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###Human: Will Kalarchikai cure multiple ovarian cysts in PCOD? ###Assistant: 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. |
###Human: My testicles start hurting after erection without orgasm. Why? ###Assistant: Hello. Testicular pain after erection may be a signal that you are having epidydymo orchitis because the epididymis and testicles are the organs where your sperms are stored and produced respectively. So if the pain comes when there is a history of trying to ejaculate that may suggest inflammation somewhere in these organs was there a previous history of STI (sexually transmitted disease) before this incident, pain from the testes is usually referred to the lower abdomen. We also need to be mindful of testicular torsion.I advise you to do urine MCS (microscopy, culture, and sensitivity), semen analysis MCS then scrotal scan to see the testicles anatomically for any scarification. |
###Human: Kindly suggest the alternative medicine for the hormone blocking injections in the treatment of breast cancer? ###Assistant: Hello. Her cancer will be her 2 neu positive, in this scenario, it is mandatory to give 17 injections of Trastuzumab, otherwise chances of recurrence are high. As far as cost is concern, you can get some other way, like hospital cost is very inflated, get it administered at a small center, you can get injections from wholesale yourself, and you can go for generic drug. |
###Human: Kindly help me to clarify that my period is normal or is it due to the side effect of I-pill. ###Assistant: Hello. Let me start by assuring you that you are not pregnant and need not worry. If you have had your periods 18 days before taking I-pill, your ovulation would have been around 13 to 15 days after that. Life of egg is only one day. So there is no chance of an egg being alive on that day of sex. I-pill or emergency contraception pill is a high dose of progesterone hormone. After ovulation, your ovary also will be producing the same hormone. As you have taken it after the ovulation date, the thickness of the inner uterine lining would have increased further. But would not have shed. Usually, if you take it before ovulation, your bleeding will start within a few days. So you should have had your regular periods, slightly thicker or more than usual. If you had bleeding almost like regular periods, then the inner lining of the uterus has been shed. There is no chance of pregnancy if at all, to catch inside the uterus. So do not worry, your next period will be one month from this period. I hope I have clarified your query, do write back if any more questions and for your feedback. |
###Human: What are the ways to close the gap between teeth after removing the bottom milk teeth? ###Assistant: Hi. Yes, could be done in clinic after removal of mobile tooth assessment of available space and space management criterion and space maintainance methods implemented such as Maryland bridge. As your age is 30, I suggest you undergo orthodontic treatment sooner as bone elasticity for pressure tension decreases with age. |
###Human: I feel that there is water in my ear after cold exposure. Please help. ###Assistant: Hi. Do you have pain or decreased hearing? Did he rule out wax and outer ear infection? Could he see the ear drum? |
###Human: What does abutment of the nerve root mean? ###Assistant: 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 --> |
###Human: Will Nano-Leo give permanent solution for erection problem? ###Assistant: Hi. For further doubts consult a sexologist online --> |
###Human: Every time I eat spicy food, I poop blood. Why? ###Assistant: 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 --> |
###Human: Will Kalarchikai cure multiple ovarian cysts in PCOD? ###Assistant: 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. |
###Human: I masturbate only by rubbing the tip of the penis. Is it a wrong way? ###Assistant: Hi. For further doubts consult a sexologist online --> |
###Human: I masturbate only by rubbing the tip of the penis. Is it a wrong way? ###Assistant: Hi. For further doubts consult a sexologist online --> |
###Human: Can stopping Sizodon LS suddenly cause any problem? ###Assistant: Hi. As you are on Sizodon LS (Risperidone) for last four years and now alright. Stopping the drugs depends upon many factors like your diagnosis, family support, etc. It is true that if you are suffering from schizophrenia or related diseases, then it is advised that you continue the medicine for many years or possibly life long otherwise relapse (symptoms re-appear) can occur. So, continue your treatment according to the advise of your psychiatrist. |
###Human: Does sharp pain in lower left abdomen in pregnant woman mean labor? ###Assistant: Hi. How are you doing today? As you said most probably it is the beginning of labor pain. Usually cervix, the mouth of uterus is slightly to the left. Pain usually lasts for a few seconds only, but reappears. Do not worry. Minimal vaginal discharge with this pain indicates that cervix is gradually opening. To confirm about the pain, just feel the top of uterus, trying to indent your fingers. When no pain, you can feel the baby parts. When you get the pain, uterus contracts and becomes stony hard, you will not feel baby parts. Just having pain is not an emergency. Just note four points: 1. Movement- you should have atleast four movements after each meal. 2. Pain- if it is frequent and lasts longer. 3. Leak- you will feel thick water just wetting your clothes. Not minimal discharge. 4. Bleeding- obvious red colour. You will need medical help in all these situations. Do not panic, if this is your first pregnancy, it takes about 12 hours for baby to come out after true labor pain and 6 to 8 hours, if second. All the best. |
###Human: Are rashes on penis due to sexually transmitted disease? ###Assistant: Hi. I saw your clinical pictures (attachment removed to protect patient identity), genitals look normal clinically, skin is little dry, I do not see any rash, blister or ulcer which are the manifestation of STD. In the first picture, those white tiny bumps below the glans (tip of the penis) are the harmless ones, they are called pearly penile papules. Are you referring to them? Herpes will have painful blisters in a group with redness at the base. Syphilis, chancroid will have ulcers. Gonorrhea presents with pus from the urethra, pain while urinating. At present, with your history and clinical pictures, I do not see any symptoms or signs of any STD. |
