, my father in law is mentally crazy and had been to a hospital many times. My problem is that he drank some sort of poison which i am guessing is some sort of medicine used to spray on vegetables in order to kill insects and it seems that he is unable to breathe and he has a little chance of survival , what advice do you give me or what treatment/ medicine would be useful according to my problem" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. I'm sorry to hear about your father-in-law's condition. Your father-in-law needs urgent medical attention for further evaluation and treatment of his medical condition. Once he becomes medically stable, then his mental health issues can be managed. So, please take him to a hospital immediately. Wish you all the best." } ]

[ { "from": "system", "value": "Feel body tremors, awareness on meditation. Is this good for health?" }, { "from": "human", "value": "Hello Doctor, What is the difference between the following? And your comments on both ideas Please... 1. Few people, especially in Tamilnadu, India (who are very much devoted to some god) - when they do their spiritual rituals - suddenly they dance little violently for about a minute and then they fall unconscious. In few minutes, they wake-up and become normal. I do not think they do it purposely, there are no materialistic benefits for them. People understand that incident as: the spirit of god entered into that being for that few moments. 2. Kundalini, the energy that is present at the root of the spinal cord for all human beings, (for more information on this topic please refer in WWW.WWWW.WW . When I do meditation , in strong feeling connection towards guru (bakthi), there is an upward force, I do start with body shake and then start levitating, especially in the presence of my Guru. Like in the previous case (first case) I do not go unconscious. I feel more awareness. I can call capital letter AWARENESS. I know what is happening around. I can listen the sounds around. I can feel for others - as the people around me might get scared. I feel more joyful. My Guru says it increases the mitochondria to 1300 percent. It is good for health physically and mentally. Please leave your comments on both." }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. In medical and psychiatric terms, the first case is described as \"dissociation\" or \"possession state\" (The WHO classification of diseases: ICD-10, classifies it as a psychiatric condition called dissociative disorder). Regarding the second condition, though yoga and meditation are known to have positive effects on health, the specific claims which are made are not medically or scientifically proven. (and the field of Medicine is a science and is always evidence-based). Moreover, each religion or culture or sect has its own views and beliefs. So, it is each person's own belief and perception. Hence I would not like to make any generalizations or judgments about this. Wish you all the best." } ]

[ { "from": "system", "value": "Obsessive compulsive cleanliness disorder, weakness, thinking only about cleaning. Treatment?" }, { "from": "human", "value": "hello Dr. my mother is suffring from obsessive compulsive cleanliness disorder.. plz tel me how to overcome from this disease... day by day she is becoming so weak.. she is suffring from since last five years... before she was not much into cleanliness but now a days she only think about cleanliness...this disease is spoiling her life." }, { "from": "gpt", "value": "hello welcome to health care magic Yes she is suffering from Obsessive Compulsive Disorder (OCD). Consult a psychiatrist at the earliest for proper treatment. The treatment options are- 1) Drugs like SSRIs - Paroxetine, fluoxetine, fluvoxamine, sertraline; TCAs - Clomipramine 2) Psychotherapy- Behaviour therapies 3) Relaxation exercises like yoga or meditation Good Luck Thanks" } ]

[ { "from": "system", "value": "17 year old having lack of concentration, restlessness, itching on the body. Could this be caused by excessive masturbation?" }, { "from": "human", "value": "Hello Doctor, My name is Hardik, age 17+ (Male). I always feel like restless, SLEEPY and lack CONCENTRATION (its d biggest problem) and lazy.. some of the common problems i m facing along are itching on my all body parts, often cold(thus a stuffy nose ) and some pimples and small granules like things on my face and shoulder back.. an yea one of my friend says these may be due to excessive masturbation" }, { "from": "gpt", "value": "Hi, Thanks for writing in. Acne or pimple are common in your age group.It is a hormonal disorder. It has nothing to do with masterbation. You can use clina gel twice daily and brevoxyl face wash. Few treatments like cryotherapy and chemical peel can help to treat acne effectively. Visit a qualified dermatologist who can offer you these procedures. Sleepy ness and lack of concentration can occur due to masterbation .Just reduce the frequency and you will be fine. Hope this helps. Regards DrSudarshan MD Dermatologist" } ]

