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Hello doctor, My cousin was diagnosed with genital herpes a few days back. She also has a sore throat currently that the doctor thought was strep throat but the strep test was negative. I shared a water bottle with her recently. Could I have contracted herpes from sharing the water bottle?

Q. Will sharing water bottle cause transmission of genital herpes?

Hello. The sharing of water bottle is not known to spread herpes. Genital herpes spread through sexual route. The viral infection also can cause sore throat like influenza infection. It will give streptococcus negative test.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. Will sharing water bottle cause transmission of genital herpes? ### Input: Hello doctor, My cousin was diagnosed with genital herpes a few days back. She also has a sore throat currently that the doctor thought was strep throat but the strep test was negative. I shared a water bottle with her recently. Could I have contracted herpes from sharing the water bottle? ###Response: Hello. The sharing of water bottle is not known to spread herpes. Genital herpes spread through sexual route. The viral infection also can cause sore throat like influenza infection. It will give streptococcus negative test.

Hello doctor, I do not want to be sound like I am panicking, but I really do feel quite uneasy. Since I woke up I feel dizzy. My head is rolling and when I close my eyes, I feel like the world is rolling around in a full speed. It never happened with me any time before. I just had my lunch now, but I do not feel to eat any due to the same. Please advise what should I do? Thank you.

Q. What should I do for my dizzy feeling?

Hi. For further information consult an internal medicine physician online -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. What should I do for my dizzy feeling? ### Input: Hello doctor, I do not want to be sound like I am panicking, but I really do feel quite uneasy. Since I woke up I feel dizzy. My head is rolling and when I close my eyes, I feel like the world is rolling around in a full speed. It never happened with me any time before. I just had my lunch now, but I do not feel to eat any due to the same. Please advise what should I do? Thank you. ###Response: Hi. For further information consult an internal medicine physician online -->

Hi doctor, I take on a daily basic- 100 mg Ixel, 60 mg Paxet, 0.5 mg Clonazapem. My psychiatrist told me to take 5 mg of Zyprexa in cases of SOS. I do not have any psychotic symptoms. He told me it was meant to knock me down, so I could have relief from stress and I could sleep. I took this pill (first time ever) and I slept for 20 hours (I was awake for one hour in between). Then I was awake for three hours feeling really bad, dizzy, spaced out, tired. Then I slept for another nine hours. I still felt bad and restless for a day, but slowly I got less tired and more alert. I guess it is not normal. It was even quite scary. In the meanwhile, should I avoid this pill or maybe reduce it?

Q. I slept for long hours after taking Zyprexa. Is it normal?

Hello. I can understand your problem. You are on high dose of Paroxetine and are also taking Milnacipran, Clonazepam and if even with these medicines the symptoms are persisting, then there is no harm in adding a low dose antipsychotic drug like Olanzapine. Olanzapine in low dose has great efficacy in depressive symptoms, anxiety disorders and in resistant depression symptoms. The drug is associated with excessive sedation and this is the reason you slept for very long duration after taking this drug. In that case one option is to reduce the dose of the drug to 2.5 mg and give this a try. This should help you without causing unnecessary sedation. But, I am not sure if the drug will help much in anxiety if used in SOS basis. The drug should be used regularly after dinner and Clonazepam dose can be skipped which can be kept for use on SOS basis. You can have a talk with your psychiatrist for this.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. I slept for long hours after taking Zyprexa. Is it normal? ### Input: Hi doctor, I take on a daily basic- 100 mg Ixel, 60 mg Paxet, 0.5 mg Clonazapem. My psychiatrist told me to take 5 mg of Zyprexa in cases of SOS. I do not have any psychotic symptoms. He told me it was meant to knock me down, so I could have relief from stress and I could sleep. I took this pill (first time ever) and I slept for 20 hours (I was awake for one hour in between). Then I was awake for three hours feeling really bad, dizzy, spaced out, tired. Then I slept for another nine hours. I still felt bad and restless for a day, but slowly I got less tired and more alert. I guess it is not normal. It was even quite scary. In the meanwhile, should I avoid this pill or maybe reduce it? ###Response: Hello. I can understand your problem. You are on high dose of Paroxetine and are also taking Milnacipran, Clonazepam and if even with these medicines the symptoms are persisting, then there is no harm in adding a low dose antipsychotic drug like Olanzapine. Olanzapine in low dose has great efficacy in depressive symptoms, anxiety disorders and in resistant depression symptoms. The drug is associated with excessive sedation and this is the reason you slept for very long duration after taking this drug. In that case one option is to reduce the dose of the drug to 2.5 mg and give this a try. This should help you without causing unnecessary sedation. But, I am not sure if the drug will help much in anxiety if used in SOS basis. The drug should be used regularly after dinner and Clonazepam dose can be skipped which can be kept for use on SOS basis. You can have a talk with your psychiatrist for this.

Hi doctor, I had LASIK done for my eyes two months back. My vision is all right but, I feel a burning sensation at the corners of the eyes (corners from where tear comes). After 20 days of LASIK, (back then) whenever I put any eye drops my eyes started burning. Due to the burning sensation, my eyes started watering. I had consulted many doctors, and they prescribed eye drops like Systane Ultra, L-Pred, and Eubri. But no eye drops help me. I do not know what to do. Sometimes I also get redness in the eyes. Is it dryness or something else?

Q. I had LASIK done. My vision is all right, but I feel burning sensation in my eyes.

Hi. LASIK when it is done, corneal nerves will be cut. These corneal nerves take several months to regenerate. This can lead to continuous dryness and irritation in the eyes. Eyes also become hypersensitive. Systane ultra is artificial tear eye drops which is a substitute given for this dryness. But, the burning sensation in the corners can be due to an allergic reaction. L-Pred may help that. Please avoid rubbing your eyes in case of irritation, as it may take a long time for healing the corneal flap; they create in LASIK. Sometimes, eye drops may themselves can cause an allergic reaction to your eye and can cause irritation. You can use different company drops of same content medicine to avoid this problem. Try Levocetirizine tablets. You can a send a picture of your eyes for a detailed evaluation.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. I had LASIK done. My vision is all right, but I feel burning sensation in my eyes. ### Input: Hi doctor, I had LASIK done for my eyes two months back. My vision is all right but, I feel a burning sensation at the corners of the eyes (corners from where tear comes). After 20 days of LASIK, (back then) whenever I put any eye drops my eyes started burning. Due to the burning sensation, my eyes started watering. I had consulted many doctors, and they prescribed eye drops like Systane Ultra, L-Pred, and Eubri. But no eye drops help me. I do not know what to do. Sometimes I also get redness in the eyes. Is it dryness or something else? ###Response: Hi. LASIK when it is done, corneal nerves will be cut. These corneal nerves take several months to regenerate. This can lead to continuous dryness and irritation in the eyes. Eyes also become hypersensitive. Systane ultra is artificial tear eye drops which is a substitute given for this dryness. But, the burning sensation in the corners can be due to an allergic reaction. L-Pred may help that. Please avoid rubbing your eyes in case of irritation, as it may take a long time for healing the corneal flap; they create in LASIK. Sometimes, eye drops may themselves can cause an allergic reaction to your eye and can cause irritation. You can use different company drops of same content medicine to avoid this problem. Try Levocetirizine tablets. You can a send a picture of your eyes for a detailed evaluation.

Hi doctor, I am a 33 year old male. I am from prickling, numbness, warm sensation in my feet and hands and tingling in my lips and mouth for the past two years. I had a severe cough for around two years and recently, it got resolved. My issue, initially started with prickling and burning sensations in feet and after that both palms. Now, it has increased above knee. I visited a neurologist, but the problem was not solved. Presently, I am suffering from numbness and tingling in the mouth on lip area, prickling, burning sensations and numbness in feet, legs and palms, getting tired after moving through staircase, feeling some discomfort in chest area like heaviness for some time, gas problem and recurrent mouth ulcer. My sugar test, BP, NCV, ANA profile, TMT and ECG are normal. ACE 69, HSV1 positive, vitamin D 17 deficient and uric acid 8.2. I am completely blank now; I am not getting any hope of good treatment for my problem. I had unprotected sex 9 years ago. My CMIA test and rapid HIV test came back negative that time. I had medicine for herpes simplex for a month, vitamin D3 60K once in a week for four weeks and then once a month for six months. But, my problem remains the same. I will be highly obliged to you. I am struggling because of my present health condition. Kindly advise the treatment.

Q. Please help with my issues of numbness and vitamin deficiency.

Hi. Your problem still could be due to a nerve problem, even though your NCV test is normal (nerve conduction velocity). Also, you might be having calcium deficiency, which is very common associated with vitamin D deficiency. I suggest you calcium supplements like tablet Shelcal HD daily once for three months. Apart from vitamin D and herpes medication, have you taken any medicines for your problem? Kindly let me know that. If not done, then kindly get serum vitamin B12 levels tested and revert back with the report. Revert back with the reports to an internal medicine physician online -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. Please help with my issues of numbness and vitamin deficiency. ### Input: Hi doctor, I am a 33 year old male. I am from prickling, numbness, warm sensation in my feet and hands and tingling in my lips and mouth for the past two years. I had a severe cough for around two years and recently, it got resolved. My issue, initially started with prickling and burning sensations in feet and after that both palms. Now, it has increased above knee. I visited a neurologist, but the problem was not solved. Presently, I am suffering from numbness and tingling in the mouth on lip area, prickling, burning sensations and numbness in feet, legs and palms, getting tired after moving through staircase, feeling some discomfort in chest area like heaviness for some time, gas problem and recurrent mouth ulcer. My sugar test, BP, NCV, ANA profile, TMT and ECG are normal. ACE 69, HSV1 positive, vitamin D 17 deficient and uric acid 8.2. I am completely blank now; I am not getting any hope of good treatment for my problem. I had unprotected sex 9 years ago. My CMIA test and rapid HIV test came back negative that time. I had medicine for herpes simplex for a month, vitamin D3 60K once in a week for four weeks and then once a month for six months. But, my problem remains the same. I will be highly obliged to you. I am struggling because of my present health condition. Kindly advise the treatment. ###Response: Hi. Your problem still could be due to a nerve problem, even though your NCV test is normal (nerve conduction velocity). Also, you might be having calcium deficiency, which is very common associated with vitamin D deficiency. I suggest you calcium supplements like tablet Shelcal HD daily once for three months. Apart from vitamin D and herpes medication, have you taken any medicines for your problem? Kindly let me know that. If not done, then kindly get serum vitamin B12 levels tested and revert back with the report. Revert back with the reports to an internal medicine physician online -->

Hello doctor,My heart is normal, but I have ventricular ectopic beats. Could these cause cardiac arrest and kill me at the age of 23? I worry about it every day. Kindly advice.

Q. Does ventricular ectopic beats lead to cardiac arrest?

Hello. It is unusual for ventricular ectopics alone to cause cardiac arrest. Still, it depends on various factors like cause of ectopics, the morphology of ectopics, frequency of ectopics LV function on Echo. What symptoms do you have? Please provide your ECG and Echocardiography report. You have uploaded your photo as an attachment (attachment removed to protect patient identity).

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. Does ventricular ectopic beats lead to cardiac arrest? ### Input: Hello doctor,My heart is normal, but I have ventricular ectopic beats. Could these cause cardiac arrest and kill me at the age of 23? I worry about it every day. Kindly advice. ###Response: Hello. It is unusual for ventricular ectopics alone to cause cardiac arrest. Still, it depends on various factors like cause of ectopics, the morphology of ectopics, frequency of ectopics LV function on Echo. What symptoms do you have? Please provide your ECG and Echocardiography report. You have uploaded your photo as an attachment (attachment removed to protect patient identity).

Hello doctor, Why does my throat hurt after smoking cigarettes for the first time?

Q. My throat hurts after I smoked for the first time. Why?

Hello, Welcome to iclinic.com. For further queries consult an ENT otolaryngologist online -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. My throat hurts after I smoked for the first time. Why? ### Input: Hello doctor, Why does my throat hurt after smoking cigarettes for the first time? ###Response: Hello, Welcome to iclinic.com. For further queries consult an ENT otolaryngologist online -->

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?

Q. What does abutment of the nerve root mean?

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 -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. What does abutment of the nerve root mean? ### Input: 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? ###Response: 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 -->

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.

Q. Will Nano-Leo give permanent solution for erection problem?

Hi. For further doubts consult a sexologist online -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. Will Nano-Leo give permanent solution for erection problem? ### Input: 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. ###Response: Hi. For further doubts consult a sexologist online -->

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.

Q. Every time I eat spicy food, I poop blood. Why?

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 -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. Every time I eat spicy food, I poop blood. Why? ### Input: 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. ###Response: 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 -->

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.

Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?

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.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. Will Kalarchikai cure multiple ovarian cysts in PCOD? ### Input: 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. ###Response: 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.

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.

Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way?

Hi. For further doubts consult a sexologist online -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? ### Input: 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. ###Response: Hi. For further doubts consult a sexologist online -->

Hi doctor, I am 21 years old. My weight is 48 kg. I am 3 months 2 weeks pregnant. Now, I got chickenpox. I am very anxious about the adverse affect for my baby. I have visited a gynecologist and she suggested me to get abortion. Please clarify me the right step.

Q. Got chickenpox during pregnancy. What shall I do now?

Hi. Really this is a confusing state, but this does not mean you have to abort the fetus right now. When mother get infected with chickenpox, fetus carries a risk. But the risk is only 2% and in those cases the fetus might develop rarely some form of abnormality. Thus, straightaway recommendation of termination is not always a choice. Definitely there is no direct answer and it is upto you what to do. If you want to have the risk of 2%, which is very minimal and often equal to an incidence of congenital anomalies in low risk pregnancy, definitely you can continue it. In that case, just go for an anomaly scan from a very good center at the 18th to 19th week to confirm about the integrity of the fetus. For further information consult an obstetrician and gynaecologist online -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. Got chickenpox during pregnancy. What shall I do now? ### Input: Hi doctor, I am 21 years old. My weight is 48 kg. I am 3 months 2 weeks pregnant. Now, I got chickenpox. I am very anxious about the adverse affect for my baby. I have visited a gynecologist and she suggested me to get abortion. Please clarify me the right step. ###Response: Hi. Really this is a confusing state, but this does not mean you have to abort the fetus right now. When mother get infected with chickenpox, fetus carries a risk. But the risk is only 2% and in those cases the fetus might develop rarely some form of abnormality. Thus, straightaway recommendation of termination is not always a choice. Definitely there is no direct answer and it is upto you what to do. If you want to have the risk of 2%, which is very minimal and often equal to an incidence of congenital anomalies in low risk pregnancy, definitely you can continue it. In that case, just go for an anomaly scan from a very good center at the 18th to 19th week to confirm about the integrity of the fetus. For further information consult an obstetrician and gynaecologist online -->

Hello doctor,My father, 74 years of age, has BPH. He had UTI four years ago and was diagnosed with BPH. PSA was 60 and last three years was on Urimax and past few months on Veltamplus. His PSA is 0.9 prostate size 45 cc and PVR is 70 ml. His symptoms have been the urinary frequency of every two hours all these four years. One doctor has asked to continue the medication. On a recent visit to the second doctor, the new doctor asked to stop the medication. So, I wanted a third opinion. What is the harm if we stop? What is the benefit of continuing it? The medication lowers blood pressure. So, it is down from the 70s to 50s.

Q. What is the harm of stopping Veltam plus in a person with BPH?

Hello. I would suggest you continue medicines as at present his flow (which is good) and postvoid (which is less, it should be less only) are because of medicines. I think if he stops the medicines then his urinary symptoms may get worse or postvoid may also increase. There is no harm in taking medicines. Veltam plus (Tamsulosin and Dutasteride) may cause postural hypotension. If he is suffering from severe postural hypotension then he can stop Veltam plus. So harms of stopping are: His urinary symptoms may worsen. His postvoid may increase. He may develop UTI (urinary tract infection). Regarding frequency which is every two hours, I think at 74 years it is fine. Just continue as it is. Because apart from prostate there are many age-related changes in the bladder which cause these symptoms and which are inevitable and irreversible. Until and unless very bad frequency like every half an hour then only intervene. Make some lifestyle changes like drink less water at night before bed. Avoid or reduce drinks which cause diuresis like coffee and tea. For more information consult a urologist online -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. What is the harm of stopping Veltam plus in a person with BPH? ### Input: Hello doctor,My father, 74 years of age, has BPH. He had UTI four years ago and was diagnosed with BPH. PSA was 60 and last three years was on Urimax and past few months on Veltamplus. His PSA is 0.9 prostate size 45 cc and PVR is 70 ml. His symptoms have been the urinary frequency of every two hours all these four years. One doctor has asked to continue the medication. On a recent visit to the second doctor, the new doctor asked to stop the medication. So, I wanted a third opinion. What is the harm if we stop? What is the benefit of continuing it? The medication lowers blood pressure. So, it is down from the 70s to 50s. ###Response: Hello. I would suggest you continue medicines as at present his flow (which is good) and postvoid (which is less, it should be less only) are because of medicines. I think if he stops the medicines then his urinary symptoms may get worse or postvoid may also increase. There is no harm in taking medicines. Veltam plus (Tamsulosin and Dutasteride) may cause postural hypotension. If he is suffering from severe postural hypotension then he can stop Veltam plus. So harms of stopping are: His urinary symptoms may worsen. His postvoid may increase. He may develop UTI (urinary tract infection). Regarding frequency which is every two hours, I think at 74 years it is fine. Just continue as it is. Because apart from prostate there are many age-related changes in the bladder which cause these symptoms and which are inevitable and irreversible. Until and unless very bad frequency like every half an hour then only intervene. Make some lifestyle changes like drink less water at night before bed. Avoid or reduce drinks which cause diuresis like coffee and tea. For more information consult a urologist online -->

Hello doctor, The top of my belly button, that is, the skin of my belly button is hard and firm, and the rest of my belly button is not. I feel as if there is something under the surface. I changed my diet, so I lost some weight. I was 168 lbs, and now I am 135 lbs. If I place two fingers over my belly button and do wide circles, I feel like there is something hard underneath. Is this a hernia or where my umbilical cord was? I do not have pain or symptoms, but I just feel it firm and hard. What is this?