###Human: I had spica cast. When can I start driving or riding a motorcycle? ###Assistant: Hello. It is a bony mallet injury. You need to wear the splint on for eight weeks totally, a mallet thumb splint. Do not remove the splint for eight weeks. Repeat X-rays after eight weeks of injury and splint application. And then after eight weeks, you will require physiotherapy for mobilization as you are expected to have the stiffness of that joint. Driving can be about three months after the date of injury. Heavy weight lifting can be done after six months of the date of injury. Can you send me the other view of the X-ray also, if you have so that I can see the fracture better in the other view of X-ray also? For more information consult an orthopedician and traumatologist online --> |
###Human: My CBC showed 1+ anisocytosis. Any suggestions? ###Assistant: Hello. Anisocytosis means a difference in the size of the red blood cells. This could mean that you have a mild iron deficiency. Anisocytosis of 1+ is a very mild variation in the size of the RBCs. Your hemoglobin levels are towards the lower end of the normal range and it is possible that your iron stores are depleted. This can be determined by testing serum ferritin levels. I would suggest that you continue taking the iron and folic acid tablets for another two to three months to bring up your hemoglobin levels and replenish your iron stores. There is no need for you to worry. For more information consult a hematologist online --> |
###Human: I am experiencing tender muscles all over the body. Why? ###Assistant: Hi. I have gone through your history and blood reports (attachment removed to protect patient identity). Your test results are normal. The pain experienced all over the body looks like a different condition known as fibromyalgia. I want to ask you some questions to confirm it. Please say whether you had any history of mouth ulcer or excessive hair fall, history of difficulty in combing hair or had a problem in getting up from a toilet seat or had any mood changes when you got angry, any recent history of forgetfulness, any history of frequent headaches or bowel upset. Please explain your condition in detail. |
###Human: What can I do for weakness of the legs and numbness of the toes? ###Assistant: Hello. As mentioned in your history you have (attachment removed to protect patient identity), 1. Atrial Fibrillation. 2. TIA (transient ischemic attack). 3. Hyperlipidemia. 4. Migraine. 5. Fibromyalgia. Atrial fibrillation is possibly not found last time, and so it might be you have paroxysmal atrial fibrillation. Most of your test including MRI brain, CT angiography of neck vessels, 2D echocardiography, and MRI spine did not show any specific abnormality. Also documented are anxiety and depression. I would like to know some detailed information about your symptoms and medications, 1. What exactly happened to you now? Since when weakness in right leg started and did it happen suddenly or slowly? 2. In toe numbness, do you feel tingling, pins, and needle sensations? Or you have less feeling of touch at toes? Had it also start along with weakness, or there was a time lag between weakness and numbness? 3. Do this numbness and weakness persistent or is it intermittent in the whole day? 4. Have you noticed any particular factor, which increases weakness and numbness (like walking or laying in the bed or forward bending or stressful situation or sleeplessness etc.)? 5. How is your usual mood in day-to-day activities? 6. How are your sleep and appetite? 7. Have you been gone through nerve conduction studies? If yes, please send that report too. Revert me with above mentioned information for better understanding and further judgement. |
###Human: I have pain,extreme fatigue,unsteadiness and muscle twitching. I do not know if all these symptoms are related to one issue or more. ###Assistant: Hi. I read your query and understand your concerns. If your age and other description does not match with the above narration or if you have more questions feel free to write back to us. Consult a neurologist online for further help --> |
###Human: Stress causes stiffness in my neck and back. What can be done about it? ###Assistant: Hello. From your symptoms, it seems like fibromyalgia with anxiety. Whenever we are anxious, our autonomic nervous system plays a role, and hence increases the blood flow to various organs by pumping more blood at higher rates, and thus heartbeats can be felt by us. Also, when we are subjected to constant stress, those muscles become stiff. And thus, due to constant tension in them, they hurt after some time because of lactic acid accumulation. Your BP (blood pressure) is also because of stress and not medical hypertension. I would like to know more about your symptoms. Let me know about the details so that I can help you further. Take care. Revert with more information to a psychiatrist online --> |
###Human: What is the reason for stomach pain and blood in stools? ###Assistant: Hello. For further information consult an internal medicine physician online --> |
###Human: I am currently having obsessive thoughts and find it hard to control them. Please help. ###Assistant: hello, I can understand that you are suffering from obsessive compulsive disorder and having distressing obsessive thoughts. OCD is quite resistant illness which involve serotonin a kind of chemical in the brain. we generally prescribe antidepressants to increase level of serotonin in the brain. antidepressant require in higher amount because you know oCD symptoms are very resistant more than depression. there is also a talk therapy which is called as exposure and response prevention it's a kind of cognitive behaviour therapy . I would suggest you to visit your psychiatrist again and ask for this talk therapy. this will definitely help you hope my answer help you thank you kind regards feel free to ask further |
###Human: What does abutment of the nerve root mean? ###Assistant: 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 --> |
###Human: Will Nano-Leo give permanent solution for erection problem? ###Assistant: Hi. For further doubts consult a sexologist online --> |
###Human: Every time I eat spicy food, I poop blood. Why? ###Assistant: 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 --> |