[ { "from": "system", "value": "Addicted to opium. Taking bupin anti-depression medication. Will super accelerated neuron regulation therapy help?" }, { "from": "human", "value": "Hi sir was heavy opium addict for 3 years nd I went to psychologist he suggested me bupin nd few anti depression medicines now I m addicted completetelly on bupin and other anti depression medicines for 3 years but I m not able to reduce medicines .infact I m now completely addicted on my medicines , as I was addicted on opium in previous years , now I want Super accelerated neuron regulation therepy cud I take this therepy in XXXXX how much it cost ? Please answer me" }, { "from": "gpt", "value": "Dear sunnie Thanks for consulting us. Nothing to worry it is not too hard to quit those medicine. This medicines are not so bad like the opium you have taken in the past. You dont have to take it for long time also. thousands of person with these type of problem is getting cured everyday throughout the world. No need for Super accelerated neuron regulation. there are hundreds of alternatives. Just consult a good psychiatrist. Along with medicine a good counselling will also be helpful for you. If required go to some DEADDICTION SPECIALIST. Dont worry its just a matter of time. Best of luck." } ]

[ { "from": "system", "value": "Taking sizodon, lonazep, yet suffers with aggressive behavior. How long should the medicines be taken?" }, { "from": "human", "value": "my 24 yrs sister taki sizodon 4mg(daily 1 tablet) and lonazep 1mg(sos). she is suffering from aggressive behaviour sometimes she starts abusing her father for no reason.. talks very dirty language for small silly reasons. i just want to ask how long she needs to take this medicine and can this medicine cure her completely" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. Your sister is likely to be suffering from a psychotic disorder called Schizophrenia. This is a chronic, relapsing mental illness which can be controlled with medication but not completely cured. If her symptoms are still present despite this dosage of medication, then she may need an increase in dosage or other some medication also. She would be needing to take these medication for long durations and keep having regular follow-ups, otherwise her symptoms may relapse again. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Frequent urge to urinate, on clonazepam, effexor, levothyroxin for depression and anxiety. What is the cause?" }, { "from": "human", "value": "hello, just turned 57 130lbs 5 5 Iv been taking levothyroxin for about 3wks,( i get the urge to urinate often), if not near a bathroom im skrewd, its 25mcg. I had a complete hystorectomy 35 yrs ago not on any hormones, i was giving this drug to see if it would help w/servere out burst of depression an anxiety , also taking clonazepam 0.5mg and effexor 75mg 2in morning and 1 in afternoon, thankyou" }, { "from": "gpt", "value": "Hi, Frequent urination is a symptom of anxiety and depression too. There is also need to rule urinary tract infection, if it is associated with burning and fever. If problem is very severe then for review of treatment, you can visit your psychiatrist. I hope this information has been both informative and helpful for you. Wish you Good Health. Regards, Dr. Ashish Mittal www.99doctor.com" } ]

[ { "from": "system", "value": "Suggest treatment for multiple lumps on scrotum area" }, { "from": "human", "value": "hi there. i have multiple lumps on my scrotum area. over the past year or so. they seem to appear in different spots and then go away reoccur. sometimes they appear in the area between my thigh and scrotum. usually they are just hard and eventually develop what looks like the head of a pimple. but sometimes my wife said they are dark and seem to have a bloody white pussy liquid come out when squeezed. they do not hurt but are annoying to have. was just trying to do some research to see what i could have." }, { "from": "gpt", "value": "Hello, These are like \"pimples\", we call sebaceous cysts, occurring because of accumulation of some oily secretions secreted from the skin. Do NOT worry.Maintain hygiene. If there is no pain or if the size remains small, nothing to worry. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Sujoy Dasgupta" } ]

[ { "from": "system", "value": "What is the treatment for enlarged hair follicles on the penis?" }, { "from": "human", "value": "hi i am male 24. 6 ft 2'', 90 kgs.i have hair follicles on the underside of my penis shaft that are somewhat enlarged. i know they are harmless and in most cases need not to worry but when i am erect they are protruded significantly and are getting in the way of my sex life and is causing depression...they also get quite itchy. is there any way of removing these papules or follicles, either operation or lazer..i have been to GP and he simply told me not to worry..answered much appreciated." }, { "from": "gpt", "value": "Hello. Yes, if it's itchy or causing difficulty during sex, it can be removed. You can work this issue with a cosmetic surgeon for a simple laser procedure and be hassle free. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist" } ]