Q. I feel as if the skin over my belly button is firm. Is it hernia?

Hello. For further queries consult a family physician online -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. I feel as if the skin over my belly button is firm. Is it hernia? ### Input: Hello doctor, The top of my belly button, that is, the skin of my belly button is hard and firm, and the rest of my belly button is not. I feel as if there is something under the surface. I changed my diet, so I lost some weight. I was 168 lbs, and now I am 135 lbs. If I place two fingers over my belly button and do wide circles, I feel like there is something hard underneath. Is this a hernia or where my umbilical cord was? I do not have pain or symptoms, but I just feel it firm and hard. What is this? ###Response: Hello. For further queries consult a family physician online -->

Hi doctor, I am a 34 year old female who is generally in good health. Yesterday, I went to dinner, ate a lot, felt very full after and felt I had strong gas. But, I was not in pain, just felt very full. What freaked me out was this pulsating feeling on the left side of my stomach above my belly button. It continued throughout the day on and off. I woke up with a feeling of no appetite. I was bloated and burping a lot but not nauseous and there was no diarrhea. I have been on Avaine birth control for about a year now and have never missed a pill, but am concerned I could be pregnant as the burping was an earlier sign when I was. Other than the burping, I do not feel any pregnancy symptoms. Is this something that will just pass or should I be concerned?

Q. I have a pulsating feeling on the left side of my stomach. Will this go away by itself?

Hello. Regards. For more information consult an internal medicine physician online -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. I have a pulsating feeling on the left side of my stomach. Will this go away by itself? ### Input: Hi doctor, I am a 34 year old female who is generally in good health. Yesterday, I went to dinner, ate a lot, felt very full after and felt I had strong gas. But, I was not in pain, just felt very full. What freaked me out was this pulsating feeling on the left side of my stomach above my belly button. It continued throughout the day on and off. I woke up with a feeling of no appetite. I was bloated and burping a lot but not nauseous and there was no diarrhea. I have been on Avaine birth control for about a year now and have never missed a pill, but am concerned I could be pregnant as the burping was an earlier sign when I was. Other than the burping, I do not feel any pregnancy symptoms. Is this something that will just pass or should I be concerned? ###Response: Hello. Regards. For more information consult an internal medicine physician online -->

Hi doctor, I am having issues with my feet. I feel that they are swollen and numb, but they are not swollen and also there is no discoloration. I do not have any chest pain, lightheadedness, dizziness, shortness of breath or any unusual pain and ache anywhere else. This usually happens while sitting down or lying down on the couch. It goes away when I stretch my toes out or walk. I play basketball twice a week. I am taking vitamins B12, C, E, potassium, garlic and fish oil on a daily basis. I have looked these symptoms up, but nothing matches completely with what is on the internet. I also have noticed a hard lump or knot in the middle or bottom towards my toes, where the numbness and swollen feeling starts. I think this might be something else. Please help.

Q. Why do I feel swollen feet and numbness when they are not so?

Hi. Revert back after a month to an orthopaedician and traumatologist online -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. Why do I feel swollen feet and numbness when they are not so? ### Input: Hi doctor, I am having issues with my feet. I feel that they are swollen and numb, but they are not swollen and also there is no discoloration. I do not have any chest pain, lightheadedness, dizziness, shortness of breath or any unusual pain and ache anywhere else. This usually happens while sitting down or lying down on the couch. It goes away when I stretch my toes out or walk. I play basketball twice a week. I am taking vitamins B12, C, E, potassium, garlic and fish oil on a daily basis. I have looked these symptoms up, but nothing matches completely with what is on the internet. I also have noticed a hard lump or knot in the middle or bottom towards my toes, where the numbness and swollen feeling starts. I think this might be something else. Please help. ###Response: Hi. Revert back after a month to an orthopaedician and traumatologist online -->

Hi doctor, Sometimes, my father used to get chest pain. Angiography showed that he has a LAD bridging and vessels are normal and clear. His echo is normal. His BP, blood sugar and cholesterol are normal. After the chest pain, he was given the following medicines for one year. They are Stator, Ismo, Clopidogrel, Aspirin, Cardace and Metoprolol. Now, after 1 year, his cardiologist has prescribed Ecosprin AV 150/20 (Aspirin and Atorvastatin) for lifelong. But, he does not have any pain now. So, is it necessary to take this tablet? Also, his cholesterol level is normal and he is not even having any blood clot as well. I read on the internet and beta blockers are given for LAD bridging, but this doctor have not given it now. He just gave Metoprolol and stopped. Please clear my doubts.

Q. Though the cholesterol is normal, is it necessary to take Ecosprin AV?

Hi. I have noted all details of your father. Revert back with the reports to a cardiologist online -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. Though the cholesterol is normal, is it necessary to take Ecosprin AV? ### Input: Hi doctor, Sometimes, my father used to get chest pain. Angiography showed that he has a LAD bridging and vessels are normal and clear. His echo is normal. His BP, blood sugar and cholesterol are normal. After the chest pain, he was given the following medicines for one year. They are Stator, Ismo, Clopidogrel, Aspirin, Cardace and Metoprolol. Now, after 1 year, his cardiologist has prescribed Ecosprin AV 150/20 (Aspirin and Atorvastatin) for lifelong. But, he does not have any pain now. So, is it necessary to take this tablet? Also, his cholesterol level is normal and he is not even having any blood clot as well. I read on the internet and beta blockers are given for LAD bridging, but this doctor have not given it now. He just gave Metoprolol and stopped. Please clear my doubts. ###Response: Hi. I have noted all details of your father. Revert back with the reports to a cardiologist online -->

Hello doctor, I have PCOS, and I missed my last two periods. Can I take Meprate or Deviry? In case I am pregnant, I want to keep the baby. Will these medicines cause abortion?

Q. If my periods are delayed due to pregnancy, can Medroxyprogesterone cause abortion?

Hi. How are you doing? You can definitely take either of the medicines, they both are the same. They are both Medroxyprogesterone acetate, and it is the same hormone which is released from your ovaries in the second half of periods after ovulation. In PCOD (polycystic ovary disease), as you are not ovulating, this hormone will be deficient. So, taking the pill meprate will cause bleeding, only if you are not pregnant. If there is pregnancy, this same progesterone hormone is produced by the ovary to support the fetus. So, these medicines will not cause abortion, but it will support it further. These medicines are very safe whether you are pregnant or not. It can never cause abortion. Hope I have clarified your doubt, do write back. All the best. For more information consult an obstetrician and gynaecologist online -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. If my periods are delayed due to pregnancy, can Medroxyprogesterone cause abortion? ### Input: Hello doctor, I have PCOS, and I missed my last two periods. Can I take Meprate or Deviry? In case I am pregnant, I want to keep the baby. Will these medicines cause abortion? ###Response: Hi. How are you doing? You can definitely take either of the medicines, they both are the same. They are both Medroxyprogesterone acetate, and it is the same hormone which is released from your ovaries in the second half of periods after ovulation. In PCOD (polycystic ovary disease), as you are not ovulating, this hormone will be deficient. So, taking the pill meprate will cause bleeding, only if you are not pregnant. If there is pregnancy, this same progesterone hormone is produced by the ovary to support the fetus. So, these medicines will not cause abortion, but it will support it further. These medicines are very safe whether you are pregnant or not. It can never cause abortion. Hope I have clarified your doubt, do write back. All the best. For more information consult an obstetrician and gynaecologist online -->

Hello doctor,I am suffering from a heavy snoring issue. With this issue, I am not able to enjoy with my friends when going on trips and even when someone visits our apartment. Is there a solution? My snoring is very severe.

Q. Is there a solution for heavy snoring?

Hi. Sure, there is a solution but firstly you have to detect the cause with the help of investigations and tests. You have to be examined by an otorhinolaryngologist to detect the nature of the soft palate, uvula, nasal septum, nasal turbinates, tongue base and to exclude any nasal polyps. The second step is CT scan for your nose and sinuses. The final step is the airway examination during sleep in a sleep laboratory. For more information consult an ENT otolaryngologist online -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. Is there a solution for heavy snoring? ### Input: Hello doctor,I am suffering from a heavy snoring issue. With this issue, I am not able to enjoy with my friends when going on trips and even when someone visits our apartment. Is there a solution? My snoring is very severe. ###Response: Hi. Sure, there is a solution but firstly you have to detect the cause with the help of investigations and tests. You have to be examined by an otorhinolaryngologist to detect the nature of the soft palate, uvula, nasal septum, nasal turbinates, tongue base and to exclude any nasal polyps. The second step is CT scan for your nose and sinuses. The final step is the airway examination during sleep in a sleep laboratory. For more information consult an ENT otolaryngologist online -->

Hello doctor, I have contacts on and they bother me so much. If I take them out I want to scratch so bad, my eye burns and itches.

Q. Why am I having itching and burning sensation in eyes while using contact lenses?

Hi. If you are having trouble with your contacts, you should discontinue wearing contacts and consult an ophthalmologist for an eye exam. Discomfort with contacts may be due to allergy to contacts or lens solution or it may be due to dry eyes (due to contacts) and in such cases contacts can make abrasions, ulcer on your cornea that would need a treatment. So, get your eyes evaluated from an eye specialist to diagnose the exact cause and get it treated appropriately. You are welcome for any queries.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. Why am I having itching and burning sensation in eyes while using contact lenses? ### Input: Hello doctor, I have contacts on and they bother me so much. If I take them out I want to scratch so bad, my eye burns and itches. ###Response: Hi. If you are having trouble with your contacts, you should discontinue wearing contacts and consult an ophthalmologist for an eye exam. Discomfort with contacts may be due to allergy to contacts or lens solution or it may be due to dry eyes (due to contacts) and in such cases contacts can make abrasions, ulcer on your cornea that would need a treatment. So, get your eyes evaluated from an eye specialist to diagnose the exact cause and get it treated appropriately. You are welcome for any queries.

Hello doctor, I would like to get help reading knee MRI. Based on physical examination: Acute medial meniscus tear. Pain, clicking sound and cannot do activities.

Q. I have pain and clicking sound in knee. What does my MRI show?

Hi. Please note the images are sub-optimal for giving a professional report as we need to see the images in detail at the workstation computer (attachment removed to protect patient identity). However, my observations after viewing the images sent by you are the following: Your MRI knee is showing a mild knee joint effusion and is the likely cause of your pain an discomfort. The medial meniscus shows a suspicious area of signal abnormality in in the anterior horn root area and is not a serious concern. The rest of the meniscus is looking normal. The anterior cruciate ligament is intact, however there can changes from a mild strain of the ligament.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. I have pain and clicking sound in knee. What does my MRI show? ### Input: Hello doctor, I would like to get help reading knee MRI. Based on physical examination: Acute medial meniscus tear. Pain, clicking sound and cannot do activities. ###Response: Hi. Please note the images are sub-optimal for giving a professional report as we need to see the images in detail at the workstation computer (attachment removed to protect patient identity). However, my observations after viewing the images sent by you are the following: Your MRI knee is showing a mild knee joint effusion and is the likely cause of your pain an discomfort. The medial meniscus shows a suspicious area of signal abnormality in in the anterior horn root area and is not a serious concern. The rest of the meniscus is looking normal. The anterior cruciate ligament is intact, however there can changes from a mild strain of the ligament.

Hello doctor, I am having wisdom tooth pain and I am currently traveling. Can you please suggest some good pain relief medicine and once I am back home, I shall get it treated. Please find the attached X-ray.

Q. How can wisdom tooth pain be treated?

Hi. Do not worry. I checked your attachment (attachment removed to protect patient identity). Pain is due to impacted wisdom tooth which has also damaged adjacent tooth leading to caries. You may require disimpaction and restoration of adjacent tooth by root canal. Right now you take the following medicines: Ofloxacin 200 mg with Ornidazole 500 mg BD for five days. Tablet Acelofenac 100 mg with Paracetamol 325 mg, Serratidopeptidase 15 mg BD for five days after taking food. Tablet Pantoprazole 40 mg OD for five days. Mouthwash Hexidine three times daily for 30 seconds by rinsing oral cavity. You are also advised to maintain good oral hygiene.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. How can wisdom tooth pain be treated? ### Input: Hello doctor, I am having wisdom tooth pain and I am currently traveling. Can you please suggest some good pain relief medicine and once I am back home, I shall get it treated. Please find the attached X-ray. ###Response: Hi. Do not worry. I checked your attachment (attachment removed to protect patient identity). Pain is due to impacted wisdom tooth which has also damaged adjacent tooth leading to caries. You may require disimpaction and restoration of adjacent tooth by root canal. Right now you take the following medicines: Ofloxacin 200 mg with Ornidazole 500 mg BD for five days. Tablet Acelofenac 100 mg with Paracetamol 325 mg, Serratidopeptidase 15 mg BD for five days after taking food. Tablet Pantoprazole 40 mg OD for five days. Mouthwash Hexidine three times daily for 30 seconds by rinsing oral cavity. You are also advised to maintain good oral hygiene.

Hi doctor, I have a sore in the mouth. I have attached the photos. Please help.

Q. How to cure mouth ulcer?

Hi. Revert back with the answers to the above questions to a dentist online -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. How to cure mouth ulcer? ### Input: Hi doctor, I have a sore in the mouth. I have attached the photos. Please help. ###Response: Hi. Revert back with the answers to the above questions to a dentist online -->

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?

Q. What does abutment of the nerve root mean?

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 -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. What does abutment of the nerve root mean? ### Input: 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? ###Response: 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 -->

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.

Q. Will Nano-Leo give permanent solution for erection problem?

Hi. For further doubts consult a sexologist online -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. Will Nano-Leo give permanent solution for erection problem? ### Input: 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. ###Response: Hi. For further doubts consult a sexologist online -->

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.

Q. Every time I eat spicy food, I poop blood. Why?

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 -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. Every time I eat spicy food, I poop blood. Why? ### Input: 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. ###Response: 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 -->

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.

Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?

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.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. Will Kalarchikai cure multiple ovarian cysts in PCOD? ### Input: 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. ###Response: 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.

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.

Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way?

Hi. For further doubts consult a sexologist online -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? ### Input: 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. ###Response: Hi. For further doubts consult a sexologist online -->

Hello doctor, I think I might have an yeast infection, I have thick white discharge, itching, and today the discharge is a little greenish. What should I do?

Q. Why am I having thick white and greenish vaginal discharge with itching?

Hi, Welcome to iclinq.com. If its appearance is like curd, then probably it is yeast and you can take a single dose of tablet Canestein 150 mg to treat it.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. Why am I having thick white and greenish vaginal discharge with itching? ### Input: Hello doctor, I think I might have an yeast infection, I have thick white discharge, itching, and today the discharge is a little greenish. What should I do? ###Response: Hi, Welcome to iclinq.com. If its appearance is like curd, then probably it is yeast and you can take a single dose of tablet Canestein 150 mg to treat it.

Hello doctor, Three weeks ago while descending on a moving escalator I fell down but I was holding the bannister and it only caused me to sit on the steps from where I got up and walked away upon reaching down. Next day, while sitting on a high chair with a very small base and seat, I slipped off but managed not to fall by holding on to a nearby support. For the previous three years, I have preferred to hold on to the railing while climbing or going down a flight of stairs. I consulted a neurologist who suggested an inner ear disorder and seeing an ENT speciialist. She told me to perform a brain MRI and consider a nerve conduction study. Can you shortlist the possible inner ear disorders? Then, please tell me the tests in sequence which I should do to identify the specific inner ear disorder.

Q. Can falling from a moving escalator cause inner ear disorder?

Hi. I understand your concern, you are probably suffering from imbalance. It is a type of vertigo. Such problems arises when vestibule of inner ear is not working properly. Balancing of moving body is managed by vestibule of inner ear. Sometimes inner ear gets diseased by viral infection, bacterial infection, metabolic dysfunction like hydrops. Diagnostic tools are good clinical examination by ENT doctor. Investigations like electronystagmography (ENG). My suggestion is to please consult your ENT doctor, certainly he or she will do same as above I said and will reach to correct diagnosis to manage your problem.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. Can falling from a moving escalator cause inner ear disorder? ### Input: Hello doctor, Three weeks ago while descending on a moving escalator I fell down but I was holding the bannister and it only caused me to sit on the steps from where I got up and walked away upon reaching down. Next day, while sitting on a high chair with a very small base and seat, I slipped off but managed not to fall by holding on to a nearby support. For the previous three years, I have preferred to hold on to the railing while climbing or going down a flight of stairs. I consulted a neurologist who suggested an inner ear disorder and seeing an ENT speciialist. She told me to perform a brain MRI and consider a nerve conduction study. Can you shortlist the possible inner ear disorders? Then, please tell me the tests in sequence which I should do to identify the specific inner ear disorder. ###Response: Hi. I understand your concern, you are probably suffering from imbalance. It is a type of vertigo. Such problems arises when vestibule of inner ear is not working properly. Balancing of moving body is managed by vestibule of inner ear. Sometimes inner ear gets diseased by viral infection, bacterial infection, metabolic dysfunction like hydrops. Diagnostic tools are good clinical examination by ENT doctor. Investigations like electronystagmography (ENG). My suggestion is to please consult your ENT doctor, certainly he or she will do same as above I said and will reach to correct diagnosis to manage your problem.

