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Hi doctor, My child, who is 2 years old, fell off while playing. She got hurt above the left eye with mild scar. Please suggest some medication. Thank you.

Q. My child got hurt while playing. Can we use T-Bact or Neosporin ointment?

Hello. Revert back with the answers to the above questions to a paediatrician 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 child got hurt while playing. Can we use T-Bact or Neosporin ointment? ### Input: Hi doctor, My child, who is 2 years old, fell off while playing. She got hurt above the left eye with mild scar. Please suggest some medication. Thank you. ###Response: Hello. Revert back with the answers to the above questions to a paediatrician online -->

Hello doctor, My father has been detected with glaucoma. The problem started about two months back. There is some irritation in eyes and vision is hampered in one eye. I wanted to get an opinion on how serious. What should be done? Do we need to take urgent action? Can we cure it completely?

Q. My father has been detected with glaucoma. Do we need to take urgent action?

Hi. The thing with glaucoma is that it is a progressive condition and we can arrest its progress to a level that it does not cause further damage. The vision loss that has already been done by the disease is not reversible. Our goal here is to lower the pressure to such a level so that it does not cause further damage. The severity of damage is assessed: For the photographs, you have sent: For more information consult an eye care ophthalmologist 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 father has been detected with glaucoma. Do we need to take urgent action? ### Input: Hello doctor, My father has been detected with glaucoma. The problem started about two months back. There is some irritation in eyes and vision is hampered in one eye. I wanted to get an opinion on how serious. What should be done? Do we need to take urgent action? Can we cure it completely? ###Response: Hi. The thing with glaucoma is that it is a progressive condition and we can arrest its progress to a level that it does not cause further damage. The vision loss that has already been done by the disease is not reversible. Our goal here is to lower the pressure to such a level so that it does not cause further damage. The severity of damage is assessed: For the photographs, you have sent: For more information consult an eye care ophthalmologist online -->

Hello doctor, My mom is a glaucoma patient for the last 10 years. She has been on medications like eye drops including Azopt, Ganfort, Alphagan, Vigamox, and prior to them Cosopt (which did not suit her). She has gone through retina eye laser and also has been injected in both her eyes almost 22 times for retinal leakage as well, has also gone through cataract eye surgery 16 years ago. At the moment her eye pressure remains between 21 to 24. The doctor says implants are necessary as she can see very less now. Given her eye condition is sensitive, a doctor has suggested that it is best to operate her with Ahmed valve implant, however, it has its own risks. I wanted to know if it is better to try the latest option, called MIGS (minimally invasive glaucoma surgery) like Xen Gel Stent and InnFocus Microshunt as it has near to no complications. I want to get an opinion about this before thinking about Ahmed valve.

Q. Can minimally invasive glaucoma surgery be done in sensitive eyes with glaucoma?

Hello. I am very sorry to hear about your mother's eyes. I suspect that she must have undergone the retina laser and the injections for a condition called as diabetic retinopathy. I feel that most likely it is a complication of diabetic retinopathy that might have caused a high pressure in her eyes. Xen gel stent is currently FDA approved for refractory glaucoma not caused by diabetic neovascularization and Inn focus micro shunt is currently being tested for long term side effects and usefulness in such situations. I must be clear in letting you know that neovascular glaucoma is a very adamant disease to treat and the treatment may not be straightforward and may require multiple procedures and reviews with the treating doctor, yet the most often agreed upon surgery, across most hospitals in the world is currently Ahmed glaucoma valve, along with of course the laser and injections. In case you need further clarification or if your mother is not a diabetic, please send a scanned copy of all her doctors records and prescriptions. I will do my best in helping you understand the situation.

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 minimally invasive glaucoma surgery be done in sensitive eyes with glaucoma? ### Input: Hello doctor, My mom is a glaucoma patient for the last 10 years. She has been on medications like eye drops including Azopt, Ganfort, Alphagan, Vigamox, and prior to them Cosopt (which did not suit her). She has gone through retina eye laser and also has been injected in both her eyes almost 22 times for retinal leakage as well, has also gone through cataract eye surgery 16 years ago. At the moment her eye pressure remains between 21 to 24. The doctor says implants are necessary as she can see very less now. Given her eye condition is sensitive, a doctor has suggested that it is best to operate her with Ahmed valve implant, however, it has its own risks. I wanted to know if it is better to try the latest option, called MIGS (minimally invasive glaucoma surgery) like Xen Gel Stent and InnFocus Microshunt as it has near to no complications. I want to get an opinion about this before thinking about Ahmed valve. ###Response: Hello. I am very sorry to hear about your mother's eyes. I suspect that she must have undergone the retina laser and the injections for a condition called as diabetic retinopathy. I feel that most likely it is a complication of diabetic retinopathy that might have caused a high pressure in her eyes. Xen gel stent is currently FDA approved for refractory glaucoma not caused by diabetic neovascularization and Inn focus micro shunt is currently being tested for long term side effects and usefulness in such situations. I must be clear in letting you know that neovascular glaucoma is a very adamant disease to treat and the treatment may not be straightforward and may require multiple procedures and reviews with the treating doctor, yet the most often agreed upon surgery, across most hospitals in the world is currently Ahmed glaucoma valve, along with of course the laser and injections. In case you need further clarification or if your mother is not a diabetic, please send a scanned copy of all her doctors records and prescriptions. I will do my best in helping you understand the situation.

Hello doctor, I am suffering from asthma since last three years. I am using Formonide 200 two puffs two times daily. I am also suffering from GERD for the past seven years. Now I only take Pantacid 40 as and when required. It is my question. Is it a perfect prescription for me?

Q. Are Formonide and Pantacid enough for asthma and GERD?

Hello. A Formamide inhaler is a good medicine for asthma. Is that dose right for you or not depends on your level of asthma control? If it is well controlled, it can be continued. However, if over the last three months of your symptoms were well controlled may be able to attend come down with the inhaler dose. I would suggest you be in touch with your pulmonologist for this. If your GERD (gastroesophageal reflux disease) symptoms are only occasional taking Pantacid as and when needed shall suffice.

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. Are Formonide and Pantacid enough for asthma and GERD? ### Input: Hello doctor, I am suffering from asthma since last three years. I am using Formonide 200 two puffs two times daily. I am also suffering from GERD for the past seven years. Now I only take Pantacid 40 as and when required. It is my question. Is it a perfect prescription for me? ###Response: Hello. A Formamide inhaler is a good medicine for asthma. Is that dose right for you or not depends on your level of asthma control? If it is well controlled, it can be continued. However, if over the last three months of your symptoms were well controlled may be able to attend come down with the inhaler dose. I would suggest you be in touch with your pulmonologist for this. If your GERD (gastroesophageal reflux disease) symptoms are only occasional taking Pantacid as and when needed shall suffice.

Hi doctor, I am 21 years old now. I am suffering from asthma for more than 17 years. It was horrible until my 15 years of age. It was pretty bad. But the severity has reduced now. It usually occurs at night time. Sometimes it happens in the daytime too. Wheezing is present, and there is chest tightness. I am taking Foracort 400 Rotacap during breathlessness. I am taking the tablet for the past four to five years.

Q. I am taking Foracort for asthma. Will it give complete cure?

Hi. Having night symptoms mean that your asthma is not well controlled and upgrading the treatment is required. Foracort Inhaler 400 mg is a right combination that is used daily. I recommend you take Singulair 4 mg tablet (Montelukast) once daily in the evening. Use blue inhaler during the time of exacerbation every five minutes till 20 minutes. If there is no improvement, you should visit the nearest ER (emergency). Also, let me know if you have a PEFR (peak expiratory flow rate) chart.

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 taking Foracort for asthma. Will it give complete cure? ### Input: Hi doctor, I am 21 years old now. I am suffering from asthma for more than 17 years. It was horrible until my 15 years of age. It was pretty bad. But the severity has reduced now. It usually occurs at night time. Sometimes it happens in the daytime too. Wheezing is present, and there is chest tightness. I am taking Foracort 400 Rotacap during breathlessness. I am taking the tablet for the past four to five years. ###Response: Hi. Having night symptoms mean that your asthma is not well controlled and upgrading the treatment is required. Foracort Inhaler 400 mg is a right combination that is used daily. I recommend you take Singulair 4 mg tablet (Montelukast) once daily in the evening. Use blue inhaler during the time of exacerbation every five minutes till 20 minutes. If there is no improvement, you should visit the nearest ER (emergency). Also, let me know if you have a PEFR (peak expiratory flow rate) chart.

Hello doctor, What are the foods items that should be not given to the asthma patient?

Q. Kindly mention about the foods to be avoided in an asthma patient.

Hello. As you said correctly that asthma patients should always take care of their diets as some food ingredients may cause a severe asthma attack. Grossly we cannot avoid all food types because there is person to person variability to the food allergy. So you should strictly avoid food that is causing some difficulty in breathing or attack. To find out exactly we can do skin prick allergy test or blood allergy test so that you definitely know what food you are allergic to. After that, you must avoid those food items. Processed foods, some bakery items containing eggs, chilled drinks, food colorants, should be strictly avoided. Always check ready-made foods or processed foods for ingredients. Sometimes butter, cheese, yogurt, and milk also needs to be avoided in some cases of diagnosed allergy. Otherwise, you can enjoy fresh fruits and vegetables in your diet.

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 mention about the foods to be avoided in an asthma patient. ### Input: Hello doctor, What are the foods items that should be not given to the asthma patient? ###Response: Hello. As you said correctly that asthma patients should always take care of their diets as some food ingredients may cause a severe asthma attack. Grossly we cannot avoid all food types because there is person to person variability to the food allergy. So you should strictly avoid food that is causing some difficulty in breathing or attack. To find out exactly we can do skin prick allergy test or blood allergy test so that you definitely know what food you are allergic to. After that, you must avoid those food items. Processed foods, some bakery items containing eggs, chilled drinks, food colorants, should be strictly avoided. Always check ready-made foods or processed foods for ingredients. Sometimes butter, cheese, yogurt, and milk also needs to be avoided in some cases of diagnosed allergy. Otherwise, you can enjoy fresh fruits and vegetables in your diet.

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 20 years old. My hair is getting thin. As my father is bald,  I fear that I will also get bald. Also, I want to improve my skin texture. Please help.

Q. Is it true that baldness is hereditary?

Hi. For further information consult an ayurveda 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. Is it true that baldness is hereditary? ### Input: Hi doctor, I am 20 years old. My hair is getting thin. As my father is bald,  I fear that I will also get bald. Also, I want to improve my skin texture. Please help. ###Response: Hi. For further information consult an ayurveda specialist online -->

Hello doctor,I am 29 years old now. I have allergic asthma for last 6 to 7 years but in very mild form (mild suffocation and coughing for 2 to 3 days, once in three months). It used to get triggered by an old house (old book or newspaper dust) or distemper and paints or orange flavored drinks. But since last one month, frequency and magnitude both have increased. Yesterday, for no possible reason known to me, it got triggered. My query is can such allergic asthma turn into permanent asthma? I want to avoid any long-term course until extremely important. What is my option to tackle or control and reduce above symptoms, with mostly home remedies, diet control exercise and minimum synthetic medicines? Nose bleeding in childhood, frequent nasal blockage till the age of 21.

Q. Can allergic asthma turn into permanent asthma?

Hi. As per your symptoms, you are suffering from bronchial asthma with allergic rhinitis, but you need to confirm this by doing a spirometry with reversibility test. Asthma is a disease related to hypersensitivity of our respiratory system to some allergens which cause triggering, inflammation in the respiratory mucosa. Undoubtedly you need to take medications else symptoms will get worse as your age advances. So visit a chest physician. I am a practicing chest specialist so I know the pros and cons of the disease. See this asthma is a genetic disease acquired during childhood, and any genetic disease means in genes and currently we in our medical field we are under research for a permanent cure like answers in this genetic diseases field, so my opinion would be visiting a pulmonologist or a chest physician for proper work up and guidance. Chest physician can do a spirometry and total serum IgE levels and as per your need will prescribe you some inhaled medications like long-acting beta 2 agonists and inhaled corticosteroids and maybe some oral steroids as per need which can help you with minimum side effects. Maybe you will need those medications for some duration like three months a year at maybe long or on changing seasons. For more information consult a pulmonologist 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 allergic asthma turn into permanent asthma? ### Input: Hello doctor,I am 29 years old now. I have allergic asthma for last 6 to 7 years but in very mild form (mild suffocation and coughing for 2 to 3 days, once in three months). It used to get triggered by an old house (old book or newspaper dust) or distemper and paints or orange flavored drinks. But since last one month, frequency and magnitude both have increased. Yesterday, for no possible reason known to me, it got triggered. My query is can such allergic asthma turn into permanent asthma? I want to avoid any long-term course until extremely important. What is my option to tackle or control and reduce above symptoms, with mostly home remedies, diet control exercise and minimum synthetic medicines? Nose bleeding in childhood, frequent nasal blockage till the age of 21. ###Response: Hi. As per your symptoms, you are suffering from bronchial asthma with allergic rhinitis, but you need to confirm this by doing a spirometry with reversibility test. Asthma is a disease related to hypersensitivity of our respiratory system to some allergens which cause triggering, inflammation in the respiratory mucosa. Undoubtedly you need to take medications else symptoms will get worse as your age advances. So visit a chest physician. I am a practicing chest specialist so I know the pros and cons of the disease. See this asthma is a genetic disease acquired during childhood, and any genetic disease means in genes and currently we in our medical field we are under research for a permanent cure like answers in this genetic diseases field, so my opinion would be visiting a pulmonologist or a chest physician for proper work up and guidance. Chest physician can do a spirometry and total serum IgE levels and as per your need will prescribe you some inhaled medications like long-acting beta 2 agonists and inhaled corticosteroids and maybe some oral steroids as per need which can help you with minimum side effects. Maybe you will need those medications for some duration like three months a year at maybe long or on changing seasons. For more information consult a pulmonologist online -->

Hello doctor, I am 35 years old, 5 feet 11 inches tall and weight 79 kg. Vegetarian diet. Before two years, due to stomach disturbance and pain and some popup and cracker sound occurred in my knee joints. I visited the doctor and he suggested me for a laboratory test of liver function test and all reports were in normal range except sugar which was 138 at that time and gave me some medicines and referred to orthopedic for joint pain. I have visited an orthopedic specialist. He took an X-ray of both leg, knee, and told that it is an early stage of osteoarthritis of the knee and he suggested for MRI and I got my MRI done. In the MRI report, it is mentioned that left knee has been affected with osteoarthritis. After that, he gave some medicine for 10 days and referred to a physiotherapist for exercise and weight loss. I have visited as he told and now I have reduced my weight and now there is very little pain remaining in my left knee but now my other joints like the left hand thumb, finger, and both hand and knee have popup sound during movement. Kindly diagnose my problem and suggest the treatment for the same.

Q. Can pain and popping sound during jaw movements indicate osteoarthritis?

Hi. I went through all the history details and reports. It shows mild osteoarthritis which is not reversible. But if you maintain your weight and exercise, it will halt. Please do quadriceps exercise for knees and for shoulder, bench press. Take a lot of fruits and vegetables. The cracking noise is normal and you need not worry. I hope I have answered your questions. Please feel free to ask me if there is any doubt in this regard.

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 pain and popping sound during jaw movements indicate osteoarthritis? ### Input: Hello doctor, I am 35 years old, 5 feet 11 inches tall and weight 79 kg. Vegetarian diet. Before two years, due to stomach disturbance and pain and some popup and cracker sound occurred in my knee joints. I visited the doctor and he suggested me for a laboratory test of liver function test and all reports were in normal range except sugar which was 138 at that time and gave me some medicines and referred to orthopedic for joint pain. I have visited an orthopedic specialist. He took an X-ray of both leg, knee, and told that it is an early stage of osteoarthritis of the knee and he suggested for MRI and I got my MRI done. In the MRI report, it is mentioned that left knee has been affected with osteoarthritis. After that, he gave some medicine for 10 days and referred to a physiotherapist for exercise and weight loss. I have visited as he told and now I have reduced my weight and now there is very little pain remaining in my left knee but now my other joints like the left hand thumb, finger, and both hand and knee have popup sound during movement. Kindly diagnose my problem and suggest the treatment for the same. ###Response: Hi. I went through all the history details and reports. It shows mild osteoarthritis which is not reversible. But if you maintain your weight and exercise, it will halt. Please do quadriceps exercise for knees and for shoulder, bench press. Take a lot of fruits and vegetables. The cracking noise is normal and you need not worry. I hope I have answered your questions. Please feel free to ask me if there is any doubt in this regard.

Hello doctor, I have pain in my left leg which moves around. First in my knee, then in the lower leg, upper leg, etc. I previously had pain in my left arm. An urgent care doctor told me it was osteoarthritis. An X-ray of my knee was done. I was prescribed an anti-inflammation medication.

