conversations
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[
{
"from": "human",
"value": "Hello doctor, I am 20 years old. My height is 6’4\", and weight is 205 lbs. I noticed three decent sized painless blisters, looking like bumps on the shaft of my penis. I had sex before two and a half week. I do feel like I masturbate a lot which I am hoping it is, but I am freaking out with it."
},
{
"from": "gpt",
"value": "Hello. The bumps appear to be normal pimples (attachment removed to protect patient identity). Another possibility is an ingrown hair. Herpes vesicles could also be the possibility, but the chances are rare. Since the site is not common and I hope there is no discharge. If you have unprotected sex with any high-risk partner then you should go for test otherwise there is no need to get worried. Remain relaxed. I do not think this is due to an STD (sexually transmitted disease)."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I had unprotected sex on the sixth day of my period in which bleeding has already stopped. What should I do to avoid pregnancy?"
},
{
"from": "gpt",
"value": "Hello. Please send me some more details. If you have regular cycles with 28 days or more, then day six of periods is not the fertile period of your cycle. But having short irregular periods results in the risk of having the issue of conception. So check on your cycles. If regular and if 28 days or more in duration then no need of I-pill or emergency contraceptive. Otherwise, in case of the irregular or short period better to have emergency contraceptives pill. Have complete treatment of any health issue you have. Have a balanced diet, weight, and BMI. Practice daily walk and yoga. You can have regular contraceptives to avoid conception. Hormonal. Depends on cycles regularity. As per need."
}
] |
[
{
"from": "human",
"value": "Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?"
},
{
"from": "gpt",
"value": "Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide."
},
{
"from": "gpt",
"value": "Hi. For further doubts consult a sexologist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached."
},
{
"from": "gpt",
"value": "Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well."
},
{
"from": "gpt",
"value": "Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help."
}
] |
[
{
"from": "human",
"value": "Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help."
},
{
"from": "gpt",
"value": "Hi. For further doubts consult a sexologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide."
},
{
"from": "gpt",
"value": "Hi. For further doubts consult a sexologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I have been dealing with acne on my cheeks, chin, jawline, and neck for the past four years. I have recently graduated my bachelors and got accepted to medical school. I previously thought the acne was due to stress, but since graduating I have still been having breakouts and tried Benzoyl peroxide, Retin A products, and salicylic acid treatments. All of which clear up temporarily but then get worse. I am not on any medications (no birth control either) but currently started taking a few supplements to see if it would help. I take fish oil, probiotics, and turmeric for the past week and now it seems to be helping a little, but I also just got off my period and had some flare-ups on my cheeks. I am in the military, and out of all honesty I have tried getting appointments with my doctor, but she always recommends the same treatment with Benzoyl peroxide and Retin-A. She even had me on Spironolactone a few years ago, but I have a low natural BP, and that just made me dizzy from lowering my BP more. I wish to see a dermatologist, but the military makes that difficult to do unless I wanted to pay out of pocket to see one. My skincare routine consists of using Glowbiotic MD face wash, diluted apple cider vinegar toner, and plain Aloe vera for moisturizer. I try to keep it simple to not irritate my skin more than it is. Please advice."
},
{
"from": "gpt",
"value": "Hello. I understand acne is very frustrating. Many factors play a role in acne, they are, 1. The hormone is the main factor. Here acne is seen mainly on the chin and neck. A most common cause is the polycystic ovarian disease that presents with acne, increased hair on the face, hair loss from the scalp, irregular menstrual cycles. If you have any one of these symptoms along with acne, I strongly recommended evaluation by a gynecologist. 2. Stress. 3. Occlusion due to thick face creams, and foundation that block the pores on the face causing ductal block then inflammation. People from 13-30 years are more prone to acne. You have cystic acne, considering the distribution around chin and jawline, Spironolactone is the best medication in your case. Since you have a problem with blood pressure, I can suggest you other treatment options. Kindly consult your doctor to discuss the suggestions and take the treatment with consent. 1. Aczone (Dapsone) 7.5 % topical gel, it is anti-inflammatory medicine but slow acting. 2. Oral Doxycycline or Minocycline for two to three months. These antibiotics are very useful for cystic acne. 3. Topical Fabior (Tazarotene) 0.01 % foam, this is the strongest topical retinoid. 4. Oral isotretinoin (Accutane) is the most effective treatment available for acne. It is weight based treatment, depending on your weight you will have to take Isotretinoin capsules for four to six months. It needs monthly blood work monitoring for serum lipids, liver enzymes, monthly urine, and a pregnancy test. Follow a monthly visit to the dermatologist."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am a 30-year-old female with weight 95 kg. I have a sore in the right foot in which the skin is coming off and is irritating. Also I have a slim like substance that builds up. The smell is really bad."
},
{
"from": "gpt",
"value": "Hello. I understand your concern. This condition is known as pitted keratolysis (attachment removed to protect patient identity). It is a superficial skin infection, caused by Corynebacterium species. Take the following treatment. Kindly consult your doctor, to discuss the suggestions and take the treatment with consent. 1. Cream Mupirocin apply once at night. 2. Benzoyl peroxide 5 % gel apply once in the morning. Do this for three weeks, and try to keep the foot dry, avoid tight-fitting footwear, basically try to minimize the sweating on the occlusion part."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I had an ear infection in my left ear about a month ago, and my doctor prescribed Amoxicillin twice a day for a week. I went back shortly after and the ear infection moved to my right ear and my left ear was not any better so she prescribed Z-pack for five days. I finished my Z-pack last week and I am better overall, but I still feel a little dizzy when sitting down. When will that go away?"
},
{
"from": "gpt",
"value": "Hi. Does the giddiness last for long? Is it only momentary? Is it spinning or weakness? Is there any hearing deficit?"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am passing the worst time of my life for more than 1.5 years. Because my husband is getting frustrated and depressed day by day. I love him more than anything in the world, so I am too much worried about him. He works at home since he is a freelancer. We got married four years back and his problem started a year back. He became almost detached from all of his friends and family. So can you imagine his regular life? He wakes up at 12 PM. After that, he starts working on laptop till midnight. This lifestyle continued for almost one year. In the meantime, my mother-in-law and father-in-law both passed away suddenly within two months. My husband could not take this shock and he was going absolutely abnormal. Now he cannot feel any happiness, any rhythm or any charm. He acts just like a robot. As a wife, I am trying my best to make him normal and happy. But nothing can change him. Here is another difficult problem in our life. I tried to do freelancing job so that we can synch our life together. But I failed badly. Now I have no income and I am totally unemployed. This thing also a big reason of his disturbance. I am trying my best to do something, but what can I do in this sector? Except this one thing, I think I fulfill every responsibility to my husband as a wife, as a best friend. In this situation, I am also becoming frustrated. I am really afraid of our current situation. We love each other for more than 11 years and struggled so much to get together. We were a very happy couple and want to live some more time happily. Will you please help us to recover this situation?"
},
{
"from": "gpt",
"value": "Hello. From what you have described, your husband has not been his usual self for more than a year. Did his problems start after his parents passed away or was he feeling low and detached even before this? It looks like he has some features of depression which have been perpetuated by adverse life events. Do not worry, it will gradually get better with some support. It is highly positive that you are understanding his situation and taking steps to get better. It is quite natural to get frustrated but try to remember that this tough period will not last forever. Try following these self-help measures: 1. Encourage your husband to open up and talk about his difficult feelings. Do not get into arguments, just try to listen and look for constructive solutions. When someone is depressed, they can be more irritable and easily frustrated. So do not try not to take critical comments personally. 2. Encourage him to do some exercise daily. It will help to lift his mood. 3. Make sure he eats healthily and sleeps well. 4. Try to make him reconnect with his close friends and family. Avoid getting isolated. But do not force it too much, needs to be done gently. 5. Try to distract by going for cinemas once in a while. If the problems persist, it may be helpful to consult your doctor locally and have some counselling to manage the difficult life situation. Take care."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am 18 and I have never had period but sometimes I feel like something wants to come but it does not come. I had puberty hair and underarms hair two years back."