Hello doctor, I have a problem in my eyes. My right eye is dry and left is normal. I use Systane Ultra eye drop from the last one year and Omega 3 capsule from last three months. No result was found. No improvement was found. Please suggest me how I can get relief in my right eye? I want to overcome dryness in my eyes.

Q. How can I manage dry eye?

Hello. Unfortunately, dry eye is a chronic condition and does not go away. First of all, you should use the eye drop in both eyes and not only on the one you feel the dryness in, second of all, the minimal quantity of drops that might help you during the day is four times but there are no limits, you can even use it every hour. The other option is to have punctum plugs inserted and that might reduce the quantity of drops you have to use or to use the only available medication for this condition which is called Restasis. For a more detailed advice please provide me with more information such as schirmer test results atleast.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. How can I manage dry eye? ### Input: Hello doctor, I have a problem in my eyes. My right eye is dry and left is normal. I use Systane Ultra eye drop from the last one year and Omega 3 capsule from last three months. No result was found. No improvement was found. Please suggest me how I can get relief in my right eye? I want to overcome dryness in my eyes. ###Response: Hello. Unfortunately, dry eye is a chronic condition and does not go away. First of all, you should use the eye drop in both eyes and not only on the one you feel the dryness in, second of all, the minimal quantity of drops that might help you during the day is four times but there are no limits, you can even use it every hour. The other option is to have punctum plugs inserted and that might reduce the quantity of drops you have to use or to use the only available medication for this condition which is called Restasis. For a more detailed advice please provide me with more information such as schirmer test results atleast.

Hi doctor, I have a yellow thick foul smelling discharge. It has been a while but it seems to be a problem. My partner also mentioned that I have extra smell compared to his previous partners. Why is this?

Q. Why am I having a yellow thick foul smelling vaginal discharge?

Hello. You are suffering from bacterial vaginosis which is a bacterial infection. This can be confirmed with a high vaginal swab culture and shall require a course of antibiotics for a week with avoidance of intercourse during treatment. Try using alkaline vaginal washes to clean yourself and avoid chemical soaps. Meet your gynecologist for a local examination and prescription.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. Why am I having a yellow thick foul smelling vaginal discharge? ### Input: Hi doctor, I have a yellow thick foul smelling discharge. It has been a while but it seems to be a problem. My partner also mentioned that I have extra smell compared to his previous partners. Why is this? ###Response: Hello. You are suffering from bacterial vaginosis which is a bacterial infection. This can be confirmed with a high vaginal swab culture and shall require a course of antibiotics for a week with avoidance of intercourse during treatment. Try using alkaline vaginal washes to clean yourself and avoid chemical soaps. Meet your gynecologist for a local examination and prescription.

Hello doctor,I have recurring BV and I do not know why. I have stopped taking baths, I do not douche, I never use any scented products. I am in a monogamous relationship. I just realized that my fiance washes his penis with shampoo, and we have unprotected sex. Could this be why I cannot seem to get rid of it?

Q. Am I having recurrent BV because of unprotected sex?

Hi. BV (bacterial vaginosis) is not a sexually transmitted disease. It is just an abnormal change in your normal bacterial flora. I would recommend using tablet Metronidazole 2000 mg once or you can use Clindamycin 5 % vaginal creams once for five days. That is available over the counter. Also, avoid using unnecessary antibiotics. Get your diabetes checked if you are gaining weight. Sometimes, use of probiotics is also helpful in some people. For more information consult an internal medicine physician online -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. Am I having recurrent BV because of unprotected sex? ### Input: Hello doctor,I have recurring BV and I do not know why. I have stopped taking baths, I do not douche, I never use any scented products. I am in a monogamous relationship. I just realized that my fiance washes his penis with shampoo, and we have unprotected sex. Could this be why I cannot seem to get rid of it? ###Response: Hi. BV (bacterial vaginosis) is not a sexually transmitted disease. It is just an abnormal change in your normal bacterial flora. I would recommend using tablet Metronidazole 2000 mg once or you can use Clindamycin 5 % vaginal creams once for five days. That is available over the counter. Also, avoid using unnecessary antibiotics. Get your diabetes checked if you are gaining weight. Sometimes, use of probiotics is also helpful in some people. For more information consult an internal medicine physician online -->

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?

Q. What does abutment of the nerve root mean?

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 -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. What does abutment of the nerve root mean? ### Input: 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? ###Response: 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 -->

Hello doctor,Is there any way that I can treat BV while being 34 weeks pregnant? I had Metronidazole gel and suppositories and they did not work. The smell is pretty uncomfortable plus I have HPV. So, I do not know if that is associated with the smell too. BTW is BV contagious?

Q. Is there any way to treat BV while being 34 weeks pregnant?

Hi. BV (bacterial vaginosis) is not a sexually transmitted infection. You must be having associated fungal infections causing itching. Take tablet Metronidazole 400 mg three times daily for one week. Take capsule Clotrimazole vaginal pessary at bedtime for a week. Drink plenty of water.Keep your perineal area dry. For more information consult an obstetrician and gynaecologist online -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. Is there any way to treat BV while being 34 weeks pregnant? ### Input: Hello doctor,Is there any way that I can treat BV while being 34 weeks pregnant? I had Metronidazole gel and suppositories and they did not work. The smell is pretty uncomfortable plus I have HPV. So, I do not know if that is associated with the smell too. BTW is BV contagious? ###Response: Hi. BV (bacterial vaginosis) is not a sexually transmitted infection. You must be having associated fungal infections causing itching. Take tablet Metronidazole 400 mg three times daily for one week. Take capsule Clotrimazole vaginal pessary at bedtime for a week. Drink plenty of water.Keep your perineal area dry. For more information consult an obstetrician and gynaecologist online -->

Hello doctor,My daughter has just started kindergarten three weeks ago and came home today with a rash all over her arms, hands, and feet and one by her lip. She feels fine otherwise but they itch sometimes. Our 7-year-old neighbor just got over strep and impetigo and I am wondering if this could be that. It seems to look similar to the hand, foot, and mouth. She has already missed three days of school for a cold but I do not want to send her if she is contagious.

Q. What is the skin rash that itch sometimes in a child?

Hi. I have seen your query and examined your given pictures (attachment removed to protect patient identity). It seems your son has a hand, foot, and mouth disease, and does not look like impetigo. HFMD (hand, foot, and mouth disease) is a viral infection caused by the coxsackie virus. It is a self-limiting disease and takes around 5 to 7 days to subside. Symptomatic treatment can be taken like topical Lactocalamine lotion local application twice daily and Orasep (Chlorhexidine gluconate) mouth gel local application twice for five days after consulting your gp or near by dermatologist,

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. What is the skin rash that itch sometimes in a child? ### Input: Hello doctor,My daughter has just started kindergarten three weeks ago and came home today with a rash all over her arms, hands, and feet and one by her lip. She feels fine otherwise but they itch sometimes. Our 7-year-old neighbor just got over strep and impetigo and I am wondering if this could be that. It seems to look similar to the hand, foot, and mouth. She has already missed three days of school for a cold but I do not want to send her if she is contagious. ###Response: Hi. I have seen your query and examined your given pictures (attachment removed to protect patient identity). It seems your son has a hand, foot, and mouth disease, and does not look like impetigo. HFMD (hand, foot, and mouth disease) is a viral infection caused by the coxsackie virus. It is a self-limiting disease and takes around 5 to 7 days to subside. Symptomatic treatment can be taken like topical Lactocalamine lotion local application twice daily and Orasep (Chlorhexidine gluconate) mouth gel local application twice for five days after consulting your gp or near by dermatologist,

Hello doctor,Is hydrosalpinx treatable by natural methods? If possible, what should I do?

Q. Is it possible to treat hydrosalpinx by natural methods?

Hello. I think you are talking about hydrosalpinx. It is a temporary or permanent blockage of single or both fallopian tube. It is one of the major cause of infertility. It can be managed naturally through ayurvedic medicines and some specific Panchakarma procedure, Uttar Basti of medicated oil like Yavakshara oil. It helps to resolve blockage and open the fallopian tube. There are several causes to such conditions. Some of them are pelvic inflammatory disease, gonorrhoeal infection, etc. Ultrasonography, and hysterosalpingogram. PCOD (polycystic ovary disease), and hypothyroidism. Uttar basti with medicated oil like Yavakshara oil is the safe and successful treatment of hydrosalpinx. Avoid spicy and fried junk foods. Avoid cold drinks soft drinks ice-cream etc. Do regular kapalbhati Mandukasana and Ardha matsyendrasana as well as pranayana like anuloma viloma nadi shodhan and bhramari.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. Is it possible to treat hydrosalpinx by natural methods? ### Input: Hello doctor,Is hydrosalpinx treatable by natural methods? If possible, what should I do? ###Response: Hello. I think you are talking about hydrosalpinx. It is a temporary or permanent blockage of single or both fallopian tube. It is one of the major cause of infertility. It can be managed naturally through ayurvedic medicines and some specific Panchakarma procedure, Uttar Basti of medicated oil like Yavakshara oil. It helps to resolve blockage and open the fallopian tube. There are several causes to such conditions. Some of them are pelvic inflammatory disease, gonorrhoeal infection, etc. Ultrasonography, and hysterosalpingogram. PCOD (polycystic ovary disease), and hypothyroidism. Uttar basti with medicated oil like Yavakshara oil is the safe and successful treatment of hydrosalpinx. Avoid spicy and fried junk foods. Avoid cold drinks soft drinks ice-cream etc. Do regular kapalbhati Mandukasana and Ardha matsyendrasana as well as pranayana like anuloma viloma nadi shodhan and bhramari.

Hi doctor, I am having a slightly upset stomach with bloating for the past four months. I thought I had a bug. Two weeks later, it seemed much better. However, my bowel movements did not return to normal. I had mostly constipation for about a month (even though my stomach did not feel as upset anymore). Then after that month, things flipped and now for the last four weeks at least, I have had movements that are almost diarrhea (very soft, formed only slightly). Colour does not seem abnormal and there is not a bad smell and I do not see oil drops in the toilet bowl. Every morning I have this. I also am having increasing stomach reactions. Every time I put food into my mouth, the gurgling starts. I am not feeling this is a food intolerance as it happens instantly no matter what I eat. I also get a lot of bloating due to the gas. I will, of course, be following up with my doctor, but wanted to ask here. I have a history of breast cancer, so I easily get concerned about cancers (I realize that breast cancer does not often spread to the bowels, but I am still worried about another cancer). I am not a person with a strong history of gastrointestinal upset. I did go through about 7 to 8 weeks of something about seven years ago and never really had a true explanation. Those symptoms accompanied many other symptoms such as nerve pain, twitching, cramping. I felt as though I was having an autoimmune type reaction and am now wondering if it was tied to hormonal changes as my periods changed at the very same time as I had those symptoms (perimenopause). I am currently on Letrozole for hormone positive breast cancer targeted therapy. I had my ovaries out two years ago. So my body is definitely experiencing a massive drop in estrogen over the past two years. I am wondering if you have any thoughts on what this could be? No blood in the stool.

Q. I have diarrhea following constipation for a long time. Why?

Hi. Your history fits into the acid peptic disease. I do not find any sign of cancer over here (attachment removed to protect patient identity). I would recommend you the following. A combination of Pantoprazole and Domperidone once daily for a few days. A good probiotic, to take a soft and bland diet, to walk after all meals. I would also recommend you to get your thyroid profile checked.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. I have diarrhea following constipation for a long time. Why? ### Input: Hi doctor, I am having a slightly upset stomach with bloating for the past four months. I thought I had a bug. Two weeks later, it seemed much better. However, my bowel movements did not return to normal. I had mostly constipation for about a month (even though my stomach did not feel as upset anymore). Then after that month, things flipped and now for the last four weeks at least, I have had movements that are almost diarrhea (very soft, formed only slightly). Colour does not seem abnormal and there is not a bad smell and I do not see oil drops in the toilet bowl. Every morning I have this. I also am having increasing stomach reactions. Every time I put food into my mouth, the gurgling starts. I am not feeling this is a food intolerance as it happens instantly no matter what I eat. I also get a lot of bloating due to the gas. I will, of course, be following up with my doctor, but wanted to ask here. I have a history of breast cancer, so I easily get concerned about cancers (I realize that breast cancer does not often spread to the bowels, but I am still worried about another cancer). I am not a person with a strong history of gastrointestinal upset. I did go through about 7 to 8 weeks of something about seven years ago and never really had a true explanation. Those symptoms accompanied many other symptoms such as nerve pain, twitching, cramping. I felt as though I was having an autoimmune type reaction and am now wondering if it was tied to hormonal changes as my periods changed at the very same time as I had those symptoms (perimenopause). I am currently on Letrozole for hormone positive breast cancer targeted therapy. I had my ovaries out two years ago. So my body is definitely experiencing a massive drop in estrogen over the past two years. I am wondering if you have any thoughts on what this could be? No blood in the stool. ###Response: Hi. Your history fits into the acid peptic disease. I do not find any sign of cancer over here (attachment removed to protect patient identity). I would recommend you the following. A combination of Pantoprazole and Domperidone once daily for a few days. A good probiotic, to take a soft and bland diet, to walk after all meals. I would also recommend you to get your thyroid profile checked.

Hello doctor, I have acne for around five years. Now I am using Cutein tablets. I suddenly got a burning sensation in my stomach. So, now I am using Pantoprazole tablets along with Cutein. Is that effective or injurious?

Q. I have acne. Can I use Pantoprazole with Cutein?

Hi. Cutein tablet contains Iron as one of the ingredients, along with some other vitamins. The iron tablets can give increased acid in the stomach and indigestion. But, if you take both Cutein and Pantoprazole tablets together, the iron will not get absorbed. Therefore, first take Cutein tablet on empty stomach in the morning, and then 30 minutes later take Pantoprazole.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. I have acne. Can I use Pantoprazole with Cutein? ### Input: Hello doctor, I have acne for around five years. Now I am using Cutein tablets. I suddenly got a burning sensation in my stomach. So, now I am using Pantoprazole tablets along with Cutein. Is that effective or injurious? ###Response: Hi. Cutein tablet contains Iron as one of the ingredients, along with some other vitamins. The iron tablets can give increased acid in the stomach and indigestion. But, if you take both Cutein and Pantoprazole tablets together, the iron will not get absorbed. Therefore, first take Cutein tablet on empty stomach in the morning, and then 30 minutes later take Pantoprazole.

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?

Q. What does abutment of the nerve root mean?

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 -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. What does abutment of the nerve root mean? ### Input: 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? ###Response: 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 -->

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.

Q. Will Nano-Leo give permanent solution for erection problem?

Hi. For further doubts consult a sexologist online -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. Will Nano-Leo give permanent solution for erection problem? ### Input: 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. ###Response: Hi. For further doubts consult a sexologist online -->

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.

Q. Every time I eat spicy food, I poop blood. Why?

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 -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. Every time I eat spicy food, I poop blood. Why? ### Input: 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. ###Response: 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 -->

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.

Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?

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.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. Will Kalarchikai cure multiple ovarian cysts in PCOD? ### Input: 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. ###Response: 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.

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.

Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way?

Hi. For further doubts consult a sexologist online -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? ### Input: 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. ###Response: Hi. For further doubts consult a sexologist online -->

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.

Q. Will Nano-Leo give permanent solution for erection problem?

Hi. For further doubts consult a sexologist online -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. Will Nano-Leo give permanent solution for erection problem? ### Input: 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. ###Response: Hi. For further doubts consult a sexologist online -->

Hello doctor,I am a 24-year-old female. I was engaged in some foreplay with someone last weekend. And they fingered me hard. Last night, I noticed a tiny bump on the inside of my vagina. It is a pea-sized right against the wall. It is completely painless, and I would not have even noticed it was there had I not put one of my fingers inside myself.Is it possible that this is just a cyst from the rough foreplay? It feels a bit smaller than it did last night, but I cannot tell. It almost feels like a pimple, But it is on the inside of my vagina, and I can only feel it by pressing my finger against it. What could this be?

Q. Can a rough foreplay be a cause for a bump inside my vagina?

Hello. Yes, probably it is due to injury caused by fingering. And if it is not painful and not causing any discomfort, then you only have to wait until it resolves spontaneously. And the other option is that after a few days say three to four days you can get yourself examined by your local doctor to make sure that there is nothing more than that and this swelling has been resolved entirely. I hope it has helped you should you require any further queries. Please do not hesitate to contact me.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. Can a rough foreplay be a cause for a bump inside my vagina? ### Input: Hello doctor,I am a 24-year-old female. I was engaged in some foreplay with someone last weekend. And they fingered me hard. Last night, I noticed a tiny bump on the inside of my vagina. It is a pea-sized right against the wall. It is completely painless, and I would not have even noticed it was there had I not put one of my fingers inside myself.Is it possible that this is just a cyst from the rough foreplay? It feels a bit smaller than it did last night, but I cannot tell. It almost feels like a pimple, But it is on the inside of my vagina, and I can only feel it by pressing my finger against it. What could this be? ###Response: Hello. Yes, probably it is due to injury caused by fingering. And if it is not painful and not causing any discomfort, then you only have to wait until it resolves spontaneously. And the other option is that after a few days say three to four days you can get yourself examined by your local doctor to make sure that there is nothing more than that and this swelling has been resolved entirely. I hope it has helped you should you require any further queries. Please do not hesitate to contact me.