Q. I have leg pain which moves around. Is it osteoarthritis?

Hello. Osteoarthritis is a possibility. However, it is associated with pain and swelling of the knee joint and pain is predominantly while walking, especially going upstairs. NSAIDs (nonsteroidal anti-inflammatory drugs) may help. However, physiotherapy and weight reduction are important. It would have been better if you had uploaded a snapshot of the X-ray. For more information consult a rheumatologist 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 leg pain which moves around. Is it osteoarthritis? ### Input: Hello doctor, I have pain in my left leg which moves around. First in my knee, then in the lower leg, upper leg, etc. I previously had pain in my left arm. An urgent care doctor told me it was osteoarthritis. An X-ray of my knee was done. I was prescribed an anti-inflammation medication. ###Response: Hello. Osteoarthritis is a possibility. However, it is associated with pain and swelling of the knee joint and pain is predominantly while walking, especially going upstairs. NSAIDs (nonsteroidal anti-inflammatory drugs) may help. However, physiotherapy and weight reduction are important. It would have been better if you had uploaded a snapshot of the X-ray. For more information consult a rheumatologist online -->

Dear Doctor, My mother is 66 years old. She is having Trigeminal Neuralgia and for which she is taking Lyrica 75mg, Tegritol CR 400 and Symbal 30. And other medication details as below: For Cholesetrol -> Storfib -10mg. For BP -> seloken xl 100mg and amlodac 5mg. For Urinary Incontinence -> tropan 5mg and cranpac. Her bone mineral density revealed to scores of Osteopenia, and also Osteoarthritis. She is taking AcuCal calcium tablet and FreeFlex Forte. But her mobility is still very much restricted. So I want to know whether she can take SAM (S Adenosyl Methionine), and is it safe? Also If she can take SAM, what will be the dosage and duration. I am asking whether she can take this as a supportive to enhance her mobility. She is a pure vegetarian and on fat free diet. Her weight is 70kg, height is 5.1 feet. Please give your suggestion.

Q. Suffering from osteopenia and osteoarthritis. Taking AcuCal and FreeFlex. Is it safe to take SAM(S Adenosyl Methionine) to enhance mobility?

Hi, Welcome to icliniq and thanks for the query. She can take SAM or MSM (Any one of them). SAM is a safe medication. It is a cartilage protective drug and will help her improve some of the pain in osteoarthritis. For osteoarthritis: you have to remember that these medications like free flex, collagen peptides, SAM and MSM are like to help to nourish cartilage and provide some relief. They do not actually replenish the cartilage. I normally advise to take these cartilage supplements for a period of 3 months and gap of 6 months and again restart them. Just check the medication freeflex might contain MSM. Regarding osteopenia, I advise her to continue calcium and consult local orthopaedic surgeon if he can help her with some medications that can build up calcium. If her mobility is restricted, then better to get an x-ray and check the current stage of osteoarthritis and depending on it, we can suggest further treatment. Consult an orthopaedician 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. Suffering from osteopenia and osteoarthritis. Taking AcuCal and FreeFlex. Is it safe to take SAM(S Adenosyl Methionine) to enhance mobility? ### Input: Dear Doctor, My mother is 66 years old. She is having Trigeminal Neuralgia and for which she is taking Lyrica 75mg, Tegritol CR 400 and Symbal 30. And other medication details as below: For Cholesetrol -> Storfib -10mg. For BP -> seloken xl 100mg and amlodac 5mg. For Urinary Incontinence -> tropan 5mg and cranpac. Her bone mineral density revealed to scores of Osteopenia, and also Osteoarthritis. She is taking AcuCal calcium tablet and FreeFlex Forte. But her mobility is still very much restricted. So I want to know whether she can take SAM (S Adenosyl Methionine), and is it safe? Also If she can take SAM, what will be the dosage and duration. I am asking whether she can take this as a supportive to enhance her mobility. She is a pure vegetarian and on fat free diet. Her weight is 70kg, height is 5.1 feet. Please give your suggestion. ###Response: Hi, Welcome to icliniq and thanks for the query. She can take SAM or MSM (Any one of them). SAM is a safe medication. It is a cartilage protective drug and will help her improve some of the pain in osteoarthritis. For osteoarthritis: you have to remember that these medications like free flex, collagen peptides, SAM and MSM are like to help to nourish cartilage and provide some relief. They do not actually replenish the cartilage. I normally advise to take these cartilage supplements for a period of 3 months and gap of 6 months and again restart them. Just check the medication freeflex might contain MSM. Regarding osteopenia, I advise her to continue calcium and consult local orthopaedic surgeon if he can help her with some medications that can build up calcium. If her mobility is restricted, then better to get an x-ray and check the current stage of osteoarthritis and depending on it, we can suggest further treatment. Consult an orthopaedician online -->

Hi doctor, I am a 24 year old female. My BMI is normal. I am fairly active on my feet all day because of work and I used to walk instead of transport. I was a lot more active when I was younger. I used to dance for roughly 20 hours a week and swim five hours a week. Since I have got older and due to injury, I dance for 2 hours a week and swim when I get a chance. I was diagnosed with Osgood-Schlatters in both knees when I was 16 and had physio for a year. They used to swell drastically and I still have prominent bony lumps just below both the kneecaps. The only thing that really seemed to help is drastically cutting down exercise as they would become so painful that I could barely walk. The pain comes and goes after an active day at work such as cycling, swimming, driving a long distance or sitting for a long period of time as I am 5'10", it is regular. I have also noticed recently that I have been getting neck and lower back pain as well as regularly feeling like I have strained my right shoulder. I have tried to pass it off as just pain, but it is becoming too often to be a coincidence and cannot help thinking it is linked. I have looked online and read a bit about osteoarthritis and this seems to fit what I have been finding. But, I do not want to jump into conclusion. Do you have any idea what this could be and whether it is linked? Is there anything that I can do prevent it other than cold compression? Thanks in advance.

Q. Do I have osteoarthritis?

Hello. 1. Osteoarthritis. 2. Overuse injury. 3. Rheumatological diseases (less likely). 1. Complete blood count (CBC). 2. Antinuclear antibody (ANA). 3. X-ray of the shoulder with Y-view and x-ray of the cervical and lumbar region. 1. Most likely degenerative joint disease (DJD). 2. Osteoarthritis of cervical and lumbar vertebrae and shoulder joint. 3. Less likely rotator cuff injury for shoulder and nerve impingement of the lumbar (lower back) area. 1. Ibuprofen 400-600 mg every 8 hours as needed for pain. Should take the tablet with food and do not take it empty stomach. 2. Muscle relaxant like Cyclobenzaprine 10 mg every 12 hours on as needed basis. You should not drive while taking it. 3. Physiotherapy would be very helpful. 1. Minimize your exercise to three times a week and strengthening exercise encouraged. 2. Use braces (knee brace and back support). Revert back with the reports 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. Do I have osteoarthritis? ### Input: Hi doctor, I am a 24 year old female. My BMI is normal. I am fairly active on my feet all day because of work and I used to walk instead of transport. I was a lot more active when I was younger. I used to dance for roughly 20 hours a week and swim five hours a week. Since I have got older and due to injury, I dance for 2 hours a week and swim when I get a chance. I was diagnosed with Osgood-Schlatters in both knees when I was 16 and had physio for a year. They used to swell drastically and I still have prominent bony lumps just below both the kneecaps. The only thing that really seemed to help is drastically cutting down exercise as they would become so painful that I could barely walk. The pain comes and goes after an active day at work such as cycling, swimming, driving a long distance or sitting for a long period of time as I am 5'10", it is regular. I have also noticed recently that I have been getting neck and lower back pain as well as regularly feeling like I have strained my right shoulder. I have tried to pass it off as just pain, but it is becoming too often to be a coincidence and cannot help thinking it is linked. I have looked online and read a bit about osteoarthritis and this seems to fit what I have been finding. But, I do not want to jump into conclusion. Do you have any idea what this could be and whether it is linked? Is there anything that I can do prevent it other than cold compression? Thanks in advance. ###Response: Hello. 1. Osteoarthritis. 2. Overuse injury. 3. Rheumatological diseases (less likely). 1. Complete blood count (CBC). 2. Antinuclear antibody (ANA). 3. X-ray of the shoulder with Y-view and x-ray of the cervical and lumbar region. 1. Most likely degenerative joint disease (DJD). 2. Osteoarthritis of cervical and lumbar vertebrae and shoulder joint. 3. Less likely rotator cuff injury for shoulder and nerve impingement of the lumbar (lower back) area. 1. Ibuprofen 400-600 mg every 8 hours as needed for pain. Should take the tablet with food and do not take it empty stomach. 2. Muscle relaxant like Cyclobenzaprine 10 mg every 12 hours on as needed basis. You should not drive while taking it. 3. Physiotherapy would be very helpful. 1. Minimize your exercise to three times a week and strengthening exercise encouraged. 2. Use braces (knee brace and back support). Revert back with the reports to an orthopaedician and traumatologist online.--->

Hello doctor,I am 34 years male. I have skin tags in underarms and neck. I have a skin tag in the shaft of the penis for the past four months. I consulted a doctor here in my town, and they said it is a skin tag. I want to re confirm it again. Please help.

Q. I am having skin tags in underarms and neck. Please help.

Hello. Please send a clear picture of the affected lesions for better evaluation and guidance.

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 skin tags in underarms and neck. Please help. ### Input: Hello doctor,I am 34 years male. I have skin tags in underarms and neck. I have a skin tag in the shaft of the penis for the past four months. I consulted a doctor here in my town, and they said it is a skin tag. I want to re confirm it again. Please help. ###Response: Hello. Please send a clear picture of the affected lesions for better evaluation and guidance.

Hello doctor,I was suffering from minor Achilles tendinopathy and visited a physiotherapist today to get it checked. During the session, he performed some deep tissue massage on the calf (which was very tight) to relax it, which was very painful. After the massage, I experienced sharp pains while walking (which was not there beforehand), and when I brought this up with the physio, he said it was normal because it was the first time I had gotten deep tissue massage on that area.I have been icing the calf and resting, and while it has gotten a little better, it still hurts to walk. I have my exams tomorrow which I have to get to and other events on the weekend where I have to be (and will involve walking). I am worried about how I can see as I cannot walk at all. Is it normal to experience such pain after deep tissue massage to tight calf muscles, or did I sustain some injury (say a muscle strain or something similar) and need to get it checked out?

Q. Why do we have pain after deep tissue massage to tight calf muscle?

Hello. I read your concern. Sometimes, usually, they try to break the trigger points, and it would have caused discomfort. The technique itself is pro-inflammatory techniques and will induce some more inflammation so that healing happens. So do not worry. Now, I request you to ice your calf frequently like once in two hours for 15 minutes as of now and stretch it properly things should settle down fast. Tomorrow morning you might feel a lot of stiffness in the calf, do not worry as you have to stretch your calf gently and roll your calf over a foam roller or if have somebody ask them to massage it for few seconds. Things will be fine. You can walk without pain. I hope this is helpful to you. Kindly revert in case you need any further information in this regard.

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 we have pain after deep tissue massage to tight calf muscle? ### Input: Hello doctor,I was suffering from minor Achilles tendinopathy and visited a physiotherapist today to get it checked. During the session, he performed some deep tissue massage on the calf (which was very tight) to relax it, which was very painful. After the massage, I experienced sharp pains while walking (which was not there beforehand), and when I brought this up with the physio, he said it was normal because it was the first time I had gotten deep tissue massage on that area.I have been icing the calf and resting, and while it has gotten a little better, it still hurts to walk. I have my exams tomorrow which I have to get to and other events on the weekend where I have to be (and will involve walking). I am worried about how I can see as I cannot walk at all. Is it normal to experience such pain after deep tissue massage to tight calf muscles, or did I sustain some injury (say a muscle strain or something similar) and need to get it checked out? ###Response: Hello. I read your concern. Sometimes, usually, they try to break the trigger points, and it would have caused discomfort. The technique itself is pro-inflammatory techniques and will induce some more inflammation so that healing happens. So do not worry. Now, I request you to ice your calf frequently like once in two hours for 15 minutes as of now and stretch it properly things should settle down fast. Tomorrow morning you might feel a lot of stiffness in the calf, do not worry as you have to stretch your calf gently and roll your calf over a foam roller or if have somebody ask them to massage it for few seconds. Things will be fine. You can walk without pain. I hope this is helpful to you. Kindly revert in case you need any further information in this regard.

Hello doctor, I am 27 years old, and I have 1.6 months old baby. After my delivery, I am getting scared for everything. If something bad had happened to anyone, I am scared to talk with that people am thinking that it will happen to me also. If I love to buy any product while taking am thinking that if I take some bad will happen to me like that I am thinking.

Q. I am getting scared for everything after my delivery. Kindly advice.

Hello. Please do not worry. After delivery, for any woman, it is common to have a hormonal imbalance which could cause anxiety and depression symptoms. More over, the trauma associated with the childbirth also could trigger anxiety and depression. But both of the anxiety and depression conditions are normal and they are for a short time. Your symptoms should clear within three months.

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 scared for everything after my delivery. Kindly advice. ### Input: Hello doctor, I am 27 years old, and I have 1.6 months old baby. After my delivery, I am getting scared for everything. If something bad had happened to anyone, I am scared to talk with that people am thinking that it will happen to me also. If I love to buy any product while taking am thinking that if I take some bad will happen to me like that I am thinking. ###Response: Hello. Please do not worry. After delivery, for any woman, it is common to have a hormonal imbalance which could cause anxiety and depression symptoms. More over, the trauma associated with the childbirth also could trigger anxiety and depression. But both of the anxiety and depression conditions are normal and they are for a short time. Your symptoms should clear within three months.

Hello doctor, I had intercourse yesterday. In the beginning, the condom was not there, can say for one to two minutes for three to four penetration. After that condom was there and semen came after masturbating for 10 minutes. Can I get pregnant with precum?

Q. What are the chances of getting pregnant with precum?

Hello. The chances of getting pregnant with precum are very low. It also depends on the time of your cycles. If you are not in the middle of your cycles say day 13, 14 or 15 of the monthly periods, it should be a safe time.

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 chances of getting pregnant with precum? ### Input: Hello doctor, I had intercourse yesterday. In the beginning, the condom was not there, can say for one to two minutes for three to four penetration. After that condom was there and semen came after masturbating for 10 minutes. Can I get pregnant with precum? ###Response: Hello. The chances of getting pregnant with precum are very low. It also depends on the time of your cycles. If you are not in the middle of your cycles say day 13, 14 or 15 of the monthly periods, it should be a safe time.

Hi doctor, This is really nerve racking but I noticed these growth on my shaft (fold area) that are very small and round. They tend to itch quite often especially when touched. I can attach an picture.

Q. Why am I having small, round and itchy growth on shaft?

Hi. I see that the growth over the shaft of your penis has been disconcerting to you. It has a scabies look, which is caused by a small mite. For confirming the diagnosis, I need to know how long are you having this? Do you have itching over any other area in your body? Do any other people in your home have any recent itchy lesions over their body? Are you sexually active, and if so, does your partner have any genital lesions like white discharge, etc.? Please get back with the details, so that I can zero in on a diagnosis and prescribe the appropriate medicine for you.

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 small, round and itchy growth on shaft? ### Input: Hi doctor, This is really nerve racking but I noticed these growth on my shaft (fold area) that are very small and round. They tend to itch quite often especially when touched. I can attach an picture. ###Response: Hi. I see that the growth over the shaft of your penis has been disconcerting to you. It has a scabies look, which is caused by a small mite. For confirming the diagnosis, I need to know how long are you having this? Do you have itching over any other area in your body? Do any other people in your home have any recent itchy lesions over their body? Are you sexually active, and if so, does your partner have any genital lesions like white discharge, etc.? Please get back with the details, so that I can zero in on a diagnosis and prescribe the appropriate medicine for you.

Hi doctor, What health implications have been observed with a unilateral paralysis of the diaphragm? I have had a plication performed, but it failed and is back to the original issue. Currently, I am suffering from shortness of breath, chest pain with dizzy spells and increased heart rate. I am on Propranolol for the heart rate issue. Please help.

Q. How to manage unilateral paralysis of the diaphragm?

Hi. Traumatic or some cancer causing nerve compression. MRI Scan and spirometry. Unilateral diaphragmatic paralysis. For further information consult a pulmonologist 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 manage unilateral paralysis of the diaphragm? ### Input: Hi doctor, What health implications have been observed with a unilateral paralysis of the diaphragm? I have had a plication performed, but it failed and is back to the original issue. Currently, I am suffering from shortness of breath, chest pain with dizzy spells and increased heart rate. I am on Propranolol for the heart rate issue. Please help. ###Response: Hi. Traumatic or some cancer causing nerve compression. MRI Scan and spirometry. Unilateral diaphragmatic paralysis. For further information consult a pulmonologist 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, My doctor prescribed Diflucan (14 days / 200 mg) to treat urinary candidiasis. I just took day 6 of Diflucan. I am feeling a little better but still have achiness in pelvic area, bladder. My question is how much longer until I get full relief? Is this normal?