###Human: Will Kalarchikai cure multiple ovarian cysts in PCOD? ###Assistant: 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. |
###Human: I masturbate only by rubbing the tip of the penis. Is it a wrong way? ###Assistant: Hi. For further doubts consult a sexologist online --> |
###Human: I vomited two combined pills after 12 and 14 hours respectively. Am I still protected? ###Assistant: Hello. Yes, still you are protected, 1)If you vomit more than two hours after taking your pill, you are always protected from pregnancy. 2) If you vomit within two hours of taking your pill, take another medicine right away. 3)If you do not take a replacement pill within three hours of your normal time, use a backup method for the next 48 hours. |
###Human: Are cough and chest congestion the symptoms of pneumonia? ###Assistant: Hello. Your chest x-ray appears normal. There is no pneumonia. What you have is an upper respiratory tract infection (URTI), mostly caused by viruses. This is a self-limited disease and usually clears up within seven days on its own. Sometimes, cough can persist a while longer and is called post-viral cough. Antibiotics are useless against viruses. They should only be used against bacterial infections. Viruses cause the vast majority of URTIs. These infections spread through the air (when you cough or sneeze) or through contact. They are not transmitted through food. Treatment for viral URTI is symptomatic. Fever medicines like Paracetamol, Ibuprofen, or Naproxen can be used. Nasal decongestants for the congested nose. If cough persists beyond a week, then a corticosteroid inhaler can help. |
###Human: I never had an orgasm even after masturbating to porn. Why? ###Assistant: Hello. Orgasm is not traceable to your masturbation or porn history. Some people experience it a few times in their sex life. Even in a heterosexual relationship, most times the man cums even when the lady is yet to cum. On many occasion, she never cums. So it is body differences. Has nothing to do with your masturbation experience. Some ladies cum faster when oral sex is done on them. So there is nothing wrong with you. You are fine. |
###Human: Why are there abdominal pain with loose motion and fever? ###Assistant: Hi. Such pain in abdomen with stool discomfort can happen as a result of stomach infection. Important here is clinical examination to know the site of the pain. So it is advisable to see your doctor. If he would feel suspicious, he would send you for an ultrasound abdomen. If all normal, you would be treated with antibiotics like Ofloxacin. Till you get medical help, you may take a combination of Pantoprazole and Domperidone that would reduce your acidity and pain. Take light food and drink plenty of fluids. Stomach infection. Ultrasound abdomen. Colic. Stomach infection. Light food. Review with ultrasound. |
###Human: Is it mandatory to remove the premolars for my orthodontic treatment? ###Assistant: Hello. I can tell you about treatment in the broader sense. In case of the shorter lower jaw, either a surgical and orthodontic treatment is done (in case of poor esthetics, both jaws and teeth are corrected) or orthodontic correction of only teeth. Since your question is about the second treatment plan and pertains to extractions I will answer that. Extractions are relatively common in orthodontic treatment to create space. In cases with smaller lower jaws with space requirement, upper arch extractions are mandatory. Lower arch extractions are also advised if there is space requirement or extractions needed for bite improvement or maintenance of normal bite. So it is reasonable to advise the extraction of four teeth. You can send pictures of your teeth and X-rays to confirm whether this fits your case. |
###Human: Can you please review my blood test reports? ###Assistant: Hi, Welcome to the icliniq Following is my opinion for your asked question. The low ferritn , Low Mcv could be suggestive of early iron deficiency anemia. The common cause for high B12 include supplement intake , Liver disease or Kidney disease. Your liver & kidney profile reports are normal.So don't worry about that. If you have any history of supplement intake than mention it.B12 excreted by urine , so might need not to worry about that.High Non Veg food also sometime can cause elevated B12. For low ferritin no need of any treatment.Repeat your serum ferritin & serum iron after few days. The WBC in urine could be due to urinary tract infection.For that investigate further with urine culture report.Meanwhile take more water & cranberry juice extract tablet.Attach the urine culture report once done. Hope this will help you Regards |
###Human: Can I take Damia drops for premature ejaculation and erectile dysfunction? ###Assistant: Hello. I suggest you have Agnus castus 200 three times a day at every eight hourly for at least 10 days. This medicine will help with both premature ejaculation and erectile dysfunction problems. Please also inform me if you have diabetes, high blood pressure, or any other diseases, so I will help us to do more and appreciate the treatment. I would also like to suggest you do some physical exercise daily in the morning for at least 30 minutes. |
###Human: I had vibration in my chest associated with shoulder pain. What does it indicate? ###Assistant: Hello. You probably had a transient arrhythmia (abnormal heart rhythm). The most common type of abnormal heart rhythm at your age (assuming you do not have any pre-existing heart conditions) is supraventricular tachycardia. This can produce symptoms like palpitations, lightheadedness, and a strange feeling in the chest. An ECG, if done during the actual episode, can provide a diagnosis. But at least, you should get a baseline ECG. So, I suggest seeing your general physician within the next few days. Other things that are pertinent when you have fast heart rhythms are: 1. Excess production of thyroid hormone (a thyroid test TSH would be appropriate).2. Excessive consumption of caffeine.3. Any recreational drug use like cocaine.4. Electrolyte imbalance.If you get these episodes frequently, you should see a cardiologist who can order some tests. |
###Human: Will Zoloft cause muscle pain, cramps or tingling? ###Assistant: Hello. Yes, Zoloft (Sertraline) may cause muscle cramps, tingling by disturbing blood sodium chloride levels. Zoloft is an SSRI (selective serotonin reuptake inhibitor), which may cause a disturbance in these ions (sodium and chloride) hence may cause it. Get the blood test done serum sodium and serum chloride, or you may try increasing salt intake in your diet. Which if improves your problem then it is undoubtedly due to low sodium and chloride. |