},
{
"from": "gpt",
"value": "Hello. It is called primary amenorrhea and it is a complex problem for which you need full assessment with all blood tests and ultrasounds and even more to rule out the cause and find a diagnosis what actually is going on inside. And sometimes it usually runs in families like if your mother or sister also had delayed periods then that could be another cause. But I would suggest you to see a gynecologist for further evaluation."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am 19 years old, male, recently I have discovered that my crown hair is slightly thinning, however I think it is a cowlick, because the middle part of the crown where the swirl is thick but away from the swirl it is thinner. You can actually see my scalp lines or hairlines. You can see my top back hairline and side of the crown hairline."
},
{
"from": "gpt",
"value": "Hi. I can see thinning of hair in the picture you have attached, but I cannot see the hair line (attachment removed to protect patient identity). It could be telogen effluvium (stress induced) or early androgenetic alopecia or visibility of scalp could be because of your short hair. Androgenetic alopecia or male pattern baldness starts with receding hair line on the temporal and frontal area of scalp then there will be thinning in the crown of scalp. I will have to see pictures taken from the front to visualize hair line receding to confirm androgenetic alopecia. Are you actively losing hairs everyday? Do you see more hairs while taking shower? Do you have family history of baldness? Any history of illness in the recent past? Any surgeries? Hospitalization? Hair needs protein for growth, diet rich in protein say 40 to 60 g of protein per day is very helpful. It depends on the body weight. Avoid hot water, use lukewarm water to wash scalp."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I want to grow more hair and hair thickness and avoid losing hair and thinning hair. Please check my pictures and advise me a perfect solution."
},
{
"from": "gpt",
"value": "Hello. I understand your concern. Your condition is known as androgenetic alopecia or male pattern baldness, which has genetic as well as hormonal factors as the causative factors. You need to use treatment for this condition regularly and it takes about 3 to 4 months to start showing the results as hair cycle itself takes this much time. Start the following medications: A. Tablet Finpecia/Propecia 1 mg, take one tablet once a day. B. Rogaine (Minoxidil) 5 % lotion apply 1 ml twice a day. C. Nizoral shampoo three days per week. Do this initially for two months and follow up after that."
}
] |
[
{
"from": "human",
"value": "Hello doctor, Please review my ECG report. I am on Diltiazem."
},
{
"from": "gpt",
"value": "Hello. The report on your ECG (electrocardiography) states that (attachment removed to protect patient identity) there is a presence of nonspecific intraventricular conduction delay. Some of the causes of this disorder are amyloidosis, cardiomyopathy, and electrolyte imbalance, etc. Are you experiencing any symptoms? Why did you go for an ECG?"
}
] |
[
{
"from": "human",
"value": "Hi doctor, My mother is 51 years old. Over 9 years she is unable to sleep properly either in the day as well as night. She started to feel irritated and we consulted one of our family doctor and he suggested to start Stalopam plus. But now a days even after taking the same medicine she is not getting proper and sound sleep. Currently, she is on Stalopam plus one capsule a day. I have attached the prescription. Please suggest us what to do?"
},
{
"from": "gpt",
"value": "Hello. I have gone through the prescription attached (attachment removed to protect patient identity). Diagnosis was anxiety with insomnia for which Stalopam plus (Escitalopram) was prescribed. It seems she has developed tolerance to this drug. So, either dose should be increased or new drug should be substituted. To manage her insomnia and anxiety you need drug therapy such as starting on a sleep aid drug which also lessens anxiety like Clonazepam at dose of 0.5 mg to be taken half an hour before bedtime and continue to take the same. This will ensure quick relief of your mother's anxiety and insomnia but it has to be taken after consultation with a psychiatrist. Proper sleep hygiene needs to be practiced daily, so as to help her maintain good sleep in the long run. Sleep hygiene entails following important points. Anxiety. Check blood pressure. Insomnia Selective serotonin reuptake inhibitor (SSRI) and Benzodiazepines along with sleep hygiene."
}
] |
[
{
"from": "human",
"value": "Hi doctor, My son is 2 months old and he is suffering with dry cough over the last 3 days. We consulted local doctor and he advised TA-65 capsule which can be taken by mixing one capsule in 10 cc of distilled water. He advised to use 2 mL of this mixture for 3 days. My question is how exactly does TA-65 work for cough?"
},
{
"from": "gpt",
"value": "Hello. Your kid is probably suffering from some throat infection or lung infection (respiratory infection). TA - 65 is a telomerase activator, it comes in capsule form. It is used to boost immune system, skin and given for sexual improvement. It has no role in cough and it is not given in children. I advice you to not to give this medicine to a child. You should probably consult a different pediatrician there as rest of medication like antibiotics or medicated nebulization or any investigation needed. It cannot be advised without examining the child. Viral infection of respiratory tract. 1. CBP (complete blood picture). 2. CRP (C-reactive protein). 3. Chest x-ray if required. 1. Upper respiratory infection. 2. Bronchiolitis. 1) Kufril LS drops (Ambroxol hydrochloride and Salbutamol), 4 drops, three times a day. 2) Nebulization with 3% NaCl (Sodium chloride), 3-4 times a day as required. Avoid cold weather and maintain hygiene."
}
] |
[
{
"from": "human",
"value": "Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached."
},
{
"from": "gpt",
"value": "Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?"
},
{
"from": "gpt",
"value": "Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide."
},
{
"from": "gpt",
"value": "Hi. For further doubts consult a sexologist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached."
},
{
"from": "gpt",
"value": "Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well."
},
{
"from": "gpt",
"value": "Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help."
}
] |
[
{
"from": "human",
"value": "Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help."
},
{
"from": "gpt",
"value": "Hi. For further doubts consult a sexologist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I am very sad, and I am surrounded by negative thoughts and anxiety. I have taken Fluoxetine (Fludac 20) for 6 weeks. Now I am fine, but I wake up early in the morning around 3.30 AM. Hence having disturbed sleep in the morning. My doctor changed medicine to Flunil 40. I think this dose is not required. Kindly advice me to avoid sexual side effects from this medicine. Thank you."
},
{
"from": "gpt",
"value": "Hello. Fluoxetine is known to cause significant insomnia in many patients as it is an activating drug. Being an selective serotonin reuptake inhibitor (SSRI) Fluoxetine causes sexual dysfunction. Both these side effects can be treated by taking tablet Trazodone (brand name Trazaril) 25 mg at night time. It antagonizes the side effects of Fluoxetine. After two weeks, if needed, the dose can be increased to 50 mg. Fluoxetine induced sexual dysfunction or insomnia. SSRI induced sexual dysfunction. Tablet Trazodone 25 mg at night time."
}
] |
[
{
"from": "human",
"value": "Hello doctor, My age is 31 years, had scan done at 27 weeks and it showed early dialostic notch in bilateral uterine arteries with mild increased mean uterine artery pi- 1.42. Suggestive of uteroplacental insufficiency. I have got BP now (150/90). This is not anomaly scan. Seek second opinion, please let me know what are complications arising from this. I have read that if BP increases, there might be case that baby would be prematurely born with intestinal issues as blood supply is restricted. Also, whether it can cause any issue to my child, if born early."
},
{
"from": "gpt",
"value": "Hi. Kindly attach your ultrasound report."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am 30 years old and married for 2.4 years. Now we are planning for a child. On 14th of this month, I experienced periods with very little stomach pain and pain in legs. The next day on 15th there was no bleeding at all, 16th I had spotting of light red colored blood flow, 17th the same thing happened and then the flow stopped. Again on 23rd night I had bleeding light red coloured blood flow, on 24th no bleeding at all, 25th I had fresh pink colored spotting. Then 26th pinkish brownish spotting occurred, 27th morning I did pregnancy test by urine, it came negative, and at 8 AM had brownish spotting, 28th had brownish spotting too. Please help me to know whether it is implantation bleeding or anything else."