Q. I took Diflucan to treat urinary candidiasis. When will I get cured completely?

Hi. I suppose you have urine culture proven urinary candida infection for which this tablet Diflucan was started. Usually for urinary tract infection, it is given for 1 to 2 weeks depending on patient symptoms. You can continue till two weeks till sypmtoms subside and then repeat the urine culture test for documentation of complete resolution. You should also check for your blood sugar as these infections are common in diabetic person and high sugar can lead to recurring infection. Burning sensation in urine or achiness as you described is most probably due to infection. A sonography of abdomen and pelvis is advised to rule out other causes such as stone disease as cause of infection.

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 took Diflucan to treat urinary candidiasis. When will I get cured completely? ### Input: Hello doctor, My doctor prescribed Diflucan (14 days / 200 mg) to treat urinary candidiasis. I just took day 6 of Diflucan. I am feeling a little better but still have achiness in pelvic area, bladder. My question is how much longer until I get full relief? Is this normal? ###Response: Hi. I suppose you have urine culture proven urinary candida infection for which this tablet Diflucan was started. Usually for urinary tract infection, it is given for 1 to 2 weeks depending on patient symptoms. You can continue till two weeks till sypmtoms subside and then repeat the urine culture test for documentation of complete resolution. You should also check for your blood sugar as these infections are common in diabetic person and high sugar can lead to recurring infection. Burning sensation in urine or achiness as you described is most probably due to infection. A sonography of abdomen and pelvis is advised to rule out other causes such as stone disease as cause of infection.

Hello doctor,I have non-alcoholic fatty liver grade 2, bilirubin 1.7, and creatinine is 1.2. How to reduce cholesterol and bring back to normal liver function?

Q. How to bring back the liver function to normal?

Hello. Your fasting glucose is high so that you might also have diabetes. Should treat it adequately, apart from diet and lifestyle changes. Cholesterol is fine, and if you follow the changes in diet and lifestyle regimen, cholesterol will get normalized too. Excessive sleeping and always feeling tired is due to alcoholic fatty liver damages. Should stop drinking alcohol and increase water intake. Stinging nettle supplement will help detox your liver. Keep following up with gastroenterologist regularly.

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 bring back the liver function to normal? ### Input: Hello doctor,I have non-alcoholic fatty liver grade 2, bilirubin 1.7, and creatinine is 1.2. How to reduce cholesterol and bring back to normal liver function? ###Response: Hello. Your fasting glucose is high so that you might also have diabetes. Should treat it adequately, apart from diet and lifestyle changes. Cholesterol is fine, and if you follow the changes in diet and lifestyle regimen, cholesterol will get normalized too. Excessive sleeping and always feeling tired is due to alcoholic fatty liver damages. Should stop drinking alcohol and increase water intake. Stinging nettle supplement will help detox your liver. Keep following up with gastroenterologist regularly.

Hello doctor, I am suffering from right side chest pain and right arm and also have fever and vomiting. What should I do? Is it symptoms of something big?

Q. I have chest and arm pain with fever and vomiting. What should I do?

Hello. You have mentioned that you have diabetes. Patients with diabetes need not always be present with typical chest pain in case of any sudden cardiac event; symptoms like right sided pain, and persistent vomiting should not be taken lightly. And also you did not mention about history of any 1) cough, 2) abdominal pain, and 3) burning urination In addition to a coronary cardiac event, your symptoms also suggest the possibility of any lung infection as it can lead to fever chest pain and even vomitings sometimes.And as people with diabetes have a predisposition to infections, patients with fever and vomitings should be evaluated for urinary infection also if other symptoms are present. You need to get 1) ECG. 2) Chest X-ray. 3) Complete blood picture. 4) Complete urine examination is done. Without any delay and also chest and abdomen needs to be examined for any infection. You can contact me any further 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. I have chest and arm pain with fever and vomiting. What should I do? ### Input: Hello doctor, I am suffering from right side chest pain and right arm and also have fever and vomiting. What should I do? Is it symptoms of something big? ###Response: Hello. You have mentioned that you have diabetes. Patients with diabetes need not always be present with typical chest pain in case of any sudden cardiac event; symptoms like right sided pain, and persistent vomiting should not be taken lightly. And also you did not mention about history of any 1) cough, 2) abdominal pain, and 3) burning urination In addition to a coronary cardiac event, your symptoms also suggest the possibility of any lung infection as it can lead to fever chest pain and even vomitings sometimes.And as people with diabetes have a predisposition to infections, patients with fever and vomitings should be evaluated for urinary infection also if other symptoms are present. You need to get 1) ECG. 2) Chest X-ray. 3) Complete blood picture. 4) Complete urine examination is done. Without any delay and also chest and abdomen needs to be examined for any infection. You can contact me any further queries.

Hello doctor, I have recently been diagnosed with adult ADD. My psychiatrist prescribed 20 mg Adderall every morning. I took it for a few days (it worked) and then took a break of two days as I found I was not able to sleep on it. I thought I would get a good night sleep and then resume the meds to see if they were active. After the break, I have been taking them consistently every day and find they do not have any effect on me anymore. My psychiatrist now prescribed 75 mg of Wellbutrin. I also told him that I was having crashes in the evenings when I was taking Adderall. Why would the Adderall stop working so soon? What effect will the Wellbutrin have?

Q. I stopped taking Adderall for some days and it is not effective now. Why?

Hello. It usually takes a few attempts to optimize your ADHD (attention-deficit hyperactivity disorder) medication regimen. It can be somewhat frustrating, but your experience is not uncommon. Your doctor will titrate the dose of Adderall (Dextroamphetamine, Amphetamine) according to your clinical response and tolerability. There is some evidence to show that Wellbutrin (Bupropion) is helpful in adult ADHD, especially if you also have any low mood and anxiety symptoms. So continue having regular reviews with your doctor who will monitor your response. Follow proper sleep hygiene measures and try to exercise regularly. It will have a beneficial effect.

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 stopped taking Adderall for some days and it is not effective now. Why? ### Input: Hello doctor, I have recently been diagnosed with adult ADD. My psychiatrist prescribed 20 mg Adderall every morning. I took it for a few days (it worked) and then took a break of two days as I found I was not able to sleep on it. I thought I would get a good night sleep and then resume the meds to see if they were active. After the break, I have been taking them consistently every day and find they do not have any effect on me anymore. My psychiatrist now prescribed 75 mg of Wellbutrin. I also told him that I was having crashes in the evenings when I was taking Adderall. Why would the Adderall stop working so soon? What effect will the Wellbutrin have? ###Response: Hello. It usually takes a few attempts to optimize your ADHD (attention-deficit hyperactivity disorder) medication regimen. It can be somewhat frustrating, but your experience is not uncommon. Your doctor will titrate the dose of Adderall (Dextroamphetamine, Amphetamine) according to your clinical response and tolerability. There is some evidence to show that Wellbutrin (Bupropion) is helpful in adult ADHD, especially if you also have any low mood and anxiety symptoms. So continue having regular reviews with your doctor who will monitor your response. Follow proper sleep hygiene measures and try to exercise regularly. It will have a beneficial effect.

Hello doctor,I am a 19-year-old female with 170 Ibs, currently on 30 mg of Cymbalta. I have been diagnosed with major depressive disorder, generalized anxiety disorder, and insomnia. I have had three major depressive episodes in the past two years, and I feel like I am on the verge of another one. I had an appendectomy eight days ago and was prescribed Hydrocodone to manage the pain. I am still taking all of my regular medications, but I stopped the Hydrocodone four days ago. I feel hollow, incredibly sad, and very lonely (even though I am not alone). I am also having disturbing and very vivid dreams, which only increase the feelings of isolation and sadness. I eat healthily, exercise lightly, and manage my stress well. What can I do to fight off this impending depressive episode?

Q. How can I get rid of major depressive disorder?

Hello. You have undergone appendectomy recently, and it is normal to develop mood disturbance after any surgery. You are already on the major depressive disorder, and this is the reason you are feeling bad, isolated, sad, and lonely. Wait for few more days and see if spontaneous improvement occurs. If the mood gets worsened, then the dose of Cymbalta can be increased. For sleep, any good Benzodiazepine can be taken, which will help in calming you.

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 get rid of major depressive disorder? ### Input: Hello doctor,I am a 19-year-old female with 170 Ibs, currently on 30 mg of Cymbalta. I have been diagnosed with major depressive disorder, generalized anxiety disorder, and insomnia. I have had three major depressive episodes in the past two years, and I feel like I am on the verge of another one. I had an appendectomy eight days ago and was prescribed Hydrocodone to manage the pain. I am still taking all of my regular medications, but I stopped the Hydrocodone four days ago. I feel hollow, incredibly sad, and very lonely (even though I am not alone). I am also having disturbing and very vivid dreams, which only increase the feelings of isolation and sadness. I eat healthily, exercise lightly, and manage my stress well. What can I do to fight off this impending depressive episode? ###Response: Hello. You have undergone appendectomy recently, and it is normal to develop mood disturbance after any surgery. You are already on the major depressive disorder, and this is the reason you are feeling bad, isolated, sad, and lonely. Wait for few more days and see if spontaneous improvement occurs. If the mood gets worsened, then the dose of Cymbalta can be increased. For sleep, any good Benzodiazepine can be taken, which will help in calming you.

Hello doctor, I am a 34-year-old male. I am experiencing pain in my right side of the stomach, about 7 inches right of my navel (in line with my navel). When I sit or lay down I do not feel pain as long as I do not move. I feel pain whenever I take deep breathe, cough, and move my torso. My stool and urine look normal and I do not have difficulty in passing stool and urine. I started feeling this pain for the past four days. I just noticed that my right stomach looks bigger than my left. It seems that it is inflamed. Please help.

Q. I have pain in right side of the stomach whenever I move or take deep breathe. Please help.

Hello. Are you diabetic? Do you feel any pain after food intake? I have seen the images that you attached with your query (attachment removed to protect patient identity). Possible causes are: 1. This is the area for gallbladder possibility of cholecystitis. 2. Right ureteric stone may present pain in this right para umbilical/ right hypochondrium area. 3. Fatty liver. 4. Colon infection (ascending colon). 5. Gall stones may also present like pain in this region. So use the tablet Cyclopam (Dicyclomine and Paracetamol) twice a day for five days, Ofloxacin and Ornidazole twice a day for five days after food, tablet Pantoprazole before breakfast for one week. Drink plenty of liquids. Avoid fatty foods. If symptoms not improved please get it done ultrasound abdomen and post 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. I have pain in right side of the stomach whenever I move or take deep breathe. Please help. ### Input: Hello doctor, I am a 34-year-old male. I am experiencing pain in my right side of the stomach, about 7 inches right of my navel (in line with my navel). When I sit or lay down I do not feel pain as long as I do not move. I feel pain whenever I take deep breathe, cough, and move my torso. My stool and urine look normal and I do not have difficulty in passing stool and urine. I started feeling this pain for the past four days. I just noticed that my right stomach looks bigger than my left. It seems that it is inflamed. Please help. ###Response: Hello. Are you diabetic? Do you feel any pain after food intake? I have seen the images that you attached with your query (attachment removed to protect patient identity). Possible causes are: 1. This is the area for gallbladder possibility of cholecystitis. 2. Right ureteric stone may present pain in this right para umbilical/ right hypochondrium area. 3. Fatty liver. 4. Colon infection (ascending colon). 5. Gall stones may also present like pain in this region. So use the tablet Cyclopam (Dicyclomine and Paracetamol) twice a day for five days, Ofloxacin and Ornidazole twice a day for five days after food, tablet Pantoprazole before breakfast for one week. Drink plenty of liquids. Avoid fatty foods. If symptoms not improved please get it done ultrasound abdomen and post me.

Hi doctor,I have some white spot on my tongue. I researched on the internet and it looks like white oral cancer lesion. Any of your thoughts will be appreciable. I have attached the pictures for your reference. Please help.

Q. What are these white spots on my tongue?

Hi. For further information consult 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. What are these white spots on my tongue? ### Input: Hi doctor,I have some white spot on my tongue. I researched on the internet and it looks like white oral cancer lesion. Any of your thoughts will be appreciable. I have attached the pictures for your reference. Please help. ###Response: Hi. For further information consult a dentist online -->

Hello doctor,I am suffering from diarrhea for the past 10 months and having treatment at the hospital. I want to know about the diets I should have. The doctor says no for milk, but fine to have curd or lassi. I want to confirm if I can have curd and lassi?

Q. I am under treatment for diarrhea for past 10 months. Can I include curd and lassi in my food?

Hello. Probably your diarrhea comes when consuming milk containing food, which means your intestines are intolerant to lactose, which is the sugar that is present in milk. We call such situation as lactose intolerant enteritis. Curd and lassi you can take because their lactose content has been degraded by fermentation and so you can have both.

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 under treatment for diarrhea for past 10 months. Can I include curd and lassi in my food? ### Input: Hello doctor,I am suffering from diarrhea for the past 10 months and having treatment at the hospital. I want to know about the diets I should have. The doctor says no for milk, but fine to have curd or lassi. I want to confirm if I can have curd and lassi? ###Response: Hello. Probably your diarrhea comes when consuming milk containing food, which means your intestines are intolerant to lactose, which is the sugar that is present in milk. We call such situation as lactose intolerant enteritis. Curd and lassi you can take because their lactose content has been degraded by fermentation and so you can have both.

Hi doctor, I am having trouble in my relationship, my partner has not been contacting me for the past one month and it is affecting me a lot. I am talking to myself considering that I am talking to him, I am making up stories of why he is doing this, sometimes the story is against him and somtimes it is supporting him. I am scared of waking up in the morning thinking that I have to now go throught one more day suffoctaing and crying for the same reason. I am even scared to lock my doors because I feel totally all alone like if there is noone for me, even though I stay with my parents and dog. Please help me to get out of this situation. I seriously need your help.

Q. How can I overcome the loneliness when my partner ignores me?

Hello. This will last for some more weeks and you will then get adjusted to new change in your life. If he is not contacting you and is totally ignoring you then in that case there is no benefit in thinking about him. If he is so stubborn that he has no contact with you for the last one month then he should get the reply in the method he deserves. You should focus on yourself, whenever you have thoughts about him you should call your friends or your family members. Try to distract your mind. You can go for shopping to distract yourself. One month has passed already so I think you have developed good strength. Try to consolidate your strength. This is the age at which you should focus on your studies and career. He should be ignored totally. If you will ignore him, you will get more strength.

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 overcome the loneliness when my partner ignores me? ### Input: Hi doctor, I am having trouble in my relationship, my partner has not been contacting me for the past one month and it is affecting me a lot. I am talking to myself considering that I am talking to him, I am making up stories of why he is doing this, sometimes the story is against him and somtimes it is supporting him. I am scared of waking up in the morning thinking that I have to now go throught one more day suffoctaing and crying for the same reason. I am even scared to lock my doors because I feel totally all alone like if there is noone for me, even though I stay with my parents and dog. Please help me to get out of this situation. I seriously need your help. ###Response: Hello. This will last for some more weeks and you will then get adjusted to new change in your life. If he is not contacting you and is totally ignoring you then in that case there is no benefit in thinking about him. If he is so stubborn that he has no contact with you for the last one month then he should get the reply in the method he deserves. You should focus on yourself, whenever you have thoughts about him you should call your friends or your family members. Try to distract your mind. You can go for shopping to distract yourself. One month has passed already so I think you have developed good strength. Try to consolidate your strength. This is the age at which you should focus on your studies and career. He should be ignored totally. If you will ignore him, you will get more strength.

Hi doctor, I am a 67 year old male. I am overweight, mildly diabetic and have high BP. I have pain on backside of my left heel. It increases in the evening. I think I have Achilles tendinitis. Please help.

Q. What can cause heel pain?

Hello. 1. Recent blood tests like CBC (complete blood count), ESR (erythrocyte sedimentation rate), CRP (C-reactive protein) and serum uric acid. 2. X-ray ankle - lateral view. 3. A clinical picture showing exact site of pain and inflammation, so that the pathology can be estimated. 1. Achilles tendonitis (Achilles tendinitis). 2. Plantar Fasciitis. 3. Bony spurs. Follow up with investigations 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. What can cause heel pain? ### Input: Hi doctor, I am a 67 year old male. I am overweight, mildly diabetic and have high BP. I have pain on backside of my left heel. It increases in the evening. I think I have Achilles tendinitis. Please help. ###Response: Hello. 1. Recent blood tests like CBC (complete blood count), ESR (erythrocyte sedimentation rate), CRP (C-reactive protein) and serum uric acid. 2. X-ray ankle - lateral view. 3. A clinical picture showing exact site of pain and inflammation, so that the pathology can be estimated. 1. Achilles tendonitis (Achilles tendinitis). 2. Plantar Fasciitis. 3. Bony spurs. Follow up with investigations to an orthopaedician and traumatologist online.--->

Hello doctor, I am a 40 year old man. I have a foot pain which was diagnosed a few years ago as plantar fasciitis. I use shoes with special support, insoles, and cushion on the socks. I also have a pain in my right knee, especially on the inner side. I want to know if there are any exercises or stretches I can do to improve the condition. Also, can you suggest any other home treatment options for the knee and the feet? I am giving you some more details about the presenting complaint. Regarding the foot pain, I feel it early in the morning after walking or after sitting for a long period of time. And the knee pain is usually while walking. However, the condition gets worse if I walk after sitting for long periods of time as well. I have been going to the Chiropractor for a few months. The knee pain has gotten better. They have recommended hamstring stretches, quadriceps stretches, wall stretches for the calf, foot stretches and bridge exercises. For the knee pain, they have diagnosed sore muscles in the inner thigh, right above the knee and it is responding well to such treatment. Also, based on the tests they suggest my gluteal muscles are not activating fully due to prolonged sitting.

