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Q. What does abutment of the nerve root mean?

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?

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 -->

<s>[INST] 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? [/INST] 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 -->

Q. What should I do to reduce my weight gained due to genetic hypothyroidism?

Hi doctor, I am a 22-year-old female who was diagnosed with hypothyroidism (genetic) when I was 12. Over the past five years, I have become around 50 pounds overweight and all of my attempts to lose have seemed to fail so I have given up, but my weight has stayed the same. There is so much information put there about losing weight with hypothyroidism but it all seems to conflict. I am so unsure as to what type of exercise and diet I should follow as a result but I still would like to lose weight, but most importantly have my body feel better. What can I do? I am currently on Levothyroxine, Buspar, and Benedryl.

Hi. You have really done well with the hypothyroidism problem. Your levels are normal with less medications which are very good. As it is genetically induced, it is very difficult to lose weight. My advice to you is, you should focus on maintaining normal levels of TSH (thyroid-stimulating hormone) and try to remain active, having a positive outlook in life. Or else, it will become very difficult to balance your life with the symptoms of hypothyroidism. Even though your weight has not reduced, be very careful in not putting on weight here afterward. Everyday brisk walking for 1 hour. If you have body pain, alternate with exercises and walking. Avoid all kinds of junk foods, processed, bakery products, rich sweets, fatty foods, sodas, alcohol, and smoking. Avoid partying and binge eating. Follow the food timings properly. Have small frequent meals. In between snacks should be strictly fruits or any kind of low-calorie foods. Have unsalted nuts around five daily. It can give a glow to your dry skin. Everyday water intake should be around 1.5-2 liters. You can use flax seeds. Powder it and mix it in your food. It is a fiber which will give you fullness. Use turmeric, fenugreek seeds, or powder every day. It is a good antioxidant and fenugreek helps in reducing cholesterol levels. Include low-fat milk, curd every day. Egg white, lean chicken, or fish can be taken daily in moderation (anyone). Organ meats need to be avoided. Is your menstrual cycle normal? Please get back if you have any other complaints. Follow up after 15 days.

<s>[INST] Hi doctor, I am a 22-year-old female who was diagnosed with hypothyroidism (genetic) when I was 12. Over the past five years, I have become around 50 pounds overweight and all of my attempts to lose have seemed to fail so I have given up, but my weight has stayed the same. There is so much information put there about losing weight with hypothyroidism but it all seems to conflict. I am so unsure as to what type of exercise and diet I should follow as a result but I still would like to lose weight, but most importantly have my body feel better. What can I do? I am currently on Levothyroxine, Buspar, and Benedryl. [/INST] Hi. You have really done well with the hypothyroidism problem. Your levels are normal with less medications which are very good. As it is genetically induced, it is very difficult to lose weight. My advice to you is, you should focus on maintaining normal levels of TSH (thyroid-stimulating hormone) and try to remain active, having a positive outlook in life. Or else, it will become very difficult to balance your life with the symptoms of hypothyroidism. Even though your weight has not reduced, be very careful in not putting on weight here afterward. Everyday brisk walking for 1 hour. If you have body pain, alternate with exercises and walking. Avoid all kinds of junk foods, processed, bakery products, rich sweets, fatty foods, sodas, alcohol, and smoking. Avoid partying and binge eating. Follow the food timings properly. Have small frequent meals. In between snacks should be strictly fruits or any kind of low-calorie foods. Have unsalted nuts around five daily. It can give a glow to your dry skin. Everyday water intake should be around 1.5-2 liters. You can use flax seeds. Powder it and mix it in your food. It is a fiber which will give you fullness. Use turmeric, fenugreek seeds, or powder every day. It is a good antioxidant and fenugreek helps in reducing cholesterol levels. Include low-fat milk, curd every day. Egg white, lean chicken, or fish can be taken daily in moderation (anyone). Organ meats need to be avoided. Is your menstrual cycle normal? Please get back if you have any other complaints. Follow up after 15 days.

Q. I have started to get lots of acne on my face, particularly on my forehead. Please help me.

Hi doctor! I used to have clear skin but since I moved to a new place, I started to have lots of acne on my face particularly on my forehead. I thought it would disappear once I went back home, but it only got worse. I did some research and assumed that it was caused by drinking too much cow's milk, but it has been since since I stopped and they would still not go away. I also noticed that I get deep acne whenever I'm nearing my period, along with the usual small red bumps. I bought an acne soap and have been using it for a month now but I'm not sure if it works. I hope you can help me because it has been affecting my mental state lately :((((

Hi there Acne has multifactorial etiology. Only acne soap does not improve if ypu have grade 2 or more grade acne. You need to have oral and topical medications. This before writing medicines i need to confirm your grade of acne. For mild grade topical clindamycin or retenoic acud derivative would suffice whereas for higher grade acne you need oral medicines aluke doxycycline azithromycin or isotretinoin. Acne vulgaris Cleansing face with antiacne face wash

<s>[INST] Hi doctor! I used to have clear skin but since I moved to a new place, I started to have lots of acne on my face particularly on my forehead. I thought it would disappear once I went back home, but it only got worse. I did some research and assumed that it was caused by drinking too much cow's milk, but it has been since since I stopped and they would still not go away. I also noticed that I get deep acne whenever I'm nearing my period, along with the usual small red bumps. I bought an acne soap and have been using it for a month now but I'm not sure if it works. I hope you can help me because it has been affecting my mental state lately :(((( [/INST] Hi there Acne has multifactorial etiology. Only acne soap does not improve if ypu have grade 2 or more grade acne. You need to have oral and topical medications. This before writing medicines i need to confirm your grade of acne. For mild grade topical clindamycin or retenoic acud derivative would suffice whereas for higher grade acne you need oral medicines aluke doxycycline azithromycin or isotretinoin. Acne vulgaris Cleansing face with antiacne face wash

Q. Why do I have uncomfortable feeling between the middle of my spine and left shoulder blade?

Hello doctor,I am having an uncomfortable feeling in between the middle of my spine and left shoulder blade. It seems to get stiff, and my bones pop a lot around there, and it is very uncomfortable to sit in specific ways feels like my bones shift, well the other night it seemed as if my shoulder would pop out of place causing more stiffness after a while of dealing with it. I ended up feeling a popping sensation, where the stiffness was an instant relief. It was so shocking it put my anxiety through the roof. I thought I was going to die because my whole body was shaking and tingling. What am I dealing with? Right now I have no pain or tender near that area still relief but curious on what happened and why I got this shock and that popping feeling so loud it scared me half to death.

Hello. The popping and discomfort what you felt is either because of improper scapulothoracic mobility or may be due to facet joint irritation in the neck with intervertebral hypermobility. Which could have caused due to stiffness in the chest muscles, shoulder stiffness, etc. I would recommend you to do a lot of icing in the chest and back muscles. Maintain your neck and upper back posture by doing some back retraction work. Gently stretch your neck and chest. Gently massage your chest and shoulders to relieve tension in the muscles. I hope this is helpful for now. Kindly revert in case you need any help in this regard.

<s>[INST] Hello doctor,I am having an uncomfortable feeling in between the middle of my spine and left shoulder blade. It seems to get stiff, and my bones pop a lot around there, and it is very uncomfortable to sit in specific ways feels like my bones shift, well the other night it seemed as if my shoulder would pop out of place causing more stiffness after a while of dealing with it. I ended up feeling a popping sensation, where the stiffness was an instant relief. It was so shocking it put my anxiety through the roof. I thought I was going to die because my whole body was shaking and tingling. What am I dealing with? Right now I have no pain or tender near that area still relief but curious on what happened and why I got this shock and that popping feeling so loud it scared me half to death. [/INST] Hello. The popping and discomfort what you felt is either because of improper scapulothoracic mobility or may be due to facet joint irritation in the neck with intervertebral hypermobility. Which could have caused due to stiffness in the chest muscles, shoulder stiffness, etc. I would recommend you to do a lot of icing in the chest and back muscles. Maintain your neck and upper back posture by doing some back retraction work. Gently stretch your neck and chest. Gently massage your chest and shoulders to relieve tension in the muscles. I hope this is helpful for now. Kindly revert in case you need any help in this regard.

Q. My symptoms after intercourse threatns me even after having negative HIV result. Kindly help.

Hello doctor,Before two years had sex with a call girl in a dark location for about 10 to15 min. I did not eject, and I am sure that she did not eject as well (not 100 % sure). Do not know if the condom broke (as it was dark) but had some liquid on my penis (maybe fluid in condom, not sure) After few days from then I had cold followed by itchy skin. I took medicine from the doctor and got it resolved.After a few weeks from then, I had fever 100 F, mild night sweats, mild sore throat, slight weight loss (around four to five kg). Also I feel tired most of times. After 50 days, I got an HIV blood test, which came out negative. Do not know the name of the test, they took blood from my fingertip, tested it using some chemical for 40 minutes, and gave a report. Doctor suggested me get the same test after three months. Now I took medicines for flu symptoms which are giving me relief. But, very worried about the situation. Will medicine I used for cold and itchy skin have impact on HIV. Was the test enough for diagnosis as I do not know the name like fourth-generation etc. Also I washed my penis after 20 minutes with water thoroughly. Please help.

Hello. The HIV test uses a finger prick blood sample, with results given within 20 minutes, and is 99 % accurate at detecting any HIV exposure that may have occurred more than 12 weeks ago. However, it can potentially pick up HIV infection from as little as four weeks ago. There is nothing to worry nothing will happen, and please repeat your test after 12 weeks. If you want accurate results to get, it has done RNA PCR which will give actual results within 10days. Antigen detection like P24 gives best results with in two to four weeks. Probably your suffering from a simple viral upper respiratory infection. After 12 weeks, please consult your doctor he will examine and treat you accordingly.

<s>[INST] Hello doctor,Before two years had sex with a call girl in a dark location for about 10 to15 min. I did not eject, and I am sure that she did not eject as well (not 100 % sure). Do not know if the condom broke (as it was dark) but had some liquid on my penis (maybe fluid in condom, not sure) After few days from then I had cold followed by itchy skin. I took medicine from the doctor and got it resolved.After a few weeks from then, I had fever 100 F, mild night sweats, mild sore throat, slight weight loss (around four to five kg). Also I feel tired most of times. After 50 days, I got an HIV blood test, which came out negative. Do not know the name of the test, they took blood from my fingertip, tested it using some chemical for 40 minutes, and gave a report. Doctor suggested me get the same test after three months. Now I took medicines for flu symptoms which are giving me relief. But, very worried about the situation. Will medicine I used for cold and itchy skin have impact on HIV. Was the test enough for diagnosis as I do not know the name like fourth-generation etc. Also I washed my penis after 20 minutes with water thoroughly. Please help. [/INST] Hello. The HIV test uses a finger prick blood sample, with results given within 20 minutes, and is 99 % accurate at detecting any HIV exposure that may have occurred more than 12 weeks ago. However, it can potentially pick up HIV infection from as little as four weeks ago. There is nothing to worry nothing will happen, and please repeat your test after 12 weeks. If you want accurate results to get, it has done RNA PCR which will give actual results within 10days. Antigen detection like P24 gives best results with in two to four weeks. Probably your suffering from a simple viral upper respiratory infection. After 12 weeks, please consult your doctor he will examine and treat you accordingly.

Q. I had a surgery which ended up with some failures. What can I do to fix it?

Hello doctor,I had an emergency surgery six months ago punched through a window right arm cut both arteries cut radial nerve with ulnar damage and cut bicep tendon nerves back now almost full thumbs up the only issue is bicep. My question is there something I can do to fix it like lengthening surgery, or am I stuck? I am a boxer supposed to go Olympics this year. My surgeon focused on the nerve and did not care help. PS pronator is still little and has not fully recovered.

Hello. If you are saying it is already six months since the surgery and if you are doing regular physiotherapy, still has not gained much of the actions, then it is not worth waiting anymore. There are many muscle transfer surgeries which can give you the desired movements and help you in day today activities. But you have to remember that post such operations you will require time to train the brain and get the full use of such movements. That will take time. Do not want to demotivate you, but tremendous training and hard work might be required to reach the pre trauma stage of your boxing.

<s>[INST] Hello doctor,I had an emergency surgery six months ago punched through a window right arm cut both arteries cut radial nerve with ulnar damage and cut bicep tendon nerves back now almost full thumbs up the only issue is bicep. My question is there something I can do to fix it like lengthening surgery, or am I stuck? I am a boxer supposed to go Olympics this year. My surgeon focused on the nerve and did not care help. PS pronator is still little and has not fully recovered. [/INST] Hello. If you are saying it is already six months since the surgery and if you are doing regular physiotherapy, still has not gained much of the actions, then it is not worth waiting anymore. There are many muscle transfer surgeries which can give you the desired movements and help you in day today activities. But you have to remember that post such operations you will require time to train the brain and get the full use of such movements. That will take time. Do not want to demotivate you, but tremendous training and hard work might be required to reach the pre trauma stage of your boxing.

Q. Kindly explain about Beta Strep.

Hello doctor, My culture from my gynecologist came back, showing that I have a yeast infection as well as Beta Strep. I was hoping for more information on Beta Strep. I have never heard of it, and there is a lot of information when I searched that is making me confused a little. I am not experiencing any symptoms, either. I feel perfectly fine.