[ { "from": "system", "value": "Skin dullness, depression, indigestion, heart racing, short tempered, fatigue. Why all together?" }, { "from": "human", "value": "I am 33 year 5 ft 4 inches tall lean single women, 6 months back diagionsed for endometrosis,so my gync perscribed me Danzol 200mg & meprate 10mg (twice a day) for 4-5 months.now after ultrasound she told me that it has been cured so she has reduced my dosage to once in a day.she will srtop my medicene after 2 momths. during this i have gone through the sideeffects like excessive weight gain(12 kgs)from 52 kg to 64 kgs,body heavyness,Skin dullnes,darking & pigmentaion(i had fairer skin & now it is weatish tone), depression , indigestion ,Fast heart beat,Stomach gastric problems, fatigue ,short tempered etc. I am a postive outwards person so recovering from my depression & short temperness.but my worry is my skin & weight problems. Doc will i get back my skin tone after stopping the medicene?will i be able to loose my weight? i have put control my diet and workout as well...pls reply as i am v much worried abt this as i am getting married in another 4-5 months." }, { "from": "gpt", "value": "Hi, Your case is not straightforward or simple. There are multiple possibilities for cause of your problem. There is need to investigate cause of Depression in your case specially hormonal imbalance. Almost all skin problem exacerbate by stress and depression. If problem is very severe and leading to frequent interpersonal problems, then for assessment and treatment, you can visit specialists like dermatologist, general physician and psychiatrist. I hope this information has been both informative and helpful for you. Wish you Good Health. Regards, Dr. Ashish Mittal www.99doctor.com" } ]

[ { "from": "system", "value": "Having suicidal tendency. Suggestions?" }, { "from": "human", "value": "I am a 32 year old male from terre haute indiana i am basically having a mental crisis and cant seem to find anyhelp i have no insurance and no one seems to even wanna help i was on meds before for the same symptoms and unless i am suicidal i cant get anyone to help i went to the er and even tried to admit myself and they would no let me. What should i do? I have checked walk in clinics everything i can think of and its sad i should have o getto a point of suicidal before anyone would help me" }, { "from": "gpt", "value": "hi..suicidality is serious and admissible..possibly you are suffering from major depression due to any stress..you should visit a psychiatrist and proceed further according to your advice..involve your near ones for your care as you are not sound at the moment..request your psychiatrist for a suicide contract..have a good health.." } ]