###Human: What can be done for bloating in a patient with acidity, GERD and IBS? ###Assistant: Hello. You have several symptoms related to the gastrointestinal tract: 1. GERD. 2. Irritable bowels. 3. Bloating. You also seem to have abdominal obesity and high blood pressure. Proton pump inhibitors like Pantoprazole and Rabeprazole do not seem to have helped you. I suggest a dietary approach that will reduce your weight and also can get rid of the bloating, acid reflux and irritable bowel symptoms. That diet is the low carbohydrate, high fat diet (LCHF diet) or ketogenic diet. This involves cutting down your carbohydrate intake and increasing the intake of healthy fats. In my experience, nearly all people who followed this diet got rid of the acid reflux and bloating. The good thing is, you can also lose weight and possibly reverse your high blood pressure. |
###Human: A vein is blocked in heart and there is chest pain while walking far. What has to be done? ###Assistant: Hi. Blocked artery in the heart causes pain especially when one is engaged in activities like walking due to increased heart rate during activity which reduces blood supply to the heart muscles leading to ischemia and pain. This condition is called angina pectoris. It is a problem with the coronary arteries which supplies the heart muscle. The doctor to see is the cardiologist. Do ECG, do clotting time. Take Isorsobide Dinitrate 5 mg three times daily will help to open the heart arteries and relieve the pain. Take care. |
###Human: What does abutment of the nerve root mean? ###Assistant: 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 --> |
###Human: Will Nano-Leo give permanent solution for erection problem? ###Assistant: Hi. For further doubts consult a sexologist online --> |
###Human: Every time I eat spicy food, I poop blood. Why? ###Assistant: 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 --> |
###Human: Will Kalarchikai cure multiple ovarian cysts in PCOD? ###Assistant: 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. |
###Human: I masturbate only by rubbing the tip of the penis. Is it a wrong way? ###Assistant: Hi. For further doubts consult a sexologist online --> |
###Human: Please suggest a medicine to lower my husband's blood sugar level. ###Assistant: Dear User, To decide a medicine for diabetes depends on the current physical and clinical condition. There are several aspects to be taken care of. It would be necessary for a doctor to start medicine after getting detailed medical history. That will include current sugar levels, which type of diabetes he has, basic diet pattern, physical activity status, family history of diabetes, current medicines he is taking for diabetes and uti, his body weight and height, any other physical condition, etc. As long as UTI is concerned, high sugar levels can also cause recurrent UTIs. We can communicate in detail regarding management of diabetes and UTI on this platform. ? uti due to high blood sugar levels. fbs/ppbs/hba1c s. creat urine r/m maintain good genital hygiene in view of uti. practise small frequent meals for diabetes. With detailed medical history. |
###Human: What can be done for severe headache that starts during late morning? ###Assistant: Hi. Headache has numerous causes. And according to your presentation, I am going to list some of the causes that could be the reason for what you experience. Please, reflect them to your case. 1. Beginning of acute upper respiratory tract infection, in case you show other signs including runny nose, cough, sore throat or others of cold and flu symptoms. 2. Frontal headache can be due to paranasal sinus inflammation which is part of cold and flu symptoms or part of long-term inflammation. 3. Stress, lack of sleep, anxiety or bad mood. 4. Bad sleeping position (for the neck) or uncomfortable pillow (usually comes in the morning and back of neck and head but can be in the front as well). 5. Anemia (commonly iron deficiency anemia, specially if you are having the monthly period these days). 6. PMS (pre-menstrual syndrome) few days before monthly period. 7. Frontal headache can come with disturbed visual acuity (you might need to visit ophthalmologist for eye test) especially if have concomitant blurring of vision. 8. Head trauma, in case you experienced that before the beginning of that headache. 9. Diabetes mellitus type 2. 10. Hypoglycemia (low blood glucose) in case you are not following appropriate diet or not eating well. 11. Vitamin D deficiency (but usually for long term headache with other symptoms). I will list some of the investigations to do and medicines to take (for a few days). FBS (requires fasting 8 to 10 hours), HbA1c, complete blood count, Fe studies. Naproxen 500 mg tablets one tablet per 12 hours after meals for 3 to 5 days, as needed. |
###Human: The nevus on my lacrimal caruncle shows some difference. Is it melanoma? ###Assistant: Hello. I understand your concern, but I would not advise you to jump into any hasty conclusions. First of all, birthmarks, moles are very common even with the localization that you mentioned. However, to advise you better, it is preferable to compare this lesion on photos taken during these last few years as a marker, keeping in mind that humans undergo many changes as they age. Second of all, it is more advisable to get digital images of this lesion captured by an optometrist or an ophthalmologist through a slit lamp and under magnification for better evaluation. Thirdly, if an ophthalmologist has confirmed your suspicion, a biopsy can be taken from it and sent to histopathology in the assessment at a cellular level, which will clear all doubts completely. |
###Human: Is it normal to have raised WBC count in teenager? ###Assistant: Hello. The neutrophil in children usually can be due to some temporary infection etiology. Viral infection also can cause neutropenia due to relatively high lymphocytes. I suggest to repeat CBC and peripheral smear examination report again after 10 to 15 days. I am also not in favour of repeating CBC after three months. |