Q. Can you suggest physiotherapy treatment for plantar fasciitis and knee pain?

Hello. The protocol followed by you is good. You should follow that regularly for the next one month. For the plantar fasciitis, I suggest the following: For the knee pain, I suggest the following: This will help ease your pain. Happy recovery. For more information consult a physiotherapist 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 physiotherapy treatment for plantar fasciitis and knee pain? ### Input: Hello doctor, I am a 40 year old man. I have a foot pain which was diagnosed a few years ago as plantar fasciitis. I use shoes with special support, insoles, and cushion on the socks. I also have a pain in my right knee, especially on the inner side. I want to know if there are any exercises or stretches I can do to improve the condition. Also, can you suggest any other home treatment options for the knee and the feet? I am giving you some more details about the presenting complaint. Regarding the foot pain, I feel it early in the morning after walking or after sitting for a long period of time. And the knee pain is usually while walking. However, the condition gets worse if I walk after sitting for long periods of time as well. I have been going to the Chiropractor for a few months. The knee pain has gotten better. They have recommended hamstring stretches, quadriceps stretches, wall stretches for the calf, foot stretches and bridge exercises. For the knee pain, they have diagnosed sore muscles in the inner thigh, right above the knee and it is responding well to such treatment. Also, based on the tests they suggest my gluteal muscles are not activating fully due to prolonged sitting. ###Response: Hello. The protocol followed by you is good. You should follow that regularly for the next one month. For the plantar fasciitis, I suggest the following: For the knee pain, I suggest the following: This will help ease your pain. Happy recovery. For more information consult a physiotherapist online -->

Hello, I am 60 years old. I have plantar fasciitis from one year and two months. It is getting better, but I wanted a second opinion on my MRI done two months ago. Also, since the past two weeks, I have hip pain from the groin to the outer part of the hip in a semi-circle. It is painful to get in and out of a car or climb stairs. I have been doing Cross-fit gym for the past three years.

Q. How to recover from plantar fasciitis and hip pain?

Hello. I have gone through your reports (attachment removed to protect patient identity). Revert with reports to a fitness expert 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 recover from plantar fasciitis and hip pain? ### Input: Hello, I am 60 years old. I have plantar fasciitis from one year and two months. It is getting better, but I wanted a second opinion on my MRI done two months ago. Also, since the past two weeks, I have hip pain from the groin to the outer part of the hip in a semi-circle. It is painful to get in and out of a car or climb stairs. I have been doing Cross-fit gym for the past three years. ###Response: Hello. I have gone through your reports (attachment removed to protect patient identity). Revert with reports to a fitness expert 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, My uric acid in blood shoots up to 7.9. I do not have the problem or gout or kidney stones. How to reduce it? I have already started to drink lemon water the whole day. I have attached the photographs. I have only knee pain, which is at the backside of the knee while climbing up and down stairs for the last two years. Also, my left leg thigh muscle has localized numbness for the past five years. Numbness did not hurt, but bothers sometime. Numbness is not heavy if i use nail on it or scratch on it, I sense it well. How to cure this numbness? Is this serious?

Q. Why do I get thigh muscle numbness?

Hello. Revert back with more clinical details 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 get thigh muscle numbness? ### Input: Hi doctor, My uric acid in blood shoots up to 7.9. I do not have the problem or gout or kidney stones. How to reduce it? I have already started to drink lemon water the whole day. I have attached the photographs. I have only knee pain, which is at the backside of the knee while climbing up and down stairs for the last two years. Also, my left leg thigh muscle has localized numbness for the past five years. Numbness did not hurt, but bothers sometime. Numbness is not heavy if i use nail on it or scratch on it, I sense it well. How to cure this numbness? Is this serious? ###Response: Hello. Revert back with more clinical details to an orthopaedician and traumatologist online -->

Hi doctor, Is it normal to be treated for epilepsy without an epilepsy diagnosis and all brain tests came back clear? I had three generalised seizures, each of which lasted around a minute in the beginning of this year and none since. CT, MRI and EEG all came back clear. I have recently been diagnosed as B12 deficient and read that this can cause seizures and believe this may have been what caused mine. My aunt also had seizures all in the same day 20 years ago, all tests came back clear. They said it must have been viral. She refused to take medication when leaving hospital as they had told her it was viral, and never had a seizure since. She was then also diagnosed as B12 deficient. My neurologist still expects me to take epilepsy tablets. I am told that epilepsy is the working diagnosis. I never had any health problems in my life until I had these seizures. I took myself off the medication over two months ago due to side effects including that they were making me forgetful, not just forgetting to do something but my mind would be totally blank which really freaked me out as it is not like me at all. My memory is always 100 %. Since coming off them I feel so much better, and my only symptoms at the minute are from B12 deficiency and I am being treated for that with injections. I am 38 years old and female.

Q. My brain tests came normal. Do I still need treatment for epilepsy?

Hello. I read carefully your question and would explain that a normal EEG does not exclude seizures. Anyways, there are many other causes that may trigger seizures even in healthy persons like insomnia, alcohol or drugs, thyroid gland dysfunction, electrolytes imbalances, anemia, head trauma, etc. Epilepsy is a disease which leads to repeated seizures in the absence of the above triggering factors or other medical disorders. Coming to this point, as you have stopped medication and you are feeling great, I would recommend just wait and see if you will have any seizures while free of AED. If this happens, I would recommend starting another AED like Levetiracetam in low dose. In the meantime, I would recommend following a regular sleep hygiene, eating a balanced diet, avoiding caffeine, alcohol or smoking. I would also recommend avoiding driving in the next months as we can not predict if seizures will reoccur or not.

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 brain tests came normal. Do I still need treatment for epilepsy? ### Input: Hi doctor, Is it normal to be treated for epilepsy without an epilepsy diagnosis and all brain tests came back clear? I had three generalised seizures, each of which lasted around a minute in the beginning of this year and none since. CT, MRI and EEG all came back clear. I have recently been diagnosed as B12 deficient and read that this can cause seizures and believe this may have been what caused mine. My aunt also had seizures all in the same day 20 years ago, all tests came back clear. They said it must have been viral. She refused to take medication when leaving hospital as they had told her it was viral, and never had a seizure since. She was then also diagnosed as B12 deficient. My neurologist still expects me to take epilepsy tablets. I am told that epilepsy is the working diagnosis. I never had any health problems in my life until I had these seizures. I took myself off the medication over two months ago due to side effects including that they were making me forgetful, not just forgetting to do something but my mind would be totally blank which really freaked me out as it is not like me at all. My memory is always 100 %. Since coming off them I feel so much better, and my only symptoms at the minute are from B12 deficiency and I am being treated for that with injections. I am 38 years old and female. ###Response: Hello. I read carefully your question and would explain that a normal EEG does not exclude seizures. Anyways, there are many other causes that may trigger seizures even in healthy persons like insomnia, alcohol or drugs, thyroid gland dysfunction, electrolytes imbalances, anemia, head trauma, etc. Epilepsy is a disease which leads to repeated seizures in the absence of the above triggering factors or other medical disorders. Coming to this point, as you have stopped medication and you are feeling great, I would recommend just wait and see if you will have any seizures while free of AED. If this happens, I would recommend starting another AED like Levetiracetam in low dose. In the meantime, I would recommend following a regular sleep hygiene, eating a balanced diet, avoiding caffeine, alcohol or smoking. I would also recommend avoiding driving in the next months as we can not predict if seizures will reoccur or not.

Hello doctor, I am 31 years old 5ft 11" in height and weight 24 stone. I have been getting lower right side abdomen pain for the past few months, and it usually starts after walking or standing for a long time. Today the pain has got worse, and I also have lower back pain. I suffered from Crohn's disease and had a bowel resection seven years ago, but currently, I remission and my Crohn's consultant does not think this problem is related. I also have a problem with passing urine, as it takes me ages to go and have to strain or sometimes rock and also will sometimes stop mid flow and have to strain to continue. I am worried as the pain become worse this evening.

Q. I get abdomen pain while walking and standing for a long time. Please help.

Hello. Your history suggests the relationship between Crohn's disease and lower right abdominal pain. Gut resection causes this kind of symptom as the overall function is compromised. A post-surgical follow-up visit to the surgeon would be helpful to see whether urinary bladder or ureters were involved. I will suggest you make a post-surgical follow-up with the surgeon and a gastroenterologist for Crohn's disease follow-up. Consult with an orthopedic doctor for osteoarthritis and calcium, and vitamin D supplements. Bone pains in osteoarthritis occur due to condition itself and also due to calcium and vitamin D insufficiency.If any X-ray of abdomen and neck you have, please send 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. I get abdomen pain while walking and standing for a long time. Please help. ### Input: Hello doctor, I am 31 years old 5ft 11" in height and weight 24 stone. I have been getting lower right side abdomen pain for the past few months, and it usually starts after walking or standing for a long time. Today the pain has got worse, and I also have lower back pain. I suffered from Crohn's disease and had a bowel resection seven years ago, but currently, I remission and my Crohn's consultant does not think this problem is related. I also have a problem with passing urine, as it takes me ages to go and have to strain or sometimes rock and also will sometimes stop mid flow and have to strain to continue. I am worried as the pain become worse this evening. ###Response: Hello. Your history suggests the relationship between Crohn's disease and lower right abdominal pain. Gut resection causes this kind of symptom as the overall function is compromised. A post-surgical follow-up visit to the surgeon would be helpful to see whether urinary bladder or ureters were involved. I will suggest you make a post-surgical follow-up with the surgeon and a gastroenterologist for Crohn's disease follow-up. Consult with an orthopedic doctor for osteoarthritis and calcium, and vitamin D supplements. Bone pains in osteoarthritis occur due to condition itself and also due to calcium and vitamin D insufficiency.If any X-ray of abdomen and neck you have, please send me.

Hello doctor, My 6 year old daughter was born with tyrosinemia type 1. She had diarrhea and bloody stools for 10 days, a month back. She was tested for many things, and everything came back normal, except her calprotectin level was 1250 while she had loose and bloody stools. She was admitted and had a cleanse and got an endoscopy done, and it showed lots of inflammation. She was put on a high dosage of steroids and Sulfasalazine for five weeks. The bleeding has stopped, and we weaned off the steroids. The biopsy results said it was IBD. Two weeks ago, she had her calprotectin level checked again, and it was in the 200. This week, we checked it again, and it was 39. I will include pictures of the biopsy results and pictures of the endoscopy. Her doctor said that the reports are not 100 % fine, and it is either UC or Crohn's. The doctor said that further down the line, we would be able to know which one she has. I would love to get a second opinion on what it could be.

Q. How to differentiate between ulcerative colitis and Crohn's disease?

Hi. I have seen all the attached reports (attachment removed to protect patient identity). Have a nice day. Revert with more information to paediatrician 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 differentiate between ulcerative colitis and Crohn's disease? ### Input: Hello doctor, My 6 year old daughter was born with tyrosinemia type 1. She had diarrhea and bloody stools for 10 days, a month back. She was tested for many things, and everything came back normal, except her calprotectin level was 1250 while she had loose and bloody stools. She was admitted and had a cleanse and got an endoscopy done, and it showed lots of inflammation. She was put on a high dosage of steroids and Sulfasalazine for five weeks. The bleeding has stopped, and we weaned off the steroids. The biopsy results said it was IBD. Two weeks ago, she had her calprotectin level checked again, and it was in the 200. This week, we checked it again, and it was 39. I will include pictures of the biopsy results and pictures of the endoscopy. Her doctor said that the reports are not 100 % fine, and it is either UC or Crohn's. The doctor said that further down the line, we would be able to know which one she has. I would love to get a second opinion on what it could be. ###Response: Hi. I have seen all the attached reports (attachment removed to protect patient identity). Have a nice day. Revert with more information to paediatrician online -->

Hi doctor, I had severe abdominal pain with diarrhea a month back. The next day pain subsided, but slight discomfort was there for two weeks. Then, I went to see the doctor who prescribed Flagyl and Rifamixin. The lower abdominal discomfort did not disappear and the stool has not formed yet. Then recently, last week I had more investigations and as per investigations, the doctor says that I have Crohn's disease. Is it really Crohn's or could be something else?

Q. Is my lower abdominal pain pointing towards Crohn's disease?

Hello. I went through your report (attachment removed to protect patient identity) and post, the thing which is favoring Crohn's disease is normal biopsy colonoscopy. You need to do ASCA (anti-saccharomyces cerevisiae antibodies) and a CT enterography. Your CRP (C-reactive protein) and calciprotein are high. So, Crohn's is a strong possibility which will be confirmed by CT enterography and antibody test. 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. Is my lower abdominal pain pointing towards Crohn's disease? ### Input: Hi doctor, I had severe abdominal pain with diarrhea a month back. The next day pain subsided, but slight discomfort was there for two weeks. Then, I went to see the doctor who prescribed Flagyl and Rifamixin. The lower abdominal discomfort did not disappear and the stool has not formed yet. Then recently, last week I had more investigations and as per investigations, the doctor says that I have Crohn's disease. Is it really Crohn's or could be something else? ###Response: Hello. I went through your report (attachment removed to protect patient identity) and post, the thing which is favoring Crohn's disease is normal biopsy colonoscopy. You need to do ASCA (anti-saccharomyces cerevisiae antibodies) and a CT enterography. Your CRP (C-reactive protein) and calciprotein are high. So, Crohn's is a strong possibility which will be confirmed by CT enterography and antibody test. For more information consult an internal medicine physician online -->

Hi, I am a crohn's disease patient and now my ESR level is 70 and CRP positive. I am taking pentasa 1g twice (morning and evening) and also 150mg of azoran (immunity suppressant tablet) in the morning alone. Today I visited an ayurvedic doctor to start ayurvedic treatment and he gave me medicine indukantham kashayam and septilin and both seems to boost the immunity of the body. I want to know is it good to have both medicines like pentasa/azoran with ayurvedic medicines as mentioned above.My ayurvedic doctor has said that I can continue both for some time and then review after a week and check if ESR levels have fallen. Please advise.

Q. I am a crohn's disease patient. Can I take ayurvedic medicines?

Hi. Crohn's disease is an autoimmune disease, in which our own immune system tries to act against our body tissues. With this concept, allopathy physicians give drugs to suppress immunity, thus no action against our body tissue. This is the way of allopathy treatment. These immunosuppresants have their own side effects over a long period of time. Revert back to an ayurveda specialist online after two weeks 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 am a crohn's disease patient. Can I take ayurvedic medicines? ### Input: Hi, I am a crohn's disease patient and now my ESR level is 70 and CRP positive. I am taking pentasa 1g twice (morning and evening) and also 150mg of azoran (immunity suppressant tablet) in the morning alone. Today I visited an ayurvedic doctor to start ayurvedic treatment and he gave me medicine indukantham kashayam and septilin and both seems to boost the immunity of the body. I want to know is it good to have both medicines like pentasa/azoran with ayurvedic medicines as mentioned above.My ayurvedic doctor has said that I can continue both for some time and then review after a week and check if ESR levels have fallen. Please advise. ###Response: Hi. Crohn's disease is an autoimmune disease, in which our own immune system tries to act against our body tissues. With this concept, allopathy physicians give drugs to suppress immunity, thus no action against our body tissue. This is the way of allopathy treatment. These immunosuppresants have their own side effects over a long period of time. Revert back to an ayurveda specialist online after two weeks for further follow up -->

Hello doctor, My one year old daughter had a fever for four days, with one episode of seizure on the fourth day which lasted less than a minute. There was no post ictal confusion or drowsiness. At first, the doctors started with Ceftriaxone and Amikacin for four days, then a lumbar puncture was done showing leucocytes. The report said 135 with 80 % lymphocytes and 20 % monocytes. The day before lumbar puncture, she was started on Vancomycin. The blood culture done before starting Ceftriaxone showed Staphylococcus growth with 50 thousand colonies. They said it may be contaminated. Urine culture showed enterococcus faecium, but repeat test came negative. All subsequent tests came negative. Now the child is doing well, without fever for four days. They stopped both Vancomycin and Amikacin and told to continue Ceftriaxone for two weeks. I am awaiting the CSF culture reports. My concern is whether it is alright not to give Vancomycin.