Hello doctor,My baby was 5.5 months old. One liter water bottle fallen in my baby's head, and that place became reddish. Already she was suffering from fever too. Kindly help.

Q. One liter water bottle has fallen on my 5. 5 months old baby. What should I do?

Hello. Please apply cold water bag to the reddish area. Also, you will need to start the child on drops crocin based on the current weight of the child (is it 2.72 kg? 2.72 kg is too less for a 5.5 months old child). Dose for 2.72 kg is 0.3 ml of drops crocin (100 mg/ml). Also please document the fever with a thermometer. If it is above 100 degrees Fahrenheit, it is advisable to get the child evaluated physically by a pediatrician. Also, if you feel the child is lethargic, has a convulsion or his refusal to feed, it is best to go to the nearest hospital.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. One liter water bottle has fallen on my 5. 5 months old baby. What should I do? ### Input: Hello doctor,My baby was 5.5 months old. One liter water bottle fallen in my baby's head, and that place became reddish. Already she was suffering from fever too. Kindly help. ###Response: Hello. Please apply cold water bag to the reddish area. Also, you will need to start the child on drops crocin based on the current weight of the child (is it 2.72 kg? 2.72 kg is too less for a 5.5 months old child). Dose for 2.72 kg is 0.3 ml of drops crocin (100 mg/ml). Also please document the fever with a thermometer. If it is above 100 degrees Fahrenheit, it is advisable to get the child evaluated physically by a pediatrician. Also, if you feel the child is lethargic, has a convulsion or his refusal to feed, it is best to go to the nearest hospital.

Hello doctor,I have some signs on my hand on the summer period. No doctor gives me any idea what it is or what causes it? Or how to fix it? Kindly help.

Q. I am having some signs on my hand particularly in summer. Why?

Hello. What are the symptoms in it? How long has it been there?

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. I am having some signs on my hand particularly in summer. Why? ### Input: Hello doctor,I have some signs on my hand on the summer period. No doctor gives me any idea what it is or what causes it? Or how to fix it? Kindly help. ###Response: Hello. What are the symptoms in it? How long has it been there?

Hello doctor, I used to masturbate regularly, and I do not care much for hygiene (I wore the same used underwears, cleaned my penis once in a while, etc.). Now from the last two months, I am unable to retract. The foreskin seems to have become tight and not allowing me to even pull it back a little. There is a kind of white patch formed at the tip of my penis as well. That is concerning. Could you please let me know what might be the issue?

Q. A white patch has been formed at the tip of the penis associated with skin tightness. Why?

Hello. Let me tell you one thing, you need not worry about your condition, as it is widespread to have phimosis, which is the case with you. The foreskin is tight in your case, and hence, retraction is painful. The white patch you are referring to is nothing but color due to fibrosis. This has nothing to do with masturbation. You can undergo a simple procedure called circumcision, which will get rid of the foreskin and your problem with it, once for all. It is a minor procedure. Please address the issue of hygiene better. Though there will not be any serious health issues with cleanliness, absence of hygiene can result in fungal infection, which can be avoided by addressing the hygiene properly. Let me reassure you again, and you need not worry much, go for circumcision.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. A white patch has been formed at the tip of the penis associated with skin tightness. Why? ### Input: Hello doctor, I used to masturbate regularly, and I do not care much for hygiene (I wore the same used underwears, cleaned my penis once in a while, etc.). Now from the last two months, I am unable to retract. The foreskin seems to have become tight and not allowing me to even pull it back a little. There is a kind of white patch formed at the tip of my penis as well. That is concerning. Could you please let me know what might be the issue? ###Response: Hello. Let me tell you one thing, you need not worry about your condition, as it is widespread to have phimosis, which is the case with you. The foreskin is tight in your case, and hence, retraction is painful. The white patch you are referring to is nothing but color due to fibrosis. This has nothing to do with masturbation. You can undergo a simple procedure called circumcision, which will get rid of the foreskin and your problem with it, once for all. It is a minor procedure. Please address the issue of hygiene better. Though there will not be any serious health issues with cleanliness, absence of hygiene can result in fungal infection, which can be avoided by addressing the hygiene properly. Let me reassure you again, and you need not worry much, go for circumcision.

Hello doctor, I am under medication for thyroid from past one year. Initially, TSH was 15.5, and I was using 50 mcg later TSH came to 13 so increased dosage to 75 mcg. After which my TSH came to 8.8, and now with same 75 mcg TSH got risen to 11.11. Please advise do I need to continue with the same dosage or increase the dosage.

Q. Please advice whether I can continue my same dosage of thyroid tablets after the variation of TSH levels.

Hello. The goal of treatment in hypothyroidism is to normalize TSH (thyroid stimulating hormone) levels. The dose of thyroxine needs to be adjusted until this happens. The dose is weight related to some extent. The approximate dose of thyroid hormone is equal to weight in kg x 1.6. But ultimately, it is the TSH that guides the dosage. Here is what you need to do, 1. Increase the dose of Thyroxine to 100 mcg once a day. 2. Take the tablet on an empty stomach. Do not consume anything except water for one hour after taking Thyroxine. (No tea, coffee, milk, iron or calcium tablets, etc.). 3. Whenever the dose of Thyroxine is adjusted, recheck TSH after six to eight weeks. 4. No diet restrictions for hypothyroidism. Contrary to popular belief, it is fine to eat cabbage, cauliflower, broccoli, soybeans, etc. I hope this helps.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. Please advice whether I can continue my same dosage of thyroid tablets after the variation of TSH levels. ### Input: Hello doctor, I am under medication for thyroid from past one year. Initially, TSH was 15.5, and I was using 50 mcg later TSH came to 13 so increased dosage to 75 mcg. After which my TSH came to 8.8, and now with same 75 mcg TSH got risen to 11.11. Please advise do I need to continue with the same dosage or increase the dosage. ###Response: Hello. The goal of treatment in hypothyroidism is to normalize TSH (thyroid stimulating hormone) levels. The dose of thyroxine needs to be adjusted until this happens. The dose is weight related to some extent. The approximate dose of thyroid hormone is equal to weight in kg x 1.6. But ultimately, it is the TSH that guides the dosage. Here is what you need to do, 1. Increase the dose of Thyroxine to 100 mcg once a day. 2. Take the tablet on an empty stomach. Do not consume anything except water for one hour after taking Thyroxine. (No tea, coffee, milk, iron or calcium tablets, etc.). 3. Whenever the dose of Thyroxine is adjusted, recheck TSH after six to eight weeks. 4. No diet restrictions for hypothyroidism. Contrary to popular belief, it is fine to eat cabbage, cauliflower, broccoli, soybeans, etc. I hope this helps.

Hello doctor,I have a lump under my skin on my arm, and it is slight my raised. It is not painful, and it is 5 mm in diameter. It has got a dark center that looks like a bruise. It has not grown in size either. What could it be?

Q. What could be the painless lump under my skin on my arm?

Hello. I understand your concern, but there are no attached photographs in your message. Kindly send a picture of the affected area to help you better. I need to see the affected area to assess the condition and to suggest the appropriate diagnosis and treatment. Please send the picture of the affected area.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. What could be the painless lump under my skin on my arm? ### Input: Hello doctor,I have a lump under my skin on my arm, and it is slight my raised. It is not painful, and it is 5 mm in diameter. It has got a dark center that looks like a bruise. It has not grown in size either. What could it be? ###Response: Hello. I understand your concern, but there are no attached photographs in your message. Kindly send a picture of the affected area to help you better. I need to see the affected area to assess the condition and to suggest the appropriate diagnosis and treatment. Please send the picture of the affected area.

Hello doctor,I have chronic gastritis. I want to do snehapana at home with pure cow ghee. Can you please guide me?

Q. Please guide how to use snehapana at home.

Hello. Ideally, you should have done it under the supervision of a nearby Ayurveda physician. Because this procedure also requires a close watch and some dietary restriction. Even if you are taking some medicine without guidance, it is not advisable to do it on your own. It can also cause some issues like nausea, vomiting, etc. in some cases, and it might be hard for you to manage it at home. The amount of ghee should be taken on various factors, and it requires a complete history and clinical examination. Also, the amount of ghee needs to be increased day by day for some days. After intake of ghee symptoms need to be watched for proper digestion. If the physician does not find appropriate digestive symptoms, then he can manage accordingly. After proper digestion of ghee, a particular dietary regimen and lifestyle have to be managed. So you should do it under supervision. I hope you understand my point that rather than doing it at home, it is better to do under the supervision of a nearby Ayurveda physician.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. Please guide how to use snehapana at home. ### Input: Hello doctor,I have chronic gastritis. I want to do snehapana at home with pure cow ghee. Can you please guide me? ###Response: Hello. Ideally, you should have done it under the supervision of a nearby Ayurveda physician. Because this procedure also requires a close watch and some dietary restriction. Even if you are taking some medicine without guidance, it is not advisable to do it on your own. It can also cause some issues like nausea, vomiting, etc. in some cases, and it might be hard for you to manage it at home. The amount of ghee should be taken on various factors, and it requires a complete history and clinical examination. Also, the amount of ghee needs to be increased day by day for some days. After intake of ghee symptoms need to be watched for proper digestion. If the physician does not find appropriate digestive symptoms, then he can manage accordingly. After proper digestion of ghee, a particular dietary regimen and lifestyle have to be managed. So you should do it under supervision. I hope you understand my point that rather than doing it at home, it is better to do under the supervision of a nearby Ayurveda physician.

Hello doctor, I am 29 years old male, with height 5' 10" and weight 75 kgCurrently, I am on 1. Clonazepam 2 mg one tablet during the night. 2. Trazine-S half tablet during night. I have been suffering from a borderline personality disorder (BPD) along with symptoms of anxiety, panic disorder, extreme irritability, anger, and so on. So for that, I have been prescribed with the above medicines for the past seven months. Came to know that Benzodiazepines like Clonazepam should not be consumed for more than a month, but in my case, I have been drinking it for more than seven months. The doctor is not tapering off the dosage either. So is it safe to continue? What shall I do? Kindly help.

Q. Can I use Benzodiazepine for a longer period?

Hello. If it is the requirement of Benzodiazepines than you need to take for long periods. There is nothing wrong to take medication for a long time if you are stable on it. Theoretically and ideally, Benzodiazepine should be tapered off within four weeks, but in clinical practice, we have to give it for an extended period, depending upon the patient diseases. If you have no anxiety or sleep disturbance, then you can taper off your way. You can make it half of your tablet for two weeks then take half tablet alternate day for two weeks and then you can stop it.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. Can I use Benzodiazepine for a longer period? ### Input: Hello doctor, I am 29 years old male, with height 5' 10" and weight 75 kgCurrently, I am on 1. Clonazepam 2 mg one tablet during the night. 2. Trazine-S half tablet during night. I have been suffering from a borderline personality disorder (BPD) along with symptoms of anxiety, panic disorder, extreme irritability, anger, and so on. So for that, I have been prescribed with the above medicines for the past seven months. Came to know that Benzodiazepines like Clonazepam should not be consumed for more than a month, but in my case, I have been drinking it for more than seven months. The doctor is not tapering off the dosage either. So is it safe to continue? What shall I do? Kindly help. ###Response: Hello. If it is the requirement of Benzodiazepines than you need to take for long periods. There is nothing wrong to take medication for a long time if you are stable on it. Theoretically and ideally, Benzodiazepine should be tapered off within four weeks, but in clinical practice, we have to give it for an extended period, depending upon the patient diseases. If you have no anxiety or sleep disturbance, then you can taper off your way. You can make it half of your tablet for two weeks then take half tablet alternate day for two weeks and then you can stop it.

Hello doctor, My husband has been having head heaviness for a month now and I do not know what is causing this. He has had a cervical scan done and other tests were done and he was told there is nothing wrong. It been two months now since this started and is a sudden onset. Prior to this, he used to work out a lot at the gym but not now as he is having numbness and tingling sensation radiation from the lower back down his right leg with severe pains in the morning. There is a moderate pain with movement. He is currently having back pain issues before this head heaviness started. He has had a CT scan done and the report is as follows: L1-L2 normal findings. L2-L3 disc bulge with thecal indentation and irrelevant effect. L3-L4 disc protrusion with caudal migration causing moderate canal stenosis and compression of the L4 nerve root at the lateral recess. Calcification of the disc noted posteriorly. L4-L5 disc bulge with thecal indentation and contact to the L5 nerve roots at the lateral recess. Impression: Essentially L3-L4 disc protrusion migration causing moderate canal stenosis and compression of the L4 nerve root at the lateral recess. I want to know what is actually happening. Some advice and recommendation and treatment options available in this situation. Also, how can we treat the heaviness in the head as is causing difficulty in sleeping? Are there any medications? Also, does the head heaviness got anything to do with this situation?

Q. What could be the cause for heaviness in the head?

Hello. Your husband's lumbar spine CT (computed tomography)scan is indicative of a disk herniation, which is responsible for the pain in lower back and tingling sensations radiating in the right leg. It is not related to headaches. Considering these CT findings, I would recommend having some rest, avoiding prolonged standing up or sitting position and weightlifting. Physiotherapy and painkillers (Acetaminophen and Ibuprofen) coupled with a muscle relaxant like Flexeril. If the pain persists consulting with a spine surgeon. Regarding headaches, I would like to review his cervical spine CT scan report. It could be related to a wrong posture or a tension-type headache ( related to psychological or physical stress). For more information consult a neurologist online -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. What could be the cause for heaviness in the head? ### Input: Hello doctor, My husband has been having head heaviness for a month now and I do not know what is causing this. He has had a cervical scan done and other tests were done and he was told there is nothing wrong. It been two months now since this started and is a sudden onset. Prior to this, he used to work out a lot at the gym but not now as he is having numbness and tingling sensation radiation from the lower back down his right leg with severe pains in the morning. There is a moderate pain with movement. He is currently having back pain issues before this head heaviness started. He has had a CT scan done and the report is as follows: L1-L2 normal findings. L2-L3 disc bulge with thecal indentation and irrelevant effect. L3-L4 disc protrusion with caudal migration causing moderate canal stenosis and compression of the L4 nerve root at the lateral recess. Calcification of the disc noted posteriorly. L4-L5 disc bulge with thecal indentation and contact to the L5 nerve roots at the lateral recess. Impression: Essentially L3-L4 disc protrusion migration causing moderate canal stenosis and compression of the L4 nerve root at the lateral recess. I want to know what is actually happening. Some advice and recommendation and treatment options available in this situation. Also, how can we treat the heaviness in the head as is causing difficulty in sleeping? Are there any medications? Also, does the head heaviness got anything to do with this situation? ###Response: Hello. Your husband's lumbar spine CT (computed tomography)scan is indicative of a disk herniation, which is responsible for the pain in lower back and tingling sensations radiating in the right leg. It is not related to headaches. Considering these CT findings, I would recommend having some rest, avoiding prolonged standing up or sitting position and weightlifting. Physiotherapy and painkillers (Acetaminophen and Ibuprofen) coupled with a muscle relaxant like Flexeril. If the pain persists consulting with a spine surgeon. Regarding headaches, I would like to review his cervical spine CT scan report. It could be related to a wrong posture or a tension-type headache ( related to psychological or physical stress). For more information consult a neurologist online -->

Hi doctor, I would like to get a summary of abortion options for someone 6 weeks pregnant. Please explain the risk statistics as in what percentage the patient have risks and what type of patients they typically are. The woman in question is an otherwise healthy 21 year old.

Q. What are the abortion options during 6 weeks of pregnancy?

Hello. For someone who is 6 weeks or 42 days pregnant as per the ultrasound and the pregnancy has been localized intrauterine, there are actually two options: In medical abortion the patient is given a set of medicines namely Mifepristone and Misoprostol in a set protocol. The aim is to disallow further growth of pregnancy by stopping the cytotrophoblastic invasion into the endometrium (through Mifepristone) and then initiating uterine contractions and placental separation (through Misoprostol). The procedure for drug protocol lasts till max 2000 mcg of Misoprostol has been given in a set protocol till the pregnancy has been aborted. The success rates are 93%-96%, but the disadvantage is that it may lead to prolong bleeding for up to two weeks before all the products of conception can be actually aborted. Sometimes, the bleeding just continues for long and one may have to resort to surgical curettage to remove the remaining decidua in utero. Surgical evacuation is a day care procedure where a suction canal is introduced inside the uterus through the cervix, with patient under anesthesia or a paracervical block and the products of conception are suctioned out completely. If the procedure is ultrasound guided, then the success rates are 100 percent and major advantage is, one can leave for work after 6 hours (till the anesthesia effect passes of if general anesthesia or after 2 hours in case of post paracervical block). The remote chances of Asherman syndrome or intrauterine adhesions have been documented in 1% of women who underwent surgical evacuation where adhesions were formed inside the uterus leading to secondary infertility. But, a controlled, ultrasound guided dilation and curettage under an experienced hand is safe. I would suggest her to opt for medical abortion if the pregnancy is unplanned or accidental as this would be a natural way of aborting and moreover pregnancy being less than 7 weeks, can be easily aborted. A repeat ultrasound pelvis to check for completion of abortion shall be necessary after the procedure is undertaken. The mild bleeding and discharge may or may not continue for long, it depends from woman to woman. If this fails, then of course you have a surgical option to look at. Pregnancy should be completely avoided for the next four months of post procedure as that is the time required by uterus and pelvic organs to return back to their pre-pregnant state.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. What are the abortion options during 6 weeks of pregnancy? ### Input: Hi doctor, I would like to get a summary of abortion options for someone 6 weeks pregnant. Please explain the risk statistics as in what percentage the patient have risks and what type of patients they typically are. The woman in question is an otherwise healthy 21 year old. ###Response: Hello. For someone who is 6 weeks or 42 days pregnant as per the ultrasound and the pregnancy has been localized intrauterine, there are actually two options: In medical abortion the patient is given a set of medicines namely Mifepristone and Misoprostol in a set protocol. The aim is to disallow further growth of pregnancy by stopping the cytotrophoblastic invasion into the endometrium (through Mifepristone) and then initiating uterine contractions and placental separation (through Misoprostol). The procedure for drug protocol lasts till max 2000 mcg of Misoprostol has been given in a set protocol till the pregnancy has been aborted. The success rates are 93%-96%, but the disadvantage is that it may lead to prolong bleeding for up to two weeks before all the products of conception can be actually aborted. Sometimes, the bleeding just continues for long and one may have to resort to surgical curettage to remove the remaining decidua in utero. Surgical evacuation is a day care procedure where a suction canal is introduced inside the uterus through the cervix, with patient under anesthesia or a paracervical block and the products of conception are suctioned out completely. If the procedure is ultrasound guided, then the success rates are 100 percent and major advantage is, one can leave for work after 6 hours (till the anesthesia effect passes of if general anesthesia or after 2 hours in case of post paracervical block). The remote chances of Asherman syndrome or intrauterine adhesions have been documented in 1% of women who underwent surgical evacuation where adhesions were formed inside the uterus leading to secondary infertility. But, a controlled, ultrasound guided dilation and curettage under an experienced hand is safe. I would suggest her to opt for medical abortion if the pregnancy is unplanned or accidental as this would be a natural way of aborting and moreover pregnancy being less than 7 weeks, can be easily aborted. A repeat ultrasound pelvis to check for completion of abortion shall be necessary after the procedure is undertaken. The mild bleeding and discharge may or may not continue for long, it depends from woman to woman. If this fails, then of course you have a surgical option to look at. Pregnancy should be completely avoided for the next four months of post procedure as that is the time required by uterus and pelvic organs to return back to their pre-pregnant state.