###Human: Should I continue the Olanzapine as I had a blackout episode when I was drunken? ###Assistant: Hello. Psychosis should not be taken lightly because psychosis is a term that reflects a variety of explanation like it may be schizophrenia, it may be due to depression, may be secondary to alcohol or any other condition, so diagnosis is very important, that your primary doctor knows better. And every diagnosis has a different course of treatment, as for as you alcohol is a concern that blackout means you should be more concern and should be adequately treated. Do not stop it suddenly, and try not to drink heavily. Go to your doctor and tell your history he would help you to deal with the problem and you need to have health check-up and lab investigation for sure. |
###Human: What can I do to get rid of tapeworms? ###Assistant: Hello. Stool tests can identify tapeworm infestation. However, because the worms and eggs are shed intermittently, the test may have to be repeated three to four times if the initial test is negative. Stool tests can also identify other intestinal parasites. Blood tests (serological tests) are also available, including ELISA (enzyme-linked immunosorbent assay) and PCR (polymerase chain reaction). Praziquantel is the drug that is used to treat tapeworm infestations. |
###Human: How to identify if I am bipolar? ###Assistant: Hello. I can appreciate your dilemma. I will suggest discussing your concerns with your psychiatrist. Write down all the reasons why you think you may have bipolar disorder and discuss it with your psychiatrist during your next review. Screening tests in the search may give approximate guidance, but they not very specific. For example, many teenagers have significant mood swings, which may inadvertently be flagged up as bipolar. A proper diagnosis can be made only by a comprehensive assessment, including detailed background history. |
###Human: My blood and urine pregnancy test are positive, but there is no visible sac in the scan. Is this ectopic? ###Assistant: Hello. By the dates, you are five weeks pregnant. If no gestational sac is visible in your uterus even on transvaginal ultrasound, then it may be an ectopic pregnancy. Ectopic pregnancy presents with symptoms only if it grows or gets ruptured. That is an emergency and can even be life-threatening or at the least cause liters and liters on blood loss inside the abdomen. I advise you to go for a transvaginal scan. Rarely MRI to confirm the ectopic pregnancy. It may be dealt with medicines or go for laparoscopic removal of tube or milking whichever is feasible. Do it before it becomes an emergency. |
###Human: What does mild LA dilation in sonogrpahy indicate? ###Assistant: Hello. No major concern but it would be important to know why your left atrium is dilated. It may be because of higher blood pressure or problems with the heart valves or due to any heart muscle problem. I recommend you see a specialist as you might need some additional workup, perhaps a heart rhythm monitoring and or a stress test. High blood pressure, and valvular disease. Heart rhythm monitor. |
###Human: I am a diabetic patient and I suffer from ED and depression. Kindly advice. ###Assistant: Hello. By ED do you mean erectile dysfunction or anything else? You are a male, so I pressure you to mean erectile dysfunction. The erectile dysfunction, together with the fact that you have to be on medication for your sugar control that could have been responsible for the depression that is entirely understood. The erectile dysfunction can cause d inability to have a penetrating sex.diabetes cause damages to tiny arteries which supplies the nerves, and when the nerves which carries e erectile sensation are affected, it results to a weak erection. Kindly consult your doctor and take the treatment with consent. |
###Human: My lipid test report shows quite high values. Kindly advice. ###Assistant: Hello. Do you have diabetes, hypertension, family history of a heart attack in young age? Do you have deranged kidney function? Answers to these questions if not, it is critical to decide medicine. If these are not present, then medication is not required at this stage. Only lifestyle and dietary modification are necessary. Reduce saturated fats and trans fats (ghee, butter) in diet, reduce red meat, consume more dry fruits, and vegetables. Avoid more than one egg yolk per day. Do regular exercise, such as jogging, cycling, brisk walk, etc. Avoid a sedentary lifestyle after three months repeat fasting lipid profile. |
###Human: I have occasional fever with acid feel in chest and stomach pain. What could this be? ###Assistant: Hi. How high was the fever? Any other symptoms such as cough, colds, body aches, sore throat, and pain during urination? How would you describe abdominal pain, burning, crampy, or stabbing? Does it radiate to the back? If yes, which side? Does it occur after food intake? Do you wake up in the middle of the night because of the pain? Any other symptoms such as yellowish discoloration of the eyes or skin, nausea, or vomiting? I suggest taking Omeprazole 20 mg, 1 capsule 30 minutes prior to breakfast but may take one dose today. Complete blood count. Omeprazole 20 mg one capsule 30 minutes prior to breakfast for seven days, Paracetamol 500 mg one tablet every four hours as needed for fever. |
###Human: What does abutment of the nerve root mean? ###Assistant: 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 --> |
###Human: Will Nano-Leo give permanent solution for erection problem? ###Assistant: Hi. For further doubts consult a sexologist online --> |
###Human: Every time I eat spicy food, I poop blood. Why? ###Assistant: 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 --> |
###Human: Will Kalarchikai cure multiple ovarian cysts in PCOD? ###Assistant: 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. |
###Human: I masturbate only by rubbing the tip of the penis. Is it a wrong way? ###Assistant: Hi. For further doubts consult a sexologist online --> |
###Human: What would be the reason for development of large number of moles? ###Assistant: Hi. As you explained the disease that your wife has multiple small moles over face and hands, it certainly indicates solar lentigines. It is a multiple freckles type mole due to sun exposure. Now, let me explain the treatment and precautions. Avoid exposure to sunlight as much as you can. Cover body with clothes and cap while going out. Use sunscreen over face and hand every four hourly till evening. This will prevent further development of disease. Now to treat existing lentigines we can opt for laser. Creams will not be of much helpful in this. Q-switched Nd:YAG laser (neodymium-doped yttrium aluminium garnet) will be very useful. You can consult a doctor around you for this laser. One or two sitting would be enough to remove it completely. There is no side effect. It could be costlier, but results are good. |