},
{
"from": "gpt",
"value": "Hello. This is not an implantation bleed at all as even urine pregnancy test is negative. Considering that you have been having regular spotting during this month since 14th of this month with hypomenorrhoea, there are possibilities that your serum Estradiol levels are low which is a possible cause of such irregular shedding of the endometrium. It is important that you get an ultrasound pelvis done to check for endometrial thickness which if less than 8 mm then likely that you would not conceive during this cycle. Please tell me what hormonal profile was done with thyroid levels, serum prolactin, serum progesterone, serum estradiol, FSH, LH and AMH levels to establish the cause of such irregular shedding."
}
] |
[
{
"from": "human",
"value": "Hello doctor, My daughter is 9 years old and has a typical headache at right temple. The headache, she says, is more or less constant and not severe in the day but is intense at night. She sleeps at around 10:00 PM and wakes up around 12:15 AM to 12:30 AM. This is when she cries as she is not able to bear the pain. She gets up from the pain itself. We have already done head X-ray and sinuses is ruled out. Even though the medicine is for antibiotics and I am not sure that it is working, as there is no improvement for last four nights (saving the first night when there was no pain and she could sleep the entire night). During her night pains when we give her Crocin, she is better after 10 to 15 minutes and then typically sleeps the rest of the night. We are trying to get appointment for silent MRI and have our fingers crossed. However, as you are very experienced and could identify a pattern or known case or cause, please do share. Again, the pain is only at right temple and nowhere else"
},
{
"from": "gpt",
"value": "Hello. I understand your concern and would explain that this type of headache could be related to hipnic headache. Anyway, a brain MRI or CT scan is necessary in order to exclude a possible brain lesion, as the headache is always located in the right temple. I would also recommend performing PCR and ESR for inflammation. Temporal arteritis is another possible disorder, which could lead to pain in this region. In such case steroids would be needed. A Doppler ultrasound of the temporal artery is needed too. In case the brain MRI, inflammation tests and transcranial doppler of the temporal artery is normal, I would recommend considering hipnic headache as a possible cause. In such case Flunarizine or Topiramate would help improve her situation."
}
] |
[
{
"from": "human",
"value": "Hi doctor, I have had a red like spot on my nose for a few months and would like to get it looked at. It does not bleed or change shape. I think it has been there for a couple of months."
},
{
"from": "gpt",
"value": "Hi. I have gone through your case. Well in my opinion this red spot does not look ordinary to me (attachment removed to protect patient identity). It is highly suspicious lesion as its margins look rolled up and it is present on sun exposed site as well. I am not scaring you but in my opinion it should be biopsied as early as possible as unfortunately my differential diagnosis is basal cell carcinoma untill ruled out on biopsy. Do not scratch it or apply anything. Just regularly apply any sunblock during daytime. And get your appointment done with your GP or local dermatologist as early as possible. Take care. 1.Sun exposure. Skin biopsy Sunblock."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well."
},
{
"from": "gpt",
"value": "Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help."
}
] |
[
{
"from": "human",
"value": "Hello doctor, My nasal passage was cauterized four months back. Two days later I began having lots of yellow pus like discharge from my nose. It mostly was being expelled via my throat with sputum. The cauterized site was yellow and there was yellow pus like all over. I have been prescribed Amoxyclav 625 for seven days, Cefuroxime 500 for seven days. The cauterized site was still not healed and was still having yellow discharge. I then consulted an ENT doctor who took a look at it and gave me Linezolid 600 for 10 days. The infection of the cauterized site is still not healed and still oozing with yellow pus-like discharge although there is slight improvement. I have low grade fever on and off. I feel I may be having an infection in my nose that is resistant to antibiotics. Can you please help me and advice me on how to treat my nasal passage? And also what other investigations should I do? I am worried about the infection whether it could harm me as it continues."
},
{
"from": "gpt",
"value": "Hello. The cauterized site you have mentioned might be infected as you said. 1. The best treatement now in this situation is take a sterile swab and touch the swab with the pus and send it for culture and sensitivity, it will definitely give the medication sensitive for your bacteria. 2. Meanwhile start injectables preferably Ceftazidime 1 g and injection Amikacin 500 mg after test doses for five days. 3. Start application of Neosporin ointment on the site."
}
] |
[
{
"from": "human",
"value": "Hello doctor, My 4 years old daughter has an inward turn in her right eye after concentrating for a while. We had an eye test recently. Can you tell me if her results mean she needs glasses as she keeps saying her eyes hurt watching television and readings of her results are: Right eye sph +1.50 cyl -0.50, left eye sph +1.50 cyl -0.50. They told me she is long sighted and we have a strong family history of squints and glasses. I do not know if I should get a second opinion."
},
{
"from": "gpt",
"value": "Hello. That is a very normal refractive condition of a 4-year-old child and I would not advise correction. However, you might want to consider reducing the time watching TV along with the brightness of the screen after sunset. Reduced blinking might lead to drying up of the eye and that will lead to headaches and pain also. Monitor every six months considering the family history."
}
] |
[
{
"from": "human",
"value": "Hi doctor,About a week ago, I got a sinus infection which turned into two ear infections. I have now been on Z-pak as well as Flonase and steroids for four days. My left ear feels substantially better. My right ear, however, is still a little plugged, and now I am experiencing pressure in my temple and jaw area on the right side of my head. Should I be worried? I have one more day left of Z-pak and steroids."
},
{
"from": "gpt",
"value": "Hello. How do you feel now? Are you better? Did the pressure in the temple and area around the right jaw resolve? The reason for those two is the block of the eustachian tube on that particular side. This is the tube that equates pressure on either side of the eardrum by connecting back of the nose to the ear. When it gets blocked due to sinus or nasal problems we feel a sense of block and pressure classically in the area between jaw and ear. If the two have resolved and you are feeling better, then it is good. Otherwise, we have to check if the infection is persisting. Probably, the organism would be resistant to that particular antibiotic. In that case, I would suggest you take a course of Ciprofloxacin and Tinidazole and send a swab from the nasal cavity for pus culture sensitivity. Based on the report, we can change the antibiotic again. Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Good supportive treatment is required - steroid sprays for the nose, systemic decongestants (Phenylephrine), and an antihistaminic (Allegra) to help keep the ear dry. A persistent sinus infection with ear problems requires a nasal endoscopy with documentation of ear findings also. Do revert with more details so that we can help you further. Hoping that you are just fine and that you do not require any further medical attention. For more information consult an ENT otolaryngologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor,I had a physical test, and blood works done about six weeks ago. I told my doctor, I had a lump, or mass, under my right armpit. He checked it out, and then sent me for an ultrascan, and a needle biopsy. A week later the doctor, called and said it was follicular lymphoma which is a type of non-Hodgkin's lymphoma and is treatable. I am going, to have a PET, and CT scan in two more days. The oncologist examined me and said there is no swelling, in the neck, and spleen. Please tell whether this kind of lymphoma is treatable because I am scared of death."
},
{
"from": "gpt",
"value": "Hello. Do you have lymph nodes only in axilla? If it is only in the axilla, it is treatable. This is stage one. In this stage, either chemotherapy or radiation therapy will be given. Need not worry too much. Did they say what type of Hodgkin's B-cell or T-cell? If possible send the needle biopsy report. They will do all blood test like a blood smear test, and CBC (complete blood count). Usually, a team of doctors like a medical oncologist, hematologist, a doctor who treats lymphoma with chemotherapy, immunotherapist, etc., handle this. Targeted therapy from this one of the treatment method they do. I gave full details reading this and so do not get panic."
}
] |
[
{
"from": "human",
"value": "Hello doctor,I have a red area that is itching on the penis head for a week. It looks like balanitis according to the pictures I searched. I also have pain after urinating. I have tried with Nystatin cream, but I have more itching than before. I cannot go to the ER, but the quickest appointment with the specialist can be scheduled in a week. Please help."