Q. I need a second opinion regarding my daughter's fever treatment. Please guide me.

Hello. I can understand your concerns. I hope this helps. Take care. For more information consult a child health 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. I need a second opinion regarding my daughter's fever treatment. Please guide me. ### Input: Hello doctor, My one year old daughter had a fever for four days, with one episode of seizure on the fourth day which lasted less than a minute. There was no post ictal confusion or drowsiness. At first, the doctors started with Ceftriaxone and Amikacin for four days, then a lumbar puncture was done showing leucocytes. The report said 135 with 80 % lymphocytes and 20 % monocytes. The day before lumbar puncture, she was started on Vancomycin. The blood culture done before starting Ceftriaxone showed Staphylococcus growth with 50 thousand colonies. They said it may be contaminated. Urine culture showed enterococcus faecium, but repeat test came negative. All subsequent tests came negative. Now the child is doing well, without fever for four days. They stopped both Vancomycin and Amikacin and told to continue Ceftriaxone for two weeks. I am awaiting the CSF culture reports. My concern is whether it is alright not to give Vancomycin. ###Response: Hello. I can understand your concerns. I hope this helps. Take care. For more information consult a child health specialist online -->

Hi doctor, What could be causing the extreme pains in my lymph nodes under my neck and tingling the in head? Should I see a doctor in person? I had a sinus infection a month ago when the neck pains suddenly appeared. I was given antibiotics. It got rid of my other sinus symptoms, but not the lymph node pain. Recently, I was found to have an abscessed wisdom tooth and an abscessed crowned tooth. I had both pulled and was given Clindamycin for 10 days. Still, I have neck pains.I have been on a ton of antibiotics so not sure if bacteria are even responsive anymore. Should I be concerned about meningitis or that the infection has spread to lymph nodes? It has been about a month or two that neck pain has continued. Would blood work or an ultrasound be a better way to see what is going on? Is there anything I can do to treat this at home?

Q. What could be causing extreme lymph node pain in the neck?

Hello. 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 could be causing extreme lymph node pain in the neck? ### Input: Hi doctor, What could be causing the extreme pains in my lymph nodes under my neck and tingling the in head? Should I see a doctor in person? I had a sinus infection a month ago when the neck pains suddenly appeared. I was given antibiotics. It got rid of my other sinus symptoms, but not the lymph node pain. Recently, I was found to have an abscessed wisdom tooth and an abscessed crowned tooth. I had both pulled and was given Clindamycin for 10 days. Still, I have neck pains.I have been on a ton of antibiotics so not sure if bacteria are even responsive anymore. Should I be concerned about meningitis or that the infection has spread to lymph nodes? It has been about a month or two that neck pain has continued. Would blood work or an ultrasound be a better way to see what is going on? Is there anything I can do to treat this at home? ###Response: Hello. For further information consult an internal medicine physician online -->

Hello doctor, I had meningitis fever when I was 7 years old because of which my hearing capacity was lost. I use hearing aids and I can hear from hearing aid, but it is hard to listen. One of the doctors said that I have bones issues, and I need to consult with a rheumatologist. But it is hard for me to understand.

Q. I lost my hearing capacity due to meningitis. Should I consult a rheumatologist?

Hello. The main problem with meningitis is that it is an infection which causes irreversible damage. As far as knowledge goes, there are not many cases who benefitted with the hearing. The cochlea is the hearing organ of the human body. It has three partitions filled with fluid. When hearing loss is caused by meningitis, the cochlea begins to ossify (the canals in cochlea start turning into bone). Thus the sound vibrations are not able to reach the auditory nerve. Usually, the loss is permanent. If you already wear hearing aids and now having a problem with understanding the speech, you need to see an audiologist and recheck your hearing as it might have progressed. If the loss has increased, please reprogram your hearing aids. If it has not changed, then you need to practice communication perception techniques. A speech therapist can help you with the techniques to improve communication. There are few techniques for better communication, but as you have not mentioned, I am not familiar with what method you use. I feel you should have discussed the problem in detail so that I could have helped you more with techniques. 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. I lost my hearing capacity due to meningitis. Should I consult a rheumatologist? ### Input: Hello doctor, I had meningitis fever when I was 7 years old because of which my hearing capacity was lost. I use hearing aids and I can hear from hearing aid, but it is hard to listen. One of the doctors said that I have bones issues, and I need to consult with a rheumatologist. But it is hard for me to understand. ###Response: Hello. The main problem with meningitis is that it is an infection which causes irreversible damage. As far as knowledge goes, there are not many cases who benefitted with the hearing. The cochlea is the hearing organ of the human body. It has three partitions filled with fluid. When hearing loss is caused by meningitis, the cochlea begins to ossify (the canals in cochlea start turning into bone). Thus the sound vibrations are not able to reach the auditory nerve. Usually, the loss is permanent. If you already wear hearing aids and now having a problem with understanding the speech, you need to see an audiologist and recheck your hearing as it might have progressed. If the loss has increased, please reprogram your hearing aids. If it has not changed, then you need to practice communication perception techniques. A speech therapist can help you with the techniques to improve communication. There are few techniques for better communication, but as you have not mentioned, I am not familiar with what method you use. I feel you should have discussed the problem in detail so that I could have helped you more with techniques. Do not hesitate to contact me.

Hi doctor, My brother has fungal meningitis and is in a coma. Initially, he responded to the commands, but after him having a tracheostomy and a feeding tube put in him; he is not responding to our words. What do you think? Is there a possibility of recovery? Will he wake up?

Q. My brother is in coma with fungal meningitis. Will he recover?

Hello. 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. My brother is in coma with fungal meningitis. Will he recover? ### Input: Hi doctor, My brother has fungal meningitis and is in a coma. Initially, he responded to the commands, but after him having a tracheostomy and a feeding tube put in him; he is not responding to our words. What do you think? Is there a possibility of recovery? Will he wake up? ###Response: Hello. For further information consult a neurologist online -->

Respected doctor, My 63 year old mother was diagnosed with tuberculosis meningitis (TBM) 10 months ago when she complained of a severe headache. She has undergone CSF study and the report of the study is attached. She has been taking ATT medicines since then. The list of all the medicines she is taking is also attached. The medicines had come down to only one tablet (R-Cinex) in the last 10 months. But, now for the last two months, she started having back pain in the spine area and is now suspected to have a TB infection in the spine. She has a history of L3-L4 collapse four years ago, but that was due to osteoporosis. Her BMD score was -3.2. The spine has been severely infected from L1 to L5.  The MRI revealed an abscess with a pus collection in it (report attached). The doctor says it could be Pott's spine and may be because of a drug resistance (MDR), and they wanted to perform a USG aspiration for Xpert plus SRL, culture and sensitivity of pus. But, the test did not happen because the location of the pus was very deep in the muscle and could not be extracted. So, they extracted some tissues near by the infection area and sent for a small biopsy. The report of the histopathology (small biopsy) is also attached. It says mild nonspecific chronic inflammation. Since no strong evidence of drug resistance could be found in the small biopsy, the doctor has restarted the medicine of AKT-4 plus STM 0.75, and they want to see whether this reduces the problem or not. They said we cannot start DR/MDR treatment without any strong evidence of drug resistance. The current OPD card is also attached in which the medicine has been restarted. Now please guide us about what should be the treatment plan of the disease based on the information submitted. Can anything can be done to get a strong evidence of drug resistance since the ATT medicine is very heavy and the doctor has restarted this medicine only on the basis of his opinion? How can we assess the recovery from the disease apart from relying only on the reduction of pain? Does she require any further MRI or any test after some time?

Q. My mother had TB meningitis and is now suspected to have tubercular spine. Help.

Hello. I went through your post which has nicely described the events. Also, I reviewed her reports (attachment removed to protect patient identity). 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. My mother had TB meningitis and is now suspected to have tubercular spine. Help. ### Input: Respected doctor, My 63 year old mother was diagnosed with tuberculosis meningitis (TBM) 10 months ago when she complained of a severe headache. She has undergone CSF study and the report of the study is attached. She has been taking ATT medicines since then. The list of all the medicines she is taking is also attached. The medicines had come down to only one tablet (R-Cinex) in the last 10 months. But, now for the last two months, she started having back pain in the spine area and is now suspected to have a TB infection in the spine. She has a history of L3-L4 collapse four years ago, but that was due to osteoporosis. Her BMD score was -3.2. The spine has been severely infected from L1 to L5.  The MRI revealed an abscess with a pus collection in it (report attached). The doctor says it could be Pott's spine and may be because of a drug resistance (MDR), and they wanted to perform a USG aspiration for Xpert plus SRL, culture and sensitivity of pus. But, the test did not happen because the location of the pus was very deep in the muscle and could not be extracted. So, they extracted some tissues near by the infection area and sent for a small biopsy. The report of the histopathology (small biopsy) is also attached. It says mild nonspecific chronic inflammation. Since no strong evidence of drug resistance could be found in the small biopsy, the doctor has restarted the medicine of AKT-4 plus STM 0.75, and they want to see whether this reduces the problem or not. They said we cannot start DR/MDR treatment without any strong evidence of drug resistance. The current OPD card is also attached in which the medicine has been restarted. Now please guide us about what should be the treatment plan of the disease based on the information submitted. Can anything can be done to get a strong evidence of drug resistance since the ATT medicine is very heavy and the doctor has restarted this medicine only on the basis of his opinion? How can we assess the recovery from the disease apart from relying only on the reduction of pain? Does she require any further MRI or any test after some time? ###Response: Hello. I went through your post which has nicely described the events. Also, I reviewed her reports (attachment removed to protect patient identity). For more information consult an internal medicine physician online -->

Hi doctor, My 3 year old daughter has had three nosebleeds in about 3 hours. During the nosebleeds, she said her cheek bone area close to her nose hurts. What to do?

Q. How to manage nosebleed?

Hello. For further information consult a child health 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. How to manage nosebleed? ### Input: Hi doctor, My 3 year old daughter has had three nosebleeds in about 3 hours. During the nosebleeds, she said her cheek bone area close to her nose hurts. What to do? ###Response: Hello. For further information consult a child health specialist 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, My wife has nausea, vomting episodes that are not related to conditions, for example she can eat and feel nauseated or vomit after an hour or two or not feel anything. Then a few days later it can happen again. It comes and goes and is not stable, or triggered by certain conditions. It is totally random mostly. She gave birth to twins with a CS and was on Prontogest supplement for 7.5 months.

Q. What causes nausea and vomiting without any underlying condition?

Hi. She may have repeated biliary colics or recurrent attacks of gastritis or may have urinary tract infections. So, she needs urine routine test, liver function test for further comments.

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 causes nausea and vomiting without any underlying condition? ### Input: Hello doctor, My wife has nausea, vomting episodes that are not related to conditions, for example she can eat and feel nauseated or vomit after an hour or two or not feel anything. Then a few days later it can happen again. It comes and goes and is not stable, or triggered by certain conditions. It is totally random mostly. She gave birth to twins with a CS and was on Prontogest supplement for 7.5 months. ###Response: Hi. She may have repeated biliary colics or recurrent attacks of gastritis or may have urinary tract infections. So, she needs urine routine test, liver function test for further comments.

Hello doctor, I cannot grow beards on my cheeks but moustache and beard near chin grow properly, what can be done to grow full beard? Please help.

Q. How can I grow a full beard?

Hello, Welcome to icliniq.com. This is very common not to have full grown beard. As you have mentioned you have hair on chin and moustache but not on cheeks, you can consider meeting an endocrinologist and get your hormones laboratory test done. This is just to ensure that you do not have any hormonal issues. If everything is normal, you can consider beared transplant surgery. It is safe and permanent solution to 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. How can I grow a full beard? ### Input: Hello doctor, I cannot grow beards on my cheeks but moustache and beard near chin grow properly, what can be done to grow full beard? Please help. ###Response: Hello, Welcome to icliniq.com. This is very common not to have full grown beard. As you have mentioned you have hair on chin and moustache but not on cheeks, you can consider meeting an endocrinologist and get your hormones laboratory test done. This is just to ensure that you do not have any hormonal issues. If everything is normal, you can consider beared transplant surgery. It is safe and permanent solution to your problem.

Hello doctor, How accurate are skin prick tests for predicting positive reactions? My family is interested in a pet and I have had negative skin prick and blood work tests for dander. Before we bring a pet in and before my kids become bonded, is it reasonable to assume negative tests will translate in no reactions. Occasionally, when I interact with animals, I have a reaction but it is difficult to determine whether it is actually the pollen which I am highly allergic to.

Q. Can skin prick tests predict positive reactions completely?

Hi. Skin prick allergy testing is one of the most accurate ways of diagnosing the allergen, one is sensitive to. It is definitely more accurate than blood immunoCAP testing (blood allergy testing). Skin prick testing checks your sensitivity to the protein in question. Even if sensitive, it need not mean you are allergic. Whereby, a positive result need not always mean you will get allergy with the protein. It means that your immune system is sensitised to that allergen and that an allergy can occur in subsequent exposures to the allergen. A negative in skin prick testing will mean that you are not sensitive to that protein and that you will not end with an allergy upon its exposure. This is true. But it is specific for the particular type of allergen. What all animal danders were included in your profile and what was the response to each? Is there a photograph or record of the wheal or flare that developed after each prick? Was the test read by a clinical allergist or immunologist and were you provided a report as to that you are not allergic to any animal dander? Were you diagnosed with pollen allergy or sensitivity? Have you observed any symptoms of allergy while in gardens or bushy areas? Or in any particular season? Does any one else in your family have allergies?

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 skin prick tests predict positive reactions completely? ### Input: Hello doctor, How accurate are skin prick tests for predicting positive reactions? My family is interested in a pet and I have had negative skin prick and blood work tests for dander. Before we bring a pet in and before my kids become bonded, is it reasonable to assume negative tests will translate in no reactions. Occasionally, when I interact with animals, I have a reaction but it is difficult to determine whether it is actually the pollen which I am highly allergic to. ###Response: Hi. Skin prick allergy testing is one of the most accurate ways of diagnosing the allergen, one is sensitive to. It is definitely more accurate than blood immunoCAP testing (blood allergy testing). Skin prick testing checks your sensitivity to the protein in question. Even if sensitive, it need not mean you are allergic. Whereby, a positive result need not always mean you will get allergy with the protein. It means that your immune system is sensitised to that allergen and that an allergy can occur in subsequent exposures to the allergen. A negative in skin prick testing will mean that you are not sensitive to that protein and that you will not end with an allergy upon its exposure. This is true. But it is specific for the particular type of allergen. What all animal danders were included in your profile and what was the response to each? Is there a photograph or record of the wheal or flare that developed after each prick? Was the test read by a clinical allergist or immunologist and were you provided a report as to that you are not allergic to any animal dander? Were you diagnosed with pollen allergy or sensitivity? Have you observed any symptoms of allergy while in gardens or bushy areas? Or in any particular season? Does any one else in your family have allergies?

Hi doctor, I am an 18-year-old girl. It had been quite noticeable for some time that I have had excessive hair loss, especially in my hairline. I am a ballet dancer and have been putting my hair in buns ever since I was little. Two years ago, I started training a full time course which meant I needed to put my hair in a bun every day with hairspray, and a lot of times I got home too late to wash it out. Now I am taking more caution but I have lost a lot of hair and my hairline has receded a lot. Is there anything I can do to reverse or help it?

Q. How can hair fall be reversed?

Hello. From your description, it seems like it is traction alopecia that occurs due to excessive pressure on hair roots due to hair bun, etc. First thing is to make sure to relieve pressure from your hair roots. Use Minoxidil spray BD over the frontal area. Take biotin supplements BD for atleast three months. Follow up at one month.

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 hair fall be reversed? ### Input: Hi doctor, I am an 18-year-old girl. It had been quite noticeable for some time that I have had excessive hair loss, especially in my hairline. I am a ballet dancer and have been putting my hair in buns ever since I was little. Two years ago, I started training a full time course which meant I needed to put my hair in a bun every day with hairspray, and a lot of times I got home too late to wash it out. Now I am taking more caution but I have lost a lot of hair and my hairline has receded a lot. Is there anything I can do to reverse or help it? ###Response: Hello. From your description, it seems like it is traction alopecia that occurs due to excessive pressure on hair roots due to hair bun, etc. First thing is to make sure to relieve pressure from your hair roots. Use Minoxidil spray BD over the frontal area. Take biotin supplements BD for atleast three months. Follow up at one month.

Hello doctor,I am a 44-year-old male with 5ft 4" in height and 69 kgs weight. My TSH (9.83) value is high, but T3 total (104.6) and T4 total (8.5) are normal. No medications are other than Uprise-D3 60 K capsule, which I take weekly. I have no particular symptoms but no weight loss in spite of very active sports and workouts daily and cholesterol borderline high in spite of a very balanced low-fat diet. My report says, Cholesterol 201, LDL Cholesterol 135, HDL Cholesterol 42, Non-HDL Cholesterol 159.00, and Triglycerides 118.

Q. My T3 and T4 values are normal, but my TSH values is high. Why?

Hello. I can understand your concern. I have gone through the reports you have attached. In my opinion, you should get done repeat test after a month.No need to start thyroid medicines. Do regular aerobic exercise like running, cycling, swimming, or walking. I hope I have solved your query. I will be happy to help you further.