###Human: What are the measures to lose weight? ###Assistant: Hello. You can surely lose weight with the help of homeopathy. Do you have any medical conditions that may be causing weight gain or taking any medication? In the meantime try taking Natrum Phos 6x two tablets twice a day 30 minutes before taking any meal (empty stomach).Try this for 15 days. In the meantime, please answer the following questions so that I get a complete overview of your problem. Kindly answer these questions. |
###Human: I have red, itchy and scaly spots on my arm. Are these signs of skin cancer? ###Assistant: Hello. First I would like to reaasure you that squamous cell carcinoma can not appear all of a sudden (over night). Second, from the pics you attached it looks like fungal infection (attachment removed to protect patient identity), something called tinea corporis, which comes with the same look and other looks as well, in addition to the symptoms that you mentioned (specially itchiness). Please follow the treatment that I will provide you and kindly follow up with photos for the skin lesion in five to seven days. Kindly consult your doctor to discuss the suggestion and take the treatment with consent. Lamisil cream (Terbinafine), apply three times a day for 7 to 14 days or Daktacort cream (Miconazole, Hydrocortisone), apply three times a day for 7 to 14 days. Wash your own clothes and bed linens separately as it is infectious. |
###Human: Why does urine appear dark brown inspite of having Fluconazole? ###Assistant: Hello. Went through your post. Generally, urine culture growth showing candida is not anything significant because it is a benign infection and usually does not need treatment unless a person has taken a lot of antibiotics, or is HIV positive. The white substance in urine is phosphate, and it is called Phosphaturia you are taking plenty of water is helpful, so no need to worry about that. I would suggest you complete two weeks of Fluconazole but no other antibiotics. |
###Human: My hairs are shedding even after using Minoxidil. Why? ###Assistant: Hello. Can you please upload a few pictures if possible, to advice proper treatment. |
###Human: What does abutment of the nerve root mean? ###Assistant: 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 --> |
###Human: After using larger size silicone ring to loose the foreskin, I experience pain. Why? ###Assistant: Hello. I have gone through your queries. The only solution to phimosis is circumcision. However, you may have minor vascular injury inside the foreskin due to the use of a tight silicon ring. You can wait and watch to buy some time for natural regression of the swelling or else you can straightway go for circumcision after consulting your local urologist. By few days to weeks, the swelling will reduce. But the permanent solution of phimosis is circumcision. |
###Human: Ears feel clogged while in a closed room. Why? ###Assistant: Hello. Rather than a closed or open room, this is related to outside and inside ear pressure. There is an air cavity in our ear called a middle ear, and there is a membrane which separates this cavity from the external environment called a tympanic layer. So, there is air on either side of the tympanic membrane. So, when pressure on either side if high, then the membrane gets fixed and cannot move properly, giving the feeling of a clogged ear. And there is a connection between the middle ear cavity and our throat which equalizes pressure within the ear cavity and outside environment. So, whenever one gets an infection, then this tube blocked and there occurs a mismatch of pressure leading to clogged ear. And also swallowing movements opens this tube temporarily, which helps in equalizing the pressure leading to relief. Similar things occur when one travels in an airplane. So pressure changes are decisive in this. I hope this helps you and get back if you have any doubts. |
###Human: I have a red dot on my penis head. Could it be herpes? ###Assistant: Hello. I understand that you are greatly concerned about having early genital herpes. For more information consult a general practitioner online --> |
###Human: Please explain the diagnosis of MRI result. ###Assistant: Hello. I read carefully and reviewed the patient MRI report (attachment removed to protect patient identity) and would explain that it shows a progressive brain atrophy (brain cell death) and small ischemic strokes, which could cause progressive dementia. These changes are probably related to small vessel disease of the brain (chronic changes in small brain vessels caused by uncontrolled diabetes, dyslipidemia, hypertension, smoking, etc.). There is also a subdural collection, which is causing mild compression on the left frontal lobe. I would recommend consulting with a neurosurgeon about this. I would also recommend to closely monitor his blood pressure values, periodically check his fasting glucose and blood lipid profile. If dementia is present (memory troubles, confusion), I would recommend treatment with Donepezil or Memantine. Hope to have been helpful. For more information consult a neurologist online --> |
###Human: How to wean Veniz XR safely? ###Assistant: Hello. For further information consult a sexologist online --> |
###Human: I feel my teeth are slanting at the end of ortho treatment. What shall I do? ###Assistant: Hi. For further information consult an orthodontist online --> |
###Human: What does abutment of the nerve root mean? ###Assistant: 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 --> |
###Human: Will Nano-Leo give permanent solution for erection problem? ###Assistant: Hi. For further doubts consult a sexologist online --> |
###Human: Every time I eat spicy food, I poop blood. Why? ###Assistant: 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 --> |
###Human: Will Kalarchikai cure multiple ovarian cysts in PCOD? ###Assistant: 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. |
###Human: I masturbate only by rubbing the tip of the penis. Is it a wrong way? ###Assistant: Hi. For further doubts consult a sexologist online --> |