},
{
"from": "gpt",
"value": "Hello. I understand your concern. Please send a picture of the affected area to help you better. I need to see to suggest the appropriate diagnosis and treatment."
}
] |
[
{
"from": "human",
"value": "Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?"
},
{
"from": "gpt",
"value": "Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide."
},
{
"from": "gpt",
"value": "Hi. For further doubts consult a sexologist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached."
},
{
"from": "gpt",
"value": "Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well."
},
{
"from": "gpt",
"value": "Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help."
}
] |
[
{
"from": "human",
"value": "Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help."
},
{
"from": "gpt",
"value": "Hi. For further doubts consult a sexologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I think I have something along the lines of a bipolar hypertension situation. I wake up in the morning, my blood pressure is prehypertension to around hypertension stage 1. Not that bad. But In the evening, to later in the night my BP is through the roof. In the midnight, my BP is measured to be 176/126 on standing. When I lay down on my left side and it is down to 110/60 after a few minutes. I could use some help in figuring this out. I am 20 old."
},
{
"from": "gpt",
"value": "Hello. I understand your concern, do not be bothered you will be fine. I advise you to get a pen and paper, write down your blood pressure measurement for three days. Make sure to measure immediately you wake up from sleep in the morning before any activity. Get back to me with the readings, it will help understand what is happening."
}
] |
[
{
"from": "human",
"value": "Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help."
},
{
"from": "gpt",
"value": "Hi. For further doubts consult a sexologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, Please review the attached panoramic X-ray and advise of any health concerns. I have been advised to remove all four third molars. Is there a possibility of sinus exposure?"
},
{
"from": "gpt",
"value": "Hello. Yes, you have impacted molars (attachment removed to protect patient identity). One of the upper molars has proximity with sinus, but it will not cause any complication or sinus exposure. Sinus exposures are a complication to disimpaction, but it is not necessary to happen in your case. You need to go ahead and get them removed. The possibility is least as per the radiographic relation between the sinus and upper molars."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I have anxiety disorder from the age of 15 (will be 35 by the end of this month). I started having frequent panic attacks and debilitating anxiety after my grandmother's death. Before all this, I had been on Paxil. Six months before, my doctor switched me to Zoloft 50 mg and increased to 100mg and 150mg in the following consecutive months. I am very worried about the possible QTc prolongation and sudden cardiac death. I struggle daily to take Zoloft. I had three ECG. First one was taken before six months, the second one before a month and the third one in this month in which my QTc was 400 to 420. Is Zoloft safe? Will it cause me sudden cardiac death?"
},
{
"from": "gpt",
"value": "Hello. Zoloft (Sertraline) is an effective and safe SSRI (selective serotonin reuptake inhibitor) for managing anxiety disorder. Zoloft is generally considered a low risk for QTc (is an electrocardiogram representation of ventricular depolarization and repolarization) prolongation in healthy people. I can see that you had three ECGs in the last few months with QTc between 400 to 420 which is within normal limits. Zoloft in traditional doses (up to 200 mg daily) usually does not cause any significant increase in QTc. You are only on 150 mg once daily. So highly unlikely to have an adverse reaction. Can I ask why you are particularly worried about QTc prolongation and sudden cardiac death? Do you have any relevant risk factor like a previous heart problem or family history of arrhythmias and heart problems? Were these repeat ECGs done for any specific reason or only because of your anxiety? If you are otherwise healthy, Zoloft is generally safe. If you need any other medication for other reasons, remind your doctor that you are on Zoloft so that they can avoid prescribing medication that can potentially interact together. Also, street drugs are not advisable. Regarding your other query about Ativan (Lorazepam), you can continue gradually weaning till you are off completely. When reduced gradually chances of withdrawal effects are much lesser. It is good that you are stopping Ativan as it is not recommended for long term use. I note that you are currently in therapy. It will help to address your longstanding anxiety and develop better psychological coping strategies. It is common to experience worsening of your symptoms when you lose a loved one. Hopefully, you will recover gradually from the loss. You can also try deep breathing techniques and progressive muscular relaxation for managing stress and anxiety. I will also advise you to discuss your worry about QTc prolongation with your prescribing doctor. He will be able to monitor and advise you accordingly."
}
] |
[
{
"from": "human",
"value": "Hi doctor, Two months ago I started feeling tingling and itching sensation between my thighs and then up to my chest. I just took the most painful shower ever (warm water). It stung and I wanted to scratch my skin off. At first there was nothing visible, just itching, now you can see red dots here and there on stomach. In addition, I have a bump on each thigh that has recently surfaced, maybe from scratching. I also feel this intense itching on penis that gets inflamed with intercourse. A doctor looked at it and said it was probably an allergic reaction to something new. But, there has been nothing new, not soaps, not detergents and no new clothes."
},
{
"from": "gpt",
"value": "Hi. For further information consult a dermatologist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I am 28 years old. My height is 5'11'' and I weigh 91 kg. I plan to get married this year. I am currently on no medication. I currently have the following problems for which I desire to seek some solution for premature ejaculation. I think so, there is some kind of problem on the forehead of the penis because of which my foreskin cannot get retracted. Some sort of skin attachment is present at one end of the foreskin and the head of the penis due to which the foreskin is getting hurt at times when I tried to push back. I apologize that I am not able to make myself clear enough at this point in words. I request you to provide some remedy to the problems that I am facing. Thank you."
},
{
"from": "gpt",
"value": "Hi. I completely empathize with you. The problem of premature ejaculation is quite common and is distressing to a young man but is seldom discussed. See most of the time the problem is secondary to the anxiety attached to your expectations in the bed. It has been wrongly projected by unscientific magazine articles and porn that a man can last for 30 minutes or more. Honestly, most of the male ejaculate before 5 minutes. When you are anxious about not lasting long in bed, you actually do not enjoy the act of intercourse and keep on thinking about prolonging the act without enjoying it. The preoccupation and anxiety about not lasting enough, in fact, cause hyperarousal and lead to premature ejaculation. Moreover, when the male start to thrust himself into the partner the moment he undresses leads to early termination of the coital act (the sexual union that takes place between male and female during insertion of the penis into the vagina). There are also lots of young men who are suffering from premature ejaculation without any associated anxiety or apprehension. Such men as well as you may benefit by taking oral medication like tablet Dapoxetine or Paroxetine before the sexual act. But in your case, I would like to suggest relaxation techniques like breathing exercises and progressive muscular relaxation. Regarding your problem pertaining to the non-retractable foreskin, my opinion is that you must consult a surgeon. It is always better to remove foreskin if it is causing inflammation or itchiness. Non-retractable foreskin is often associated with problems of genital hygiene that may subsequently lead to chronic infections. So make an appointment with a general surgeon."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I have left-sided pain in waist and groin region. I was already consulting a urologist and was told that I have an inguinal hernia. But, symptoms of groin pain are due to pancreatic irritation. I have noticed that pain sometimes occurs in different regions and there is bloating in my lower abdomen past few days. All other tests are normal and the urologist tells that there is no other problem but prostate irritation. I have a problem sitting properly and it pains in the groin. Also, bloating is very uncomfortable. Should I again consult a urologist? I feel there are gastric problems and there is also a pain in the groin during bowel movements. I am currently on Alfoo. Please help."