Hello. There are lots of bacteria and other organisms that colonize healthy skin. Yeast a fungus also is a commensal in our body. Just the presence of these organisms is of no significance. The colony count is needed, which is high, will need a course of antibiotics, which can be decided by culture and sensitivity. But after a surgery like what you had, or any significant stress or use of lots of antibiotics (as would have happened after surgery) or use of steroids or diabetes, all infections show an altered balance between good and bad bacteria. You do not need any treatment for this. Just wait for your body to develop those good bacteria, and gradually, all tests will come negative. If you have any symptoms, treat as per need. Avoid unnecessary antibiotics use. They will further delay the recovery. I hope I have clarified your query, do write back if any more questions.

<s>[INST] Hello doctor, My culture from my gynecologist came back, showing that I have a yeast infection as well as Beta Strep. I was hoping for more information on Beta Strep. I have never heard of it, and there is a lot of information when I searched that is making me confused a little. I am not experiencing any symptoms, either. I feel perfectly fine. [/INST] Hello. There are lots of bacteria and other organisms that colonize healthy skin. Yeast a fungus also is a commensal in our body. Just the presence of these organisms is of no significance. The colony count is needed, which is high, will need a course of antibiotics, which can be decided by culture and sensitivity. But after a surgery like what you had, or any significant stress or use of lots of antibiotics (as would have happened after surgery) or use of steroids or diabetes, all infections show an altered balance between good and bad bacteria. You do not need any treatment for this. Just wait for your body to develop those good bacteria, and gradually, all tests will come negative. If you have any symptoms, treat as per need. Avoid unnecessary antibiotics use. They will further delay the recovery. I hope I have clarified your query, do write back if any more questions.

Q. Kindly suggest a homeopathic medicine to stop hairfall and promote hair growth.

Hello doctor,I am 24 years old, and for the past nine years, I am facing hair fall problem nowadays my 60 % of hair is falling on my top and front of my head. I checked my thyroid and hemoglobin many times, but their reports are good. I use many home remedies and hair oils, but when I stop using it again, it starts falling. The allopathic doctor says use Minoxidil 5 %, Finasteride, and hair serum. But Finasteride has many side effects. Can you please tell me is any medicine available in homeopathy which stops hair fall and promotes hair growth if yes can you please tell me the name.

Hello. I checked the attached photo (attachment removed to protect patient identity) and read your description. It seems you have been suffering from hair loss problem for a longtime. Do you eat healthy food like vegetables and fruits every day? Sometimes lack of nutrition is also the reason for hair loss. Do you know if your father also differed from hair loss issue at this young age? Did you suffer from severe health issues or chronic illnesses? If you do not think above mentioned is the cause for your hair fall, then the only reason I can think is that you have been going through severe stress which has taken a toll on your health. Homeopathy would be a good option in this case as it will cure our problem from the root cause, and there will be no side effects. So to prescribe you a correct homeopathic remedy I need to understand your mental, emotional, and physical state. He ce I need detail case history which can be done either through face to face consultation or online consultation. I would advise you to visit a good homeopath for consultation. For the time being, you can apply arnica hair oil twice a week on your hair. Just mix one spoon of Arnica oil with five spoons of coconut oil and apply all over your scalp. You can gently massage your ear with this mixture. Try this for 15 days and then let me know how you feel. I hope you start feeling better. Let me know if you have any questions.

<s>[INST] Hello doctor,I am 24 years old, and for the past nine years, I am facing hair fall problem nowadays my 60 % of hair is falling on my top and front of my head. I checked my thyroid and hemoglobin many times, but their reports are good. I use many home remedies and hair oils, but when I stop using it again, it starts falling. The allopathic doctor says use Minoxidil 5 %, Finasteride, and hair serum. But Finasteride has many side effects. Can you please tell me is any medicine available in homeopathy which stops hair fall and promotes hair growth if yes can you please tell me the name. [/INST] Hello. I checked the attached photo (attachment removed to protect patient identity) and read your description. It seems you have been suffering from hair loss problem for a longtime. Do you eat healthy food like vegetables and fruits every day? Sometimes lack of nutrition is also the reason for hair loss. Do you know if your father also differed from hair loss issue at this young age? Did you suffer from severe health issues or chronic illnesses? If you do not think above mentioned is the cause for your hair fall, then the only reason I can think is that you have been going through severe stress which has taken a toll on your health. Homeopathy would be a good option in this case as it will cure our problem from the root cause, and there will be no side effects. So to prescribe you a correct homeopathic remedy I need to understand your mental, emotional, and physical state. He ce I need detail case history which can be done either through face to face consultation or online consultation. I would advise you to visit a good homeopath for consultation. For the time being, you can apply arnica hair oil twice a week on your hair. Just mix one spoon of Arnica oil with five spoons of coconut oil and apply all over your scalp. You can gently massage your ear with this mixture. Try this for 15 days and then let me know how you feel. I hope you start feeling better. Let me know if you have any questions.

Q. What does abutment of the nerve root mean?

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?

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 -->

<s>[INST] 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? [/INST] 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 -->

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

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.

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

<s>[INST] 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. [/INST] Hi. For further doubts consult a sexologist online -->

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

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.

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 -->

<s>[INST] 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. [/INST] 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 -->

Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?

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.

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.

<s>[INST] 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. [/INST] 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.

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

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.

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

<s>[INST] 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. [/INST] Hi. For further doubts consult a sexologist online -->

Q. I have stomach pain and bloating after taking Augmentin 625. Why?

Age - 33 years Height - 164 cms Weight - 67 Kg I am suffering from sore throat so I took Augmentin 625 before 12-13 days back but found no improvement but I started suffering from Stomach pain and excessive gases. Now I am taking below medicines as per prescribed by ENT specialist that are 1.Allegra M tablet 2.Rinifol capsule 3.Esoz D 40 capsule 4.Acinil O surup for ten days.Two days remaning to finish course. Stomach pain and blown stomach due to gas is still there.

Hello. I welcome you to icliniq. Well it is not uncommon to have Gastric upsets after a course of antibiotic. And antibiotic like augmentin are notorious to cause this. This occur secondary to effect of augmentin on decreasing the amount of lactobacillus microorganism which are normally present in the human gut and help digest the food. You should take yougurt, Kefir (fermented yougurt), Kefir. and there are certain diets with probiotic activity you can start taking it. Plus take Tab Ecotec twice daily for 4 weeks, and Tab Levosulpiride 75 mg once daily half hour before meals.for 2 weeks. You can continue with acinil O syp. while rest of your current medication can be stopped. I hope this will correct your microbiota and will bring the same healthiness as before. good day Antibiotic induced dysbiosis Small intestinal bacterial overgrowth Antibiotic induced dysbiosis Let me know in one week time how you respond to above regimen, if persistent of symptoms I would consider testing and giving some safe antibiotic therapy for 2 weeks.

<s>[INST] Age - 33 years Height - 164 cms Weight - 67 Kg I am suffering from sore throat so I took Augmentin 625 before 12-13 days back but found no improvement but I started suffering from Stomach pain and excessive gases. Now I am taking below medicines as per prescribed by ENT specialist that are 1.Allegra M tablet 2.Rinifol capsule 3.Esoz D 40 capsule 4.Acinil O surup for ten days.Two days remaning to finish course. Stomach pain and blown stomach due to gas is still there. [/INST] Hello. I welcome you to icliniq. Well it is not uncommon to have Gastric upsets after a course of antibiotic. And antibiotic like augmentin are notorious to cause this. This occur secondary to effect of augmentin on decreasing the amount of lactobacillus microorganism which are normally present in the human gut and help digest the food. You should take yougurt, Kefir (fermented yougurt), Kefir. and there are certain diets with probiotic activity you can start taking it. Plus take Tab Ecotec twice daily for 4 weeks, and Tab Levosulpiride 75 mg once daily half hour before meals.for 2 weeks. You can continue with acinil O syp. while rest of your current medication can be stopped. I hope this will correct your microbiota and will bring the same healthiness as before. good day Antibiotic induced dysbiosis Small intestinal bacterial overgrowth Antibiotic induced dysbiosis Let me know in one week time how you respond to above regimen, if persistent of symptoms I would consider testing and giving some safe antibiotic therapy for 2 weeks.

Q. Can a painless tooth be extracted since it has a hole in it?

Hello doctor,Can I pull out hard teeth out no pain because I got a hole in my teeth? Whenever I use to eat something, it got stuck in it and caused severe pain. Kindly give me some advice about pulling it out without any pain.

Hello. I had gone through your question, and I can understand your concern. If the pain occurs only when you eat food and it gets stuck into it, it is reversible pulpitis. For that, you do not need to get it extracted. You need to get it filled, and it will cost you less than that of pulling (extraction). Second, you will save your tooth too. My suggestion is to get dental filling done as soon as possible. If you want to get it removed, you need to visit a doctor (dentist), and there will be no pain because during extraction local anesthesia is given.

<s>[INST] Hello doctor,Can I pull out hard teeth out no pain because I got a hole in my teeth? Whenever I use to eat something, it got stuck in it and caused severe pain. Kindly give me some advice about pulling it out without any pain. [/INST] Hello. I had gone through your question, and I can understand your concern. If the pain occurs only when you eat food and it gets stuck into it, it is reversible pulpitis. For that, you do not need to get it extracted. You need to get it filled, and it will cost you less than that of pulling (extraction). Second, you will save your tooth too. My suggestion is to get dental filling done as soon as possible. If you want to get it removed, you need to visit a doctor (dentist), and there will be no pain because during extraction local anesthesia is given.

Q. What does the darker pigmentation at the armpits indicate?

Hello doctor, My reverse elbow armpits have developed a darker (my skin color is fair) pigmentation. This pigmentation has also affected the whole of my groin area. Some dots of such pigmentation have also come up under my extreme armpits. What should I do now? What is this condition? Can you diagnose the state conclusively?

Hello. I understand your concern. The pictures are a bit hazy. But from the given images, it looks like a fungal infection by the name of pityriasis versicolor. I would also need to see your chest, upper back, and shoulders to be sure. Kindly send clear photos of the same to make a conclusive diagnosis. Meanwhile, you can start using the following medicines. 1. Tab Fluconazole 400 mg start and repeat once after a week. 2. 2 % Ketoconazole lotion apply for 5-7 mins and wash off once a day.

<s>[INST] Hello doctor, My reverse elbow armpits have developed a darker (my skin color is fair) pigmentation. This pigmentation has also affected the whole of my groin area. Some dots of such pigmentation have also come up under my extreme armpits. What should I do now? What is this condition? Can you diagnose the state conclusively? [/INST] Hello. I understand your concern. The pictures are a bit hazy. But from the given images, it looks like a fungal infection by the name of pityriasis versicolor. I would also need to see your chest, upper back, and shoulders to be sure. Kindly send clear photos of the same to make a conclusive diagnosis. Meanwhile, you can start using the following medicines. 1. Tab Fluconazole 400 mg start and repeat once after a week. 2. 2 % Ketoconazole lotion apply for 5-7 mins and wash off once a day.

Q. I get fever during rainy and winter season. Why?

Hello doctor, During rainy and winter season get frequent fevers. Most of the times I get it diagnosed, and every time doctors tell it is only viral fever. Fevers generally come twice a month. I take Paracetamol and Cefixime usually (on the advice of doctors). Generally, the illnesses go in 10 days. This has been happening from the last three years. Can you suggest any cure for it? I am a small time businessman, and this is affecting my financials. Regarding my medical history, I am a premature baby of seven months. As told by my mom and relatives, I remained alive on medicines with great difficulty. And also from childhood, I used to get skin diseases frequently, and for that, I think I was regularly administered antibiotics.

Hello. I need to know a few things, 1. Do you feel feverish, or does the thermometer record a temperature? 2. What other symptoms do you get? Runny or blocked nose, sore throat, throat pain with swallowing, headaches, body pains, etc. 3. Does anyone else around you (family members, co-workers, etc.) develop similar symptoms before or after you do? 4. Do you get any tests done like blood tests or X-rays during those episodes? From your description, it appears that you are getting frequent viral upper respiratory tract infections. These are acquired from other patients through the air (coughing, sneezing, etc.). They are usually short-lived and last no more than five to seven days. Since more than 300 different viruses can cause similar symptoms, you can get infected multiple times each time with a different virus. The same virus cannot affect you again. Unfortunately, antibiotics do not work against viruses. They are meant for bacterial infections only. However, doctors continue to prescribe antibiotics unnecessarily, and this has led to the emergence of widespread bacterial resistance. Other than symptomatic treatment, no medicine can cure or prevent these infections. They are self-limited, and you will get better even if you do not take any medication. The older you get, the less frequently you will get these infections as your body will be building up defenses with every disease. No household tips or vitamin supplements have been proven to work. Premature birth can lead to increased frequency of infections, but unless the infections are bacterial, not much can be done about them. Please get back to me with answers to the above questions and also attach any test reports you may have.