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.

Q. Every time I eat spicy food, I poop blood. Why?

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 -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. Every time I eat spicy food, I poop blood. Why? ### Input: 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. ###Response: 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 -->

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?

Q. What does abutment of the nerve root mean?

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 -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. What does abutment of the nerve root mean? ### Input: 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? ###Response: 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 -->

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.

Q. Will Nano-Leo give permanent solution for erection problem?

Hi. For further doubts consult a sexologist online -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. Will Nano-Leo give permanent solution for erection problem? ### Input: 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. ###Response: Hi. For further doubts consult a sexologist online -->

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.

Q. Every time I eat spicy food, I poop blood. Why?

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 -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. Every time I eat spicy food, I poop blood. Why? ### Input: 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. ###Response: 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 -->

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.

Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?

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.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. Will Kalarchikai cure multiple ovarian cysts in PCOD? ### Input: 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. ###Response: 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.

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.

Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way?

Hi. For further doubts consult a sexologist online -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? ### Input: 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. ###Response: Hi. For further doubts consult a sexologist online -->

Hello doctor, I am a 27 year old female. My weight is 195 lbs and height is 5'8". I have hypothyroidism and I am on Synthroid. I am taking Amoxicillin for a lingering cold. Yesterday, I experienced a sharp pain on my left side, under my armpit, equal with my left breast. I had this episode of pain twice yesterday. On both the occasions, the pain lasted for about 5 to 10 minutes. When I put my hand on the area it felt as though something was passing through my ribs and once it passed the pain subsided and I was fine. There was a bit of tenderness in the region of pain. I am wondering whether this is due to gas from all the holiday food and carbonated drinks. Or is this something serious that I should get looked at? I wanted to wait and see if it happened again, but was looking for a second opinion on that. Both my grandparents passed away because of heart attack and so, I am worried. I am a mother of two kids and do not want there to be an issue.

Q. Is the sharp pain that I experienced on my left armpit, a sign of heart attack?

Hi. I understand your concern as your grandparents passed of a heart attack, the fear you have is genuine. But, just pain in your chest is not an indication of a heart attack. Since you gave a history of carbonated food and tablet Amoxicillin along with thyroid medication, these both can cause an acid reflux and that can cause heartburn and lead to such non-specific pain. However, if the pain was associated with sweating and stabbing character or constricting type with radiation to the left arm, then it is always better to get an ECG done to see if it is related to your heart. Heartburn. ECG. For further information consult an internal medicine physician online.--->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. Is the sharp pain that I experienced on my left armpit, a sign of heart attack? ### Input: Hello doctor, I am a 27 year old female. My weight is 195 lbs and height is 5'8". I have hypothyroidism and I am on Synthroid. I am taking Amoxicillin for a lingering cold. Yesterday, I experienced a sharp pain on my left side, under my armpit, equal with my left breast. I had this episode of pain twice yesterday. On both the occasions, the pain lasted for about 5 to 10 minutes. When I put my hand on the area it felt as though something was passing through my ribs and once it passed the pain subsided and I was fine. There was a bit of tenderness in the region of pain. I am wondering whether this is due to gas from all the holiday food and carbonated drinks. Or is this something serious that I should get looked at? I wanted to wait and see if it happened again, but was looking for a second opinion on that. Both my grandparents passed away because of heart attack and so, I am worried. I am a mother of two kids and do not want there to be an issue. ###Response: Hi. I understand your concern as your grandparents passed of a heart attack, the fear you have is genuine. But, just pain in your chest is not an indication of a heart attack. Since you gave a history of carbonated food and tablet Amoxicillin along with thyroid medication, these both can cause an acid reflux and that can cause heartburn and lead to such non-specific pain. However, if the pain was associated with sweating and stabbing character or constricting type with radiation to the left arm, then it is always better to get an ECG done to see if it is related to your heart. Heartburn. ECG. For further information consult an internal medicine physician online.--->

Hello doctor, I am a 19 year old female with no past medical history. I experienced constipation for some days, and I saw blood in my stools. I found this small fleshy growth on the anus, which hurts after passing motion. The pain ceases after a few hours. This fleshy growth retracts inside when I contract the surrounding muscles, but it comes out when I relax. It does not cause any pain during other times. I am attaching a picture of this fleshy growth. Please help.

Q. What is the small fleshy growth in my anus?

Hi. I have seen your attached picture (attachment removed to protect patient identity). It shows old hemorrhoids called as skin tags. This picture, along with the pain that you are describing is suggestive of anal fissure. This is a tear in the wall of the anus, at the base of these skin tags. Here is what you need to do: To heal the fissure, do sitz bath. Take lukewarm water in a medium sized tub, put two teaspoons of ordinary salt per liter of water. Total 10 g salt per liter of water. Now sit in this water and try to push out on the anus. Try to make the water clean and sooth your anal region. Sit for around 15 minutes, 3 to 4 times every day for a month or so. Try to do this at least twice per day if you are working professional. It will decrease pain, itching, and help to heal the fissure. Do these for around 6 to 8 weeks. For pain relief during passing stools as well as healing of the fissure, I suggest the following or equivalent generic combinations for at least three weeks, after that only sitz bath should be enough: For constipation, I suggest you try the following: Curing constipation treats these and also prevents these from troubling again. Some people need surgical treatment for bleeding hemorrhoids, but only if dietary measures are not effective in controlling the problem. I hope that helps. Kindly leave feedback. Follow-up if you need any more information. For more information consult a surgical gastroenterologist online -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. What is the small fleshy growth in my anus? ### Input: Hello doctor, I am a 19 year old female with no past medical history. I experienced constipation for some days, and I saw blood in my stools. I found this small fleshy growth on the anus, which hurts after passing motion. The pain ceases after a few hours. This fleshy growth retracts inside when I contract the surrounding muscles, but it comes out when I relax. It does not cause any pain during other times. I am attaching a picture of this fleshy growth. Please help. ###Response: Hi. I have seen your attached picture (attachment removed to protect patient identity). It shows old hemorrhoids called as skin tags. This picture, along with the pain that you are describing is suggestive of anal fissure. This is a tear in the wall of the anus, at the base of these skin tags. Here is what you need to do: To heal the fissure, do sitz bath. Take lukewarm water in a medium sized tub, put two teaspoons of ordinary salt per liter of water. Total 10 g salt per liter of water. Now sit in this water and try to push out on the anus. Try to make the water clean and sooth your anal region. Sit for around 15 minutes, 3 to 4 times every day for a month or so. Try to do this at least twice per day if you are working professional. It will decrease pain, itching, and help to heal the fissure. Do these for around 6 to 8 weeks. For pain relief during passing stools as well as healing of the fissure, I suggest the following or equivalent generic combinations for at least three weeks, after that only sitz bath should be enough: For constipation, I suggest you try the following: Curing constipation treats these and also prevents these from troubling again. Some people need surgical treatment for bleeding hemorrhoids, but only if dietary measures are not effective in controlling the problem. I hope that helps. Kindly leave feedback. Follow-up if you need any more information. For more information consult a surgical gastroenterologist online -->

Hi doctor, Yesterday I used earphones which fit directly into ears for a very long-time. Today I am having extreme unbearable pain in back of head and ears. I have stopped using earphones now. Is there a fast fix for this unbearable back head pain? Can I take Disprin (I never take painkillers)? I use earphones on a daily basis under the prescribed volume limits. Though I have little pain sometime but not to this extent. Please suggest any medication.

Q. Can long-time earphone usage cause pain in ears?

Hi. My understanding and inference is that the pain is not related to the earphones or sound level. This is because of loud noise which usually produces classical symptoms like giddiness, ringing sound in ear, hearing loss, intolerance to loud sounds and some pain in ear. Your symptoms are not very classical to diagnose. Please answer below questions for clear diagnosis. With the details available as of now, I infer that the pain is muscular most probably. For the same, I suggest you the following measures. To understand any occurrence of sound trauma to your ears we must do a pure tone audiometry. This is the definitive investigation to understand any damage to inner ear due to sound. I feel a strong pain killer like Aspirin is not required for these complaints. However, there is no reason to worry as of now. Muscle ache. Bad posture. Rigorous exercise. Pure tone audiometry (this investigation is usually present in speech centers and otolaryngology clinics). For further information consult an ENT otolaryngologist online.--->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. Can long-time earphone usage cause pain in ears? ### Input: Hi doctor, Yesterday I used earphones which fit directly into ears for a very long-time. Today I am having extreme unbearable pain in back of head and ears. I have stopped using earphones now. Is there a fast fix for this unbearable back head pain? Can I take Disprin (I never take painkillers)? I use earphones on a daily basis under the prescribed volume limits. Though I have little pain sometime but not to this extent. Please suggest any medication. ###Response: Hi. My understanding and inference is that the pain is not related to the earphones or sound level. This is because of loud noise which usually produces classical symptoms like giddiness, ringing sound in ear, hearing loss, intolerance to loud sounds and some pain in ear. Your symptoms are not very classical to diagnose. Please answer below questions for clear diagnosis. With the details available as of now, I infer that the pain is muscular most probably. For the same, I suggest you the following measures. To understand any occurrence of sound trauma to your ears we must do a pure tone audiometry. This is the definitive investigation to understand any damage to inner ear due to sound. I feel a strong pain killer like Aspirin is not required for these complaints. However, there is no reason to worry as of now. Muscle ache. Bad posture. Rigorous exercise. Pure tone audiometry (this investigation is usually present in speech centers and otolaryngology clinics). For further information consult an ENT otolaryngologist online.--->

Hi doctor, I am 28 years old. Eight months ago, I got married. Now, I am trying to conceive. I am getting period like cramps 12 days before period, mainly on the right side of the lower abdomen. Pain ranges from mild to severe. My hormones are normal, but AMH is 7.01 ng/mL. My TVS before and after periods is normal. Please suggest what to do.

Q. What is the reason for period like cramps 12 days before period?

Hi. I do understand your concern and due respect for that. For further information consult an obstetrician and gynaecologist online -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. What is the reason for period like cramps 12 days before period? ### Input: Hi doctor, I am 28 years old. Eight months ago, I got married. Now, I am trying to conceive. I am getting period like cramps 12 days before period, mainly on the right side of the lower abdomen. Pain ranges from mild to severe. My hormones are normal, but AMH is 7.01 ng/mL. My TVS before and after periods is normal. Please suggest what to do. ###Response: Hi. I do understand your concern and due respect for that. For further information consult an obstetrician and gynaecologist online -->

Hello doctor, I am 56 years old. I have a feeling of trembling at heart since a month. Sometimes, I feel this trembling even while sleeping and hence, the sleep gets disturbed. During daytime, I also get uneasiness and shivering for hours after an episode of heart trembling. My BP after this feeling was a little bit high at 180/85 mmHg and then it came down to 135/85 mmHg. I went to a neurologist and took CT scan and Doppler of the neck to find for any blocks. Both the scans were normal. The doctor prescribed Rancil, a beta blocker 50 mg, Aspirin, sleeping pill 0.25 mg and Vertin. I hear some sounds in ears. I also had ear pain and giddiness due to ear fluid. The doctor told that such trembling feeling may be due to ear fluid imbalance or may be due to little blocks in blood vessels, which may not be seen in the CT scan. After I took the medicine for six to seven days, there was no such feeling. For the last three days, I stopped medicine, which was prescribed for 15 days. Yesterday night, I felt the same trembling at heart and the sleep was disturbed. Then, I took only beta blocker 25 mg (half of the original prescription), Aspirin and sleep pill and I had a good sleep. I am not a diabetic and have no BP so far. The BP in the last three to four days was normal at 125/80 mmHg even though I did not take the medicines. I walk for one hour on a daily basis regularly. I am also experiencing fainting like feeling, lack of concentration, losing of a sharp and normal vision sometimes. It takes about two to three hours to recover from these symptoms. When I take a beta blocker, Aspirin and sleep pills I find myself feeling better, but the BP gets lowered to about 95/60 mmHg. For the last two decades, I had vertigo. I used to get it once in every 12 to 15 months and I had got used to it. It normally go away in 15 to 20 days. But this time, in the last one month I doubt this is vertigo though I hear some ear sounds and have a little pain in the ears. Though I drive car and two-wheeler slowly, the feeling and unsteadiness makes me very uneasy. During night, sometimes I suddenly wake up after some vibration from the stomach and the chest portion and hence, sleep will be disturbed. I experienced trembling, three times in one month during daytime and felt uneasy in the hands and legs for five hours after that. In the morning, unsteadiness starts to occur and it has happened five times in one month. I am not able to concentrate and there is a fearful sensation in the body. This problem needs to be treated. I doubt whether taking Metoprolol and Rancil will lower the blood pressure. For the past 10 days, I am taking Metoprolol 50 mg, Rancil 20 mg at night, Aspirin at night, Vertin at night, sleep pill 0.25 mg at night and Pan 40 in the morning. Earlier, I was taking Vertin. Please help me.

Q. What are the possible causes for heart trembling?

Hi. I read your query and understand your concerns. For further information consult your neurologist online -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. What are the possible causes for heart trembling? ### Input: Hello doctor, I am 56 years old. I have a feeling of trembling at heart since a month. Sometimes, I feel this trembling even while sleeping and hence, the sleep gets disturbed. During daytime, I also get uneasiness and shivering for hours after an episode of heart trembling. My BP after this feeling was a little bit high at 180/85 mmHg and then it came down to 135/85 mmHg. I went to a neurologist and took CT scan and Doppler of the neck to find for any blocks. Both the scans were normal. The doctor prescribed Rancil, a beta blocker 50 mg, Aspirin, sleeping pill 0.25 mg and Vertin. I hear some sounds in ears. I also had ear pain and giddiness due to ear fluid. The doctor told that such trembling feeling may be due to ear fluid imbalance or may be due to little blocks in blood vessels, which may not be seen in the CT scan. After I took the medicine for six to seven days, there was no such feeling. For the last three days, I stopped medicine, which was prescribed for 15 days. Yesterday night, I felt the same trembling at heart and the sleep was disturbed. Then, I took only beta blocker 25 mg (half of the original prescription), Aspirin and sleep pill and I had a good sleep. I am not a diabetic and have no BP so far. The BP in the last three to four days was normal at 125/80 mmHg even though I did not take the medicines. I walk for one hour on a daily basis regularly. I am also experiencing fainting like feeling, lack of concentration, losing of a sharp and normal vision sometimes. It takes about two to three hours to recover from these symptoms. When I take a beta blocker, Aspirin and sleep pills I find myself feeling better, but the BP gets lowered to about 95/60 mmHg. For the last two decades, I had vertigo. I used to get it once in every 12 to 15 months and I had got used to it. It normally go away in 15 to 20 days. But this time, in the last one month I doubt this is vertigo though I hear some ear sounds and have a little pain in the ears. Though I drive car and two-wheeler slowly, the feeling and unsteadiness makes me very uneasy. During night, sometimes I suddenly wake up after some vibration from the stomach and the chest portion and hence, sleep will be disturbed. I experienced trembling, three times in one month during daytime and felt uneasy in the hands and legs for five hours after that. In the morning, unsteadiness starts to occur and it has happened five times in one month. I am not able to concentrate and there is a fearful sensation in the body. This problem needs to be treated. I doubt whether taking Metoprolol and Rancil will lower the blood pressure. For the past 10 days, I am taking Metoprolol 50 mg, Rancil 20 mg at night, Aspirin at night, Vertin at night, sleep pill 0.25 mg at night and Pan 40 in the morning. Earlier, I was taking Vertin. Please help me. ###Response: Hi. I read your query and understand your concerns. For further information consult your neurologist online -->

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.

Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?