},
{
"from": "gpt",
"value": "Hello. Your symptoms of groin pain while sitting or during bowel movements is likely due to an inguinal hernia. The pancreatic irritation is unlikely to cause such a pain. It causes periumbilical pain and also there is no cause for it. Now, next is there a hernia or not is unsure. If it is present then you need to visit a general surgeon, confirm it and get operated as it can cause complications. In patients with hernia, they have groin swelling, sometimes only seen on standing and coughing. Just check if it is present for you or not. For your bloating problem, you should avoid fatty, oily and spicy diet. You need to have some walk after having food instead of taking rest. You need to have regular sleep habits and avoid stress. Have lots of green leafy vegetables, fruits and avoid smoking and alcohol if any. Try to achieve some weight loss through diet and regular exercise. I suggest you take tablet Pantodac DSR (Domperidone and Pantoprazole) 40 mg before breakfast once a day for two weeks. Also, you should get dewormed yourself with tablet Bandy-Plus (Albendazole and Ivermectin) at bedtime once and another dose should be repeated after two weeks. Consult your specialist doctor, discuss with him or her and with their consent take the above medicines. For more information consult an internal medicine physician online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I noticed a white cloudy area around the rim of my cornea a couple of days ago with no pain. After a couple of days, I used a rigid gas permeable contact wear. I have now woken up with pain in the same eye and it is now bloodshot around that one side. I decided not to wear the contacts today and I have worn the glasses only. I visited my optometrist and he has prescribed a steroid drop. I am looking for a second opinion. Of note, I have worn glasses for 25 years. I have used the RGP lenses for 12 years. Had a white patch on the edge of the cornea approximately five years back. This was attributed to contact irritation and healed after a few weeks of not wearing RGPs. Please advice."
},
{
"from": "gpt",
"value": "Hello. This is a corneal ulcer. The probable cause is trauma due to lenses or infected contact lens solution. Please do not use the steroid drop. You can have devastating consequences. The steroid drops will give you very mild relief but it will stop healing and promote the growth of the ulcer. Investigations to be done include cultures of lenses and its solution. You should refrain from wearing the contacts in future. I suggest you use spectacles only. I suggest you take the following. Consult your specialist doctor, discuss with him or her and with their consent take the following medicines. Have this treatment until the ulcer heals completely. Visit an ophthalmologist. Follow up every week. For more information consult an eye care ophthalmologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I have a very dark skin. One of my friends used skinlite cream and she has turned very fair. Can I also use that cream to get a fair and glowing skin? I really want a fair skin. I am just tired of my skin. Please help me doctor."
},
{
"from": "gpt",
"value": "Hi. Natural complexion is the best. Melanin, the pigment responsible for the skin color has protective effects. Use cleanser like cetaphil to wash your face. You can use sunscreen lotions like shade lotion regularly 2-3 times a day. Skinlite is a combination cream with steroid too. It may do more harm than good. Once you stop using, it may worsen the situation or rashes may erupt. You can use peeling agents like glyaha lotion to begin with and later with glyaha-hq lotion in the night after consulting you doctor. Consult a dermatologist online for further follow up -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, Is female orgasm necessary to get conceive? Are both male and female orgasms required at the same time for conceiving? After sex some amount of semen leaks out, is it normal? Please give me some suggestion. Thank you."
},
{
"from": "gpt",
"value": "Hello. For further queries consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, It has been four months since I have been suffering this problem. I have been to the sexual clinic. They say that all my tests were negative. They keep saying it is a non-sexual rash. I have had this white spot near my urethral opening for three months which is what is worrying me. What is it? On the corona, I also have this rash which seems to be spreading around the penis head. What is it? I have attached the images. All the STD and HIV tests were negative."
},
{
"from": "gpt",
"value": "Hello. The spots near the tip are a normal variation perhaps due to the keratinized mucous membrane near the tip as it is exposed and therefore it has a slightly rough texture. They are not warts. I am more concerned about the rash on the corona of the glans. It looks like eroded skin along the circumference of glans. I would like to rule out the possibilities of either candida or yeast infection or STDs (sexually transmitted diseases) like genital herpes. Do you have any associated symptoms of pain, burning, or itching? Are you sexually active? When was your last sexual contact? Was it protected or unprotected? For more information consult a dermatologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, Please provide information about my query. I am a cable operator. Once I visited a foreign lady's house. While doing the work, the lady provided me a water bottle. I drank the water and after 10 minutes I had small sores. I think the lady has poured her blood in the water. I think she had HIV, and can I get infected in this way? What is the period of the virus in the water?"
},
{
"from": "gpt",
"value": "Hello. HIV cannot be transmitted through water, and it is not infectious because HIV cannot live in water. Drinking water containing the virus cannot cause HIV infection. If it is possible, then no one can stop HIV infection and all the population will be infected. So, there is nothing to worry about."
}
] |
[
{
"from": "human",
"value": "Hello doctor, Today I had an asthma attack at work and they treated me and did a chest x-ray. I am an x-ray technician and I just do not think my chest x-ray looks right. Please suggest. I am currently on Concerta, Omeprazole, Cetirizine, Montelukast, Symbicort, Pro-air emergency pump, and Albuterol."
},
{
"from": "gpt",
"value": "Hi. The chest x-rays (attachment removed to protect patient identity), PA and lateral views are showing mildly prominent bronchovascular markings in the bilateral perihilar and lower zones and might be of concern for hyperactive airways after the asthma attack. There are no focal lung lesions. There is no pleural effusion. The cardiac size is normal. The retrosternal space is normal. The domes of diaphragm are normal. Please discuss this in detail with your doctor."
}
] |
[
{
"from": "human",
"value": "Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?"
},
{
"from": "gpt",
"value": "Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide."
},
{
"from": "gpt",
"value": "Hi. For further doubts consult a sexologist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached."
},
{
"from": "gpt",
"value": "Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well."
},
{
"from": "gpt",
"value": "Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help."
}
] |
[
{
"from": "human",
"value": "Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help."
},
{
"from": "gpt",
"value": "Hi. For further doubts consult a sexologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, My partner ejaculated hours before we had unprotected sex. According to my ovulation calendar, we had sex on the day of my ovulation. If it helps, I have a 30-day cycle, and my last menstruation started six days before. I want to ask whether I can get pregnant with the pre-cum because he withdrew on time before ejaculating in me. I am afraid of what the result would be. And, I took an emergency pill that contains Ethinylestradiol and Levonorgestrel, three days after intercourse. I know it would not affect much because it happened the day after ovulation. But I am hoping for a different approach."
},
{
"from": "gpt",
"value": "Hello. Yes, pregnancy can occur with just precum as well but as you had taken I-pill within 72 hours then hopefully it would be effective and would prevent pregnancy. It does not matter if it was your ovulation day or not that you had unprotected act, but i-pill works in every circumstances. And second option which you could avail to totally eliminate the chance of pregnancy (as if you have not had taken pill within 72 hours) is to opt for coil (intrauterine device) in this cycle. It can be inserted up to 10 days after unprotected episode and can be kept as a long term contraceptive method or be removed after period gets started. It all depends on your choice. I hope it has helped you. If you have any further queries, please do not hesitate to contact me."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I have a large mole like discoloration, flat, that is larger than an eraser head, and getting bigger, from practically a year ago to its current size. I am wondering if it is not a mole and is just pigment."
},
{
"from": "gpt",
"value": "Hi. I have gone through your case. In my opinion it is a rapid growing mole. As you have decribed, it was not there almost a year ago but now it has grown to this much size. I am not making you tensed but any mole which grows rapidly is a matter of great concern. You need to get a biopsy report as early as possible. The great concern is to see if any melanoma is developing in it. Any mole which has any of the following sign must need an urgent biopsy. 1. A: asymmetry. 2. B: borders irregular. 3. C: color change. 4. D: diameter greater than 5 mm. 5. E: evolving. My advice to you is to see your local dermatogist as early as possible. Do not take it easy until unless melanoma is ruled out. Skin biopsy."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I met with a mountain biking accident about two years ago. What I believe is I have a hypertrophic scar from the base of my nostril to my upper lip, which is about 3/4 inches. It is flattened a lot and is no longer red. Can I make it even better?"