<s>[INST] Hello doctor, During rainy and winter season get frequent fevers. Most of the times I get it diagnosed, and every time doctors tell it is only viral fever. Fevers generally come twice a month. I take Paracetamol and Cefixime usually (on the advice of doctors). Generally, the illnesses go in 10 days. This has been happening from the last three years. Can you suggest any cure for it? I am a small time businessman, and this is affecting my financials. Regarding my medical history, I am a premature baby of seven months. As told by my mom and relatives, I remained alive on medicines with great difficulty. And also from childhood, I used to get skin diseases frequently, and for that, I think I was regularly administered antibiotics. [/INST] Hello. I need to know a few things, 1. Do you feel feverish, or does the thermometer record a temperature? 2. What other symptoms do you get? Runny or blocked nose, sore throat, throat pain with swallowing, headaches, body pains, etc. 3. Does anyone else around you (family members, co-workers, etc.) develop similar symptoms before or after you do? 4. Do you get any tests done like blood tests or X-rays during those episodes? From your description, it appears that you are getting frequent viral upper respiratory tract infections. These are acquired from other patients through the air (coughing, sneezing, etc.). They are usually short-lived and last no more than five to seven days. Since more than 300 different viruses can cause similar symptoms, you can get infected multiple times each time with a different virus. The same virus cannot affect you again. Unfortunately, antibiotics do not work against viruses. They are meant for bacterial infections only. However, doctors continue to prescribe antibiotics unnecessarily, and this has led to the emergence of widespread bacterial resistance. Other than symptomatic treatment, no medicine can cure or prevent these infections. They are self-limited, and you will get better even if you do not take any medication. The older you get, the less frequently you will get these infections as your body will be building up defenses with every disease. No household tips or vitamin supplements have been proven to work. Premature birth can lead to increased frequency of infections, but unless the infections are bacterial, not much can be done about them. Please get back to me with answers to the above questions and also attach any test reports you may have.

Q. Why does one develop swelling after snake bite?

Hi doctor, I am a 40 year old female. I got cottonmouth bite on the back of the left and right ankle. Three people saw and confirmed that as cottonmouth. I do not believe much venom was released. It happened under shallow water. I got immediate pain as if repeatedly the ankle and feet got hit with a bat and a burning swelling began quickly. I went to the ER. They monitored my blood for two hours and decided no antivenom. I was not given either a tetanus shot or any antibiotics. From the laboratory work, they said everything looks good, but I could not stand or walk. They sent me home with Ultram and Ibuprofen 800 mg. After two days, the swelling slightly increased instead of going down. My fiance took me to different hospitals. The swelling and the fang marks were evident. Again, the laboratory work came back as normal. I was still in pain and swollen ankles. They gave steroid IM injection and Prednisone pack and suggested antihistamine. It has been six days. Still, I cannot stand, walk or care for myself in any way. The swelling has not got down. I have kept it elevated and put some cool fabric packs on swollen areas. It seems to help with burning sensation. I have been drinking Echinacea tea, water and taking all medicines prescribed such as Ultram, Benadryl, Prednisone and Ibuprofen 800 mg. Back of my legs up to the thigh is swollen, entire legs hurt and tender to even minimal touch. Bruising has darkened and the swelling has not gone down. There are no red lines and no skin rotting. What shall I do now? I want the swelling to get relieved. I am scared. How to reduce the swelling? Please tell me what I need to do just to be able to stand briefly. The pain has subsided from 10 to 5, but if I try to stand by just keeping the foot down towards the floor, then the pain is excruciating. Please help.

Hi. I could understand your crisis. For further information consult a toxicologist online -->

<s>[INST] Hi doctor, I am a 40 year old female. I got cottonmouth bite on the back of the left and right ankle. Three people saw and confirmed that as cottonmouth. I do not believe much venom was released. It happened under shallow water. I got immediate pain as if repeatedly the ankle and feet got hit with a bat and a burning swelling began quickly. I went to the ER. They monitored my blood for two hours and decided no antivenom. I was not given either a tetanus shot or any antibiotics. From the laboratory work, they said everything looks good, but I could not stand or walk. They sent me home with Ultram and Ibuprofen 800 mg. After two days, the swelling slightly increased instead of going down. My fiance took me to different hospitals. The swelling and the fang marks were evident. Again, the laboratory work came back as normal. I was still in pain and swollen ankles. They gave steroid IM injection and Prednisone pack and suggested antihistamine. It has been six days. Still, I cannot stand, walk or care for myself in any way. The swelling has not got down. I have kept it elevated and put some cool fabric packs on swollen areas. It seems to help with burning sensation. I have been drinking Echinacea tea, water and taking all medicines prescribed such as Ultram, Benadryl, Prednisone and Ibuprofen 800 mg. Back of my legs up to the thigh is swollen, entire legs hurt and tender to even minimal touch. Bruising has darkened and the swelling has not gone down. There are no red lines and no skin rotting. What shall I do now? I want the swelling to get relieved. I am scared. How to reduce the swelling? Please tell me what I need to do just to be able to stand briefly. The pain has subsided from 10 to 5, but if I try to stand by just keeping the foot down towards the floor, then the pain is excruciating. Please help. [/INST] Hi. I could understand your crisis. For further information consult a toxicologist online -->

Q. Why is there a continuous rise in temperature despite taking antibiotics?

Hi doctor, My father is 71 years old. He had a fever for a week, and the temperature raised up to 104 during the night along with frequent urination. Two days ago, the fever came down to 98.4 for five hours but again increased to 102.3 despite taking the same antibiotics. He is taking tablet Gudcef-CV 200 for five days and injection Monocef, twice a day for four days. His TLC was 18,000 last week. Please give your opinion.

Hi. I went through your post and investigation (attachment removed to protect patient identity). Regards. For further queries consult an internal medicine physician online -->

<s>[INST] Hi doctor, My father is 71 years old. He had a fever for a week, and the temperature raised up to 104 during the night along with frequent urination. Two days ago, the fever came down to 98.4 for five hours but again increased to 102.3 despite taking the same antibiotics. He is taking tablet Gudcef-CV 200 for five days and injection Monocef, twice a day for four days. His TLC was 18,000 last week. Please give your opinion. [/INST] Hi. I went through your post and investigation (attachment removed to protect patient identity). Regards. For further queries consult an internal medicine physician online -->

Q. Can my 3 year old son lead a normal life after sepsis?

Hi doctor, My 3 year old son was diagnosed with sepsis with SIRS, three days back. But, now his WBC and C-reactive protein are within limits. Will he have sepsis again? He frequently gets wheezing and allergic cough. He is currently taking Amclav.

Hello. Regards. For more information consult a paediatrician online -->

<s>[INST] Hi doctor, My 3 year old son was diagnosed with sepsis with SIRS, three days back. But, now his WBC and C-reactive protein are within limits. Will he have sepsis again? He frequently gets wheezing and allergic cough. He is currently taking Amclav. [/INST] Hello. Regards. For more information consult a paediatrician online -->

Q. What is the main reason for sepsis in a newborn?

Hello doctor, What is the main reason for sepsis to occur in a newborn? Will parents be the reason?

Hi. For further information consult a paediatrician online -->

<s>[INST] Hello doctor, What is the main reason for sepsis to occur in a newborn? Will parents be the reason? [/INST] Hi. For further information consult a paediatrician online -->

Q. I have bulging eye problem for a year even after some treatment. Why?

Hello doctor, I am facing bulging eye problem for a year. I am not able to sleep at night due to watery eyes. I went to the doctor, and he did an MRI and found that my eye muscles have enlarged. He gave the treatment for three months, but there was no benefit. He gave me Solu Medrol 500 mg then 250 mg injections for two months and some vitamin tablets. It is a severe problem. Please help me.

Hello. The condition you have described is called proptosis. The most common cause of proptosis is thyroid abnormality (hyperthyroidism) and called thyroid eye disease (TED). In this condition, eye muscle gets enlarged due to GAG (glycosaminoglycans) material deposition. This condition usually resolves after active and quiet phase that takes up to five to seven years. During this time the actual cause is treated (hyperthyroidism) and for proptosis steroids may be given (that you have already taken). Enlarged muscles can compress the optic nerve and can cause permanent vision loss. So you need to consult an endocrinologist for the treatment of thyroid abnormality. Quit smoking (if you are a smoker) and keep follow your eye doctor to avoid complication that can cause permanent vision loss. You are welcome for any queries.

<s>[INST] Hello doctor, I am facing bulging eye problem for a year. I am not able to sleep at night due to watery eyes. I went to the doctor, and he did an MRI and found that my eye muscles have enlarged. He gave the treatment for three months, but there was no benefit. He gave me Solu Medrol 500 mg then 250 mg injections for two months and some vitamin tablets. It is a severe problem. Please help me. [/INST] Hello. The condition you have described is called proptosis. The most common cause of proptosis is thyroid abnormality (hyperthyroidism) and called thyroid eye disease (TED). In this condition, eye muscle gets enlarged due to GAG (glycosaminoglycans) material deposition. This condition usually resolves after active and quiet phase that takes up to five to seven years. During this time the actual cause is treated (hyperthyroidism) and for proptosis steroids may be given (that you have already taken). Enlarged muscles can compress the optic nerve and can cause permanent vision loss. So you need to consult an endocrinologist for the treatment of thyroid abnormality. Quit smoking (if you are a smoker) and keep follow your eye doctor to avoid complication that can cause permanent vision loss. You are welcome for any queries.

Q. Why are my hands and feet cold and sweaty always?

Hello doctor, I am a 30 year old male, who weighs 200 lbs and 6 feet tall. I have been looking for my symptoms after watching a TV show. I know some things are not right with me, and I have been curious to find the cause. It could be one or more problems. Here is what is going on. I have cold hand and feet, sweaty hands and feet, many bumps in the arms, mainly right arm, sand paper hair since a young age, and my feet get numb and eventually very painful when walking. I have severe vitamin D deficiency, and my eyelids are always half closed. I have low metabolism, and I experience a lot of teeth problems. I might have osteoporosis. What is causing all this? Is it tumors or parasites or a neurological problem?

Hello. Cold and sweaty hands and feet can happen in heart failure, anxiety, hyperthyroidism and shock. Numb feet, which are painful while walking can be due to neuropathy, nerve root compression at lumbosacral spine, or arterial occlusion in legs. The half closed eyelids can be ptosis, or something else. I suggest you get the following tests done: Since when you are having these problems? Do you have any impending doom, palpitation, breathlessness? I suggest you meet a neurologist in-person for proper clinical examination and better judgment. Revert with more information to a neurologist online -->

<s>[INST] Hello doctor, I am a 30 year old male, who weighs 200 lbs and 6 feet tall. I have been looking for my symptoms after watching a TV show. I know some things are not right with me, and I have been curious to find the cause. It could be one or more problems. Here is what is going on. I have cold hand and feet, sweaty hands and feet, many bumps in the arms, mainly right arm, sand paper hair since a young age, and my feet get numb and eventually very painful when walking. I have severe vitamin D deficiency, and my eyelids are always half closed. I have low metabolism, and I experience a lot of teeth problems. I might have osteoporosis. What is causing all this? Is it tumors or parasites or a neurological problem? [/INST] Hello. Cold and sweaty hands and feet can happen in heart failure, anxiety, hyperthyroidism and shock. Numb feet, which are painful while walking can be due to neuropathy, nerve root compression at lumbosacral spine, or arterial occlusion in legs. The half closed eyelids can be ptosis, or something else. I suggest you get the following tests done: Since when you are having these problems? Do you have any impending doom, palpitation, breathlessness? I suggest you meet a neurologist in-person for proper clinical examination and better judgment. Revert with more information to a neurologist online -->

Q. Can thyroid problem cause excessive hair fall?

Hi doctor, I have thyroid issues for the past three years. I got this when I was pregnant. I am taking Thyronorm 75 mcg tablet for the last three months. Recently, I have done the thyroid test and my T3 and T4 are normal and TSH is very low. It shows less than 0.01. What does it indicate? First, I was on 50 mcg and before three months I started 75 mcg as the TSH was approximately 6 at that time. Please explain.

Hi. For further doubts consult an obstetrician and gynaecologist online -->

<s>[INST] Hi doctor, I have thyroid issues for the past three years. I got this when I was pregnant. I am taking Thyronorm 75 mcg tablet for the last three months. Recently, I have done the thyroid test and my T3 and T4 are normal and TSH is very low. It shows less than 0.01. What does it indicate? First, I was on 50 mcg and before three months I started 75 mcg as the TSH was approximately 6 at that time. Please explain. [/INST] Hi. For further doubts consult an obstetrician and gynaecologist online -->

Q. Why do I face difficulty in losing weight?

Hi doctor, I am a 35 year old woman. My height is 5'3" and weight is 147lbs. I do not have a child yet, but will be trying to conceive soon. I am a vegan and eat healthy. I workout five days a week and sometimes will go for a 5 km runs around two to three times a week as well. I went off my birth control pill about three months ago and have not had a period since. I was diagnosed with PCOS when I was 15, but after going vegan two years ago, doctor said it definitely helped with symptoms. I have been eating right and working out for the last three months, and my weight has not budged. In fact, it seems I have gained numbers on the scale. Three months ago, I was 139 lbs. Is there anything in my report that could be the reason for not being able to lose weight or abdominal fat? Is there anything in the infertility test portion that could indicate the issues in trying to conceive? I would like to get a professional advice on my blood work results. I am mainly looking to find out if anything on here can indicate infertility or difficulty in losing weight. Please help.