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 T3 and T4 values are normal, but my TSH values is high. Why? ### Input: Hello doctor,I am a 44-year-old male with 5ft 4" in height and 69 kgs weight. My TSH (9.83) value is high, but T3 total (104.6) and T4 total (8.5) are normal. No medications are other than Uprise-D3 60 K capsule, which I take weekly. I have no particular symptoms but no weight loss in spite of very active sports and workouts daily and cholesterol borderline high in spite of a very balanced low-fat diet. My report says, Cholesterol 201, LDL Cholesterol 135, HDL Cholesterol 42, Non-HDL Cholesterol 159.00, and Triglycerides 118. ###Response: Hello. I can understand your concern. I have gone through the reports you have attached. In my opinion, you should get done repeat test after a month.No need to start thyroid medicines. Do regular aerobic exercise like running, cycling, swimming, or walking. I hope I have solved your query. I will be happy to help you further.

Hi doctor, I had a tooth extraction and a temporary bridge on my back upper teeth. The temporary bridge broke and I got another one. After this, I started to have some soreness in my left cheek and left side of my tongue. My cheek feels swollen and sore. I noticed two white bumps on the inner side of my cheek today. Is this from the dental work or something else?

Q. My cheek feels sore after placing a temporary bridge. Why?

Hi. For further information consult 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. My cheek feels sore after placing a temporary bridge. Why? ### Input: Hi doctor, I had a tooth extraction and a temporary bridge on my back upper teeth. The temporary bridge broke and I got another one. After this, I started to have some soreness in my left cheek and left side of my tongue. My cheek feels swollen and sore. I noticed two white bumps on the inner side of my cheek today. Is this from the dental work or something else? ###Response: Hi. For further information consult a dentist online -->

Hello doctor, I was diagnosed with candidal balanitis and wanted a second opinion. I have itchy red and pink rash. No open sores or lesions. I had this a month ago and after Diflucan for 14 days it went away but came back this weekend.

Q. Does itchy red pink rashes mean candidal balanitis?

Hello. I understand your concern. 1. It certainly looks like candidal balanoposthitis (attachment removed to protect patient identity), though I would appreciate a photo without flash to see the lesional morphology better. 2. Besides the fact that it can spread via sexual contact and one is advised to get their partner also treated, other precipitating factors like blood sugar should be ruled out. Treatment remains the same as you are already taking it. Get other relevant investigations done to rule out any associated STDs. Take care.

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 itchy red pink rashes mean candidal balanitis? ### Input: Hello doctor, I was diagnosed with candidal balanitis and wanted a second opinion. I have itchy red and pink rash. No open sores or lesions. I had this a month ago and after Diflucan for 14 days it went away but came back this weekend. ###Response: Hello. I understand your concern. 1. It certainly looks like candidal balanoposthitis (attachment removed to protect patient identity), though I would appreciate a photo without flash to see the lesional morphology better. 2. Besides the fact that it can spread via sexual contact and one is advised to get their partner also treated, other precipitating factors like blood sugar should be ruled out. Treatment remains the same as you are already taking it. Get other relevant investigations done to rule out any associated STDs. Take care.

Hello doctor, I was diagnosed with balanitis about three weeks ago. I got antibiotics and was told by the doctor to keep the area clean and apply an anti-fungal cream. At first, it was super itchy and could not use anything tight. Right now I do not feel it but I can see as you see in the pictures, it is healing. It was my fault to get this so bad because at the beginning it was just red and I thought it was a simple rash because of my sensitive skin but then the rash was so bad that was burning my penis. I just want this to be over, right now. I want to be back to normal but is healing so slow that I am getting desperate. I am using Menaderm Clio, Emuaidmax, Gelmicin, and Cortisone. Not sure if this sensitive area is normal to heal slowly or maybe I am using the wrong medication. They already tested for any infection. Usually, I am very sensitive and I think because I did not pay attention to the initial redness and kept doing a lot of things without taking care developed the severe rash.

Q. What can be done to cure candidal balanitis soon?

Hi. Looking at the picture, features are consistent with candidal balanoposthitis. It is quite severe. Please stop using Menaderm, Cortisone, both are steroid cream, that makes the infection grow rather healing it. Gelmicin has steroid along with anti-fungal medicine. Any history of unprotected sexual intercourse before this rash appeared? Clean the area with lukewarm water, use a mild soap. Apply Clotrimazole 1 % gel or cream twice a day for 3 to 4 weeks. Avoid sexual contact till it heals. You need oral antifungal capsule. Do you know if you have any allergy to any medication? You need Itraconazole 200 mg, one pill twice a day for just one day. It is a single day treatment. Buy two capsules of Itraconazole 200, take one pill in the morning after breakfast and one pill at night after dinner. Please do not take Itraconazole if you are allergic to it. Since it is severe, you may need to repeat the Itraconazole capsules after one month.

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 be done to cure candidal balanitis soon? ### Input: Hello doctor, I was diagnosed with balanitis about three weeks ago. I got antibiotics and was told by the doctor to keep the area clean and apply an anti-fungal cream. At first, it was super itchy and could not use anything tight. Right now I do not feel it but I can see as you see in the pictures, it is healing. It was my fault to get this so bad because at the beginning it was just red and I thought it was a simple rash because of my sensitive skin but then the rash was so bad that was burning my penis. I just want this to be over, right now. I want to be back to normal but is healing so slow that I am getting desperate. I am using Menaderm Clio, Emuaidmax, Gelmicin, and Cortisone. Not sure if this sensitive area is normal to heal slowly or maybe I am using the wrong medication. They already tested for any infection. Usually, I am very sensitive and I think because I did not pay attention to the initial redness and kept doing a lot of things without taking care developed the severe rash. ###Response: Hi. Looking at the picture, features are consistent with candidal balanoposthitis. It is quite severe. Please stop using Menaderm, Cortisone, both are steroid cream, that makes the infection grow rather healing it. Gelmicin has steroid along with anti-fungal medicine. Any history of unprotected sexual intercourse before this rash appeared? Clean the area with lukewarm water, use a mild soap. Apply Clotrimazole 1 % gel or cream twice a day for 3 to 4 weeks. Avoid sexual contact till it heals. You need oral antifungal capsule. Do you know if you have any allergy to any medication? You need Itraconazole 200 mg, one pill twice a day for just one day. It is a single day treatment. Buy two capsules of Itraconazole 200, take one pill in the morning after breakfast and one pill at night after dinner. Please do not take Itraconazole if you are allergic to it. Since it is severe, you may need to repeat the Itraconazole capsules after one month.

Hi doctor, I am a 40 year male. Since last one month, I have been suffering from irritation of foreskin. The skin has become tight and cannot be pulled back. There has been a whitish discharge from the penis and constant irritation. I have tried using Candid B cream but there has been no improvement. There has been a little pain around the penis head. I am not a diabetic and there are no other ailments. I have a problem of high BP and have been prescribed Eritel 40 mg. Please advise.

Q. I have irritation of foreskin and whitish discharge. Please advise.

Hello. You might be suffering from candidal balanoposthitis. Please send good quality photographs of the lesion taken in a natural light for confirmation of diagnosis and treatment. Regards. For more 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. I have irritation of foreskin and whitish discharge. Please advise. ### Input: Hi doctor, I am a 40 year male. Since last one month, I have been suffering from irritation of foreskin. The skin has become tight and cannot be pulled back. There has been a whitish discharge from the penis and constant irritation. I have tried using Candid B cream but there has been no improvement. There has been a little pain around the penis head. I am not a diabetic and there are no other ailments. I have a problem of high BP and have been prescribed Eritel 40 mg. Please advise. ###Response: Hello. You might be suffering from candidal balanoposthitis. Please send good quality photographs of the lesion taken in a natural light for confirmation of diagnosis and treatment. Regards. For more information consult a dermatologist online -->

Hello doctor,What is your recommendation for someone with PTSD, depression, and anxiety?

Q. How can a person with PTSD, depression and anxiety be treated?

Hello. If a person is suffering from PTSD (posttraumatic stress disorder), depression and anxiety, they will probably need a combination of medication and psychological therapy to manage their condition. Lexapro (Escitalopram) is a good antidepressant that can be helpful in this situation. Based on more clinical information and formulation, psychological therapy can be considered. CBT (cognitive behavioral therapy) will be helpful in addressing depression and anxiety. If PTSD is the predominant primary condition, trauma-focused CBT or EMDR can be considered. Kindly discuss with your doctor locally. Also ensure, you follow the necessary self-help measures like healthy eating, adequate sleep, regular exercise, avoiding alcohol, etc. You can contact again if any further advice is needed.

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 a person with PTSD, depression and anxiety be treated? ### Input: Hello doctor,What is your recommendation for someone with PTSD, depression, and anxiety? ###Response: Hello. If a person is suffering from PTSD (posttraumatic stress disorder), depression and anxiety, they will probably need a combination of medication and psychological therapy to manage their condition. Lexapro (Escitalopram) is a good antidepressant that can be helpful in this situation. Based on more clinical information and formulation, psychological therapy can be considered. CBT (cognitive behavioral therapy) will be helpful in addressing depression and anxiety. If PTSD is the predominant primary condition, trauma-focused CBT or EMDR can be considered. Kindly discuss with your doctor locally. Also ensure, you follow the necessary self-help measures like healthy eating, adequate sleep, regular exercise, avoiding alcohol, etc. You can contact again if any further advice is needed.

Hello doctor, I am looking forward to have advice about the outcome or prognosis of nerve regeneration and repair for my son. Before 13 days, my 10 years old son fell with a bottle in his right-hand palm and had his palm triangle open. As we were in another place, the local surgeon cleaned the injury, and I took him to another place where he undertook a surgery before 10 days of nerve repair of the proper ulnar digital nerve of the median nerve. I do not know if it is the exact term, but the nerve cut was the one at the root of the index, and that goes on the inner side (facing the 3rd). Would you please advice me about the outcome of this surgery? Is this nerve responsible for some functional disabilities of the Index? Is it only sensitive? Can he flex his index and use it usually afterward? No other tissues were cut, like tendon.

Q. What will be the prognosis of nerve regeneration after a surgery in a 10-year-old?

Hello. I have read your concern. Can you give me more of the details of the surgery if you can still remember? How was it repaired as what you have told by your doctor? How is the finger at this moment (can he flex? can he feel anything at the tip of the finger?) I am hoping for your reply.

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 will be the prognosis of nerve regeneration after a surgery in a 10-year-old? ### Input: Hello doctor, I am looking forward to have advice about the outcome or prognosis of nerve regeneration and repair for my son. Before 13 days, my 10 years old son fell with a bottle in his right-hand palm and had his palm triangle open. As we were in another place, the local surgeon cleaned the injury, and I took him to another place where he undertook a surgery before 10 days of nerve repair of the proper ulnar digital nerve of the median nerve. I do not know if it is the exact term, but the nerve cut was the one at the root of the index, and that goes on the inner side (facing the 3rd). Would you please advice me about the outcome of this surgery? Is this nerve responsible for some functional disabilities of the Index? Is it only sensitive? Can he flex his index and use it usually afterward? No other tissues were cut, like tendon. ###Response: Hello. I have read your concern. Can you give me more of the details of the surgery if you can still remember? How was it repaired as what you have told by your doctor? How is the finger at this moment (can he flex? can he feel anything at the tip of the finger?) I am hoping for your reply.

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, When I look towards my left, I can use either left eye or right eye. I am unable to focus both the eyes on a single point. Also, When I move my eyes towards left, my left eyeball goes little upward than the right. Please help.

Q. Why am I not able to focus both the eyes on a single point?

Hi. Revert back with the answer to the above question to an eye care ophthalmologist 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 am I not able to focus both the eyes on a single point? ### Input: Hi doctor, When I look towards my left, I can use either left eye or right eye. I am unable to focus both the eyes on a single point. Also, When I move my eyes towards left, my left eyeball goes little upward than the right. Please help. ###Response: Hi. Revert back with the answer to the above question to an eye care ophthalmologist online -->

Hello doctor, I am taking Welbutrin for the first time and I have questions about the physical and mental side effects. Also, I have depression coupled with suicide and self-harming thoughts. In the past, I have been on Lexapro. I want to inquire if I am improperly diagnosed?

Q. How can I overcome my depression and self-harming thoughts?

Hello. You are suffering from depressive features and hence the low self-esteem and self-harming thoughts. I suggest you take Zosert (Sertraline) 50 mg twice daily along with tablet Lonazep (Clonazepam) 0.5 mg at night for a period of two weeks. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. You need to focus on a new hobby. Give time for physical fitness.You can review with me for further followup. For more information consult a psychiatrist 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 can I overcome my depression and self-harming thoughts? ### Input: Hello doctor, I am taking Welbutrin for the first time and I have questions about the physical and mental side effects. Also, I have depression coupled with suicide and self-harming thoughts. In the past, I have been on Lexapro. I want to inquire if I am improperly diagnosed? ###Response: Hello. You are suffering from depressive features and hence the low self-esteem and self-harming thoughts. I suggest you take Zosert (Sertraline) 50 mg twice daily along with tablet Lonazep (Clonazepam) 0.5 mg at night for a period of two weeks. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. You need to focus on a new hobby. Give time for physical fitness.You can review with me for further followup. For more information consult a psychiatrist online -->

Hello doctor, I have depression, feeling of failure in life, no more attraction to live life. Sad, anxious, or empty mood. Loss of interest or pleasure in activities. Thoughts of death or suicide, including suicide attempts.

Q. I have depression and suicidal thoughts. Please help.

Hello. I understand what you must be feeling right now. Depression is a serious but treatment illness. I can see you have thoughts of suicide and suicide attempts are also there which indicates that your depression worsened now. But do not worry, there are various treatment options available, with which your condition can be improved. Depression is a biological illness just like diabetes. It is neither your fault nor your wish to be in the pain that you are in right now and you cannot overcome these feelings and thoughts. Every disease needs appropriate treatment. I would advise you to consult a psychiatrist online or offline as soon as possible. Remember help is there please avail it. I would require more details about your problem. Thyroid function test, serum B12. May require inpatient care, medicines, therapy.

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 depression and suicidal thoughts. Please help. ### Input: Hello doctor, I have depression, feeling of failure in life, no more attraction to live life. Sad, anxious, or empty mood. Loss of interest or pleasure in activities. Thoughts of death or suicide, including suicide attempts. ###Response: Hello. I understand what you must be feeling right now. Depression is a serious but treatment illness. I can see you have thoughts of suicide and suicide attempts are also there which indicates that your depression worsened now. But do not worry, there are various treatment options available, with which your condition can be improved. Depression is a biological illness just like diabetes. It is neither your fault nor your wish to be in the pain that you are in right now and you cannot overcome these feelings and thoughts. Every disease needs appropriate treatment. I would advise you to consult a psychiatrist online or offline as soon as possible. Remember help is there please avail it. I would require more details about your problem. Thyroid function test, serum B12. May require inpatient care, medicines, therapy.

Hi doctor, I am 79 years old. I have depression for over ten years. I usually take 10 ml alcohol every evening. I had been taking Prozac 20 mg for many years. I suffer from insomnia. I am taking Mirtazapine 15 mg, Valium 5 mg, and Phenergan 25 mg. These give me sleep for 12 hours. Before three days, I increased the dosage of Prozac to 30 mg as I was more depressed and extremely fatigued for many months. After taking it, it worsened my insomnia. I had no improvement in fatigue. A few months back, I took Mirtazapine 30 mg. It also worsened my insomnia. Then I reverted to 15 mg. Please help me.

Q. I have depression and severe insomnia. Please help me.

Hi. Please use Prozac in the morning as it can worsen sleep when used at night. You can take Prozac 40 mg. Do not increase the dose of Mirtazapine as higher doses of Mirtazapine cause insomnia whereas low dose help in sleep. Mirtazapine 15 mg is sufficient. Do not take Phenergan and Valium at the same time. Please continue to choose only one drug, and the dose is adequate. I would also advise you get an MRI brain (magnetic resonance imaging) done. Along with the medicines, engage yourself in social activities and do exercise frequently. You can consider starting therapy for depression and alcohol dependence.

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 depression and severe insomnia. Please help me. ### Input: Hi doctor, I am 79 years old. I have depression for over ten years. I usually take 10 ml alcohol every evening. I had been taking Prozac 20 mg for many years. I suffer from insomnia. I am taking Mirtazapine 15 mg, Valium 5 mg, and Phenergan 25 mg. These give me sleep for 12 hours. Before three days, I increased the dosage of Prozac to 30 mg as I was more depressed and extremely fatigued for many months. After taking it, it worsened my insomnia. I had no improvement in fatigue. A few months back, I took Mirtazapine 30 mg. It also worsened my insomnia. Then I reverted to 15 mg. Please help me. ###Response: Hi. Please use Prozac in the morning as it can worsen sleep when used at night. You can take Prozac 40 mg. Do not increase the dose of Mirtazapine as higher doses of Mirtazapine cause insomnia whereas low dose help in sleep. Mirtazapine 15 mg is sufficient. Do not take Phenergan and Valium at the same time. Please continue to choose only one drug, and the dose is adequate. I would also advise you get an MRI brain (magnetic resonance imaging) done. Along with the medicines, engage yourself in social activities and do exercise frequently. You can consider starting therapy for depression and alcohol dependence.