},
{
"from": "gpt",
"value": "Hello. Yes, it is a hypertrophic scar (attachment removed to protect patient identity). It still looks bumpy and elevated in the picture, and it can be flattened with intralesional Kenalog (Triamcinolone Acetonide) injections. You may need two to three sessions to bring it to the skin level. There are scar gels like Serica (Pracaxi oil), you can use it along with intralesional Kenalog injections to improve the texture. Microneedling with radio frequency (MNRF) is an effective procedure for this type of scars, after getting it flattened using intralesional Kenalog."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I have found small bumps on the outer edge of my vagina. They are itchy and sometimes burning. Once in a while they leak a little blood but mostly yellow discharge. Also I am 34 weeks pregnant and currently on some medicines for UTI."
},
{
"from": "gpt",
"value": "Hello. I have not seen your problem and nature of the bumps, but from the symptoms you mentioned I suspect that this could be HSV (herpes simplex virus), but I am not sure about it. As you are pregnant, I would suggest you contact your local doctor and have it assessed urgently. Because if it is HSV, then it could be harmful to your baby as you need to plan safe delivery of the baby timely. And I must say that this is something which must not be ignored because especially you are approaching near term now. I hope it has helped you. If you have any further queries, please do not hesitate to contact me."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I have got a swelling in the groin area. I clean the groin area daily. I suppose this is because of excess body heat. It appeared the day after I did a long drive of 12 hours from my home town. And the place was too hot."
},
{
"from": "gpt",
"value": "Hello. Do you have itching and a similar skin lesion on another side of the thigh? Is this the first time you are having this problem? In the picture (attachment removed to protect patient identity), it looks like tinea cruris which is a fungal infection of the groin. The picture is not very clear. I do not see any fluid-filled blisters. Is there oozing of fluid from the bumps?"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I feel rather extremely angry than at the same time, very sad. I always have this very gory thoughts that I wanted to kidnap and torture the person I hate and again, at the same time, I want to hurt myself because I am so incompetent and I always feel like all the people think the same way to me, that I am incompetent and that if I die, everyone will be happy. I also started gripping things strongly and I always try to stop when I notice. Am I really unstable? Does this mean I cannot do my work properly?"
},
{
"from": "gpt",
"value": "Hello. How long have you been experiencing these symptoms like extreme anger, sadness, and other difficult emotions? Has there been anything ongoing stressors in your life that affects you negatively? From the information you have provided, it appears that you are stressed, experiencing depressive thoughts, and need support to cope with the emotional difficulties. Speak to a trusted family member/friend about your difficulties so that they can understand and support you. Do not keep things to yourself as it will add to your stress. Having fantasy thoughts of wanting to hurt the person you hate and self-harming thoughts can happen if you are overwhelmed by your situation and not having positive coping strategies. You need to consult a psychiatrist near your place for a comprehensive assessment to clarify the nature and severity of symptoms based on which counseling or therapy can be provided. With the right treatment, you will feel more in control of yourself and will be able to function normally. I hope this helps."
}
] |
[
{
"from": "human",
"value": "Hello doctor, My daughter is 2 years old and suffering from worm disease. After taking medicines, it repeatedly occurs every three months. She was already given Mebex before one month, but it does not work out. So please suggest how to completely clear worms disease. Please advise the treatment."
},
{
"from": "gpt",
"value": "Hello. In this case of recurrent worm infestation, I would advise you to do a course of Mebex (Mebendazole) for the entire family living with the child and for the child itself once a week for 10 weeks. This will be coupled with a thorough cleaning of the house, specifically doorknobs, water taps, handles, and bedsheets. The child should be given syrup Mebex 10 ml once a week for 10 weeks along with weight and age-appropriate dosing for other family members at the same time as the child is taking the medication."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I had abortion, D and C, two months ago. After that, I got my regular cycle on the next month, and it was normal. Last month starting there was a one-day spotting, which again started on the mid of the month and lasted for four days. And after some days I had periods with a dark brown colored discharge but not of that adequate amount, but it lasted for six days like a regular period. But I had contact last month after which only the next spotting kind of discharge came as I told. I had progesterone from this month for four days to regularize my cycles. But I have not got my cycle till today. It is more than six days now. I usually used to get my period on the 5th day after progesterone. But this time I did not get my period till now. I do not want to be pregnant now. What should I do?"
},
{
"from": "gpt",
"value": "Hello. If there is a history of sexual intercourse after abortion, then I would suggest you do a blood test and serum beta hCG (human chorionic gonadotropin) after 10 days of intercourse. Also, I would advise you to do one pelvic ultrasound and serum beta hCG to rule out any retained product of conception. If everything is fine, then you can take OCP (oral contraceptive pills) for three cycles to regularize your periods. Please do a pelvic ultrasound and serum beta hCG and send me the report."
}
] |
[
{
"from": "human",
"value": "Hello doctor, 20 years ago, when I was an young adult, my foreskin was mostly removed in circumcision. Some loose skin remains, although not enough to cover the head at all. Is it possible to regrow the skin or parts of it? And is there any medication or cream that could be used to stimulate skin growth?"
},
{
"from": "gpt",
"value": "Hello. I can understand your concern for your symptoms. There are medicines to grow cells, but using in penis region is not an option. If your excess skin is giving difficulty during masturbation or sex, the only option is to see a surgeon and remove the excess skin and lead a happy life. If there is any other reason you want to remove the skin, do explain. We can work it out. Kindly elaborate your complaints and all the doubts or question you have in one message so I will do my best to explain all in an understandable scientific way."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am a 61 year old female and a diabetic for the last ten years. I had a cystocele repair surgery along with hysterectomy and cervix and ovaries removal five months ago. There is a slight discharge on and off. I did a urine culture now and found that there was a colony of Enterococcus faecalis. Please let me know if this is serious and whether I have to take a course of antibiotics for it. I do not have any symptoms of UTI or abscess etc. Also, the cystocele repair was not a success as the bladder is still at the mouth of the vagina. Please also let me know if anything can be done to put the bladder back in place. If this is not done, what are the repercussions?"
},
{
"from": "gpt",
"value": "Hello. I have gone through your query and understand the concerns. Hope you found the answer helpful. Regards. For more information consult an obstetrician and gynaecologist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I have acid reflux problem for the last 5 years. Pain in my throat also happens because of it. For the last eight months, I feel dizzy, vertigo after eating food and sometimes even after drinking water. I have started taking herbal medicines for psoriatic arthritis before six months. Whenever I stop them, I have a normal stool. But, for the last few days, I have black stools and a little pain in the upper stomach too. Is it due to gastritis? Should I consult gastroenterologist? Last time when I took vitamin D supplement with multivitamins this dizziness stopped. My TSH is 4.9, and other reports are normal."
},
{
"from": "gpt",
"value": "Hi. We are here to help you. For further information consult a medical gastroenterologist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?"
},
{
"from": "gpt",
"value": "Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide."
},
{
"from": "gpt",
"value": "Hi. For further doubts consult a sexologist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached."
},
{
"from": "gpt",
"value": "Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well."
},
{
"from": "gpt",
"value": "Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help."
}
] |
[
{
"from": "human",
"value": "Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help."
},
{
"from": "gpt",
"value": "Hi. For further doubts consult a sexologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I would like to get a third opinion in regard to categorizing which uterine abnormality I possess. The initial doctor said it is arcuate. My current doctor thinks it is bicornuate but I am going to do a 3D ultrasound in the middle of my next cycle to get a better idea. I have MRI and hysteroscopy photos to provide. I have had two missed miscarriages, the last one hemorrhaged two days before going septic and sent me to the ER for five days. I have also been diagnosed with a placental site nodule on my right side where both pregnancies have been. Could my problem be surgically corrected? Currently, we are going through genetic, blood clotting disorder, and menstrual cycle/hormone monitoring. Genetic counselor said low risk for any genetic causes but is still waiting to complete the blood tests which should be done in four weeks, same for the blood clotting tests."