Hello. I have gone through the reports (attachment removed to protect patient identity). For further information consult an obstetrician and gynaecologist online -->

<s>[INST] Hi doctor, I am a 35 year old woman. My height is 5'3" and weight is 147lbs. I do not have a child yet, but will be trying to conceive soon. I am a vegan and eat healthy. I workout five days a week and sometimes will go for a 5 km runs around two to three times a week as well. I went off my birth control pill about three months ago and have not had a period since. I was diagnosed with PCOS when I was 15, but after going vegan two years ago, doctor said it definitely helped with symptoms. I have been eating right and working out for the last three months, and my weight has not budged. In fact, it seems I have gained numbers on the scale. Three months ago, I was 139 lbs. Is there anything in my report that could be the reason for not being able to lose weight or abdominal fat? Is there anything in the infertility test portion that could indicate the issues in trying to conceive? I would like to get a professional advice on my blood work results. I am mainly looking to find out if anything on here can indicate infertility or difficulty in losing weight. Please help. [/INST] Hello. I have gone through the reports (attachment removed to protect patient identity). For further information consult an obstetrician and gynaecologist online -->

Q. What does abutment of the nerve root mean?

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?

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 -->

<s>[INST] 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? [/INST] 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 -->

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

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.

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

<s>[INST] 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. [/INST] Hi. For further doubts consult a sexologist online -->

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

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.

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 -->

<s>[INST] 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. [/INST] 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 -->

Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?

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.

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.

<s>[INST] 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. [/INST] 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.

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

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.

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

<s>[INST] 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. [/INST] Hi. For further doubts consult a sexologist online -->

Q. Suffering from subclinical hyperthyroidism with anxiety and palpitations.

Dear Doctor, I am trying to figure out what is wrong with my 15 year old daughter. Her symptoms have developed most significantly over the past few months, and include depression, weakness, constant light-headedness, shortness of breath (even when sitting still), difficulty taking a deep breath (causes pain), episodes where breathing becomes especially difficult, a complete lack of energy, continual exhaustion, continual muscle soreness (especially in the calves), cold hands and feet (to the point of turning blue), intolerance to cold and heat especially, episodes of a racing heartbeat, and episodes of anxiety and disorientation. At first our focus was on her was depression but now our focus is shifting toward her problems with physical activity and breathing, especially as she has now come to the point where she can no longer participate in any sports. We have seen a psychiatrist for her depression who discovered the MTHFR Mutation, which has since been addressed with a megadose of methyl folate. After three weeks on the medication there has been no improvement. Her paediatrician tested her for asthma and the results were negative. We have put her on various vitamin B supplements and have made sure she is getting proper nutrition and rest. Again, nothing has helped. Other labwork, as well as some of her symptoms, has made us consider her thyroid. The thyroid results are as follows: TSH: 0.059 ulU/ml. AntioTPO-Ab: 84.9 IU/mL. Anti-Thyroglobulin: 134 IU/mL. Total T3: 130 ng/dL. T4: 10.5 ug/dL. Other labs that were out of the normal range are as follows:  - Ferritin: 31 ng/mL (her other iron results were normal). - Differential (Audo Diff) Neutrophils: 66%. In spite of a low TSH we have been told that as long as the T4 level is within normal range there is no need for attention with the thyroid. Yet, I canno help but keep coming back to the thyroid and wonder if this is not where we should focus our efforts. Any thoughts please?

Hi, It is really sad to know about your daughter. 1. As a matter of fact your daughter seems to have acute thyroiditis. Though the thyroid profile has not shown full blown thyrotoxic state, she has subclinical hyperthyroidism with TSH being suppressed. Since how long has she been like this? Thyroiditis might take 8-12 weeks to settle. How old are the reports? Thyroiditis might leave the patient hypothyroid. 2. Secondly she is 15, puberty is another phase of major hormonal and emotional change over. How are her periods? Has she put on weight? or lost some? You have supplemented with multivitamins, please see if B12 upto 1500 mcg is being given and Vitamin D 1000 IU daily or 60,000 IU once a week is going. Also supplement her with calcium and magnesium and check these levels as well. Treat her with Propranolol 10mg twice a day to beat the anxiety and palpitations. Get back to an endocrinologist online -->

<s>[INST] Dear Doctor, I am trying to figure out what is wrong with my 15 year old daughter. Her symptoms have developed most significantly over the past few months, and include depression, weakness, constant light-headedness, shortness of breath (even when sitting still), difficulty taking a deep breath (causes pain), episodes where breathing becomes especially difficult, a complete lack of energy, continual exhaustion, continual muscle soreness (especially in the calves), cold hands and feet (to the point of turning blue), intolerance to cold and heat especially, episodes of a racing heartbeat, and episodes of anxiety and disorientation. At first our focus was on her was depression but now our focus is shifting toward her problems with physical activity and breathing, especially as she has now come to the point where she can no longer participate in any sports. We have seen a psychiatrist for her depression who discovered the MTHFR Mutation, which has since been addressed with a megadose of methyl folate. After three weeks on the medication there has been no improvement. Her paediatrician tested her for asthma and the results were negative. We have put her on various vitamin B supplements and have made sure she is getting proper nutrition and rest. Again, nothing has helped. Other labwork, as well as some of her symptoms, has made us consider her thyroid. The thyroid results are as follows: TSH: 0.059 ulU/ml. AntioTPO-Ab: 84.9 IU/mL. Anti-Thyroglobulin: 134 IU/mL. Total T3: 130 ng/dL. T4: 10.5 ug/dL. Other labs that were out of the normal range are as follows:  - Ferritin: 31 ng/mL (her other iron results were normal). - Differential (Audo Diff) Neutrophils: 66%. In spite of a low TSH we have been told that as long as the T4 level is within normal range there is no need for attention with the thyroid. Yet, I canno help but keep coming back to the thyroid and wonder if this is not where we should focus our efforts. Any thoughts please? [/INST] Hi, It is really sad to know about your daughter. 1. As a matter of fact your daughter seems to have acute thyroiditis. Though the thyroid profile has not shown full blown thyrotoxic state, she has subclinical hyperthyroidism with TSH being suppressed. Since how long has she been like this? Thyroiditis might take 8-12 weeks to settle. How old are the reports? Thyroiditis might leave the patient hypothyroid. 2. Secondly she is 15, puberty is another phase of major hormonal and emotional change over. How are her periods? Has she put on weight? or lost some? You have supplemented with multivitamins, please see if B12 upto 1500 mcg is being given and Vitamin D 1000 IU daily or 60,000 IU once a week is going. Also supplement her with calcium and magnesium and check these levels as well. Treat her with Propranolol 10mg twice a day to beat the anxiety and palpitations. Get back to an endocrinologist online -->

Q. Is PAP test valid for screening prostatitis symptoms?

Hi doctor, I asked my doctor to do PSA test. The PSA came back normal at 1.0 ng/mL. However, he also did prostatic acid phosphatase test which was high at 4.5 ng/mL. My question is whether prostatic acid phosphatase test is valid for screening or not? Should I need to do these tests again? I had prostatitis symptoms in the past. Now, it seems to be fine.

Hi. I have gone through your query. Prostatic acid phosphatase (PAP) has been replaced by PSA (prostate-specific antigen test). It is better in the detection of prostate cancer compared to PAP. The elevation of PAP levels alone is not a cause for concern. I hope your treating doctor has done a rectal exam to find out any prostate nodules. If it is normal, then it is not necessary to repeat the tests. Hope this helps you. Feel free to revert back with any questions. For more information consult an urologist online -->

<s>[INST] Hi doctor, I asked my doctor to do PSA test. The PSA came back normal at 1.0 ng/mL. However, he also did prostatic acid phosphatase test which was high at 4.5 ng/mL. My question is whether prostatic acid phosphatase test is valid for screening or not? Should I need to do these tests again? I had prostatitis symptoms in the past. Now, it seems to be fine. [/INST] Hi. I have gone through your query. Prostatic acid phosphatase (PAP) has been replaced by PSA (prostate-specific antigen test). It is better in the detection of prostate cancer compared to PAP. The elevation of PAP levels alone is not a cause for concern. I hope your treating doctor has done a rectal exam to find out any prostate nodules. If it is normal, then it is not necessary to repeat the tests. Hope this helps you. Feel free to revert back with any questions. For more information consult an urologist online -->

Q. Why is my free PSA abnormal?

Hello doctor, 50 years old, 5.8 inches, 260 lbs. On blood pressure pills. My doctor is out of town for a few weeks. I reviewed PSA test results and apparently I have one abnormal reading out of three. PSA total 0.5, PSA free 0.1, PSA % free 20. The PSA % free 20 is in red indicating abnormal. What does this mean? What causes it to be abnormal?

Hi. Free PSA should be more than 15 % to rule out prostate cancer. Free PSA is an additional tool used when PSA is above 2.5 and we want to check whether high PSA is due to benign prostate growth or due to prostate cancer. Some laboratories use 25 % cutoff, but most have 15 % cutoff value. Since your total PSA is quite low and free PSA is above 15 %, you should not worry. If in doubt, repeat after a few months.

<s>[INST] Hello doctor, 50 years old, 5.8 inches, 260 lbs. On blood pressure pills. My doctor is out of town for a few weeks. I reviewed PSA test results and apparently I have one abnormal reading out of three. PSA total 0.5, PSA free 0.1, PSA % free 20. The PSA % free 20 is in red indicating abnormal. What does this mean? What causes it to be abnormal? [/INST] Hi. Free PSA should be more than 15 % to rule out prostate cancer. Free PSA is an additional tool used when PSA is above 2.5 and we want to check whether high PSA is due to benign prostate growth or due to prostate cancer. Some laboratories use 25 % cutoff, but most have 15 % cutoff value. Since your total PSA is quite low and free PSA is above 15 %, you should not worry. If in doubt, repeat after a few months.

Q. I have frequent urination and minimal calcification. Does it mean prostate cancer?

Hi doctor, I am 27 years old. I am worried about my prostate as my grandfather had prostate cancer and my father had an enlargement but was already cured. I had an ultrasound last year due to frequent urinating and result showed minimal calcification a year back. The Radiologist told me that the calcification has nothing to worry as it was not that serious and my doctor (internal medicine) also did not care about it. But I am still worried as what I have read is that even at a young age you can have prostate cancer. Though I am still experiencing frequent urination (I am now drinking a lot of water 2 to 3 liters a day) now, my creatinine is in normal level and KUB is all normal.

Hi. I have gone through your query. It is extremely unlikely for you to develop prostate cancer at your age. Even in families with hereditary prostate cancer, the usual age people develop cancer is above 40 years of age at the lowest, though it is usually between 50 to 60 years. That said, in your case, it is too early to jump to conclusions of having prostate cancer in your family. The most likely explanation for your symptoms could be a mild urinary tract infection or even your increased fluid intake. Prostatic calcification is commonly seen and does not imply anything significant to worry now. If you are concerned, you can do a PSA (prostate-specific antigen) test and a prostate exam at 40 years. If normal, then you can repeat it after three years interval. For more information consult an urologist online -->

<s>[INST] Hi doctor, I am 27 years old. I am worried about my prostate as my grandfather had prostate cancer and my father had an enlargement but was already cured. I had an ultrasound last year due to frequent urinating and result showed minimal calcification a year back. The Radiologist told me that the calcification has nothing to worry as it was not that serious and my doctor (internal medicine) also did not care about it. But I am still worried as what I have read is that even at a young age you can have prostate cancer. Though I am still experiencing frequent urination (I am now drinking a lot of water 2 to 3 liters a day) now, my creatinine is in normal level and KUB is all normal. [/INST] Hi. I have gone through your query. It is extremely unlikely for you to develop prostate cancer at your age. Even in families with hereditary prostate cancer, the usual age people develop cancer is above 40 years of age at the lowest, though it is usually between 50 to 60 years. That said, in your case, it is too early to jump to conclusions of having prostate cancer in your family. The most likely explanation for your symptoms could be a mild urinary tract infection or even your increased fluid intake. Prostatic calcification is commonly seen and does not imply anything significant to worry now. If you are concerned, you can do a PSA (prostate-specific antigen) test and a prostate exam at 40 years. If normal, then you can repeat it after three years interval. For more information consult an urologist online -->

Q. Please enlighten me on non-invasive procedures to detect prostate cancer.

Hello doctor, I am a 79 year old male. Excellent health, take no medications with the exception of an occasional Viagra. In a recent DRE, my urologist discovered two small nodules on my prostate. A PSA at the time was 6.3. Over the years, I have ranged in 2's and 3's. He suggested a biopsy of the prostate. I have read many negative things about this process. I have also read about nonevasive procedures to detect for cancer.