Hello doctor, Do I have depression? I need to know because I think it will be a whole lot easier if I know and admit it myself. Last night I was crying without reason, it has been like this for five years now. I can go on not going out of my room for a week without eating and every time I worry too much, I cannot concentrate. I want to be good at studying but there are days when it is too much and I cannot seem to focus. One day I feel fine and positive and really motivated but then after a few hours I hit that feeling of uselessness again and I cannot do anything.

Q. Can depression cause crying without reason, feeling useless and demotivated?

Hi. Depression can be normal and can be a disease. Depression is diagnosed when a person has low or depressed mood for most of the day every day at least two weeks, lack of interest and pleasure in daily activities, other symptoms are sleep disturbances, appetite changes, poor concentration, pessimistic thoughts, feeling guilty, hopelessness, thoughts of ending life. It is multifactorial. Your history is suggestive of depression as you have mentioned that these symptoms were in the past also, try to find out what is causing your depression. Any current issues or any past life event? Tablet Escitalopram 10 mg at night, tablet Alprazolam 0.5 mg at night if sleep issues, lifestyle modification (go for walk daily, meet with your friends, share your problem with whom you trust), psychotherapy sessions.

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 depression cause crying without reason, feeling useless and demotivated? ### Input: Hello doctor, Do I have depression? I need to know because I think it will be a whole lot easier if I know and admit it myself. Last night I was crying without reason, it has been like this for five years now. I can go on not going out of my room for a week without eating and every time I worry too much, I cannot concentrate. I want to be good at studying but there are days when it is too much and I cannot seem to focus. One day I feel fine and positive and really motivated but then after a few hours I hit that feeling of uselessness again and I cannot do anything. ###Response: Hi. Depression can be normal and can be a disease. Depression is diagnosed when a person has low or depressed mood for most of the day every day at least two weeks, lack of interest and pleasure in daily activities, other symptoms are sleep disturbances, appetite changes, poor concentration, pessimistic thoughts, feeling guilty, hopelessness, thoughts of ending life. It is multifactorial. Your history is suggestive of depression as you have mentioned that these symptoms were in the past also, try to find out what is causing your depression. Any current issues or any past life event? Tablet Escitalopram 10 mg at night, tablet Alprazolam 0.5 mg at night if sleep issues, lifestyle modification (go for walk daily, meet with your friends, share your problem with whom you trust), psychotherapy sessions.

Hello doctor,My 5 years old girl has been having eczema since she was 3 months old. She was scratchy all the time (at least every 3 to 4 hours). Even though we have applied moisturizers such as Aveeno, it was not helping her. When doctors prescribed topical steroids, we used it and she felt better. But as soon we stopped steroids she got the eczema back. As the doctors told we believed that as age progress eczema will subside. But she has even now and in fact it is little worse than before. We stopped steroids about six months back and trying to manage without it. One thing we noticed recently is that when we did not apply any oil or moisturizer (coconut oil or moisturizer never really helped) she did not scratch in the day time. But in the night between 12 AM and 2 AM she has been scratching all the time without sleep and sleep again. We are really worried if she will carry this lifelong and we are stressed. Also, we do not want to use steroid and would like your opinion on that if there is any complication if we avoid steroid completely and just leave her in this routine in the hope of getting better (we do not want her body to get used to steroid).After reading the above points please advise on how we should handle her without much medicine, if possible?Should we avoid moisturizer and oil as she is not scratching in daytime (rough patches still exist though)?When will she get better or at least have less and manageable eczema? Will it be at least at her teenage?

Q. Why has my 5-year-old been having eczema since she was 3 months old?

Hello. You have put your query with nice description but I think you have uploaded wrong images. So, if possible share correct images. From your description, it seems atopic eczema. It is endogenous eczema which may have several aggravating factors. Predisposition may come from the hereditary mechanism. Other first or second degree relatives may have features of some kind of allergy or atopy. Seasonal changes may also affect disease course. Some food like groundnut, cow milk, an egg may cause the problem. It starts with dry skin. Then some tiny lesions, sometimes oozing, scaling, crusting. They may coalesce to form large plaques. So we have to put first check on dry skin by use of plenty of moisturizers. It is best to use just after taking bath, tap the water with towel softly then apply moisturizer within 3 to 5 minutes of the bath. And have to apply 3 to 4 times a day as per requirement of skin to combat dryness. The dry or cracked skin may produce stinging sensation: burning sensation initially but it will go on its own. Or you can try a different moisturizer, even a good vaseline or coconut is also perfect. Topical steroids are useful during exacerbation of disease. It comes in different potency, and I hope your doctor had prescribed low-mid potency one. Like Hydrocortisone, Desonide, Flucinolone or Fluticasone. Among these, Desonide is best according to efficacy and safety. There is nothing like being habitual. You can stop anytime. But try to stop in tapering way like initially daily, then alternate day then weekends then stop. Your baby is 5 years old so you have one more option to replace steroids. Topical Tacrolimus 0.03 % ointment. Once lesions are clear by use of steroid then you can shift to Tacrolimus. Or on the face, it is alone sufficient. No need to use steroids on the face. How to manage with minimum medicine: Can moisturiser be avoided? No. Apply with a soft hand, do not massage vigorously. When will she get better? Usually, 80 % child become better by age of 12 to 13 years. But it depends on several factors like family history, exposure to aggravating factors, management of exacerbations. You have to pamper skin of your baby, care during cleaning, tapping, applying moisturizer all needed. There are several another way to treat exacerbation so you should not be worried. For more 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. Why has my 5-year-old been having eczema since she was 3 months old? ### Input: Hello doctor,My 5 years old girl has been having eczema since she was 3 months old. She was scratchy all the time (at least every 3 to 4 hours). Even though we have applied moisturizers such as Aveeno, it was not helping her. When doctors prescribed topical steroids, we used it and she felt better. But as soon we stopped steroids she got the eczema back. As the doctors told we believed that as age progress eczema will subside. But she has even now and in fact it is little worse than before. We stopped steroids about six months back and trying to manage without it. One thing we noticed recently is that when we did not apply any oil or moisturizer (coconut oil or moisturizer never really helped) she did not scratch in the day time. But in the night between 12 AM and 2 AM she has been scratching all the time without sleep and sleep again. We are really worried if she will carry this lifelong and we are stressed. Also, we do not want to use steroid and would like your opinion on that if there is any complication if we avoid steroid completely and just leave her in this routine in the hope of getting better (we do not want her body to get used to steroid).After reading the above points please advise on how we should handle her without much medicine, if possible?Should we avoid moisturizer and oil as she is not scratching in daytime (rough patches still exist though)?When will she get better or at least have less and manageable eczema? Will it be at least at her teenage? ###Response: Hello. You have put your query with nice description but I think you have uploaded wrong images. So, if possible share correct images. From your description, it seems atopic eczema. It is endogenous eczema which may have several aggravating factors. Predisposition may come from the hereditary mechanism. Other first or second degree relatives may have features of some kind of allergy or atopy. Seasonal changes may also affect disease course. Some food like groundnut, cow milk, an egg may cause the problem. It starts with dry skin. Then some tiny lesions, sometimes oozing, scaling, crusting. They may coalesce to form large plaques. So we have to put first check on dry skin by use of plenty of moisturizers. It is best to use just after taking bath, tap the water with towel softly then apply moisturizer within 3 to 5 minutes of the bath. And have to apply 3 to 4 times a day as per requirement of skin to combat dryness. The dry or cracked skin may produce stinging sensation: burning sensation initially but it will go on its own. Or you can try a different moisturizer, even a good vaseline or coconut is also perfect. Topical steroids are useful during exacerbation of disease. It comes in different potency, and I hope your doctor had prescribed low-mid potency one. Like Hydrocortisone, Desonide, Flucinolone or Fluticasone. Among these, Desonide is best according to efficacy and safety. There is nothing like being habitual. You can stop anytime. But try to stop in tapering way like initially daily, then alternate day then weekends then stop. Your baby is 5 years old so you have one more option to replace steroids. Topical Tacrolimus 0.03 % ointment. Once lesions are clear by use of steroid then you can shift to Tacrolimus. Or on the face, it is alone sufficient. No need to use steroids on the face. How to manage with minimum medicine: Can moisturiser be avoided? No. Apply with a soft hand, do not massage vigorously. When will she get better? Usually, 80 % child become better by age of 12 to 13 years. But it depends on several factors like family history, exposure to aggravating factors, management of exacerbations. You have to pamper skin of your baby, care during cleaning, tapping, applying moisturizer all needed. There are several another way to treat exacerbation so you should not be worried. For more information consult a dermatologist online -->

Hi doctor, I am a 23 year old female who has developed dry fingertips. The skin flakes off to leave smooth raw skin that has pins and needles when touched. It started with the index finger of my left hand. I asked a pharmacist for an opinion, and he thought it was nerve damage and recommended steroid cream. Over the last six months, it has spread to fingers of both hands. During this period, I also developed an itchy rash on the inside of my elbows. When I went to the doctor, she said it as eczema and prescribed me Dermol, Doublebase cream, and steroid cream. My fingers have not improved over the past month, but my arms have. Could you please give me your opinion on the supposed eczema on my fingertips? I am not convinced on what it is. Thank you.

Q. Could you give your opinion about my eczema on the fingertips?

Hi. Continue the same treatment. 1. Avoid excessive wet work and direct contact wit soaps and detergents. 2. Avoid direct hair dye application. 3. Reduce gardening activities if any. 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. Could you give your opinion about my eczema on the fingertips? ### Input: Hi doctor, I am a 23 year old female who has developed dry fingertips. The skin flakes off to leave smooth raw skin that has pins and needles when touched. It started with the index finger of my left hand. I asked a pharmacist for an opinion, and he thought it was nerve damage and recommended steroid cream. Over the last six months, it has spread to fingers of both hands. During this period, I also developed an itchy rash on the inside of my elbows. When I went to the doctor, she said it as eczema and prescribed me Dermol, Doublebase cream, and steroid cream. My fingers have not improved over the past month, but my arms have. Could you please give me your opinion on the supposed eczema on my fingertips? I am not convinced on what it is. Thank you. ###Response: Hi. Continue the same treatment. 1. Avoid excessive wet work and direct contact wit soaps and detergents. 2. Avoid direct hair dye application. 3. Reduce gardening activities if any. For further information consult a dermatologist online.--->

Hello doctor, Eczema or fungus on right thumb and index, it looks like it is expanding and it leaves apparently dead skin behind which peels off. I have pictures for a better understanding. It itches none to moderately, it hurts slightly when applied pressure on. I am a driver.

Q. I have itchy painful eczema in fingers. Please help.

Hi. From your pictures (attachment removed to protect patient identity), it is more in favor of eczema but infected one. Do you use gloves while holding steering? It is not a fungal infection clinically. You have to apply combination ointment containing Betamethasone and Neomycin. The most important thing for eczema is to maintain moisture and hydration of the skin. For that you have to use Vaseline (petroleum jelly) 4 to 5 times a day. Take non-sedating antihistamine. You will get better. Eczema. Apply a combination of Betamethasone plus Neomycin ointment, Vaseline 4 to 5 times a day, take non-sedating antihistamine tablet. Maintain hygiene of area, wash with soap and water, avoid using Dettol and other irritants, use cotton gloves.

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 itchy painful eczema in fingers. Please help. ### Input: Hello doctor, Eczema or fungus on right thumb and index, it looks like it is expanding and it leaves apparently dead skin behind which peels off. I have pictures for a better understanding. It itches none to moderately, it hurts slightly when applied pressure on. I am a driver. ###Response: Hi. From your pictures (attachment removed to protect patient identity), it is more in favor of eczema but infected one. Do you use gloves while holding steering? It is not a fungal infection clinically. You have to apply combination ointment containing Betamethasone and Neomycin. The most important thing for eczema is to maintain moisture and hydration of the skin. For that you have to use Vaseline (petroleum jelly) 4 to 5 times a day. Take non-sedating antihistamine. You will get better. Eczema. Apply a combination of Betamethasone plus Neomycin ointment, Vaseline 4 to 5 times a day, take non-sedating antihistamine tablet. Maintain hygiene of area, wash with soap and water, avoid using Dettol and other irritants, use cotton gloves.

Hello doctor, Small skin warts are spreading on my face and neck drastically. Can you please suggest the cure for this kind of a virus infection? It started one and a half months back. But, I only recently realized that it is multiplying.

Q. Small warts are spreading on my face and neck. Please help.

Hello. For more 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. Small warts are spreading on my face and neck. Please help. ### Input: Hello doctor, Small skin warts are spreading on my face and neck drastically. Can you please suggest the cure for this kind of a virus infection? It started one and a half months back. But, I only recently realized that it is multiplying. ###Response: Hello. For more information consult a dermatologist online -->

Hello doctor,I had receptive oral sex (received fellation) with an escort girl three weeks ago. Since then, I have got urethritis three days after. I have been treated with Levofloxacin for 10 days. The urethritis got cured, but I kept getting some strange burning sensations in my scrotum and the top of my buttock, but no lesions or bumps were visible. Only redness.The symptoms then disappeared then for four days, I got ticklings on my back, arms, chests, but again nothing visible on my skin. Since two days I have got paresthesia on my left foot, left arm and left hand that does not seems to stop (sometimes I feel it more or less) and sometimes some cramps in my leg or arm. I got a 4th generation HIV test at three weeks, which was negative. Do you think I have a chance to have HIV? Do I need to retest at four weeks or six weeks? If you do not think I have a chance of getting HIV, what options should I look for?

Q. Does burning sensation in the scrotum after having oral sex indicate HIV?

Hello. Oral sex is least related to HIV. Symptoms are very bizarre and mostly by oral sex HSV, and STI is common. The tickling sensation is different as such, may be seen in vitamin B 12 deficiency, and anxiety. Symptoms come but goes in a particular time. You can still go for the HSV test. And STD panel test. No signs you had related to both. Till then you can take, Tablet Mecobalamin (Methylcobalamin) 1500 mg one at night for one month. If you feel better, you can continue for another a month if at all required. Tablet Escitalopram 10 mg (esitelop10) one at night for ten to fifteen days if at all needed. It is not at all HIV. I hope you have understood.

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 burning sensation in the scrotum after having oral sex indicate HIV? ### Input: Hello doctor,I had receptive oral sex (received fellation) with an escort girl three weeks ago. Since then, I have got urethritis three days after. I have been treated with Levofloxacin for 10 days. The urethritis got cured, but I kept getting some strange burning sensations in my scrotum and the top of my buttock, but no lesions or bumps were visible. Only redness.The symptoms then disappeared then for four days, I got ticklings on my back, arms, chests, but again nothing visible on my skin. Since two days I have got paresthesia on my left foot, left arm and left hand that does not seems to stop (sometimes I feel it more or less) and sometimes some cramps in my leg or arm. I got a 4th generation HIV test at three weeks, which was negative. Do you think I have a chance to have HIV? Do I need to retest at four weeks or six weeks? If you do not think I have a chance of getting HIV, what options should I look for? ###Response: Hello. Oral sex is least related to HIV. Symptoms are very bizarre and mostly by oral sex HSV, and STI is common. The tickling sensation is different as such, may be seen in vitamin B 12 deficiency, and anxiety. Symptoms come but goes in a particular time. You can still go for the HSV test. And STD panel test. No signs you had related to both. Till then you can take, Tablet Mecobalamin (Methylcobalamin) 1500 mg one at night for one month. If you feel better, you can continue for another a month if at all required. Tablet Escitalopram 10 mg (esitelop10) one at night for ten to fifteen days if at all needed. It is not at all HIV. I hope you have understood.

Hi doctor, I am 25 years old and my penis size is 2.2 inch in flaccid state and 5 inch in erect state. I would like to know that, is it a good size because I have read somewhere that 6 inch is normal size. My penis size is smaller than the standard size. What to do now? Do girls think about penis size? I also have a small testicle and read that a small testicle cannot produce enough sperm, is it right? I am noticing one thing in the morning. When I get up, my penis is in erect state. Is there any problem about that? Please give me some advice because I am planning for marriage soon. Kindly clear my doubts. Thank you.