},
{
"from": "gpt",
"value": "Hello. Having gone through the MRI pelvis and hysteroscopy pictures (attachment removed to protect patient identity), it is evident that you have a bicornuate uterus with a single cervical opening and it is not a septate uterus or an arcuate uterus. Two different horns of uterus are evident on MRI (magnetic resonance imaging), indicating the bicornuate abnormality. The option which you have is called Straussman's operation where both the horns can be cut in the centre and joined to make a single uterine cavity. You may discuss the option with your gynecologist and make a decision."
}
] |
[
{
"from": "human",
"value": "Hello doctor,I tested positive for an autoimmune disease. My titers were 1280. I then had more blood work done by a rheumatologist and just now received some back online. I noticed my alpha 2 globulin was high (1.12) and my gamma globulin was pretty high as well. The rest were normal on the protein electrophoresis. What does this mean?"
},
{
"from": "gpt",
"value": "Hello. You have not mentioned which autoimmune disease test has come positive. High levels of alpha 2 globulin are seen when there is a loss of albumin via urine because alpha 2 is a large molecule. It does not pass kidney filtration. So, it is retained because it is a component of globulin. That is the reason for high levels of globulin in blood. You need to test your 24-hour urinary protein that will tell whether you are losing protein in urine or not. Regards. For more information consult a rheumatologist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor,I have Fordyce spots on my private parts, could you please recommend some treatment for it? Tried Vitamin A but did not help."
},
{
"from": "gpt",
"value": "Hi. Kindly send good quality image and revert back so that first diagnosis can be made. Fordyce spots are basically prominent sebaceous glands. There is no treatment required for same because they are natural glands. Few people have prominent glands others do not. But if one does not like its appearance then it can be treated with the help of procedure like electrocauterization. No topical medications would help. For more information consult a cosmetologist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I have throat pain. The pain aggravates during eating or drinking. I also feel the pain while even swallowing saliva. I have the pain for the past three days. I am currently taking lozenges (Strepsils)."
},
{
"from": "gpt",
"value": "Hi. Thanks for posting the query. I have gone through the image (attachment removed to protect patient identity) thoroughly, and I believe that you are suffering from acute granular pharyngitis. You need to start with home remedies such as, 1. Drinking frequent sips of warm water. 2. OTC (over-the-counter) pain relievers such as Ibuprofen or Diclofenac. 3. Use Povidone iodine mouth gargles. 4. Avoid coffee, smoking, chilled food and beverages. If the symptoms do not subside within a couple of days, then you need to consult an ENT specialist for a thorough examination and management. Hope this answers your query; revert to me if you have any follow up questions."
}
] |
[
{
"from": "human",
"value": "Hi doctor, I have some tiny red spots on my inner arms. I have had it for a few days. They are slightly raised, but not much at all, and they do not itch or hurt. I do have psoriasis on my ankle, which I have had for a few months now. I also had a UTI and took antibiotics to treat it a little more than a month ago. I am wondering if I should go in to see a doctor about it. I am currently on Zoloft and birth control pill."
},
{
"from": "gpt",
"value": "Hi. Is it one forearm or both? Is there any history of travel or stay in a new place like a hotel or camping? Is there any history of gardening, or playing outdoors? Considering the history and after seeing the clinical picture (attachment removed to protect patient identity), I can provide the most probable causes for this rash. 1. Papular pityriasis rosea, an inflammatory condition that follows any kind of illness like flu, UTI (urinary tract infection), etc. It usually presents with red scaly spots that do not itch or hurt, starts on the trunk then extends to limbs and resolves on his own in six to eight weeks. Check for similar spots on the body as well. 2. Drug rash from the antibiotics that you took for UTI. May I know which antibiotic did you take? 3. Allergic contact dermatitis either to new cloth, sweater or new hand lotion. Do you recall using any new skin products or clothes in recent past? 4. Keratosis pilaris (KP) is one of the differential diagnosis if it is in both forearms (as in picture) and arms. KP is usually associated with eczema. Do you have any history eczema? 5. Have you been using any creams or ointment? Please discuss the options with your GP or dermatologist and get the appropriate treatment. Take care."
}
] |
[
{
"from": "human",
"value": "Hello doctor,I will be having prostate TURP surgery in five weeks. My Urologist has recommended daily Finasteride four weeks before to reduce bleeding during the surgery then stop. I am worried that Finasteride has been linked to prostate cancer. Is this true? Is there an alternative medication to reduce blood loss? I know the Finasteride is just for four weeks, but I am still concerned. Is there any research on short term use?"
},
{
"from": "gpt",
"value": "Hello. Before I begin, let me assure you that there is no evidence that Finasteride causes malignancy when used for short term such as four weeks. As such, both Finasteride and Dutasteride can be used for reducing the vascularity of the prostate. Dutasteride is a good alternative. But Finasteride has better action in reducing vascularity in the short term. In short, let me assure you, there is hardly any chance of malignancy by using either Finasteride or Dutasteride. Do not worry, be positive and wish you a very uneventful and successful recovery, post-surgery."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am 25 years old. I have fordyce spot type rashes on my penis for many years. Is there any treatment for it? I have oily skin."
},
{
"from": "gpt",
"value": "Hello. Extraction and laser could be done."
}
] |
[
{
"from": "human",
"value": "Hi doctor, About three years ago, I went seven days without sleeping. I was hospitalized, and they tried everything to get me to sleep, but nothing worked. Finally, after seven days, they put me on Seroquel, and it worked. Now, I must take 800 mg every night to sleep. I tried to wean myself down, but as soon as I went down to 600 mg, I could not sleep. Will I have to be on this medication all my life?"
},
{
"from": "gpt",
"value": "Hello. I read your query and understand your concerns. First of all, I want to inform you that you are having insomnia, which means sleeplessness, Revert with more information to an internal medicine physician online -->"
}
] |
[
{
"from": "human",
"value": "Hello Doctor, I have a short and curved penis. The curvature is towards left side. How can I make it straight? I want to increase its length by around 2 inches. How to boost my libido, stamina and erection time without any side effects? Are there any tablets or should I just follow a particular diet?"
},
{
"from": "gpt",
"value": "Hi, Welcome to icliniq.com. Advice: After all these measures, if you really feel that your penis size is very small, then you can increase the size of penis by surgical means. Consult a sexologist online for further follow up -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I need help. I had my molar extracted last week. The area where the tooth was removed is looking very weird. Green, white, blue, yellow, with a tint of blood? It looks like a mold. I am taking Mefenamic acid thrice a day, I put ice on it, and I am on a soft diet. It is sometimes painful, throbbing."
},
{
"from": "gpt",
"value": "Hi. I have gone through your question. I can understand your concern. As per your history and sent photos (attachment removed to protect patient identity), it looks like the wound is healing and the color changes occur during the healing period. If you have bad breath and burning type of pain, it could have been dry socket which it does not look like. If you feel continuous pain and throbbing, you may need a course of antibiotics like Augmentin 625 (Amoxicillin and Clavulanic acid) twice daily for five days. If the pain is an intermittent and only boring type, wait for three to four days."
}
] |
[
{
"from": "human",
"value": "Hi doctor, How to stop ear crackling? I hear it everytime I yawn, swallow or do it intentionally. Why? What is the solution for it?"
},
{
"from": "gpt",
"value": "Hello. For further information consult an ENT otolaryngologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, My mother has paranoia schizophrenia for the past 16 years. The delusions have become very absurd and in her story, her immediate family is the culprit. She has very vivid auditory hallucinations and sometimes visual hallucinations. She has refused to see a doctor as she believes they are in on it. Her stage of psychosis is very violent in which she screams and shouts and also turns violent. This has been going on for 16 years, but now the episodes of psychosis are becoming more intense. Please advise on how to talk to her or at the very least medicate her because it is taking a toll on our mental health. My sister suffers from depression and I suffer from anger management. How our father holds it together I have no clue. Please advise."