Hi. I have gone through your query. I concur with your urologist in the need for a biopsy. Any PSA (prostate-specific antigen) more than 4 or abnormal findings on DRE (digital rectal examination) needs evaluation to rule out prostate cancer. None of the non-invasive techniques are sufficiently accurate as a biopsy at present. The closest is an MRI which, if positive, needs to be confirmed by a biopsy, and if negative does not exactly rule out a malignancy, you will need a biopsy nevertheless. Many blood tests are available but those are only if the DRE is normal and will not be applicable in your situation. Hope this was helpful, feel free to revert back with any other questions. For more information consult a urologist online -->

<s>[INST] Hello doctor, I am a 79 year old male. Excellent health, take no medications with the exception of an occasional Viagra. In a recent DRE, my urologist discovered two small nodules on my prostate. A PSA at the time was 6.3. Over the years, I have ranged in 2's and 3's. He suggested a biopsy of the prostate. I have read many negative things about this process. I have also read about nonevasive procedures to detect for cancer. [/INST] Hi. I have gone through your query. I concur with your urologist in the need for a biopsy. Any PSA (prostate-specific antigen) more than 4 or abnormal findings on DRE (digital rectal examination) needs evaluation to rule out prostate cancer. None of the non-invasive techniques are sufficiently accurate as a biopsy at present. The closest is an MRI which, if positive, needs to be confirmed by a biopsy, and if negative does not exactly rule out a malignancy, you will need a biopsy nevertheless. Many blood tests are available but those are only if the DRE is normal and will not be applicable in your situation. Hope this was helpful, feel free to revert back with any other questions. For more information consult a urologist online -->

Q. What is the reason for continuous eye allergy and irritation?

Hi doctor, I have eye allergy for the past 1.7 years. I have consulted many doctors. I am using steroid eye drops too, but my eye allergy is still present. My eye irritates when it contact with blowing air, perfumes, air conditioner, strong odors, when I get cold and sometimes suddenly without any exposure. Occasionally, it causes pain in the eyes and head. I do not know what caused this. What is the permanent solution for this? Is there any other alternate remedy for this? When I take Cetirizine my irritation subsides in 30 minutes. Please help.

Hi. For further information consult an eye care ophthalmologist online -->

<s>[INST] Hi doctor, I have eye allergy for the past 1.7 years. I have consulted many doctors. I am using steroid eye drops too, but my eye allergy is still present. My eye irritates when it contact with blowing air, perfumes, air conditioner, strong odors, when I get cold and sometimes suddenly without any exposure. Occasionally, it causes pain in the eyes and head. I do not know what caused this. What is the permanent solution for this? Is there any other alternate remedy for this? When I take Cetirizine my irritation subsides in 30 minutes. Please help. [/INST] Hi. For further information consult an eye care ophthalmologist online -->

Q. When should I stop Clexane and Ecosprin should before delivery?

Hello doctor, Presently I am on my 34 th weeks of pregnancy. LMP was before eight months. I had an IUD of more than 37 weeks before two years. Present medications are Clexane 20, and Ecosprin 75 daily. As per my doctor's planning, I should go for C-section between 36 to 37 weeks. Now when I should stop my Claxene and Ecospirin? This medication is given by my gynecologist after analyzing my boh panel report which states lupus anticoagulant by DRVTT is 45.50. No lupus-like anticoagulant present, APTT is 31.30 and PTT-LA is 98.80. Kindly advice.

Hello. I feel that it would be the best if you do not stop these medicines without the advice of your doctor who recommended these and made a plan for your pregnancy because self-treatment strategy will lead to no benefits. And both of these drugs are safe to use, so you do not have to worry. Furthermore, for your knowledge, aspirin is usually stopped at 35 to 36 weeks of pregnancy, and Clexane (Enoxaparin sodium) is being continued until delivery, and even after that. So I would again say that please take advice from your particular doctor before stopping any of these medications as your pregnancy is very precious. I hope it has helped you. If you require any further queries, please do not hesitate to contact me.

<s>[INST] Hello doctor, Presently I am on my 34 th weeks of pregnancy. LMP was before eight months. I had an IUD of more than 37 weeks before two years. Present medications are Clexane 20, and Ecosprin 75 daily. As per my doctor's planning, I should go for C-section between 36 to 37 weeks. Now when I should stop my Claxene and Ecospirin? This medication is given by my gynecologist after analyzing my boh panel report which states lupus anticoagulant by DRVTT is 45.50. No lupus-like anticoagulant present, APTT is 31.30 and PTT-LA is 98.80. Kindly advice. [/INST] Hello. I feel that it would be the best if you do not stop these medicines without the advice of your doctor who recommended these and made a plan for your pregnancy because self-treatment strategy will lead to no benefits. And both of these drugs are safe to use, so you do not have to worry. Furthermore, for your knowledge, aspirin is usually stopped at 35 to 36 weeks of pregnancy, and Clexane (Enoxaparin sodium) is being continued until delivery, and even after that. So I would again say that please take advice from your particular doctor before stopping any of these medications as your pregnancy is very precious. I hope it has helped you. If you require any further queries, please do not hesitate to contact me.

Q. Are my symptoms due to HIV infection? I had a high-risk exposure 15 months ago.

Hi doctor, After 15 months of unprotected sex, I went for HIV test called Comb AIDS test but, the result came back negative for both HIV-1 and 2. Again after three months, I redid the test, but even this time, the result was negative. I was not satisfied, so I went for ELISA test, and again the results came back negative. I consulted two general physicians, who told me that I do not have HIV. But, I am still worried because of the symptoms that I have. I am a male, who weighs 62 kg, and I am 6 feet tall. The symptoms i'm having are: severe weakness, ulcers in mouth and tongue, fatigue, pain in legs while sleeping, itching in the private part, occasional sore throat, occasional itching and pain in ears, and black spots on my back. I remember having loose motions after a week of unprotected sex. At that time, the doctor told me that I have food poisoning, and I was alright after taking medicines. Are these HIV tests done by me reliable? Was the loose motion caused due to HIV? Is it possible that my immune system was so weak to detect antibodies during my HIV test? Should I go for another test such as PCR RNA test? Please help me, I am worried. Your kind response will be appreciated. Thank you.

Hi. The test kits used to diagnose HIV are highly sensitive and specific and gives accurate results. The majority of the people who are infected with HIV (human immunodeficiency virus) develop antibodies by three months, and even in the rare instances of late seroconversions, they develop HIV antibodies by six months. You can rely on your HIV screening test results. If there had been no other exposure other than that, you do not require any further test. The symptoms which you mentioned could be due to various reasons and cannot be attributed to HIV. In fact, there are no specific symptoms or signs which can lead to the diagnosis of HIV. As per the above information, you are HIV negative. Just relax. Hope your query is answered, but if you have any other query, please do not hesitate to ask or call anytime. Best wishes. For more information consult an HIV AIDS specialist online -->

<s>[INST] Hi doctor, After 15 months of unprotected sex, I went for HIV test called Comb AIDS test but, the result came back negative for both HIV-1 and 2. Again after three months, I redid the test, but even this time, the result was negative. I was not satisfied, so I went for ELISA test, and again the results came back negative. I consulted two general physicians, who told me that I do not have HIV. But, I am still worried because of the symptoms that I have. I am a male, who weighs 62 kg, and I am 6 feet tall. The symptoms i'm having are: severe weakness, ulcers in mouth and tongue, fatigue, pain in legs while sleeping, itching in the private part, occasional sore throat, occasional itching and pain in ears, and black spots on my back. I remember having loose motions after a week of unprotected sex. At that time, the doctor told me that I have food poisoning, and I was alright after taking medicines. Are these HIV tests done by me reliable? Was the loose motion caused due to HIV? Is it possible that my immune system was so weak to detect antibodies during my HIV test? Should I go for another test such as PCR RNA test? Please help me, I am worried. Your kind response will be appreciated. Thank you. [/INST] Hi. The test kits used to diagnose HIV are highly sensitive and specific and gives accurate results. The majority of the people who are infected with HIV (human immunodeficiency virus) develop antibodies by three months, and even in the rare instances of late seroconversions, they develop HIV antibodies by six months. You can rely on your HIV screening test results. If there had been no other exposure other than that, you do not require any further test. The symptoms which you mentioned could be due to various reasons and cannot be attributed to HIV. In fact, there are no specific symptoms or signs which can lead to the diagnosis of HIV. As per the above information, you are HIV negative. Just relax. Hope your query is answered, but if you have any other query, please do not hesitate to ask or call anytime. Best wishes. For more information consult an HIV AIDS specialist online -->

Q. Is stretching exercise helpful for tight foreskin?

Hello doctor, I am a 22 year old male. I have problem of tight penis skin. Whenever I pull my penis skin back during erection it will be very hard to do. Then, my penis skin gets stuck behind the penis forehead and it is very painful to retract back. I generally use oil for this problem. Please suggest me what to do.

Hi. For further information consult a urologist online -->

<s>[INST] Hello doctor, I am a 22 year old male. I have problem of tight penis skin. Whenever I pull my penis skin back during erection it will be very hard to do. Then, my penis skin gets stuck behind the penis forehead and it is very painful to retract back. I generally use oil for this problem. Please suggest me what to do. [/INST] Hi. For further information consult a urologist online -->

Q. My husband is over-possessive and controlling. Please help me.

Hello doctor, I am newly married. My husband is 26 years old and I am six months younger to him. My family members say that my husband is over-possessive and controlling. How can I know if my husband is over-possessive and controlling?

Hi. Most of the persons who are over-possessive of their partner show certain kinds of behavior that is uncommon in the general population. They feel less secure and this sense of insecurity is the driving force for the over-possessive nature. Someone who is insecure may doubt their partner's dedication and may, therefore, try to control them. In short, they feel vulnerable and will do anything to make sure they are not hurt. The sense of insecurity can stem from a number of situations including parents leaving a child, a past romantic partner who was unfaithful and many more. To control the possessiveness: Consult a psychiatrist online in case of further assistance in overcoming this situation -->

<s>[INST] Hello doctor, I am newly married. My husband is 26 years old and I am six months younger to him. My family members say that my husband is over-possessive and controlling. How can I know if my husband is over-possessive and controlling? [/INST] Hi. Most of the persons who are over-possessive of their partner show certain kinds of behavior that is uncommon in the general population. They feel less secure and this sense of insecurity is the driving force for the over-possessive nature. Someone who is insecure may doubt their partner's dedication and may, therefore, try to control them. In short, they feel vulnerable and will do anything to make sure they are not hurt. The sense of insecurity can stem from a number of situations including parents leaving a child, a past romantic partner who was unfaithful and many more. To control the possessiveness: Consult a psychiatrist online in case of further assistance in overcoming this situation -->

Q. What can cause pimples near penis?

Hello doctor, I have pimples near my penis. I do not understand what problem I have. I am worried about that. Please explain my problem.

Hi. It is very difficult to say what disease you have, because pimple does not come over penile area. It could be molluscum which looks like a pimple. If you can send me the photos, then I can definitely diagnose it. Explain the lesion properly like itching, pain, duration, pus filled, etc? Are you sexually active? Revert back with the photos to a dermatologist online -->

<s>[INST] Hello doctor, I have pimples near my penis. I do not understand what problem I have. I am worried about that. Please explain my problem. [/INST] Hi. It is very difficult to say what disease you have, because pimple does not come over penile area. It could be molluscum which looks like a pimple. If you can send me the photos, then I can definitely diagnose it. Explain the lesion properly like itching, pain, duration, pus filled, etc? Are you sexually active? Revert back with the photos to a dermatologist online -->

Q. What does abutment of the nerve root mean?

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?

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 -->

<s>[INST] 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? [/INST] 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 -->

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

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.

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

<s>[INST] 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. [/INST] Hi. For further doubts consult a sexologist online -->

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

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.

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 -->

<s>[INST] 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. [/INST] 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 -->

Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?

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.

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.

<s>[INST] 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. [/INST] 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.

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

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.

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

<s>[INST] 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. [/INST] Hi. For further doubts consult a sexologist online -->

Q. How to calculate the number of days of pregnancy?

Hi doctor, I am 18 weeks 2 days pregnant. My friend told me that I am supposed to add two weeks to those 18 weeks while counting. Is that true? Can I get pregnant if I had sex during period? My period was on the 28th and I had sex on the 5th. That time, my period was on, but not heavy. Could I have gotten pregnant that time? How long do sperm stay in the body? Please explain.

Hi. For further information consult an obstetrician and gynaecologist online -->

<s>[INST] Hi doctor, I am 18 weeks 2 days pregnant. My friend told me that I am supposed to add two weeks to those 18 weeks while counting. Is that true? Can I get pregnant if I had sex during period? My period was on the 28th and I had sex on the 5th. That time, my period was on, but not heavy. Could I have gotten pregnant that time? How long do sperm stay in the body? Please explain. [/INST] Hi. For further information consult an obstetrician and gynaecologist online -->

Q. As I am having a history of miscarriages, will taking hCG injections help me to continue pregnancy?

Hello doctor, My lmp was on five months ago. I was spotting for three days during my lmp and got a positive strip test after seven days. My beta hCG level on the day of a positive result was 126, and after two days, it was 125. I am being told that I will get periods in two weeks but told to continue folic acid and multivitamin and come for ultrasound in three weeks if no periods come. I have a history of miscarriages, and I am 35 years old. Can hCG injections help me or should I consult another doctor? Have I miscarried or there are still chances?