###Human: I get sudden shaky abdominal pain with dizziness. Could this be a shock? ###Assistant: Hello. Well, most of our patients initially complain to us about very vague symptoms at onset, just like yours. But we explore the possibility based on some more information and yes, of course, investigating them thoroughly. The pain you mention which made you still and shaky, can be arising from the gut as in abdominal colic (a sudden wave of spasm in muscles within the gut). Or can be arising from endometriosis which is anther problem of the female genital tract, whereby there is excessive growth of normal uterus tissues in the lower part of the belly. Thirdly, it can simply be due to perimenstrual syndrome which is pain occurring at the time of menses. For now, I suggest you to do some test and ultrasound abdomen and pelvis, later we can discuss the findings of your result. Functional abdominal colic. Perimenstrual syndrome. Endometriosis. Complete blood count. TSH (thyroid-stimulating hormone), FT3. Liver function tests. Stool detail report. Urine detail report. US (ultrasound) abdomen and pelvis. Follow up after investigation to discuss the results. |
###Human: What could be the white lines near the teeth on the lower lip? ###Assistant: Hello. It could be lichen planus. It does not go off on wiping. If it goes off on wiping, then it is candida. Your case does not support submucous fibrosis as there is no blanching. My provisional diagnosis is lichen planus. History of smoking. Biopsy. Candida, leukoplakia, and submucous fibrosis. Lichen planus. Biopsy (nearest dental hospital) and follow-up with a specialist. Nicotine patch to stop smoking. |
###Human: Why am I having painful wound with itching in penis after sex? ###Assistant: Hello. You have developed ulcers after two weeks. Usually, in gonorrhea you will have painful white discharge from penis. In syphilis, ulcer will develop after 10 to 14 days, painless single, button like ulcer. Painful genital ulcers in this case are may be herpes simplex, chancroid, and syphilis (from your picture) (attachment removed to protect patient identity). What medication he gave? Will you please give names of the drugs? Better do VDRL, TPHA, HIV and HSV2 investigation, smear study from penis discharge to rule out above STD. |
###Human: How to treat a red dry skin on the scrotum? ###Assistant: Hello. I have seen the pictures (attachment removed to protect patient identity). It looks like scrotal dermatitis. Try doing the following. Consult your specialist doctor, discuss with him or her and start taking medicines after their consent. For more information consult a dermatologist online --> |
###Human: My mother's fasting sugar is higher than the post prandial sugar. Why is this happening? ###Assistant: Hi. Consult a diabetologist online for further clarifications --> |
###Human: While extraction, I was told that my tooth was attached to bone. Is it common? ###Assistant: Hi. For further information consult a dentist online --> |
###Human: Need second opinion on Celexa and Buspar for severe anxiety/panic attacks ###Assistant: Hi. You are not on too high a dose of celexa or buspar. However serotonin syndrome is not always dose dependant. I feel just the chills and sedation are too general to be indicative of serotonin syndrome. You should have some level of muscle rigidity, high fever, muscular contractions (myoclonus) to suggest that. In my professional opinion I do not have much faith in Buspar. Celexa is good enough as an antidepressant (SSRI) to eventually help you have a full remission of depression, anxiety and panic attacks. If I was your treating psychiatrist, I would have supplemented the celexa with clonazepam (Klonopin) on a as needed basis, between 0.5 and 1mg every 8 hours PRN anxiety. If you are feeling cold and shivering constantly you might need to see your PCP (Primary Care Physician) to urgently address if you have an active urinary tract infection and also have him check your thyroid function. In effect, I advise you to stop the Buspar for now. Hope it helps. Get back to a psychiatrist online for further help --> |
###Human: I do not feel any sensation in my penis at the time of sex. Does masturbation cause this numbness? ###Assistant: Hello. I read your query and understand your concerns. Having less or no sensation in penis while having sex is generally due to local factors. The systemic illnesses rarely affect in this way. Masturbation is normal and it does not have any adverse effects either on sensation or erection. So it is time to realize that the sensation problem is not due to chronic masturbation. The possible reason as per available history is dryness of penis which makes the nerve endings non-functional over a course of time. To counter this problem it is essential to use oil based soap (rather than traditional soap) and skin moisturizer which prevent the dryness of skin of glans penis. It can be said that you can use any branded moisturizer for application to penis and local area after taking bath every day. During love making session I advise you to use Durex real feel which is available across the globe for increasing sensation and making the sex more pleasurable. Unfortunately there are no medicines for this purpose and lubricants which I have mentioned above will be helpful to a large extent. Revert back to a sexologist online for further follow up --> |
###Human: Why is my fasting blood sugar level higher than postprandial? ###Assistant: Hello. For further doubts consult a diabetologist online --> |
###Human: Can you suggest any medicine to reduce the bump near anus? ###Assistant: Hello. Constipation. Digital rectal examination and proctoscopy. Anal fissure and hemorrhoids. Surgery. Medical treatment and diet modification to prevent constipation. For further information consult a surgical gastroenterologist online.---> |
###Human: The stretch marks on my inner thighs hurt. Please help. ###Assistant: Hi.I have gone through your history and picture (attachment removed to protect patient identity). I get your worry. I can see that you have already tried a lot of therapies for the same with not much relief. Weight gain is usually a gradual process and not much skin stretch pain is experienced. But few nerve endings become exposed to the exterior in the stretched skin. When weight loss occurs, stretched skin hangs back loose. But it is still not back to normal skin. It is still thin and exposing your sensitive nerves when you stretch, like when you sit or squat. This is why you get that pain sensation during such activity.Now having considered that you have tried most of the options, I would suggest you try a few additional measures that can help. |