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.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. Will Kalarchikai cure multiple ovarian cysts in PCOD? ### Input: 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. ###Response: 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.

Hi doctor, I am a 27 year old sexually active male. I have been with the same girl for the past 10 years and we are loyal in the relationship. I am having a ton of issues and pain in my lower region. The symptoms are lower back pain, pain in my pubic region, pain and tingling in my testicles, burning with and without urination and pain within the penis. I have been to three different walk-in clinics and had three different antibiotics, including Levaquin, Bactrim and Cipro. I went to a urologist and was told to have pelvic pain syndrome. I have had similar issues in the past. I dealt with a prostate infection a few years ago and that was treated with antibiotics. But, this time nothing is working. Most urine cultures show no bacteria. My thoughts are possibly pudendal neuralgia or interstitial cystitis, as my mom has IC. Do you advise sonogram or endoscopy or medications?

Q. I am getting pain in penis and tingling sensation in testicles. Please help.

Hi. Your symptoms do point towards chronic prostatitis. With negative culture and positive pus cells, it is likely that you are suffering from CPPS IIIA, which is non-bacterial inflammatory chronic prostatitis. Now, this is a difficult condition to manage and requires long-term therapy. I would suggest that you follow up with a urologist on a long term basis. Therapy takes some time and different medications work for different patients. IC (interstitial cystitis- painful bladder) is also a possible condition, but CPPS is more common in males than IC. You do not meet all criteria for IC as per the classic definitions. So, I would keep CPPS as the first differential. I am mentioning some tests that you may want to get done to clarify the situation in a better way. Recurrent infections. Urine anti-proliferative factor, EPS Culture (expressed prostatic secretions) after prostatic massage, uroflowmetry with post-void residual urine assessment and cystoscopy. 1. CPPS IIIA. 2. BPS (bladder pain syndrome) / IC. I suggest combination of Amitriptyline, alpha blockers, NSAIDS (nonsteroidal anti-inflammatory drugs) and Gabapentin. Dietary modifications will be necessary. Consult your specialist doctor, discuss with him or her and take the medicine with consent. Stay away from spices, coffee and anything that you feel trigger the symptoms or aggravate them. Revert back with the reports to a urologist online.--->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. I am getting pain in penis and tingling sensation in testicles. Please help. ### Input: Hi doctor, I am a 27 year old sexually active male. I have been with the same girl for the past 10 years and we are loyal in the relationship. I am having a ton of issues and pain in my lower region. The symptoms are lower back pain, pain in my pubic region, pain and tingling in my testicles, burning with and without urination and pain within the penis. I have been to three different walk-in clinics and had three different antibiotics, including Levaquin, Bactrim and Cipro. I went to a urologist and was told to have pelvic pain syndrome. I have had similar issues in the past. I dealt with a prostate infection a few years ago and that was treated with antibiotics. But, this time nothing is working. Most urine cultures show no bacteria. My thoughts are possibly pudendal neuralgia or interstitial cystitis, as my mom has IC. Do you advise sonogram or endoscopy or medications? ###Response: Hi. Your symptoms do point towards chronic prostatitis. With negative culture and positive pus cells, it is likely that you are suffering from CPPS IIIA, which is non-bacterial inflammatory chronic prostatitis. Now, this is a difficult condition to manage and requires long-term therapy. I would suggest that you follow up with a urologist on a long term basis. Therapy takes some time and different medications work for different patients. IC (interstitial cystitis- painful bladder) is also a possible condition, but CPPS is more common in males than IC. You do not meet all criteria for IC as per the classic definitions. So, I would keep CPPS as the first differential. I am mentioning some tests that you may want to get done to clarify the situation in a better way. Recurrent infections. Urine anti-proliferative factor, EPS Culture (expressed prostatic secretions) after prostatic massage, uroflowmetry with post-void residual urine assessment and cystoscopy. 1. CPPS IIIA. 2. BPS (bladder pain syndrome) / IC. I suggest combination of Amitriptyline, alpha blockers, NSAIDS (nonsteroidal anti-inflammatory drugs) and Gabapentin. Dietary modifications will be necessary. Consult your specialist doctor, discuss with him or her and take the medicine with consent. Stay away from spices, coffee and anything that you feel trigger the symptoms or aggravate them. Revert back with the reports to a urologist online.--->

Hi doctor, What are some of the home remedies for burning sensation of the Anus? What is the reason for this burning sensation? It happens whenever I eat outside food. Though I did not eat more spicy food, why it is happening.

Q. What is the home remedy for burning sensation of the anus?

Hi. The following are the causes for burning sensation in the anus. Here are some home remedies for curing the burning sensation of the anus.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. What is the home remedy for burning sensation of the anus? ### Input: Hi doctor, What are some of the home remedies for burning sensation of the Anus? What is the reason for this burning sensation? It happens whenever I eat outside food. Though I did not eat more spicy food, why it is happening. ###Response: Hi. The following are the causes for burning sensation in the anus. Here are some home remedies for curing the burning sensation of the anus.

Hi doctor, I am a 33 year old female who has had meningomyelocele (spina bifida) since birth. I suffer from scoliosis of the spine, paralysis of the lower limbs and valgus of the feet. My bladder and bowel control had always been exceptionally good in spite of my condition. Before 12 days, I had sexual intercourse for the first time. Since that day, I have noticed that I urinate with extreme frequency for every 30 minutes. The urge to go is also very strong and holding it for more than 5 minutes has become impossible. I even wake up in the night to visit the bathroom. 12 days have passed and the symptoms have not abated yet. Is this a common symptom? Is it related to meningomyelocele? What is the solution? Please help.

Q. What is the solution for frequent urination after sex?

Hello. Please relax and do not worry. I will explain you everything in detail. 1. Urine routine. 2. Urine culture and sensitivity. 3. Ultrasound of abdomen and pelvis with post-void residual urine. 4. Hemogram. 5. Serum creatinine. Consult your specialist doctor, discuss with him or her and take the treatment below. 1. Tablet Norfloxacin 400 mg in the morning and evening for five days to be started after giving a urine sample for culture. 2. Tablet Pan 40 (Pantoprazole) in the morning for five days. 3. Syrup Cital 10 mL (Disodium hydrogen citrate) in glass of water in the morning and evening for seven days. Drink at least 2 liters of water daily. Revert back with the reports to a urologist online.--->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. What is the solution for frequent urination after sex? ### Input: Hi doctor, I am a 33 year old female who has had meningomyelocele (spina bifida) since birth. I suffer from scoliosis of the spine, paralysis of the lower limbs and valgus of the feet. My bladder and bowel control had always been exceptionally good in spite of my condition. Before 12 days, I had sexual intercourse for the first time. Since that day, I have noticed that I urinate with extreme frequency for every 30 minutes. The urge to go is also very strong and holding it for more than 5 minutes has become impossible. I even wake up in the night to visit the bathroom. 12 days have passed and the symptoms have not abated yet. Is this a common symptom? Is it related to meningomyelocele? What is the solution? Please help. ###Response: Hello. Please relax and do not worry. I will explain you everything in detail. 1. Urine routine. 2. Urine culture and sensitivity. 3. Ultrasound of abdomen and pelvis with post-void residual urine. 4. Hemogram. 5. Serum creatinine. Consult your specialist doctor, discuss with him or her and take the treatment below. 1. Tablet Norfloxacin 400 mg in the morning and evening for five days to be started after giving a urine sample for culture. 2. Tablet Pan 40 (Pantoprazole) in the morning for five days. 3. Syrup Cital 10 mL (Disodium hydrogen citrate) in glass of water in the morning and evening for seven days. Drink at least 2 liters of water daily. Revert back with the reports to a urologist online.--->

Hello doctor, I am a 26 year old male. My height is 190 cm and weight is 85 kg. I do exercise with weights regularly. I have noticed that I have reduced feeling in the skin on my shaft. I cannot feel normal touch, but I can feel the pain if I pinch it with my nails. To best describe it; it feels like my penis is not there when the head was covered by foreskin. I just noticed it two weeks ago. Is this due to nerve impingement? I do not have any back pain or radiating pain down the legs. There is no trouble or pain with defecation or urinating. There is no tingling or pins and needles on the shaft. Rarely, I feel some burning or numbness feeling. I do not notice any discoloration or anatomical abnormalities. Is this a sign of diabetes? But, there are no symptoms such as polydipsia, polyuria, etc. I do not remember any trauma to the penis. I do not ride bicycles at all. I have been to a urologist and done an ultrasound of the penis and testicles along with a Doppler. But, there is no finding to be worried.My libido is very low. I get erections during the night or if I really concentrate on erotic thoughts. I have not tested testosterone levels, but I suspect them to be normal. I do not really mind the reduced feeling in the shaft. But, it would be nice to get it back. I am worried by thinking that it may spread or this is a start of a more serious disease. What is your opinion? Thanks in advance.

Q. I feel numbness in penis. Is it due to nerve impingement?

Hi. This is a localized numbness that we are bothered with. Disease starting from this region without any other associated symptoms is quite rare and without them we may not think of a systemic pathology right away. Have you tried nerve tonics? I suggest back strengthening exercises and Pregabalin 75 mg once a day for two weeks. Vitamin B12 levels and HbA1c should be helpful. Consult a specialist doctor, discuss with him or her and take the medicine with consent. Lack of erections may suggest a more systemic disease, but we need to have more a detailed talk before we can attribute symptoms. For further information consult a urologist online -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. I feel numbness in penis. Is it due to nerve impingement? ### Input: Hello doctor, I am a 26 year old male. My height is 190 cm and weight is 85 kg. I do exercise with weights regularly. I have noticed that I have reduced feeling in the skin on my shaft. I cannot feel normal touch, but I can feel the pain if I pinch it with my nails. To best describe it; it feels like my penis is not there when the head was covered by foreskin. I just noticed it two weeks ago. Is this due to nerve impingement? I do not have any back pain or radiating pain down the legs. There is no trouble or pain with defecation or urinating. There is no tingling or pins and needles on the shaft. Rarely, I feel some burning or numbness feeling. I do not notice any discoloration or anatomical abnormalities. Is this a sign of diabetes? But, there are no symptoms such as polydipsia, polyuria, etc. I do not remember any trauma to the penis. I do not ride bicycles at all. I have been to a urologist and done an ultrasound of the penis and testicles along with a Doppler. But, there is no finding to be worried.My libido is very low. I get erections during the night or if I really concentrate on erotic thoughts. I have not tested testosterone levels, but I suspect them to be normal. I do not really mind the reduced feeling in the shaft. But, it would be nice to get it back. I am worried by thinking that it may spread or this is a start of a more serious disease. What is your opinion? Thanks in advance. ###Response: Hi. This is a localized numbness that we are bothered with. Disease starting from this region without any other associated symptoms is quite rare and without them we may not think of a systemic pathology right away. Have you tried nerve tonics? I suggest back strengthening exercises and Pregabalin 75 mg once a day for two weeks. Vitamin B12 levels and HbA1c should be helpful. Consult a specialist doctor, discuss with him or her and take the medicine with consent. Lack of erections may suggest a more systemic disease, but we need to have more a detailed talk before we can attribute symptoms. For further information consult a urologist online -->

Hello doctor, I am a 19 year old male. My right eye is smaller than my left eye. For this cause I am not able to see clearly with my right eye. Please help.

Q. My right eye is smaller than my left eye. How to correct it?

Hi. I understand your concerns. The treatment options for you include: Consult an eye care ophthalmologist online for further follow up -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. My right eye is smaller than my left eye. How to correct it? ### Input: Hello doctor, I am a 19 year old male. My right eye is smaller than my left eye. For this cause I am not able to see clearly with my right eye. Please help. ###Response: Hi. I understand your concerns. The treatment options for you include: Consult an eye care ophthalmologist online for further follow up -->

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?

Q. What does abutment of the nerve root mean?

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 -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. What does abutment of the nerve root mean? ### Input: 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? ###Response: 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 -->

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.

Q. Will Nano-Leo give permanent solution for erection problem?

Hi. For further doubts consult a sexologist online -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. Will Nano-Leo give permanent solution for erection problem? ### Input: 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. ###Response: Hi. For further doubts consult a sexologist online -->

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.

Q. Every time I eat spicy food, I poop blood. Why?

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 -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. Every time I eat spicy food, I poop blood. Why? ### Input: 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. ###Response: 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 -->

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.

Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?

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.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. Will Kalarchikai cure multiple ovarian cysts in PCOD? ### Input: 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. ###Response: 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.

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.

Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way?

Hi. For further doubts consult a sexologist online -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? ### Input: 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. ###Response: Hi. For further doubts consult a sexologist online -->

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.

Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way?

Hi. For further doubts consult a sexologist online -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? ### Input: 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. ###Response: Hi. For further doubts consult a sexologist online -->

Hello doctor, I got my penis injured while having sex with my girlfriend. Now, I have what seems to be an inflamed rib or ridges on only one side of my penis. It hurts all day while walking or lifting too. I have a hard flaccid penis since this has happened. I have been taking anti-inflammatory drugs and icing it, but cannot get them to go away. Everything aggravates around night-time erections and all erections are painful on that side. I drive all day and just by pressing the brake, it hurts the whole day. I do not have peyronie's or a curved erection. Going to a urologist just blows me off. Has anyone ever heard of this situation? Is there any anti-inflammatory injection or drug that will make me not get erections until it heal? I never had these before the injury. I am attaching the picture. Please help.

Q. What can the painful inflamed ridges on penis be?

Hello. I had a look at the photo (attachment removed to protect patient identity). For further information consult a urologist online -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. What can the painful inflamed ridges on penis be? ### Input: Hello doctor, I got my penis injured while having sex with my girlfriend. Now, I have what seems to be an inflamed rib or ridges on only one side of my penis. It hurts all day while walking or lifting too. I have a hard flaccid penis since this has happened. I have been taking anti-inflammatory drugs and icing it, but cannot get them to go away. Everything aggravates around night-time erections and all erections are painful on that side. I drive all day and just by pressing the brake, it hurts the whole day. I do not have peyronie's or a curved erection. Going to a urologist just blows me off. Has anyone ever heard of this situation? Is there any anti-inflammatory injection or drug that will make me not get erections until it heal? I never had these before the injury. I am attaching the picture. Please help. ###Response: Hello. I had a look at the photo (attachment removed to protect patient identity). For further information consult a urologist online -->

Hi doctor, I am a married guy of 32 years old. For the past two to three years, I am facing problem to get proper erection. I have already consulted a doctor and he asked me to get some tests done such as cholesterol, sugar and BP. We found that the triglyceride value is more than 350 mg/dL. He advised me to take tablet Lipicard 160 and Nano-Leo total sachet twice a day in milk for a week. He also advised me to do regular exercise and decrease the fatty or oily food. After a week, I found some difference in erection. It was better than before, but still I am not getting a triggering effect like I was having in my younger age. I had Sildenafil citrate in the past. Currently, I am taking Duralast 30 mg. In my teenage, erection used to happen even by thought. But, now I am getting it after struggling on bed. With my partner too the duration is very short. Please help.

Q. Can you suggest any medicine to get proper erection?

Hi. 1. Hyperlipidemia. 2. Dapoxetine. Erectile dysfunction. Exercise and dietary changes. For further information consult a sexologist online.--->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. Can you suggest any medicine to get proper erection? ### Input: Hi doctor, I am a married guy of 32 years old. For the past two to three years, I am facing problem to get proper erection. I have already consulted a doctor and he asked me to get some tests done such as cholesterol, sugar and BP. We found that the triglyceride value is more than 350 mg/dL. He advised me to take tablet Lipicard 160 and Nano-Leo total sachet twice a day in milk for a week. He also advised me to do regular exercise and decrease the fatty or oily food. After a week, I found some difference in erection. It was better than before, but still I am not getting a triggering effect like I was having in my younger age. I had Sildenafil citrate in the past. Currently, I am taking Duralast 30 mg. In my teenage, erection used to happen even by thought. But, now I am getting it after struggling on bed. With my partner too the duration is very short. Please help. ###Response: Hi. 1. Hyperlipidemia. 2. Dapoxetine. Erectile dysfunction. Exercise and dietary changes. For further information consult a sexologist online.--->

Hello doctor, Thank you for giving us the first query free. I am 26 years old male suffering from asthma for the past 14 to 15 years. So, I feel shame for myself when I use an inhaler. I am not able to go on tour especially in winter because I do not want to share my worst condition in front of my known people. I do not need any sympathy faces. Sometimes, I do not feel shortness of breath but wheezing irritates me, and I am unable to focus on work. When people leave me alone, then I take inhaler. When I take a bath in winter, I feel shortness of breath. Right now I am taking Bresol (Himalaya tablet) two times a day for past two months with lukewarm water. This winter I am drinking lukewarm water every time. But the problem is still there. When I go to sleep, I feel wheezing and the same when I wake up. A pharmacist said to use Septilin (syrup) with Bresol and take Bresol thrice a day and Septilin twice, and nobody told me how long I have to take this. I know asthma is not curable. Please give me some good advice and names of medicines (ayurvedic) for long time relief. And also advise regarding Bresol and Septilin (especially how long I have to take this).