Hello. Unfortunately what your doctor has said is right. Spotting in early pregnancy is normal. But a fall or no rise beta HCG is a poor sign. Beta hCG is a hormone produced from fetal tissue. At a level of 25 mIU/mL urine test is positive it doubles in 48 hours. So if the result of 7th is 125, then on 9th it should have been around 250 or more. Only healthy fetal tissue can produce an adequate amount of this hormone, so indirectly we get to know the health of the embryo even without seeing it. So it just means the fetal tissue is not growing. There can be lab errors, so to be on a safer side doctor has asked you to come for scan, to confirm. If you are worried about the repeated miscarriages, have yourself and your partner checked for any problem. Causes like blood sugar levels, thyroid hormone problems, or prolactin hormone abnormalities, any structural problems in the uterus or any problem in semen. Do not lose hope, if you are getting pregnant without much help, no matter what the outcome is, then you will surely have babies. I hope I have clarified your query, do write back if any more questions.

<s>[INST] Hello doctor, My lmp was on five months ago. I was spotting for three days during my lmp and got a positive strip test after seven days. My beta hCG level on the day of a positive result was 126, and after two days, it was 125. I am being told that I will get periods in two weeks but told to continue folic acid and multivitamin and come for ultrasound in three weeks if no periods come. I have a history of miscarriages, and I am 35 years old. Can hCG injections help me or should I consult another doctor? Have I miscarried or there are still chances? [/INST] Hello. Unfortunately what your doctor has said is right. Spotting in early pregnancy is normal. But a fall or no rise beta HCG is a poor sign. Beta hCG is a hormone produced from fetal tissue. At a level of 25 mIU/mL urine test is positive it doubles in 48 hours. So if the result of 7th is 125, then on 9th it should have been around 250 or more. Only healthy fetal tissue can produce an adequate amount of this hormone, so indirectly we get to know the health of the embryo even without seeing it. So it just means the fetal tissue is not growing. There can be lab errors, so to be on a safer side doctor has asked you to come for scan, to confirm. If you are worried about the repeated miscarriages, have yourself and your partner checked for any problem. Causes like blood sugar levels, thyroid hormone problems, or prolactin hormone abnormalities, any structural problems in the uterus or any problem in semen. Do not lose hope, if you are getting pregnant without much help, no matter what the outcome is, then you will surely have babies. I hope I have clarified your query, do write back if any more questions.

Q. How to increase my height?I am 23 years old.

How to increase my height? I am 23 years old.

Hello. Consult a nutritionist online for further follow up --->

<s>[INST] How to increase my height? I am 23 years old. [/INST] Hello. Consult a nutritionist online for further follow up --->

Q. Is it safe to take Clenbuterol being overweight and asthmatic?

Hi doctor, I am 33 years old. My height is 176 cm and I weigh 77 kg. I started hitting gym a month back. I am into 1 hour daily workout, which include both aerobic and anaerobic exercises.  As per the BMI report, I was informed to keep my weight under 67-72 kg. Recently my gym trainer informed me about the pill Clenbuterol and it is safe to go for it. I went through a few websites and came to know it is more effective in burning fat, muscle build up and also used for treating asthma patients. My medical background is, I am an asthma patient. My recent medical checkup indicated that I have BP which is marginally little higher than regular and doctors indicated that it is not that much to be concerned about. I came to know, Clenbuterol is a steroid which has lots of other side effects like muscle cramp, dizziness, hand shaking, heart problems and effect on aorta. It has short and long-term effects too. It is completely banned in few countries and not available through prescription as well. Can you please inform me whether I have to go for it? Also, I want to reduce my weight without any side effects. As I am working as a software engineer, there might be a possibility that I will be traveling across countries and need to go for blood and urine tests for visa approval. I would like to know whether it will cause any problem in these cases as it is an illegal drug. Please let me know if any further details required from my side. Thank you in advance.

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

<s>[INST] Hi doctor, I am 33 years old. My height is 176 cm and I weigh 77 kg. I started hitting gym a month back. I am into 1 hour daily workout, which include both aerobic and anaerobic exercises.  As per the BMI report, I was informed to keep my weight under 67-72 kg. Recently my gym trainer informed me about the pill Clenbuterol and it is safe to go for it. I went through a few websites and came to know it is more effective in burning fat, muscle build up and also used for treating asthma patients. My medical background is, I am an asthma patient. My recent medical checkup indicated that I have BP which is marginally little higher than regular and doctors indicated that it is not that much to be concerned about. I came to know, Clenbuterol is a steroid which has lots of other side effects like muscle cramp, dizziness, hand shaking, heart problems and effect on aorta. It has short and long-term effects too. It is completely banned in few countries and not available through prescription as well. Can you please inform me whether I have to go for it? Also, I want to reduce my weight without any side effects. As I am working as a software engineer, there might be a possibility that I will be traveling across countries and need to go for blood and urine tests for visa approval. I would like to know whether it will cause any problem in these cases as it is an illegal drug. Please let me know if any further details required from my side. Thank you in advance. [/INST] Hello. For further information consult an internal medicine physician online -->

Q. Shall I take Raw Bovine Ovary pills to increase breast size?

Hello doctor, I am a 25 year old female. I am wondering whether Raw Bovine Ovary pills are safe to take. I am looking to gain weight in my thighs and breast. My thighs and boobs are skinny. Kindly explain.

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

<s>[INST] Hello doctor, I am a 25 year old female. I am wondering whether Raw Bovine Ovary pills are safe to take. I am looking to gain weight in my thighs and breast. My thighs and boobs are skinny. Kindly explain. [/INST] Hi. For further information consult an internal medicine physician online -->

Q. What can cause genital numbness?

Hi doctor, I have been riding my bike a lot more recently and now I noticed that I am having numbness within the perineal region including scrotum and penile area. I have stopped riding since the onset of symptoms and it has been over a week now. Should these symptoms resolve with time if I quit riding? Please suggest.

Hello. For further information consult a neurologist online -->

<s>[INST] Hi doctor, I have been riding my bike a lot more recently and now I noticed that I am having numbness within the perineal region including scrotum and penile area. I have stopped riding since the onset of symptoms and it has been over a week now. Should these symptoms resolve with time if I quit riding? Please suggest. [/INST] Hello. For further information consult a neurologist online -->

Q. What causes warmness in the left side of chest?

Hello doctor, I am 23 years old. I am obese and have a family history of cardiac arrest. My father got cardiac arrest at the age of 53. I have consulted the local cardiologist and gone through ECG, echo, TMT, lipid, hs-CRP and other blood tests. All the tests were normal except heart rate, which was 110 and also high BP. I am taking Rosufit 10, Nebistar 5 and Cilaheart 10. Currently, I am feeling warm in the left side of my chest for a short span of time. Sometimes, I have slight pain in my left hand and feels like a pinch type of pain in the center of the chest when I inhale and exhale. Is it normal?

Hello. This kind of chest pain occurs during stress and anxiety only. We label them nonspecific cardiac chest pain. But, we should always keep in consideration cardiac chest pain and acid reflux. It is important to differentiate between the all. However, the cardiac chest pain is severe and crushing in nature. It increases on activity like walking and exercising. It also gets radiated to left arm. Since your ECG and other cardiac workup are normal, the pain is not due to cardiac issues. For acid reflux, I would advise you to take a combination of Pantoprazole and Domperidone once a day. Your increase in heart rate might be possibly because of anxiety only. For anxiety, try to do meditation and if no relief, you would be treated with anti-anxiety drugs like Etizolam. For further clarifications consult a cardiologist online -->

<s>[INST] Hello doctor, I am 23 years old. I am obese and have a family history of cardiac arrest. My father got cardiac arrest at the age of 53. I have consulted the local cardiologist and gone through ECG, echo, TMT, lipid, hs-CRP and other blood tests. All the tests were normal except heart rate, which was 110 and also high BP. I am taking Rosufit 10, Nebistar 5 and Cilaheart 10. Currently, I am feeling warm in the left side of my chest for a short span of time. Sometimes, I have slight pain in my left hand and feels like a pinch type of pain in the center of the chest when I inhale and exhale. Is it normal? [/INST] Hello. This kind of chest pain occurs during stress and anxiety only. We label them nonspecific cardiac chest pain. But, we should always keep in consideration cardiac chest pain and acid reflux. It is important to differentiate between the all. However, the cardiac chest pain is severe and crushing in nature. It increases on activity like walking and exercising. It also gets radiated to left arm. Since your ECG and other cardiac workup are normal, the pain is not due to cardiac issues. For acid reflux, I would advise you to take a combination of Pantoprazole and Domperidone once a day. Your increase in heart rate might be possibly because of anxiety only. For anxiety, try to do meditation and if no relief, you would be treated with anti-anxiety drugs like Etizolam. For further clarifications consult a cardiologist online -->

Q. Why the absolute monocytes are low in my routine blood work?

Hi doctor, I just received my routine blood work for my cholesterol count and noticed that my absolute monocytes are low, 163. Other than this, all other blood results are within normal range. My total WBC is 5.1 and monocytes 3.2%. It there a reason to be concerned? I am currently healing from a terrible fall on my deck stairs, which resulted in a massive hematoma on my buttock. Would this have anything to do with the low absolute monocyte reading? I am currently on Lotrel and Lovastatin.

Hi. Based on your query, my opinion is as follows (attachment removed to protect patient identity): For further information consult a hematologist online -->

<s>[INST] Hi doctor, I just received my routine blood work for my cholesterol count and noticed that my absolute monocytes are low, 163. Other than this, all other blood results are within normal range. My total WBC is 5.1 and monocytes 3.2%. It there a reason to be concerned? I am currently healing from a terrible fall on my deck stairs, which resulted in a massive hematoma on my buttock. Would this have anything to do with the low absolute monocyte reading? I am currently on Lotrel and Lovastatin. [/INST] Hi. Based on your query, my opinion is as follows (attachment removed to protect patient identity): For further information consult a hematologist online -->

Q. How to overcome sexual attraction towards my mother?

Hi doctor, I am a 22 years old male. I feel sexually attracted to my own mother. I had some mild feelings since childhood, but it became strong since teenage. I started feeling to be loved by mom as her son and sexually too. I sometimes feel guilty about it. But, I could not control myself. I saw my mother naked sometimes and this fed my lust towards her even more. I am getting dirty thoughts about her when I think about having love with her. I also watch porn especially incest. I want to express my love to her sexually. Please provide some way to overcome this. I am not under any medication. I am just trying to control myself mentally.

Hello. I can understand your problem. Sexual feelings in an adult towards a female are considered as normal and acceptable. But, such feelings towards any female with blood relationship are not acceptable in any society and this result in significant blow to reputation and respect. The feelings you have described towards your own mother are wrong and should be controlled. In future this might result in relationship problem in your case especially towards your wife. This might result in difficulty in maintaining relationship with any other female. To overcome the problem you have to work hard. One thing is that stop watching porn completely. If that is not possible at this moment then watch videos only and avoid going to forums or reading stories of incest online. Such things increase the perversions. Avoid watching any material that relates to incest. I am not saying that you should stop masturbating but stop thinking about incest. You are having guilty after incest ideas, so most likely these are intrusive ideas and should be treated also. If possible visit a psychiatrist for help. Medicines like Paroxetine or Fluoxetine can help to control your intrusive ideas and you will feel better. These are safe medicines. Spend your time in outdoor activities. Gym and sports will help to vent out your energy and you will feel better. Avoid spending more time on computer and if your work permits then stop using computer or internet for some days. This will help you to overcome the addiction. Psychological conflicts. For further information consult a psychiatrist online.--->

<s>[INST] Hi doctor, I am a 22 years old male. I feel sexually attracted to my own mother. I had some mild feelings since childhood, but it became strong since teenage. I started feeling to be loved by mom as her son and sexually too. I sometimes feel guilty about it. But, I could not control myself. I saw my mother naked sometimes and this fed my lust towards her even more. I am getting dirty thoughts about her when I think about having love with her. I also watch porn especially incest. I want to express my love to her sexually. Please provide some way to overcome this. I am not under any medication. I am just trying to control myself mentally. [/INST] Hello. I can understand your problem. Sexual feelings in an adult towards a female are considered as normal and acceptable. But, such feelings towards any female with blood relationship are not acceptable in any society and this result in significant blow to reputation and respect. The feelings you have described towards your own mother are wrong and should be controlled. In future this might result in relationship problem in your case especially towards your wife. This might result in difficulty in maintaining relationship with any other female. To overcome the problem you have to work hard. One thing is that stop watching porn completely. If that is not possible at this moment then watch videos only and avoid going to forums or reading stories of incest online. Such things increase the perversions. Avoid watching any material that relates to incest. I am not saying that you should stop masturbating but stop thinking about incest. You are having guilty after incest ideas, so most likely these are intrusive ideas and should be treated also. If possible visit a psychiatrist for help. Medicines like Paroxetine or Fluoxetine can help to control your intrusive ideas and you will feel better. These are safe medicines. Spend your time in outdoor activities. Gym and sports will help to vent out your energy and you will feel better. Avoid spending more time on computer and if your work permits then stop using computer or internet for some days. This will help you to overcome the addiction. Psychological conflicts. For further information consult a psychiatrist online.--->

Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?

Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?

Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->

<s>[INST] Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? [/INST] Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->

Q. What are the causes of brown discoloration of the skin around the fingertips?

Hello doctor, I have a brown discoloration of the skin around my fingertips. What is the reason?