Q. My penis size is smaller than normal, will it be a problem during sex?

Hello. Thanks for choosing this platform. 2 to 5 inch of the penis size is normal. The average size of penis is 3-5 inch while erect and 1-3 inch while flaccid. Having said this I like to inform you that penis size does not make things different during sex as only one third of the female vagina is sensitive. So, even 3 inch of penis in erect state provides equal pleasure to both partners. In regard to penis size your fear of small penis is baseless and you can get this idea out of your mind now. Girl may or may not think about the size as it is their domain, but as I said it dose not matter on bed. What you read in pornographic magazines is distorted presentation and does not hold any truth. I do not understand what do you mean by small testicle and low sperm count. It is the number of seminiferous tubules in the testis that matters. Other than that if you are having doubt you can get report of semen analysis which will reveal true sperm count in your semen. Having morning time erection is completely normal and there is nothing to worry about that. If you do not get morning erection that may be a sign of problem. 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. My penis size is smaller than normal, will it be a problem during sex? ### Input: Hi doctor, I am 25 years old and my penis size is 2.2 inch in flaccid state and 5 inch in erect state. I would like to know that, is it a good size because I have read somewhere that 6 inch is normal size. My penis size is smaller than the standard size. What to do now? Do girls think about penis size? I also have a small testicle and read that a small testicle cannot produce enough sperm, is it right? I am noticing one thing in the morning. When I get up, my penis is in erect state. Is there any problem about that? Please give me some advice because I am planning for marriage soon. Kindly clear my doubts. Thank you. ###Response: Hello. Thanks for choosing this platform. 2 to 5 inch of the penis size is normal. The average size of penis is 3-5 inch while erect and 1-3 inch while flaccid. Having said this I like to inform you that penis size does not make things different during sex as only one third of the female vagina is sensitive. So, even 3 inch of penis in erect state provides equal pleasure to both partners. In regard to penis size your fear of small penis is baseless and you can get this idea out of your mind now. Girl may or may not think about the size as it is their domain, but as I said it dose not matter on bed. What you read in pornographic magazines is distorted presentation and does not hold any truth. I do not understand what do you mean by small testicle and low sperm count. It is the number of seminiferous tubules in the testis that matters. Other than that if you are having doubt you can get report of semen analysis which will reveal true sperm count in your semen. Having morning time erection is completely normal and there is nothing to worry about that. If you do not get morning erection that may be a sign of problem. For further information consult a sexologist online -->

Hi doctor, My son is 2.6 years old. His weight is 12 kg. He is a healthy and active child. But, he is getting coughs and cold at least once in a month for the past three months. Currently, he has a fever for the past two days (101 degree) and cold from today morning. I am giving him Cetirizine and Ambroxol for cough and cold, Meftal for high fever of above 102 degree Fahrenheit and Crocin for normal fever. Other than these, I am giving him Zincovit. I guess that the cold, which he has gotten subsided once he take antibiotic and cough syrup. Whenever he coughs too much, he will then vomit the phlegm out. Other than this, the phlegm is not coming out either in the nose or through the stools. Please get me some solution to make the cold come out. Thank you.

Q. How to get the phlegm out of the body?

Hello. Viral fever. Complete blood count, CRP (C-reactive protein), parasite F and V test, CUE (complete urine examination) and chest x-ray. Viral pyrexia. I suggest the following medicines. Consult your specialist doctor, discuss with him or her and take the medicine with consent. 1. Syrup Cetirizine 5 mL, once daily at night. 2. Continue Crocin (Acetaminophen) and Meftal (Mefenamic acid). 3. Nebulization with 3% Nacl (Sodium chloride), twice daily for three days. 4. Syrup Ascoril LS (combination of Ambroxol and Salbutamol) 4 mL, three times a day for three days. Revert back after three days to a paediatrician 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 get the phlegm out of the body? ### Input: Hi doctor, My son is 2.6 years old. His weight is 12 kg. He is a healthy and active child. But, he is getting coughs and cold at least once in a month for the past three months. Currently, he has a fever for the past two days (101 degree) and cold from today morning. I am giving him Cetirizine and Ambroxol for cough and cold, Meftal for high fever of above 102 degree Fahrenheit and Crocin for normal fever. Other than these, I am giving him Zincovit. I guess that the cold, which he has gotten subsided once he take antibiotic and cough syrup. Whenever he coughs too much, he will then vomit the phlegm out. Other than this, the phlegm is not coming out either in the nose or through the stools. Please get me some solution to make the cold come out. Thank you. ###Response: Hello. Viral fever. Complete blood count, CRP (C-reactive protein), parasite F and V test, CUE (complete urine examination) and chest x-ray. Viral pyrexia. I suggest the following medicines. Consult your specialist doctor, discuss with him or her and take the medicine with consent. 1. Syrup Cetirizine 5 mL, once daily at night. 2. Continue Crocin (Acetaminophen) and Meftal (Mefenamic acid). 3. Nebulization with 3% Nacl (Sodium chloride), twice daily for three days. 4. Syrup Ascoril LS (combination of Ambroxol and Salbutamol) 4 mL, three times a day for three days. Revert back after three days to a paediatrician 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 26 years old and my weight is 70 Kg. I got married 6 months back and I am having PCOD. I had sinusitis few years back and I got treated for the same. For about a year, I have been facing frequent cold issues and sneezing issues. Every day I sneeze at least 10 to 15 times. I have done a few tests showing less vitamin D and serum iron and also with absolute eosinophilia. I am facing heavy hair loss and my TSH is normal. Please advice.

Q. Every day I sneeze at least 10 to 15 times. Please advice.

Hi. I reviewed your reports (attachment removed to protect patient identity). I advise you following: Revert back after 2 weeks to a general 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. Every day I sneeze at least 10 to 15 times. Please advice. ### Input: Hello doctor, I am 26 years old and my weight is 70 Kg. I got married 6 months back and I am having PCOD. I had sinusitis few years back and I got treated for the same. For about a year, I have been facing frequent cold issues and sneezing issues. Every day I sneeze at least 10 to 15 times. I have done a few tests showing less vitamin D and serum iron and also with absolute eosinophilia. I am facing heavy hair loss and my TSH is normal. Please advice. ###Response: Hi. I reviewed your reports (attachment removed to protect patient identity). I advise you following: Revert back after 2 weeks to a general medicine physician online -->

Hi doctor, I am 17 years old and getting white hairs. They are white near the scalp and black in the tip. What to do?

Q. Why am I getting white hair in young age?

Hello. As you are only 17 years old, the primary cause behind it might be genetic as your parents or grand parents may have white hairs at an early stage. The other possible causes might include poor nutrition, improper lifestyle, stress, etc. White hairs mean lack of melanin, the coloring pigment in hairs. Once the hair that grows white, there are fewer chances to revert them back to normal black color. But, you can stop further graying of hairs. First of all add foods like figs, curry leaves, raisins, fresh fruits, and vegetables in your diet. Avoid excessive caffeinated drinks, spicy and junk food. Quit smoking and drinking if you do. Sleep adequately at least for 6 to 8 hours a day. Try to go to bed before midnight. Avoid taking too much stress. As far as medicine is concerned, I suggest tablet Asthiposhak two tablets twice a day with water for six weeks. Apply Bhringraj oil on your hairs two to three times a week one night before washing hairs. Wash your hairs with a mild herbal shampoo. Have one glass of lukewarm milk and add a pinch of black pepper and turmeric in it and take it before sleeping. Try all these things, and you will soon feel positive results. 1. Genetics. 2. Poor nutrition. 3. Stress. Revert after a month to an ayurveda 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. Why am I getting white hair in young age? ### Input: Hi doctor, I am 17 years old and getting white hairs. They are white near the scalp and black in the tip. What to do? ###Response: Hello. As you are only 17 years old, the primary cause behind it might be genetic as your parents or grand parents may have white hairs at an early stage. The other possible causes might include poor nutrition, improper lifestyle, stress, etc. White hairs mean lack of melanin, the coloring pigment in hairs. Once the hair that grows white, there are fewer chances to revert them back to normal black color. But, you can stop further graying of hairs. First of all add foods like figs, curry leaves, raisins, fresh fruits, and vegetables in your diet. Avoid excessive caffeinated drinks, spicy and junk food. Quit smoking and drinking if you do. Sleep adequately at least for 6 to 8 hours a day. Try to go to bed before midnight. Avoid taking too much stress. As far as medicine is concerned, I suggest tablet Asthiposhak two tablets twice a day with water for six weeks. Apply Bhringraj oil on your hairs two to three times a week one night before washing hairs. Wash your hairs with a mild herbal shampoo. Have one glass of lukewarm milk and add a pinch of black pepper and turmeric in it and take it before sleeping. Try all these things, and you will soon feel positive results. 1. Genetics. 2. Poor nutrition. 3. Stress. Revert after a month to an ayurveda specialist online.--->

Hi doctor, Whenever I eat spicy food, I feel some kind of irritation, burning sensation and pain in my gums. I do not have any cavity in my teeth. I got scaling done 2 years back. Once I stop eating spicy food, the pain fades away in few minutes. I would like to know the reason behind it. Please advice me the preventive measures as well.

Q. Can you explain the reason behind burning sensation of gums?

Hi. Hurting of gums while taking spicy food might be due to the following causes: 1. Gingivitis (swelling and inflammation of the gums) - Swollen gums may be painful and may cause burning sensation and pain while taking hot and spicy food. Gingivitis occurs due to either plaque or other debris accumulating around the teeth and gums. Also hormonal changes occurring during menstrual cycle can cause swollen and painful gums. Any medicines taken for medical issues like hypertension, epilepsy, etc., also cause gum changes and swelling. 2. Any ulcers in the mouth will get hurt while taking hot and spicy food. Ulcers might occur due to faulty tooth brushing techniques, usage of toothbrushes with hard bristles, stress, sharp tooth hurting the tissues, any dental appliances or ill-fitting dentures. 3. Any abscess related to infected tooth might also hurt while taking spicy food. But, you have mentioned that you do not have any cavities or teeth issues. Have you been examined by a dentist regarding this? 4. Any impacted tooth (teeth that remain unerupted due to inadequate space inside the mouth or remain inside the bone itself) may develop swelling of gums around it. When the opposing teeth impinges on this swollen tissue while taking spicy food it gets hurt. 5. Hypersensitivity reactions may occur to certain foods. This might cause swelling, reddening and burning sensation of the mouth. This may occur due to some food additives. 6. Habits like smoking and usage of tobacco products may also cause burning sensation while consuming spicy and hot food. 7. Dental procedures like scaling (cleaning of teeth) might cause minor tissue injuries. These hurt and cause burning sensation while taking hot and spicy food. But, this heals in 4-5 days after cleaning. In your case, this might not be the reason, as you have undergone scaling before 2-3 years. 1. Get dental scaling done, if you have any plaque or calculus deposits causing swollen gums. 2. Get your oral cavity examined by your dentist, for any ulcers, abscesses, infected teeth and impacted teeth. 3. Also get checked for any sharp teeth and any dental appliances or ill-fitting dentures. If found, sharp teeth have to be trimmed and reduced, and ill-fitting dentures and dental appliances have to be corrected immediately. 1. Kindly make a note if you develop any gum swelling, redness or bleeding gums during your periods. 2. Use toothbrushes with soft bristles for brushing your teeth. Also follow the proper brushing technique for brushing your teeth. 3. Make a note whenever your gum hurts and what foods hurt your gums. Check if any food causes the same issue repeatedly. In case, if that food contains some additive that causes hypersensitive reaction, then you may have to avoid that particular food in future. 4.Quit habits like smoking or usage of other tobacco products (in case you do). For further information consult 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. Can you explain the reason behind burning sensation of gums? ### Input: Hi doctor, Whenever I eat spicy food, I feel some kind of irritation, burning sensation and pain in my gums. I do not have any cavity in my teeth. I got scaling done 2 years back. Once I stop eating spicy food, the pain fades away in few minutes. I would like to know the reason behind it. Please advice me the preventive measures as well. ###Response: Hi. Hurting of gums while taking spicy food might be due to the following causes: 1. Gingivitis (swelling and inflammation of the gums) - Swollen gums may be painful and may cause burning sensation and pain while taking hot and spicy food. Gingivitis occurs due to either plaque or other debris accumulating around the teeth and gums. Also hormonal changes occurring during menstrual cycle can cause swollen and painful gums. Any medicines taken for medical issues like hypertension, epilepsy, etc., also cause gum changes and swelling. 2. Any ulcers in the mouth will get hurt while taking hot and spicy food. Ulcers might occur due to faulty tooth brushing techniques, usage of toothbrushes with hard bristles, stress, sharp tooth hurting the tissues, any dental appliances or ill-fitting dentures. 3. Any abscess related to infected tooth might also hurt while taking spicy food. But, you have mentioned that you do not have any cavities or teeth issues. Have you been examined by a dentist regarding this? 4. Any impacted tooth (teeth that remain unerupted due to inadequate space inside the mouth or remain inside the bone itself) may develop swelling of gums around it. When the opposing teeth impinges on this swollen tissue while taking spicy food it gets hurt. 5. Hypersensitivity reactions may occur to certain foods. This might cause swelling, reddening and burning sensation of the mouth. This may occur due to some food additives. 6. Habits like smoking and usage of tobacco products may also cause burning sensation while consuming spicy and hot food. 7. Dental procedures like scaling (cleaning of teeth) might cause minor tissue injuries. These hurt and cause burning sensation while taking hot and spicy food. But, this heals in 4-5 days after cleaning. In your case, this might not be the reason, as you have undergone scaling before 2-3 years. 1. Get dental scaling done, if you have any plaque or calculus deposits causing swollen gums. 2. Get your oral cavity examined by your dentist, for any ulcers, abscesses, infected teeth and impacted teeth. 3. Also get checked for any sharp teeth and any dental appliances or ill-fitting dentures. If found, sharp teeth have to be trimmed and reduced, and ill-fitting dentures and dental appliances have to be corrected immediately. 1. Kindly make a note if you develop any gum swelling, redness or bleeding gums during your periods. 2. Use toothbrushes with soft bristles for brushing your teeth. Also follow the proper brushing technique for brushing your teeth. 3. Make a note whenever your gum hurts and what foods hurt your gums. Check if any food causes the same issue repeatedly. In case, if that food contains some additive that causes hypersensitive reaction, then you may have to avoid that particular food in future. 4.Quit habits like smoking or usage of other tobacco products (in case you do). For further information consult a dentist online.--->

Hi doctor,My blood group is B positive. I am going to marry a person with B negative blood group. Is there any problem?

Q. My blood group is positive and my fiance's is negative. What problem do we need to face?

Hi. I can understand your concern. From history, I hope you are telling that you (male) is B positive and your fiance (female) is B negative. It will not cause a problem in first pregnancy but in second pregnancy severe hemolytic disease of the newborn can occur. So, we have to prevent this sensitization when she will be pregnant. So, just keep this in mind and in first pregnancy of your wife (she is having a negative group as per history), she should be given Rh(D) immunoglobulin injections in the antenatal period at 28 week of gestation. In addition, before marriage, you both should be investigated for thalassemia minor status. For further information consult a hematologist 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 blood group is positive and my fiance's is negative. What problem do we need to face? ### Input: Hi doctor,My blood group is B positive. I am going to marry a person with B negative blood group. Is there any problem? ###Response: Hi. I can understand your concern. From history, I hope you are telling that you (male) is B positive and your fiance (female) is B negative. It will not cause a problem in first pregnancy but in second pregnancy severe hemolytic disease of the newborn can occur. So, we have to prevent this sensitization when she will be pregnant. So, just keep this in mind and in first pregnancy of your wife (she is having a negative group as per history), she should be given Rh(D) immunoglobulin injections in the antenatal period at 28 week of gestation. In addition, before marriage, you both should be investigated for thalassemia minor status. For further information consult a hematologist online -->

Hi doctor, I am a 34 year old female, and I had my right ovary and tube removed during C-section, due to a 4.5 cm dermoid cyst. The cyst was found during an ultrasound scan, five years back. The surgeon said a cystectomy was no possible because the cyst had completely replaced the ovary. Could you please confirm if the attached histopathology report says anything about the ovarian tissue? I had no symptoms, no pain, no torsion, and the right ovary was functioning in spite of the cyst. I became pregnant twice due to ovulation from the right ovary. What is the medical condition due to which the entire ovary is replaced by a dermoid cyst? Thank you.

Q. I had my right ovary and tube removed due to a 4. 5 cm dermoid cyst. Was it the right call?

Hi. I have gone through your attached reports (attachment removed to protect patient identity). Take care. Hope your concern is solved. For more information consult a pathologist 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 had my right ovary and tube removed due to a 4. 5 cm dermoid cyst. Was it the right call? ### Input: Hi doctor, I am a 34 year old female, and I had my right ovary and tube removed during C-section, due to a 4.5 cm dermoid cyst. The cyst was found during an ultrasound scan, five years back. The surgeon said a cystectomy was no possible because the cyst had completely replaced the ovary. Could you please confirm if the attached histopathology report says anything about the ovarian tissue? I had no symptoms, no pain, no torsion, and the right ovary was functioning in spite of the cyst. I became pregnant twice due to ovulation from the right ovary. What is the medical condition due to which the entire ovary is replaced by a dermoid cyst? Thank you. ###Response: Hi. I have gone through your attached reports (attachment removed to protect patient identity). Take care. Hope your concern is solved. For more information consult a pathologist online -->