Q. Which ayurvedic medicine can give a long time relief from asthma?

Hello. Regarding the continuation of medicines, you may have to use the multivitamin tablet, Septilin (Tinospora) and Bresol (Turmeric, Vasaka, and Vaividang) for a long time till your allergic condition persists. These medicines are for helping your body develop good immunity against the respiratory problems. These medicines act slightly different than inhalers. Although, I would like to tell you that inhalers are scientific. Ayurvedic medicines may not help to get respite from an acute problem. Asthma is a manifestation of hypersensitivity. It is wise to find the cause of the hypersensitivity. We call the same allergy. Rhinitis asthma is different manifestations of allergy. Allergy is present in the genes, and we may not be able to cure allergy entirely. Allergen avoidance forms the mainstay of the treatment and management of allergy. You should be carefully noting down which areas and circumstances lead to the symptoms in you. Like going to gardens, smoking, pollution, dust, particular smells and fragrances, fumes, effluents, climate, etc. You should also note when the symptoms are more and when they are less. Whether there are any seasonal or diurnal variations. Once you have a detailed diary regarding this, you will be able to make some reasonable conclusions regarding when you have to be careful. Next method of finding out the allergen is allergy testing. The two methods available are skin prick testing and blood immunoCAP method. Both methods are easy and fast, but skin prick testing is more accurate. Once we find out the allergens causing the problem for you, we can give you specific advice on how to avoid these allergens and stay safe. The treatment of Septilin and Bresol that you are taking are to help your body stay healthy, improve immunity, provide all nutrients and micronutrient for the body to deal with offending agents. But these are not the definitive cure for the problem. Hence, it is not possible to say clearly till what time you will have to take the medicines. Additionally, if you get an asthma attack during the course of these medicines, you may still need inhalers or nebulization or medicines on an SOS basis. Do share with us your prescriptions and investigations reports so that we can help you better. Hope to see you healthy soon. For more information consult an allergy specialist online -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. Which ayurvedic medicine can give a long time relief from asthma? ### Input: Hello doctor, Thank you for giving us the first query free. I am 26 years old male suffering from asthma for the past 14 to 15 years. So, I feel shame for myself when I use an inhaler. I am not able to go on tour especially in winter because I do not want to share my worst condition in front of my known people. I do not need any sympathy faces. Sometimes, I do not feel shortness of breath but wheezing irritates me, and I am unable to focus on work. When people leave me alone, then I take inhaler. When I take a bath in winter, I feel shortness of breath. Right now I am taking Bresol (Himalaya tablet) two times a day for past two months with lukewarm water. This winter I am drinking lukewarm water every time. But the problem is still there. When I go to sleep, I feel wheezing and the same when I wake up. A pharmacist said to use Septilin (syrup) with Bresol and take Bresol thrice a day and Septilin twice, and nobody told me how long I have to take this. I know asthma is not curable. Please give me some good advice and names of medicines (ayurvedic) for long time relief. And also advise regarding Bresol and Septilin (especially how long I have to take this). ###Response: Hello. Regarding the continuation of medicines, you may have to use the multivitamin tablet, Septilin (Tinospora) and Bresol (Turmeric, Vasaka, and Vaividang) for a long time till your allergic condition persists. These medicines are for helping your body develop good immunity against the respiratory problems. These medicines act slightly different than inhalers. Although, I would like to tell you that inhalers are scientific. Ayurvedic medicines may not help to get respite from an acute problem. Asthma is a manifestation of hypersensitivity. It is wise to find the cause of the hypersensitivity. We call the same allergy. Rhinitis asthma is different manifestations of allergy. Allergy is present in the genes, and we may not be able to cure allergy entirely. Allergen avoidance forms the mainstay of the treatment and management of allergy. You should be carefully noting down which areas and circumstances lead to the symptoms in you. Like going to gardens, smoking, pollution, dust, particular smells and fragrances, fumes, effluents, climate, etc. You should also note when the symptoms are more and when they are less. Whether there are any seasonal or diurnal variations. Once you have a detailed diary regarding this, you will be able to make some reasonable conclusions regarding when you have to be careful. Next method of finding out the allergen is allergy testing. The two methods available are skin prick testing and blood immunoCAP method. Both methods are easy and fast, but skin prick testing is more accurate. Once we find out the allergens causing the problem for you, we can give you specific advice on how to avoid these allergens and stay safe. The treatment of Septilin and Bresol that you are taking are to help your body stay healthy, improve immunity, provide all nutrients and micronutrient for the body to deal with offending agents. But these are not the definitive cure for the problem. Hence, it is not possible to say clearly till what time you will have to take the medicines. Additionally, if you get an asthma attack during the course of these medicines, you may still need inhalers or nebulization or medicines on an SOS basis. Do share with us your prescriptions and investigations reports so that we can help you better. Hope to see you healthy soon. For more information consult an allergy specialist online -->

Hello doctor, I have had a red/pink rash on the side of my nose for about a year and a half now. It is on the bridge of my nose. It gets better at times, but most of the time it is prominent. It also usually gets better when I am in a cool environment and worse when I am in a hot climate or in sunlight. I used to take allergy pills every day for about two years and then I noticed the rash, so I stopped pretty much completely for about a month. It seemed to get worse and again I started taking them for another 3 months probably. It had no effect on the rash and I stopped completely and I have not taken a pill for almost three months. Does this sound like a reaction to the pill or is it something else? The rash also burns and so I know when it flares up. The rest of my face seems to have gotten a little more inflamed but it might be my imagination. I am a 22 year old male. My height is 5'11" and I weigh 160 lbs. I have tried everything to get rid of it. Please help.

Q. I have pink rash on the side of my nose that gets worsened in sunlight. What could it be?

Hi. After carefully reading your history I came to a conclusion that there are two possibilities of your rash. Drug reaction: Photoallergic dermatitis: I would advise you take Prednisolone 40 mg in tapering doses and sunscreen with at least 50 spf, thrice daily at 8 AM,11 AM AND 2 PM, with 2.5 finger tip unit (one finger tip unit is the amount of ointment expelled from a tube with a nozzle of 5 mm diameter, from the skin crease that is closest to the end of the finger, to the tip of the index finger) for at least face. Consult a dermatologist online for further follow up -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. I have pink rash on the side of my nose that gets worsened in sunlight. What could it be? ### Input: Hello doctor, I have had a red/pink rash on the side of my nose for about a year and a half now. It is on the bridge of my nose. It gets better at times, but most of the time it is prominent. It also usually gets better when I am in a cool environment and worse when I am in a hot climate or in sunlight. I used to take allergy pills every day for about two years and then I noticed the rash, so I stopped pretty much completely for about a month. It seemed to get worse and again I started taking them for another 3 months probably. It had no effect on the rash and I stopped completely and I have not taken a pill for almost three months. Does this sound like a reaction to the pill or is it something else? The rash also burns and so I know when it flares up. The rest of my face seems to have gotten a little more inflamed but it might be my imagination. I am a 22 year old male. My height is 5'11" and I weigh 160 lbs. I have tried everything to get rid of it. Please help. ###Response: Hi. After carefully reading your history I came to a conclusion that there are two possibilities of your rash. Drug reaction: Photoallergic dermatitis: I would advise you take Prednisolone 40 mg in tapering doses and sunscreen with at least 50 spf, thrice daily at 8 AM,11 AM AND 2 PM, with 2.5 finger tip unit (one finger tip unit is the amount of ointment expelled from a tube with a nozzle of 5 mm diameter, from the skin crease that is closest to the end of the finger, to the tip of the index finger) for at least face. Consult a dermatologist online for further follow up -->

Hi doctor, I have a yeast infection in my penis for the last two years. I have tried all natural medicines like coconut oil, yogurt, etc. Also, if apply Panderm plus or FourDerm or Candid cream daily, then I feel normal. Otherwise, I am getting inflammation and swelling of the penis. Kindly suggest a good medicine for permanent cure. Thank you.

Q. Kindly suggest a permanent cure for penile yeast infection.

Hi. Always evaluate the cause of recurrent yeast infection. It can be any of the following reasons. Maintain good genital hygiene. Daily wash the genital area with soap and water and keep it dry. If you are uncircumcised, then clean under the foreskin. If it recurs after stopping the treatment, then continue the treatment once in a week regimen after consulting your dermatologist. If none of these works, then go for circumcision. For further information consult an internal medicine physician online -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. Kindly suggest a permanent cure for penile yeast infection. ### Input: Hi doctor, I have a yeast infection in my penis for the last two years. I have tried all natural medicines like coconut oil, yogurt, etc. Also, if apply Panderm plus or FourDerm or Candid cream daily, then I feel normal. Otherwise, I am getting inflammation and swelling of the penis. Kindly suggest a good medicine for permanent cure. Thank you. ###Response: Hi. Always evaluate the cause of recurrent yeast infection. It can be any of the following reasons. Maintain good genital hygiene. Daily wash the genital area with soap and water and keep it dry. If you are uncircumcised, then clean under the foreskin. If it recurs after stopping the treatment, then continue the treatment once in a week regimen after consulting your dermatologist. If none of these works, then go for circumcision. For further information consult an internal medicine physician online -->

Hello doctor, My mother is having melasma on face. Can she use Kojivit gel? If yes, please suggest whether it can be used at night time or otherwise?

Q. Having melasma on face. Can Kojivit Gel be used and how to use it?

Hi. I have few questions for you to suggest the most appropriate treatment. Also, please get her hormonal tests done to ensure that it is not hormonal (FSH and LH). And please do follow the below suggestions: Avoid sun exposure - Use a sunscreen (UVA and B) minimum 30 SPF. (Neutrogena is good but you may use any as per your skin or requirement. Even shalaks pharmaceutical has a good sun cream- UV AVO) If she has to go out or even indoors, she must clean her face and then apply sunscreen.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. Having melasma on face. Can Kojivit Gel be used and how to use it? ### Input: Hello doctor, My mother is having melasma on face. Can she use Kojivit gel? If yes, please suggest whether it can be used at night time or otherwise? ###Response: Hi. I have few questions for you to suggest the most appropriate treatment. Also, please get her hormonal tests done to ensure that it is not hormonal (FSH and LH). And please do follow the below suggestions: Avoid sun exposure - Use a sunscreen (UVA and B) minimum 30 SPF. (Neutrogena is good but you may use any as per your skin or requirement. Even shalaks pharmaceutical has a good sun cream- UV AVO) If she has to go out or even indoors, she must clean her face and then apply sunscreen.

Hello doctor, I am a 49 year old fairly healthy male. My height is 6 feet and weight is 260. I am overweight and also have low testosterone. I have had a noticeable shrinkage in my testicles in recent years. I have embarrassing erectile issues, including premature ejaculation and often I am unable to maintain an erection. I am not on any regular medication. I do not drink alcohol or smoke. I have attached my photos for your reference. My skin is discolored with red circles on my inner side of the legs up to each side of the scrotum. It frequently itches especially after much walking. The red circles are also present just above my penis, but are obscured by my pubic hair. I am also concerned about a patch of darker skin on my scrotum. There is also a pimple or a tag of skin on my inner right leg; two smaller ones on the inner left leg and one at the top of my right leg where my pubic hair stops. They all sometimes hurt, especially when my innerwear rub against them. I have had these for years. I was in the hope that they would go away on their own, but now I have noticed a few small ones begins to develop in the same area. There is also a mole or pimple like growth between the base of my scrotum and anus. This hurts or itches when I sit or walk too long. I have not sought treatment to care of these issues before because of embarrassment. What treatment or medication might help? What do you suggest?

Q. What treatment will help for discolored skin and red circles in inner thigh?

Hello. At the onset I would like to tell you that though I understand your concern and situation, but there is nothing to be ashamed or apprehensive of yourself. It is a medical problem and can only be tackled by proper medical treatment and advice, and not by hiding your problem from doctors. It is great that you do not smoke as it may increase your problem. According to your weight and height your BMI is 35, which falls in borderline to moderately to severely obese. I advise you to visit or ask an endocrinologist regarding the shrinking of the testicles and erectile issues as these may be related to hormonal balance or even obesity. Red circles on the inner thighs (attachment removed to protect patient identity) are indicative of fungal infection known as tinea cruris. For this, a course of antifungals is advised. I would suggest the following treatment. Consult your specialist doctor, discuss with him or her and take the medicine with consent. The outgrowths of skin are skin tags and they are usually related to hyperlipidemia. They are not harmful and only have cosmetic concerns. They are best dealt with by simple office based surgery with cautery machine requiring only local anesthesia, which is a 5 minute superficial procedure. But, they will not go on their own. You may get your fasting serum lipid profile done, which will measure the levels of cholesterol, LDL (low-density lipoprotein), VLDL (very low density lipoprotein) and HDL (high-density lipoprotein). If any of these are abnormal suitable, then medicine can be started. Medicine is important as abnormal lipid profile increases one's risk of cardiac events in the future. One important thing on which I cannot emphasize enough would be decreasing your weight. If you can gradually decrease your weight even by a few pounds, you would see a lot of these medical problems would get better by themselves. You may follow up after two to three weeks. Revert back after three weeks to a dermatologist online -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. What treatment will help for discolored skin and red circles in inner thigh? ### Input: Hello doctor, I am a 49 year old fairly healthy male. My height is 6 feet and weight is 260. I am overweight and also have low testosterone. I have had a noticeable shrinkage in my testicles in recent years. I have embarrassing erectile issues, including premature ejaculation and often I am unable to maintain an erection. I am not on any regular medication. I do not drink alcohol or smoke. I have attached my photos for your reference. My skin is discolored with red circles on my inner side of the legs up to each side of the scrotum. It frequently itches especially after much walking. The red circles are also present just above my penis, but are obscured by my pubic hair. I am also concerned about a patch of darker skin on my scrotum. There is also a pimple or a tag of skin on my inner right leg; two smaller ones on the inner left leg and one at the top of my right leg where my pubic hair stops. They all sometimes hurt, especially when my innerwear rub against them. I have had these for years. I was in the hope that they would go away on their own, but now I have noticed a few small ones begins to develop in the same area. There is also a mole or pimple like growth between the base of my scrotum and anus. This hurts or itches when I sit or walk too long. I have not sought treatment to care of these issues before because of embarrassment. What treatment or medication might help? What do you suggest? ###Response: Hello. At the onset I would like to tell you that though I understand your concern and situation, but there is nothing to be ashamed or apprehensive of yourself. It is a medical problem and can only be tackled by proper medical treatment and advice, and not by hiding your problem from doctors. It is great that you do not smoke as it may increase your problem. According to your weight and height your BMI is 35, which falls in borderline to moderately to severely obese. I advise you to visit or ask an endocrinologist regarding the shrinking of the testicles and erectile issues as these may be related to hormonal balance or even obesity. Red circles on the inner thighs (attachment removed to protect patient identity) are indicative of fungal infection known as tinea cruris. For this, a course of antifungals is advised. I would suggest the following treatment. Consult your specialist doctor, discuss with him or her and take the medicine with consent. The outgrowths of skin are skin tags and they are usually related to hyperlipidemia. They are not harmful and only have cosmetic concerns. They are best dealt with by simple office based surgery with cautery machine requiring only local anesthesia, which is a 5 minute superficial procedure. But, they will not go on their own. You may get your fasting serum lipid profile done, which will measure the levels of cholesterol, LDL (low-density lipoprotein), VLDL (very low density lipoprotein) and HDL (high-density lipoprotein). If any of these are abnormal suitable, then medicine can be started. Medicine is important as abnormal lipid profile increases one's risk of cardiac events in the future. One important thing on which I cannot emphasize enough would be decreasing your weight. If you can gradually decrease your weight even by a few pounds, you would see a lot of these medical problems would get better by themselves. You may follow up after two to three weeks. Revert back after three weeks to a dermatologist online -->

Hi doctor, Around three months back, I started to hear a strange noise at night. We live in a village. Apart from the odd barking dog and passing car, it is silent, especially at night. However, I started to hear what sounded like a distant engine, but it never got any closer. It is almost like a droning sound, not a hum as such as seemed to almost vibrating through me. It did not particularly stop me sleeping, but was annoying. It was there for a couple of nights and I would go outside and could not hear it. I could hear it in other rooms of the house, although maybe not as loud as the bedroom. I could find no real explanation for it. Electric cables are going to the house but have been the same for years, and nothing has changed. Then a couple of weeks later, the noise was back and was really loud when I went to bed. I fell asleep but woke in the middle of the night, and it kept me awake. The next day I could still hear it everywhere in the house, also in the next door house, but not so much outside. It is like a constant distant aircraft noise or car engine that goes in and out, louder, quieter, louder, quieter and at times I almost feel it than hear it. It left me tired with a slight headache, and it was just pulsating through my body all the time. That was the worst day. Since then we moved to another house in an entirely different area, although still a quiet village location. There is a very little passing traffic as we are at the end of a lane. At first the noise seemed to have gone; however, I have begun to notice it again. I can hear it all the time, but in the day there are other noises and distractions. It is at night when it is very quiet I can hear a constant drone. It now seems mainly in my left ear, or I can hear it especially in that ear. If I put my finger in that ear, it stops. Also if I hold my nose and blow and keep the pressure up the noise cannot be heard. If I put my finger in my right ear, I can still hear it, although maybe not as loudly. For example, it was very distant this morning. If I put my left ear on the pillow and lie on my side, I can hear it just the same. It does not keep me awake and or cause me any real problems. I am just getting concerned it could be due to something nasty, like a brain tumour or something. I went to the pharmacist and got some cleaning spray. I have also had a consultation with an ENT specialist. I did not explain to him about the droning sound as it is difficult in another language, but he gave me a checkup and did not find anything out of the ordinary by looking in my ears, nose, throat, etc. I have recently been diagnosed with hypothyroidism although I can get no connection. If it is tinnitus, then I can live with it quickly enough at the moment. But, I am concerned that it could be the symptom of any serious underlying problem. I have had recent blood tests done, and they were all fine apart from my TSH levels for hypothyroidism, and my blood pressure is fine.