Hi. Revert with more information to a cosmetologist online -->

<s>[INST] Hello doctor, I have a brown discoloration of the skin around my fingertips. What is the reason? [/INST] Hi. Revert with more information to a cosmetologist online -->

Q. Please explain the reason for weight gain during pregnancy.

Hi doctor, When I had my third ultrasound, I was 24 weeks pregnant and it appeared like two faces in the ultrasound. I keep asking my obstetrician regarding my weight gain. I am gaining so much weight when I barely eat and my stomach so huge. I found that at 14 weeks on my first ultrasound I was having a boy and that was pretty early for me to find out a gender. I eat like two meals at once a day. I am now 34 weeks and 5 days pregnant. My obstetrician does not check my pelvis and not advised for another ultrasound. Can I send a picture of my third ultrasound to get a second opinion whether I am having twins?

Hi. For further information consult an obstetrician and gynaecologist online -->

<s>[INST] Hi doctor, When I had my third ultrasound, I was 24 weeks pregnant and it appeared like two faces in the ultrasound. I keep asking my obstetrician regarding my weight gain. I am gaining so much weight when I barely eat and my stomach so huge. I found that at 14 weeks on my first ultrasound I was having a boy and that was pretty early for me to find out a gender. I eat like two meals at once a day. I am now 34 weeks and 5 days pregnant. My obstetrician does not check my pelvis and not advised for another ultrasound. Can I send a picture of my third ultrasound to get a second opinion whether I am having twins? [/INST] Hi. For further information consult an obstetrician and gynaecologist online -->

Q. What does abutment of the nerve root mean?

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?

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 -->

<s>[INST] 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? [/INST] 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 -->

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

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.

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

<s>[INST] 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. [/INST] Hi. For further doubts consult a sexologist online -->

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

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.

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 -->

<s>[INST] 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. [/INST] 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 -->

Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?

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.

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.

<s>[INST] 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. [/INST] 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.

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

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.

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

<s>[INST] 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. [/INST] Hi. For further doubts consult a sexologist online -->

Q. My gums behind the last tooth is swollen and painful. Is it due to food impaction?

Hello doctor, I am an 18 year old, who dislikes visiting the dentist. Therefore, you can imagine my hygiene is very good. I had a brief period of gingivitis as a result of using braces for three years. Having removed my braces over a year ago, and lucky for me, I do not have wisdom teeth, the end of my dental pain seemed over. However, about five days ago all of a sudden, I woke up and the very back of my mouth around the last left molar is swollen. It is sore and irritable. I kept brushing and using salt water. There is no bleeding or pus, but it started to feel more irritable and tender as if it was an infection. It has not gotten worse in swelling or pain, but it has not gotten better either. My mother predicts a piece of food of some sort got wedged in the gum line, near my tongue. We have tried using Orajel to numb it enough so I could use floss or a toothpick to work around the gum, but it still is very painful to touch and it is very hard to reach that area. Sadly for me, I am starting my Invisalign treatment and I am going to get the impressions tomorrow. And I also have an appointment for a regular cleaning. I am petrified. Do you think a piece of food is the problem? Is there something I can do to remove the food before my appointment tomorrow? What will the dentist do tomorrow when I ask him to address the situation? What are the chances this is a bigger infection and is not food related, what will the dentist do then? Will I have to have surgery or procedure done or antibiotics will help?

Hi. Regards. For more information consult a dentist online -->

<s>[INST] Hello doctor, I am an 18 year old, who dislikes visiting the dentist. Therefore, you can imagine my hygiene is very good. I had a brief period of gingivitis as a result of using braces for three years. Having removed my braces over a year ago, and lucky for me, I do not have wisdom teeth, the end of my dental pain seemed over. However, about five days ago all of a sudden, I woke up and the very back of my mouth around the last left molar is swollen. It is sore and irritable. I kept brushing and using salt water. There is no bleeding or pus, but it started to feel more irritable and tender as if it was an infection. It has not gotten worse in swelling or pain, but it has not gotten better either. My mother predicts a piece of food of some sort got wedged in the gum line, near my tongue. We have tried using Orajel to numb it enough so I could use floss or a toothpick to work around the gum, but it still is very painful to touch and it is very hard to reach that area. Sadly for me, I am starting my Invisalign treatment and I am going to get the impressions tomorrow. And I also have an appointment for a regular cleaning. I am petrified. Do you think a piece of food is the problem? Is there something I can do to remove the food before my appointment tomorrow? What will the dentist do tomorrow when I ask him to address the situation? What are the chances this is a bigger infection and is not food related, what will the dentist do then? Will I have to have surgery or procedure done or antibiotics will help? [/INST] Hi. Regards. For more information consult a dentist online -->

Q. Is talking to myself in front of the mirror a symptom of schizophrenia?

Hi doctor, I am a 24 year old female. I am a healthy and happy person. I eat well and exercise well. I have a lot of friends, cool hobbies, etc. But, I have a weird habit. Whenever I am alone I talk to myself standing in front of the mirror. I imagine a lot. I think so many things like I am in an interview and I try to venture out the best answers and framing smart answers. When I am practicing on my guitar, I imagine lots of people are watching me and appreciating me for playing so well. I imagine futuristic conversations with people where I ask a question and answer them. When I am alone, I keep imagining some stuff. Also, I pick up some topic and start talking to myself in front of the mirror. I personally feel this habit has improved my communication skills, confidence and vocabulary. I am not shy and I do not have stage fear. When I meet my friends or when I am giving presentations at college, I am the one who used to stay very confident. However, some days back, when I was talking to myself in front of the mirror, my mom questioned me. Until now I did not pay much attention to what I was doing. But, ever since my mom saw me doing that I have become conscious. I have stopped talking to myself for two to three days. But, I do not feel like I have been missing out on anything. I am still friendly and confident. But, I am just wondering if I have crossed the line of sanity. I searched about this on the internet and came across something called as schizophrenia. Is this disorder setting with my habit? Do I have schizophrenia or any other disorder? To be honest, after reading about this schizophrenia I am very scared. It sounds like a very serious disorder to me. Please help.

Hi. I read your query with keen interest and understand your concerns. From the available description, I do not think you have crossed the limit of sanity or you developed schizophrenia. Schizophrenia is altogether very different disorder where people have abnormal perceptions such as hearing voices when no one is present and seeing objects when nothing is there. I do not see any of them with you. In my view, you need to put your worries at rest and do what your mind and heart considers right. It may be abnormal for your mother, but there is no pathology with this. If you feel more assistance is required or my answer to your query is far from setting down the worries, then it is better to see a psychiatrist in person. For further information consult a psychiatrist online -->

<s>[INST] Hi doctor, I am a 24 year old female. I am a healthy and happy person. I eat well and exercise well. I have a lot of friends, cool hobbies, etc. But, I have a weird habit. Whenever I am alone I talk to myself standing in front of the mirror. I imagine a lot. I think so many things like I am in an interview and I try to venture out the best answers and framing smart answers. When I am practicing on my guitar, I imagine lots of people are watching me and appreciating me for playing so well. I imagine futuristic conversations with people where I ask a question and answer them. When I am alone, I keep imagining some stuff. Also, I pick up some topic and start talking to myself in front of the mirror. I personally feel this habit has improved my communication skills, confidence and vocabulary. I am not shy and I do not have stage fear. When I meet my friends or when I am giving presentations at college, I am the one who used to stay very confident. However, some days back, when I was talking to myself in front of the mirror, my mom questioned me. Until now I did not pay much attention to what I was doing. But, ever since my mom saw me doing that I have become conscious. I have stopped talking to myself for two to three days. But, I do not feel like I have been missing out on anything. I am still friendly and confident. But, I am just wondering if I have crossed the line of sanity. I searched about this on the internet and came across something called as schizophrenia. Is this disorder setting with my habit? Do I have schizophrenia or any other disorder? To be honest, after reading about this schizophrenia I am very scared. It sounds like a very serious disorder to me. Please help. [/INST] Hi. I read your query with keen interest and understand your concerns. From the available description, I do not think you have crossed the limit of sanity or you developed schizophrenia. Schizophrenia is altogether very different disorder where people have abnormal perceptions such as hearing voices when no one is present and seeing objects when nothing is there. I do not see any of them with you. In my view, you need to put your worries at rest and do what your mind and heart considers right. It may be abnormal for your mother, but there is no pathology with this. If you feel more assistance is required or my answer to your query is far from setting down the worries, then it is better to see a psychiatrist in person. For further information consult a psychiatrist online -->

Q. Why do I have a wet feeling inside the anus?

Hello doctor, I have a wet feeling inside the anus for the past one year. I did a colonoscopy and sigmoidoscopy, and the doctor said that everything is fine. They said probably the wet feeling is due to sweat. Swab culture and sensitivity report showed up Klebsiella pneumoniae. I took Augmentin 625 and applied ointments. But I feel it is some liquid discharge from the anus skin. Can you suggest some medication?

Hello. An anal leak is mostly due to underlying reasons, which need to be thoroughly investigated. Although we can together try reaching out on differential diagnosis. Regards. Revert with more information to a cosmetologist online -->

<s>[INST] Hello doctor, I have a wet feeling inside the anus for the past one year. I did a colonoscopy and sigmoidoscopy, and the doctor said that everything is fine. They said probably the wet feeling is due to sweat. Swab culture and sensitivity report showed up Klebsiella pneumoniae. I took Augmentin 625 and applied ointments. But I feel it is some liquid discharge from the anus skin. Can you suggest some medication? [/INST] Hello. An anal leak is mostly due to underlying reasons, which need to be thoroughly investigated. Although we can together try reaching out on differential diagnosis. Regards. Revert with more information to a cosmetologist online -->

Q. Is Metmax injection the right one for head spinning?

Hi doctor, My sister is having some neurological problem. She is normal, but at times she feel uneasy and head spinning. We have consulted with a doctor since one year and a few days back for the same issue her doctor prescribed Metmax injection to be taken one per day for the next five days. But, after taking one injection, she is feeling very drowsy and not able to remember things and forgetting the past. I request you to kindly let me know the details of Metmax injection. Is it the right treatment?

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

<s>[INST] Hi doctor, My sister is having some neurological problem. She is normal, but at times she feel uneasy and head spinning. We have consulted with a doctor since one year and a few days back for the same issue her doctor prescribed Metmax injection to be taken one per day for the next five days. But, after taking one injection, she is feeling very drowsy and not able to remember things and forgetting the past. I request you to kindly let me know the details of Metmax injection. Is it the right treatment? [/INST] Hi. Revert back with the answers to the above questions to a neurologist online -->

Q. Is it likely for HIV symptoms to show up after 5 to 6 weeks of possible exposure?

Hello doctor, I am a 31 year old male, and my query is regarding possible HIV exposure. Four months back, I had a sexual encounter with two female partners. I had insertive vaginal sex and received oral sex. Intercourse had lasted for about five minutes twice with each partner. Condoms were used throughout and were changed for every partner. I do not recall any of the condoms breaking or slipping off completely. About a week or so after the encounter, I experienced some health-related concerns, one after another.I got an eye stye, inside of the eyelid, which was little painful and irritating. It went away in a week. I got a boil, nearly an inch in diameter, in the lower abdomen, which subsided in a week. I also got a white area behind the wisdom tooth. This area was painful during the initial 3 to 4 days, then the pain subsided, and the white area started growing bigger. OPG and clinical examination suggested impacted wisdom tooth and trauma caused by friction of upper and lower wisdom teeth. So, I got both the wisdom teeth extracted. Now, it is normal.I also had a skin tag in the underarm area, which turned painful, hard, and dark purplish. One or two light reddish spots in the adjoining area. They resolved in 7 to 8 days. I have high blood pressure and triglycerides. My triglycerides were 292, which dropped to 195 after 10 days without medication. I got a severe headache one night, which went away next morning. I feel light-headed while walking, staring at the computer, etc., but not when lying down for 5 to 6 days. This happened concurrently with the diagnosis of high triglycerides and BP. I also have diarrhea type condition, that is, I have bowel movements thrice a day, which lasted for 9 to 10 days. My gastroenterologist remarked ‘no abnormalities detected.’ I took antibiotics and other medicines for the dental problem few days before this.I do not have a fever or any unusual skin rash. I do not have unusual body ache or weight loss or loss of appetite. I also do not have any apparent swollen glands. My creatinine and TSH test reports are normal. My LDL is normal, and HDL is little lower than normal. Assuming either of my partners was HIV positive, what is the chance of me contracting his? Does any of the above health concerns related to HIV? Does HIV symptoms, if any, appear together or can appear one after another? What is the most likely period after exposure when symptoms appear, if at all? In other words, is it likely for HIV symptoms to show after 5 to 6 weeks? I realize HIV infection can be confirmed only by a test. However, I sincerely request a prompt and clear response to the above queries, which will help me cut down the fear. Thank you.

Hi. The answers to your queries are as follows: Hope your queries are answered, but please do not hesitate to ask or call anytime for any further query. Best wishes.