###Human: I have tiny hard black spot on penis with no harm and it does not go away. What could it be? ###Assistant: Hello. I can understand your concern. According to your statement, you have been suffering from a tiny hard spot on the head of the penis. This type of tiny spot can result from various reasons such as mole produced from over secretion of melanin by skin cells. They are harmless and nothing to be worried. Penile papule appears around the penis head which does not itch or produce any fluid. They may disappear as time passes. Angiokeratoma is a tiny red bump that appears when blood vessels near your penile skin become dilated. They are rough in nature and may become thicker over time. Lymphocele has resulted from blockage in the lymph channel near your penile head. It does not need any treatment and dissolves over time. Peyronie's disease is resulted from scar tissue which is found on the top of the penis that tends to harden due to calcium deposition. Treatment is needed when it makes erection of the penis difficult. Again your penile tiny hard spot may be resulted from a pimple, cyst, or STD (sexually transmitted disease). As your penile spot does not create any difficulty in your regular performance so it is nothing to be worried and needs no treatment. I think it will disappear over time. You can undergo FNAC (fine needle aspiration cytology) or biopsy from a tiny hard spot on the top of your penile head. |
###Human: What does abutment of the nerve root mean? ###Assistant: 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 --> |
###Human: Will Nano-Leo give permanent solution for erection problem? ###Assistant: Hi. For further doubts consult a sexologist online --> |
###Human: Every time I eat spicy food, I poop blood. Why? ###Assistant: 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 --> |
###Human: Will Kalarchikai cure multiple ovarian cysts in PCOD? ###Assistant: 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. |
###Human: I masturbate only by rubbing the tip of the penis. Is it a wrong way? ###Assistant: Hi. For further doubts consult a sexologist online --> |
###Human: I am expecting first child and pregnant of around 6 weeks. Noticed some bleeding while urinating ###Assistant: Hi. You have a given a complete account of the clinical situation and it is as good as doing a real time face to face consultation. It is not uncommon for women to have spotting early in pregnancy. Most often it is what we call implantation bleeding that is a process of baby getting attached to your uterus. The fact that there is no blood clot in the uterus and the fetal heart beat is present is reassuring. The diagnosis is called threatened miscarriage. In this situation there is a good probability for the pregnancy to go on well that is more than 90%, hence it is unlikely to be serious. You can continue with your normal activities as long as it is not physically demanding. It is also advisable to avoid sexual intercourse for a few weeks. Absolute bed rest is not needed and in fact may be harmful can lead to blood clots in legs. No need to follow diet restriction. Taking Duphaston (Dihydrogesterone) is alright, but again not absolutely necessary. Just be your normal self. Repeat scan in two weeks to ensure things are fine. You will continue to have some form of discharge pink or red or brown or black for a couple of weeks. But, if the bleeding is heavy with clots or with cramping or foul smelling discharge you need to visit the hospital as soon as possible. I would like to stress that more than 90% of times, things will go on well. For further information consult an obstetrician and gynaecologist online --> |
###Human: Will I lose my virginity if I finger myself? ###Assistant: Hi. Get back if you have doubt. Take care. For more information consult an obstetrician and gynaecologist online --> |
###Human: Delayed periods even after taking Gestin. What is the reason? ###Assistant: Hello. Tablet Gestin (Allylestrenol) contains natural progesterone, which is given for 5 days to bring about withdrawal bleeding. You have not mentioned how long you have taken the drug. Withdrawal bleeding usually occurs 48 hours after stopping the drug to up to 7 days. If you are still in that period, then you should wait for your period to commence. If you are over that, then I suggest you to do certain tests like transvaginal sonography, TSH (thyroid stimulating hormone) and AMH (anti-mullerian hormone testing). Considering your age, you could be in your perimenopause (stage nearing menopause) where menstrual irregularities are common. Revert back after the tests to an obstetrician and gynaecologist online --> |
###Human: I have a painless, small, white dot on my gums. What could it be? ###Assistant: Hi. It looks like a minor aphthous ulcer, which gives no pain and subsides by itself. Please check if there is any pus discharge, pain in the tooth and any other area of the mouth also has this kind of spots. Aphthous ulcer often causes minimal symptoms or problems. Oral ulcers are small round or ovoid ulcers of 2 - 4 mm in diameter. They are round or ovoid in most situations but are often more linear in common site. They have an ulcer floor that is initially yellowish white and surrounded by an erythematous halo or redness. They are found mainly on the mobile mucosa of the lips, cheeks, the floor of the mouth, sulci or below the tongue. Yours is in between the junction of gums and sulcus of the cheek, so it is a soft mucosa looks like to be. They occur in groups of only a few ulcers that is, one to six at a time. In your case, you have one only. They heal in 7 to 10 days, and they may recur at intervals of one to four months. They leave little or no evidence of scarring. If it pains, then you can apply pain relieving gel. If it does not subside in a week or 10 days, then do visit your dentist. Aphthous ulcer. Do not eat spicy food. For further information consult a dentist online.---> |
###Human: What are the chances of me to get pregnant after taking i-pill? ###Assistant: Hi. How was your bleeding during the cycles? Was the flow scanty when compared to your previous cycle (I am not talking about the duration of flow here)? Revert with the details to an obstetrician and gynaecologist online --> |
Subsets and Splits