},
{
"from": "gpt",
"value": "Hi. It is quite difficult to manage such issues when patient refuses to take the drug. However, nowadays Depot injections are available and their effect lasts up to four weeks. So talk to your psychiatrist regarding the injection. Once she is put on a monthly injection then it will be easier for you to give her a monthly dose. This will ensure drug compliance and a better outcome. I hope this helps."
}
] |
[
{
"from": "human",
"value": "Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear?"
},
{
"from": "gpt",
"value": "Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide."
},
{
"from": "gpt",
"value": "Hi. For further doubts consult a sexologist online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached."
},
{
"from": "gpt",
"value": "Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well."
},
{
"from": "gpt",
"value": "Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help."
}
] |
[
{
"from": "human",
"value": "Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help."
},
{
"from": "gpt",
"value": "Hi. For further doubts consult a sexologist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I had a hip X-ray of 35 mAs. An average hip x-ray is supposed to be 20 mAs/.07 mSv. So if my hip x-ray was 35 mAs, how many more mSv have I received? Was I overexposed?"
},
{
"from": "gpt",
"value": "Hello. The x-ray power output depends on mAs (milliampere-seconds) and kVp (kilovoltage peak) parameters. The average hip x-ray can be done at about 20 to 30 mAs and 70 to 80 KVp. The general rule is that the percentage increase in mAs causes a similar increase in radiation dose. In your case we can take the average tube current as 25 mAs and dose given to you is 35 mAs. Therefore you might have received 30 to 40 percent over the dose if given a 25 mAs exposure. As x-ray dose for hip x-ray is less when talking about the harmful effects of radiation, so you do not have any significant increase in radiation dose risks."
}
] |
[
{
"from": "human",
"value": "Hi doctor,My 22 months old baby has a very high fever. It has been fluctuating from 38 to 40 degrees. I gave him Tylenol but it still did not come down after five hours. I put suppository. Last week he was diagnosed with an infection in the stomach and was prescribed Nortop antibiotic and then the infection moved to the chest. So he is on Amoxicillin but now even after I put the suppository the fever is still not going down. I am really worried about what to do?"
},
{
"from": "gpt",
"value": "Hi. In view of such high-grade fever in such a small child, I would advise you to take the child to the nearest pediatrician in order to get the child physically evaluated and blood investigations like CBC, CRP (and others as per physical examination be done). Though the WBC count was 12000 last week they may have increased now since the fever is a little high (40 degrees). Also the antibiotics given previously may need to be changed) stepped up. As of now to bring down the fever you can do tepid sponging."
}
] |
[
{
"from": "human",
"value": "Hello doctor, My son is having a fever for the last five days and has dipped slowly from 102.5 F to 100.4 F in five days. The fever is backed up by a cough also. For the last 36 hours, he is having a continuous dry cough for which our physician suggested Levolin syrup 2.5 mL thrice a day. Please opine. He is also on Crocin Suspension DS and RespiCare and Bresol. He has also taken these in the past. Please help."
},
{
"from": "gpt",
"value": "Hello. Your child is having viral upper respiratory tract infection. His fever will subside in another two days. Viral fevers last for five to seven days. A cough will remain for a few days. I suggest instead of giving syrup Levolin (Levosalbutamol/Levalbuterol), nebulize him with 1.2 mg of Levolin every six hours. This is a much lower dose than syrup and acts on lungs directly. Apart from this, use syrup Benadryl (Syrup Diphenhydramine, Ammonium Chloride, Sodium Citrate) 5 mL thrice daily. Make him drink warm water, give him lozenges, and one teaspoon of honey in the morning and evening. This will take care of his problems. For more information consult a child health specialist online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor,I have a fever of 101 C. It has been almost 12 hours. I cannot breathe properly. My eyes are burning. I ate a Paracetamol 650 mg about one hour ago. Head feels heavy. Dizziness and confusion are the symptoms."
},
{
"from": "gpt",
"value": "Hello. After careful analysis of the history provided, I would like to assure you that having symptoms of eye burns, dizziness and confusion while having a viral fever is normal. You do not have to worry about that. Having said that, since you have mentioned that you have been having similar episodes in the past, I would like to suggest you to: As of now, Stay healthy and positive. For more information consult a general practitioner online -->"
}
] |
[
{
"from": "human",
"value": "Hi doctor, I was playing football and I had got bitten by a black and white mosquito. After some time, I got shaking and had a fever, head pain, and a back muscle pain."
},
{
"from": "gpt",
"value": "Hi. According to the history, you have to rule out dengue fever, chikungunya or malaria fever. So take Paracetamol 500 mg two tablets for six hours until the blood tests are done. Avoid mosquito breeding places like stagnant water near home, wear full sleeve clothes. Take an adequate amount of fluids. The probable cause could be due to Aedes mosquito. You can get a complete blood count, IgM test for dengue, IgG for malaria, microscopy, blood smear test done. For more information consult a general practitioner online -->"
}
] |
[
{
"from": "human",
"value": "Hello doctor, I am running an IT firm for the past four years. Currently, I am having two health issues related to my work. 1. Lower back pain - it started two years back and now it has become worst. Now I cannot ride a motorbike, cannot sit in a normal chair, and cannot even sleep on my sides. I also cannot walk or stand continuously for more than half an hour. Currently, I am using a belt and it is helping a lot. 2. Pain in both the shoulders if they are not in action. Like if I am sitting in the chair for more than an hour without regularly using my hands. The shoulders start paining. This just started a few months back and getting worst. I have not consulted a doctor yet for both of these issues. I wish to book an appointment and it would be appreciated if the doctor knows Malayalam as my English is not up to mark."
},
{
"from": "gpt",
"value": "Hi. Well, you have a typical problem with people working in an IT firm. Tell me first how much physical activity you have in your daily routine."
}
] |
[
{
"from": "human",
"value": "Hello doctor, Fever and chills in a child of age 3 years 6 months. A mild cough is also noticed. What can I do?"
},
{
"from": "gpt",
"value": "Hi. Shivering may be because of a highfever, or because of urine infection or malaria. As of now use the below medication. Syrup Crocin DS (Paracetamol) 5 ml/240 mg, 4 ml if fever greater than 100 F every sixth hourly. Sponging with lukewarm water until the fever decreases to 99 F. Give Syrup. Meftal P 5 ml if fever not decreasing after giving Paracetamol or Crocin DS or when shivering present. For a cough, give syrup Ascoril expectorant (Bromhexine HCl, Guaiphenesin, Terbutaline HCl) 3 ml three times a day for five days."
}
] |
[
{
"from": "human",
"value": "Hello doctor, My niece got a fever for the past eight days. Also, low WBC count. The doctors tried all the tests, antibiotics and medicines, but still, the fever is not controlled. She got fits 15 days back and the doctors prescribed Eptoin tablets. My question is whether Eptoin reduce the white blood cell counts?"
},
{
"from": "gpt",
"value": "Hello. I understand your concern and would explain that Eptoin (Phenytoin) is a drug used to treat or prevent seizures. It does not usually affect WBC, but very rarely (like all the drugs) it can cause suppression of the blood cell formation in the bone marrow. The low WBC count can be related to different possible causes like viral disease, an autoimmune disorder, drug adverse effects, etc. A myelogram may be needed to exclude a possible hematological disorder. In the meantime, I recommend taking Eptoin, as it is well known that high fever can lead to seizures. I would also recommend taking steroids, because they can increase WBC and also help fight the fever."
}
] |
[
{
"from": "human",
"value": "Hello doctor, I was exposed to a loud noise (gunshot). Since then, I have a static noise in my ears when it is really quiet, and I get a pressure at the back of my head that often turns into a headache. Sometimes, I also get a tone in my right ear. If I do some physical activity, I may have dizziness. This has been going on for six weeks now. I have been to an ENT and did various tests (attached). None are showing hearing loss, and since the tests are clean the ENT cannot determine what is wrong."
},
{
"from": "gpt",
"value": "Hello. Do revert with more information. I will be happy to help you. Revert with more information to an ENT otolaryngologist online -->"
}
] |
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