[ { "from": "system", "value": "Overly tired, grumpy, emotional, depressed after masturbation. Reason, treatment?" }, { "from": "human", "value": "Hi, I m 25 years old and believe I have a major problem when it comes to masterbating and after ejacualtion. As long as I can remember back right after masterbation I ve become overly tired, grumpy, emotional, even depressed to the point where I cannot function properly and I become a different person. I ve found it to take generally 3 to 4 days before I can get my physical energy level back to normal. Normally i masterbrate once or twice a month...But cannot cure these problems....plz tell me,what can I do?" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. Your depressive symptoms after masturbation could be associated with underlying guilt or other subconscious conflicts about this habit. I would advise you consult a psychiatrist for a detailed psychological assessment and further treatment. There are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome your problems. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "15 yr old, having manic, depressive moods. Can it be Bipolar ?" }, { "from": "human", "value": "hello, i fear i may be bipolar, can you help me? i m a 15 year old girl and i have manic and depressive days i usually have about 1- 2 weeks of being in a depressive mood and then maybe 2 days of being in a manic mood. i don t know whether to go to the doctors about it or not? i haven t been going to school alot lately and it s worrying my mum." }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. You appear to be suffering from a mood disorder, probably cyclothymia or could be even bipolar disorder. You definitely need to see a doctor for this. You will need a detailed psychological assessment and further treatment. There are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome your problems. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Feeling really tired, cloudy vision, somewhat dizzy, face tightening, tingling in arms and back, not sleeping well, stress" }, { "from": "human", "value": "I have been feeling really tired, cloudy vision , somewhat dizzy. I sometimes feel my face tightening up and tingling in my arms and back. They come and go. I have not been sleeping well, and have under stress ." }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. Some of your symptoms could be anxiety-related. However you need a proper evaluation to rule out any possible medical causes of your symptoms. I would advise you see a doctor for a physical examination and further evaluation. If your symptoms are anxiety-related, then there are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome your problems. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Have ADHD, problems with concentration. Is it safe to take Adderall on a long term basis?" }, { "from": "human", "value": "I am a 26 year old adult female who suffers from ADHD . My parents did not want to medicate me as a child, and even though I made good grades in school I was constantly struggling. After a very hard first semester at college, my doctor told me I should not worry about the stigma attached to medication and prescribed me adderall . It was like night and day. It slowed my thoughts down so I didn t feel so overwhelmed and took away the frustration . I stopped taking medication when I became pregnant with my first daughter and have not since resumed. I now have two children, and although I had hoped my seemingly childish problems with concentration would get better with age, they have not and I find myself in a constant state of frustration. I have tried supplements and natural remedies, and nothing seems to help me feel normal. Is it safe to take medicine like adderall for attention deficit on a long term basis as an adult? I hate feeling like I have to take a pill to have a normal thought process, I feel like I am causing myself a lot undue stress by fighting and pretending like the problem isn t there. I would appreciate advice on this. Thank you" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. Every medication, including Adderal, can have some side effects when taken for prolonged durations. The treatment decision will depend on whether the benefits of the medicine will outweigh the potential side effects. So, please consult your psychiatrist for a detailed psychological assessment to determine the severity of your ADHD symptoms and whether medication is necessary. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Not able to sleep at night, day gets rough and boring if slept at night. Advice?" }, { "from": "human", "value": "i cant sleep at night . i sleep only at day . if i happen to sleep at night i don t have a good day. my day gets rough and boring. i have many things to think about. i feel like the whole world is aganist me" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. You seem to be suffering from a circadian rythm sleep disorder where the body's bilogical clock works out of synchronization with the natural sleep-wake cycle. Please consult a psychiatrist for a detailed psychological assessment and further treatment. There are effective treatment options - in the form of medication or behavioural therapy which will help you overcome your problems. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "What is the remedy for tingling sensation in the head and chest during nervousness ?" }, { "from": "human", "value": "i have a weird tingling sensation in my head and chest but it only happens when i get nervous im 25 4 11 and about 200 pounds other than being over weight im pretty healthy. thank you" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. Your symptoms could be anxiety-related. Anxiety can manifest itself with not only psychological symptoms, but with physical symptoms also. If you are having recurrent such symptoms or having difficulty managing your stress, then I would advise you consult a psychiatrist for a detailed psychological assessment and further treatment. There are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome your problems. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Is there any cure for exercise - stress induced anaphylexis ?" }, { "from": "human", "value": "is exercise - stress induced anaphylexis curable? and if so where do i start" }, { "from": "gpt", "value": "Hello and welcome to Healthcare Magic. Thanks for your query. You first need a detailed medical evaluation of your symptoms. This will incude a thorough physical examination as well as lab tests. You may aslo require more specific allergy testing also. So, please consult a doctor for a detailed evaluation. Further treatment will depend on the pathology detected. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist" } ]

[ { "from": "system", "value": "Excessive job stress causing hit on ears and finger tips, psoriasis spots on body. Is there any remedy for this?" }, { "from": "human", "value": "hi I am 29 years old, I have tendency or can say nature of taking lot more pressure and stress over me, specially when I was starting up my career as Programmer. It s because of my nature while working I undergoes stress and nervousness , I start feeling hit on my ears and finger tips . I think because of this nature of mine, I have caused some skin problems to me, at this stage I have psoriasis spots around neck, one near the forehead , edge of ears and on my right leg. I am working on my mental ability to cope with things and not to take pressure on me but would you be able to suggest me any solution for such problem?" }, { "from": "gpt", "value": "Hi friend Welcome to Health Care Magic How did you conclude it is Psoriasis? It has an inherited basis. It has no relation to your nature. You have to seek the help of a Psychiatrist. The chances of modifying your behaviour and return to near normalcy are excellent. There are medicines and counselling techniques. A dermatologist must see your skin. He will be able to diagnose correctly. A proper diagnosis is a prerequisite for proper treatment. You have two different issues. Both of them are easily manageable Relax / see the doctor... Take care Wishing you speedy recovery God bless Good luck" } ]