Q. I am hearing a strange noise only at night. Please help.

Hi. Revert with the reports to an ENT otolaryngologist online -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. I am hearing a strange noise only at night. Please help. ### Input: Hi doctor, Around three months back, I started to hear a strange noise at night. We live in a village. Apart from the odd barking dog and passing car, it is silent, especially at night. However, I started to hear what sounded like a distant engine, but it never got any closer. It is almost like a droning sound, not a hum as such as seemed to almost vibrating through me. It did not particularly stop me sleeping, but was annoying. It was there for a couple of nights and I would go outside and could not hear it. I could hear it in other rooms of the house, although maybe not as loud as the bedroom. I could find no real explanation for it. Electric cables are going to the house but have been the same for years, and nothing has changed. Then a couple of weeks later, the noise was back and was really loud when I went to bed. I fell asleep but woke in the middle of the night, and it kept me awake. The next day I could still hear it everywhere in the house, also in the next door house, but not so much outside. It is like a constant distant aircraft noise or car engine that goes in and out, louder, quieter, louder, quieter and at times I almost feel it than hear it. It left me tired with a slight headache, and it was just pulsating through my body all the time. That was the worst day. Since then we moved to another house in an entirely different area, although still a quiet village location. There is a very little passing traffic as we are at the end of a lane. At first the noise seemed to have gone; however, I have begun to notice it again. I can hear it all the time, but in the day there are other noises and distractions. It is at night when it is very quiet I can hear a constant drone. It now seems mainly in my left ear, or I can hear it especially in that ear. If I put my finger in that ear, it stops. Also if I hold my nose and blow and keep the pressure up the noise cannot be heard. If I put my finger in my right ear, I can still hear it, although maybe not as loudly. For example, it was very distant this morning. If I put my left ear on the pillow and lie on my side, I can hear it just the same. It does not keep me awake and or cause me any real problems. I am just getting concerned it could be due to something nasty, like a brain tumour or something. I went to the pharmacist and got some cleaning spray. I have also had a consultation with an ENT specialist. I did not explain to him about the droning sound as it is difficult in another language, but he gave me a checkup and did not find anything out of the ordinary by looking in my ears, nose, throat, etc. I have recently been diagnosed with hypothyroidism although I can get no connection. If it is tinnitus, then I can live with it quickly enough at the moment. But, I am concerned that it could be the symptom of any serious underlying problem. I have had recent blood tests done, and they were all fine apart from my TSH levels for hypothyroidism, and my blood pressure is fine. ###Response: Hi. Revert with the reports to an ENT otolaryngologist online -->

Hi doctor, I am a 22 year old female. I have a dusky skin that is brown skin. I want to become fair. Can I use Kojivit gel? Or any other dermoatology cream can I use? My hands are also brown in color and full of tan. Do you suggest any creams to get fair? I want to become fair as my marriage is going to get fixed by next year. Please suggest me some creams, so that it should not show any side effects. Also, how long I should use it? If I use anything, then will it have any effect in case of pregnancy, etc? Please help me. Thanks in advance.

Q. Can I use Kojivit gel to get fair skin?

Hi. One's skin color has 2 components. First one is genetic, which cannot be changed. Every skin color is beautiful in its own way and we should learn to love our skin color and augment it and not hide or lighten it. The second component is acquired, which is due to the influence of environment, sunlight, hormones, aging, etc. We can only target the acquired component of fair skin color while attempting lightening procedures. I suggest you antioxidant capsules like capsule Antoxid HC (Beta-carotene) and apply sunscreen lotion Lashield gel at 8 AM and 12 PM. Also, you can apply Glyaha koj lotion (Hydroquinone) at night time. Start with an alternate night application initialy as it may irritate your skin a bit and after a week or so, shift to daily night application. Consult your specialist doctor, discuss with him or her and take the treatment with consent. You can go for chemical peeling or microdermabrasion from your dermatologist which will help in exfoliating and give you a clearer skin tone. All these treatments are free of side effects. You may use them for three months. For further information consult a dermatologist online -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. Can I use Kojivit gel to get fair skin? ### Input: Hi doctor, I am a 22 year old female. I have a dusky skin that is brown skin. I want to become fair. Can I use Kojivit gel? Or any other dermoatology cream can I use? My hands are also brown in color and full of tan. Do you suggest any creams to get fair? I want to become fair as my marriage is going to get fixed by next year. Please suggest me some creams, so that it should not show any side effects. Also, how long I should use it? If I use anything, then will it have any effect in case of pregnancy, etc? Please help me. Thanks in advance. ###Response: Hi. One's skin color has 2 components. First one is genetic, which cannot be changed. Every skin color is beautiful in its own way and we should learn to love our skin color and augment it and not hide or lighten it. The second component is acquired, which is due to the influence of environment, sunlight, hormones, aging, etc. We can only target the acquired component of fair skin color while attempting lightening procedures. I suggest you antioxidant capsules like capsule Antoxid HC (Beta-carotene) and apply sunscreen lotion Lashield gel at 8 AM and 12 PM. Also, you can apply Glyaha koj lotion (Hydroquinone) at night time. Start with an alternate night application initialy as it may irritate your skin a bit and after a week or so, shift to daily night application. Consult your specialist doctor, discuss with him or her and take the treatment with consent. You can go for chemical peeling or microdermabrasion from your dermatologist which will help in exfoliating and give you a clearer skin tone. All these treatments are free of side effects. You may use them for three months. For further information consult a dermatologist online -->

Hello doctor, I am a 25 year old female. Two years back I had noticed a very thin black straight line on my nail in the right hand finger. This line is growing along as my nail grows. Though the line was thin initially, now it has increased in its width and thickness. When I searched in the net about the straight black line on my right hand forefinger, it is showing up as something related to skin cancer or melanoma. I am worried. Should I be concerned about this? I am not very dark, nor very fair. I have wheatish skin. Please advice me. I am attaching a snap of my finger with dark line for your reference. Also, I used to have three moles on my left hand which had been there since my childhood, but to my surprise two years back they went off easily. I got another very small new mole at a different place on the same hand and that too went away when I scratched it off. Is this something normal?

Q. There is a thin black line on my finger nail. Is it skin cancer or melanoma?

Hi. I can understand your concern. I have gone through the attached picture (attachment removed to protect patient identity). Presence of linear pigmented lines on the nails can be due to multiple causes. In white people they are considered abnormal and require thorough assessment including biopsy. In dark skinned people it is a common variant. The most common cause of these lines is racial factors. Others being drugs, trauma, lichen planus, subungual nevi and malignant melanoma. You do not have to worry too much, but do keep a watch on the pigmentation. If you notice any variation within the pigmented line or pigmentation on the adjacent nail fold or finger pulp, then consult a dermatologist in person and get yourself evaluated. Regarding moles at other sites, it is sometimes possible that they can disappear. So you do not have to worry about that. For further queries, consult a dermatologist online -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. There is a thin black line on my finger nail. Is it skin cancer or melanoma? ### Input: Hello doctor, I am a 25 year old female. Two years back I had noticed a very thin black straight line on my nail in the right hand finger. This line is growing along as my nail grows. Though the line was thin initially, now it has increased in its width and thickness. When I searched in the net about the straight black line on my right hand forefinger, it is showing up as something related to skin cancer or melanoma. I am worried. Should I be concerned about this? I am not very dark, nor very fair. I have wheatish skin. Please advice me. I am attaching a snap of my finger with dark line for your reference. Also, I used to have three moles on my left hand which had been there since my childhood, but to my surprise two years back they went off easily. I got another very small new mole at a different place on the same hand and that too went away when I scratched it off. Is this something normal? ###Response: Hi. I can understand your concern. I have gone through the attached picture (attachment removed to protect patient identity). Presence of linear pigmented lines on the nails can be due to multiple causes. In white people they are considered abnormal and require thorough assessment including biopsy. In dark skinned people it is a common variant. The most common cause of these lines is racial factors. Others being drugs, trauma, lichen planus, subungual nevi and malignant melanoma. You do not have to worry too much, but do keep a watch on the pigmentation. If you notice any variation within the pigmented line or pigmentation on the adjacent nail fold or finger pulp, then consult a dermatologist in person and get yourself evaluated. Regarding moles at other sites, it is sometimes possible that they can disappear. So you do not have to worry about that. For further queries, consult a dermatologist online -->

Hi doctor, Please find my blood investigation report attached and provide me the required steps to take further. Thank you.

Q. What does my blood investigation suggest?

Hi. For further information consult a criticalcare physician online -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. What does my blood investigation suggest? ### Input: Hi doctor, Please find my blood investigation report attached and provide me the required steps to take further. Thank you. ###Response: Hi. For further information consult a criticalcare physician online -->

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?

Q. What does abutment of the nerve root mean?

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 -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. What does abutment of the nerve root mean? ### Input: 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? ###Response: 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 -->

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.

Q. Will Nano-Leo give permanent solution for erection problem?

Hi. For further doubts consult a sexologist online -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. Will Nano-Leo give permanent solution for erection problem? ### Input: 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. ###Response: Hi. For further doubts consult a sexologist online -->

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.

Q. Every time I eat spicy food, I poop blood. Why?

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 -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. Every time I eat spicy food, I poop blood. Why? ### Input: 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. ###Response: 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 -->

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.

Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?

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.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. Will Kalarchikai cure multiple ovarian cysts in PCOD? ### Input: 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. ###Response: 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.

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.

Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way?

Hi. For further doubts consult a sexologist online -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way? ### Input: 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. ###Response: Hi. For further doubts consult a sexologist online -->

Hi doctor, After sex, my girlfriend's face, chest and legs burn and itch. What is the cause? And what can we do for it?

Q. What is the cause for itching of face and chest after sex?

Hello. Kindly revert back with the details to a dermatologist online -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. What is the cause for itching of face and chest after sex? ### Input: Hi doctor, After sex, my girlfriend's face, chest and legs burn and itch. What is the cause? And what can we do for it? ###Response: Hello. Kindly revert back with the details to a dermatologist online -->

Hello doctor, I had C-section three years ago. My stomach started bulging, so I visited a doctor and had sonography. So came to know that I have mild umbilical hernia 0.7. If I do proper exercise and follow ayurvedic medicine suggested by you, then is this mild hernia curable? Please help me with this. Also, can I climb stairs in mild hernia?

Q. I am having mild umbilical hernia after C-section. Is it curable in Ayurveda?

Hello. I understand your concern. Since you had C-section, you are likely to develop incisional hernia which is a common issue faced post C-sections if proper care is not taken during wound healing. It is not curable with only medicines but it can be preventable from reaching further stages. If you find and center close by which practices post partum care in Ayurveda then get the following done. Apply Dhanvantara taila followed by veshta bandhana (abdominal binder). Avoid lifting weights and too much physical exertion.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. I am having mild umbilical hernia after C-section. Is it curable in Ayurveda? ### Input: Hello doctor, I had C-section three years ago. My stomach started bulging, so I visited a doctor and had sonography. So came to know that I have mild umbilical hernia 0.7. If I do proper exercise and follow ayurvedic medicine suggested by you, then is this mild hernia curable? Please help me with this. Also, can I climb stairs in mild hernia? ###Response: Hello. I understand your concern. Since you had C-section, you are likely to develop incisional hernia which is a common issue faced post C-sections if proper care is not taken during wound healing. It is not curable with only medicines but it can be preventable from reaching further stages. If you find and center close by which practices post partum care in Ayurveda then get the following done. Apply Dhanvantara taila followed by veshta bandhana (abdominal binder). Avoid lifting weights and too much physical exertion.

Dear Doctor, I have abnormal pressure in my eyes. I believe it was 24 in one and 23 in the other. My doctor told me that he would not dilate my eyes because it would be dangerous and asked me to find someone to do Laser Peripheral Iridotomy surgery(LPI). I am 23 years old with no medical conditions. Need a second opinion.

Q. Increased intraocular pressure in both the eyes. Should I go for Laser Peripheral Iridotomy surgery(LPI)?

Hello, Thanks for posting your query at icliniq.com. Hence I advise you to consult an eyecare ophthalmologist online for treatment accordingly -->

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. Increased intraocular pressure in both the eyes. Should I go for Laser Peripheral Iridotomy surgery(LPI)? ### Input: Dear Doctor, I have abnormal pressure in my eyes. I believe it was 24 in one and 23 in the other. My doctor told me that he would not dilate my eyes because it would be dangerous and asked me to find someone to do Laser Peripheral Iridotomy surgery(LPI). I am 23 years old with no medical conditions. Need a second opinion. ###Response: Hello, Thanks for posting your query at icliniq.com. Hence I advise you to consult an eyecare ophthalmologist online for treatment accordingly -->

Hi doctor, I am 19 years old. I have pain in the corner of my left eye for the past one year. I went to the doctor, and he gave me Sterdex. I used it and felt better. My pain went away. After a few months, I started to have pain, but it was not so severe as the first time. I wear glasses and lenses, and I am treating my eye allergy with Chibro Cadron 5 ml, and for dry eyes, I use Fluidabak after taking the lens. Whenever I do my yearly eye checkup, my eyesight gets worse because of the pain in the corner, and I am scared about my sight. I do not know whether I use an appropriate medicine to my eye. Whenever I consult the doctor, he gives me the same medication. Please help me.

Q. I am getting recurrent left eye pain with worsening eyesight. What is the problem?

Hi. Minimize the use of steroids as much as possible to avoid side effects such as an increase in eye pressure leading to glaucoma. Both Sterdex (Dexamethasone) and Chibro are steroids. They may relieve your symptoms in the short run but may harm your eyes if used for long term. Pain in the corner should not affect your eyesight. Just use appropriate glasses. For lubricant, you can start with Carboxymethylcellulose containing drops, and it can be changed later if more lubrication is needed. For allergies, Olopatadine containing drops can be used. Keep in touch with your doctor.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. I am getting recurrent left eye pain with worsening eyesight. What is the problem? ### Input: Hi doctor, I am 19 years old. I have pain in the corner of my left eye for the past one year. I went to the doctor, and he gave me Sterdex. I used it and felt better. My pain went away. After a few months, I started to have pain, but it was not so severe as the first time. I wear glasses and lenses, and I am treating my eye allergy with Chibro Cadron 5 ml, and for dry eyes, I use Fluidabak after taking the lens. Whenever I do my yearly eye checkup, my eyesight gets worse because of the pain in the corner, and I am scared about my sight. I do not know whether I use an appropriate medicine to my eye. Whenever I consult the doctor, he gives me the same medication. Please help me. ###Response: Hi. Minimize the use of steroids as much as possible to avoid side effects such as an increase in eye pressure leading to glaucoma. Both Sterdex (Dexamethasone) and Chibro are steroids. They may relieve your symptoms in the short run but may harm your eyes if used for long term. Pain in the corner should not affect your eyesight. Just use appropriate glasses. For lubricant, you can start with Carboxymethylcellulose containing drops, and it can be changed later if more lubrication is needed. For allergies, Olopatadine containing drops can be used. Keep in touch with your doctor.

Hello doctor, I am a 60-year-old female, who weighs 198 lb and 5.7 height. I was diagnosed with metastatic breast cancer 20 years ago. I am suffering from chemical depression due to chemotherapy, and so, I am on antidepressants for 20 years and on Celexa for the past three years with good results. Before five years, I was diagnosed with 90 % optic nerve damage in the right eye and 75 % damage in the left eye due to open-angle glaucoma. I am under Brimonidine Tartrate and Dorzolamide twice daily and Latanoprost once daily for the past five years with good control of glaucoma and proper visual fields. The recent visual field test showed a decrease in the visual field. Laser treatment was done again for open-angle glaucoma before a week.

Q. What is the reason for decrease in the visual field even after having medicines for glaucoma?

Hello. I am sorry to hear about what you are going through and wish all the health in the world. Fortunately, Celexa (Citalopram) is not significantly correlated with glaucoma as a side effect, and I doubt that the progression of your disease is related to your intake of the antidepressant. Glaucoma is a chronic disease that tends to progress regardless of all actions taken by the ophthalmologist slowly. Our main approach towards glaucoma is to keep it under control because we are not able to treat it and based on your history of ophthalmic care you seem to be in good hands, but you should be very punctual on your follow-up and doctor's recommendations. You can also add artificial tears four times daily at least to that list of eye drops that you are using. Dry eye is inevitable with all the medications that you are using.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request ### Instruction: Q. What is the reason for decrease in the visual field even after having medicines for glaucoma? ### Input: Hello doctor, I am a 60-year-old female, who weighs 198 lb and 5.7 height. I was diagnosed with metastatic breast cancer 20 years ago. I am suffering from chemical depression due to chemotherapy, and so, I am on antidepressants for 20 years and on Celexa for the past three years with good results. Before five years, I was diagnosed with 90 % optic nerve damage in the right eye and 75 % damage in the left eye due to open-angle glaucoma. I am under Brimonidine Tartrate and Dorzolamide twice daily and Latanoprost once daily for the past five years with good control of glaucoma and proper visual fields. The recent visual field test showed a decrease in the visual field. Laser treatment was done again for open-angle glaucoma before a week. ###Response: Hello. I am sorry to hear about what you are going through and wish all the health in the world. Fortunately, Celexa (Citalopram) is not significantly correlated with glaucoma as a side effect, and I doubt that the progression of your disease is related to your intake of the antidepressant. Glaucoma is a chronic disease that tends to progress regardless of all actions taken by the ophthalmologist slowly. Our main approach towards glaucoma is to keep it under control because we are not able to treat it and based on your history of ophthalmic care you seem to be in good hands, but you should be very punctual on your follow-up and doctor's recommendations. You can also add artificial tears four times daily at least to that list of eye drops that you are using. Dry eye is inevitable with all the medications that you are using.