<s>[INST] Hello doctor, I am a 31 year old male, and my query is regarding possible HIV exposure. Four months back, I had a sexual encounter with two female partners. I had insertive vaginal sex and received oral sex. Intercourse had lasted for about five minutes twice with each partner. Condoms were used throughout and were changed for every partner. I do not recall any of the condoms breaking or slipping off completely. About a week or so after the encounter, I experienced some health-related concerns, one after another.I got an eye stye, inside of the eyelid, which was little painful and irritating. It went away in a week. I got a boil, nearly an inch in diameter, in the lower abdomen, which subsided in a week. I also got a white area behind the wisdom tooth. This area was painful during the initial 3 to 4 days, then the pain subsided, and the white area started growing bigger. OPG and clinical examination suggested impacted wisdom tooth and trauma caused by friction of upper and lower wisdom teeth. So, I got both the wisdom teeth extracted. Now, it is normal.I also had a skin tag in the underarm area, which turned painful, hard, and dark purplish. One or two light reddish spots in the adjoining area. They resolved in 7 to 8 days. I have high blood pressure and triglycerides. My triglycerides were 292, which dropped to 195 after 10 days without medication. I got a severe headache one night, which went away next morning. I feel light-headed while walking, staring at the computer, etc., but not when lying down for 5 to 6 days. This happened concurrently with the diagnosis of high triglycerides and BP. I also have diarrhea type condition, that is, I have bowel movements thrice a day, which lasted for 9 to 10 days. My gastroenterologist remarked ‘no abnormalities detected.’ I took antibiotics and other medicines for the dental problem few days before this.I do not have a fever or any unusual skin rash. I do not have unusual body ache or weight loss or loss of appetite. I also do not have any apparent swollen glands. My creatinine and TSH test reports are normal. My LDL is normal, and HDL is little lower than normal. Assuming either of my partners was HIV positive, what is the chance of me contracting his? Does any of the above health concerns related to HIV? Does HIV symptoms, if any, appear together or can appear one after another? What is the most likely period after exposure when symptoms appear, if at all? In other words, is it likely for HIV symptoms to show after 5 to 6 weeks? I realize HIV infection can be confirmed only by a test. However, I sincerely request a prompt and clear response to the above queries, which will help me cut down the fear. Thank you. [/INST] Hi. The answers to your queries are as follows: Hope your queries are answered, but please do not hesitate to ask or call anytime for any further query. Best wishes.

Q. What does abutment of the nerve root mean?

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?

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 -->

<s>[INST] 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? [/INST] 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 -->

Q. My period has been late by 13 days. What could be the reason?

Hello doctor, I am a 24 year old female. My period has been late by 13 days. I am sexually active. I took a home pregnancy test but that was negative. My period has been fairly regular in the past with them happening 4 days prior or after my date. I have taken emergency morning after pill in the past (thrice in the last 4 months). What could be the reason? Is there a possibility that I could still be pregnant after a negative test, though I have not had any other symptoms of pregnancy nor am I having any sought of discomfort?

Hello. The striking point in your history is that you have taken morning after pill thrice in the last 4 months. It has to be understood that the most common side effect of an emergency contraceptive pill is delaying the next 2-3 menstrual cycles. As your pregnancy test is negative even after 13 days post period, it clearly indicates that you are not pregnant . Hence, the delay in periods is likely to be due to ipill side effect. Or another possible reason for the delay could be stress induced hormonal imbalance during this menstrual cycle. Stress including emotional, psychological, physical or social disturbances, all have a bearing on the reproductive hormones and can easily delay your menses, once pregnancy is ruled out. It is suggested that you can wait for another week to allow your menses to resume naturally , if not then you may opt for a withdrawal bleed with progesterone pills to resume your menses. As pregnancy test is negative, you can rest assured and wait for another week safely. For further queries, consult an obstetrician and gynaecologist online -->

<s>[INST] Hello doctor, I am a 24 year old female. My period has been late by 13 days. I am sexually active. I took a home pregnancy test but that was negative. My period has been fairly regular in the past with them happening 4 days prior or after my date. I have taken emergency morning after pill in the past (thrice in the last 4 months). What could be the reason? Is there a possibility that I could still be pregnant after a negative test, though I have not had any other symptoms of pregnancy nor am I having any sought of discomfort? [/INST] Hello. The striking point in your history is that you have taken morning after pill thrice in the last 4 months. It has to be understood that the most common side effect of an emergency contraceptive pill is delaying the next 2-3 menstrual cycles. As your pregnancy test is negative even after 13 days post period, it clearly indicates that you are not pregnant . Hence, the delay in periods is likely to be due to ipill side effect. Or another possible reason for the delay could be stress induced hormonal imbalance during this menstrual cycle. Stress including emotional, psychological, physical or social disturbances, all have a bearing on the reproductive hormones and can easily delay your menses, once pregnancy is ruled out. It is suggested that you can wait for another week to allow your menses to resume naturally , if not then you may opt for a withdrawal bleed with progesterone pills to resume your menses. As pregnancy test is negative, you can rest assured and wait for another week safely. For further queries, consult an obstetrician and gynaecologist online -->

Q. Had blisters due to rough masturbation. How would they heal?

Hi doctor, Yesterday night I did some rough masturbation. As a result two blisters appeared today at my penis. I have attached the picture. There is no itching and everything is normal except these blisters. How would they heal? Do I have to apply anything on them? Kindly guide.

Hi. Revert back with the answers to a dermatologist online -->

<s>[INST] Hi doctor, Yesterday night I did some rough masturbation. As a result two blisters appeared today at my penis. I have attached the picture. There is no itching and everything is normal except these blisters. How would they heal? Do I have to apply anything on them? Kindly guide. [/INST] Hi. Revert back with the answers to a dermatologist online -->

Q. Can I get pregnant with fingering after he touched his penis?

Hi doctor, I had oral sex, and my partner ejaculated his sperms inside my mouth, and I sipped the sperm that came out. After that he touched his penis, then he grabbed my pants near my vagina twice. After that, he used the same fingers inside my vagina. It was my first time with the oral sex and fingering. I do not know that there were sperms in his hand. We did not have sex. But, can I get pregnant in this situation? I missed my periods this month. What is the cause?

Hi. In your case, there is a chance that semen might have entered into the vagina. As you have not done any sexual intercourse, there is less chance of getting pregnant. You have to rule out pregnancy by urine hCG (human chorionic gonadotropin) test. You can do this test at home. If pregnancy is not present, then thyroid problem and diabetes should be ruled out. Excess stress, obesity, prolonged fasting can also lead to a delayed period. You can consult a gynecologist for examination if needed. For more information consult a family physician online -->

<s>[INST] Hi doctor, I had oral sex, and my partner ejaculated his sperms inside my mouth, and I sipped the sperm that came out. After that he touched his penis, then he grabbed my pants near my vagina twice. After that, he used the same fingers inside my vagina. It was my first time with the oral sex and fingering. I do not know that there were sperms in his hand. We did not have sex. But, can I get pregnant in this situation? I missed my periods this month. What is the cause? [/INST] Hi. In your case, there is a chance that semen might have entered into the vagina. As you have not done any sexual intercourse, there is less chance of getting pregnant. You have to rule out pregnancy by urine hCG (human chorionic gonadotropin) test. You can do this test at home. If pregnancy is not present, then thyroid problem and diabetes should be ruled out. Excess stress, obesity, prolonged fasting can also lead to a delayed period. You can consult a gynecologist for examination if needed. For more information consult a family physician online -->

Q. What is the treatment for inguinal lymphadenopathy?

Hi doctor, I am a 55 year old male. I am suffering from inguinal lymphadenopathy. 2 years ago I have this on right side and now on left side. There is a square shallow knot present on the right side now. I have stiffness and rigidity especially in the left arm and occasional limited movements. Also I have discomfort in my legs and inguinal region. On ultrasound it was observed lipomatosis of inguinal lymphs. I have painful point in inguinal region, only if I press. I have noticeable weakness, but no weight loss. Occasionally I feel very low energy and could not maintain erection. I feel numbness in the shoulder or finger when wake from sleep. I have low sedimentation rate. There is no abnormal blood and urine finding. I had blood test and it is negative for all infectious diseases such as Lyme, cat scratch, AIDS, etc. Please help with some suggestion. Thank you.

Hi. I assure you not to worry as all things may get settled with proper care and follow-up. 1. Inguinal lymph nodes usually get prominent due to some infection (that you say have been ruled out) or some primary pathology of the nodes themselves. 2. The knots you are talking about also warrants to rule out if that is a vein pathology or lymph nodes can be benign or cancerous changes. Biopsy of the nodes is mandatory especially when there we see changes on ultrasound. 3. Weakness can be due to hemoglobin or red blood cell deficiency. Other causes of weakness may be hypothyroidism or fluid and electrolyte imbalances. 4. Your low sedimentation rate may be due to red blood cell, white blood cell changes and protein abnormality. Sickle cell disease also may cause it. But clinical correlation is the key and for that your physician needs to go for physical examination and if suspicion arises, he may refer you to hematologist. 5. Pain in the lymphatic region can be due to lymph nodes being pressed on or it is possibly from lipomatous changes. 6. I also prefer you to get a detailed heart evaluation from cardiologist as weakness, shoulder and arm issues warrant that too. This kind of symptoms also needs screening for hypertension and diabetes mellitus. Your physician can help you for that too. 7. If you have got tested the above in past 8 weeks, you may upload the reports here for my review and diagnosis. If more than 8 weeks old, please go for repeat fresh tests. Biopsy and histopathology of the lymph nodes. Can be decided on investigations and diagnosis. Revert back with the investigation reports to an internal medicine physician online.--->

<s>[INST] Hi doctor, I am a 55 year old male. I am suffering from inguinal lymphadenopathy. 2 years ago I have this on right side and now on left side. There is a square shallow knot present on the right side now. I have stiffness and rigidity especially in the left arm and occasional limited movements. Also I have discomfort in my legs and inguinal region. On ultrasound it was observed lipomatosis of inguinal lymphs. I have painful point in inguinal region, only if I press. I have noticeable weakness, but no weight loss. Occasionally I feel very low energy and could not maintain erection. I feel numbness in the shoulder or finger when wake from sleep. I have low sedimentation rate. There is no abnormal blood and urine finding. I had blood test and it is negative for all infectious diseases such as Lyme, cat scratch, AIDS, etc. Please help with some suggestion. Thank you. [/INST] Hi. I assure you not to worry as all things may get settled with proper care and follow-up. 1. Inguinal lymph nodes usually get prominent due to some infection (that you say have been ruled out) or some primary pathology of the nodes themselves. 2. The knots you are talking about also warrants to rule out if that is a vein pathology or lymph nodes can be benign or cancerous changes. Biopsy of the nodes is mandatory especially when there we see changes on ultrasound. 3. Weakness can be due to hemoglobin or red blood cell deficiency. Other causes of weakness may be hypothyroidism or fluid and electrolyte imbalances. 4. Your low sedimentation rate may be due to red blood cell, white blood cell changes and protein abnormality. Sickle cell disease also may cause it. But clinical correlation is the key and for that your physician needs to go for physical examination and if suspicion arises, he may refer you to hematologist. 5. Pain in the lymphatic region can be due to lymph nodes being pressed on or it is possibly from lipomatous changes. 6. I also prefer you to get a detailed heart evaluation from cardiologist as weakness, shoulder and arm issues warrant that too. This kind of symptoms also needs screening for hypertension and diabetes mellitus. Your physician can help you for that too. 7. If you have got tested the above in past 8 weeks, you may upload the reports here for my review and diagnosis. If more than 8 weeks old, please go for repeat fresh tests. Biopsy and histopathology of the lymph nodes. Can be decided on investigations and diagnosis. Revert back with the investigation reports to an internal medicine physician online.--->

Q. Is it normal to have cobblestone appearance at the back of throat after tonsillectomy?

Hello doctor, I had tonsillectomy about a month ago. I had been healing but I am concerned about my healing process. My uvula has gotten smaller and has strange color plus I see cobblestone at the back of throat and blue or dark red color surrounding soft palate. And there are visible blue or red blood vessels everywhere around the palate and arch.

Hi. All these are normal after tonsillectomy surgery. I will suggest some steps to relieve some of the symptoms you are facing. Gargles with Benzydamine mouth wash diluted in water few times daily will help soothe the area and relieve pain. You may also take Tylenol for a few days for the pain relief. To relieve inflammation (the engorged blood vessels and cobblestone formation) you can take a combination of Trypsin Chymotrypsin Bromelain Rutopside. This medicine will relieve inflammatory cells and products from the area. Cobblestone formation is normal after the surgery. Regarding the reduced length of the uvula and the scarring on the palate, I would say, they are due to bad surgical technique. We carefully dissect the tonsil out of the pillars so that there is nil scarring of pillars and change to the uvula. We use a coblator for the purpose that minimizes bleeding and postoperative pain.

<s>[INST] Hello doctor, I had tonsillectomy about a month ago. I had been healing but I am concerned about my healing process. My uvula has gotten smaller and has strange color plus I see cobblestone at the back of throat and blue or dark red color surrounding soft palate. And there are visible blue or red blood vessels everywhere around the palate and arch. [/INST] Hi. All these are normal after tonsillectomy surgery. I will suggest some steps to relieve some of the symptoms you are facing. Gargles with Benzydamine mouth wash diluted in water few times daily will help soothe the area and relieve pain. You may also take Tylenol for a few days for the pain relief. To relieve inflammation (the engorged blood vessels and cobblestone formation) you can take a combination of Trypsin Chymotrypsin Bromelain Rutopside. This medicine will relieve inflammatory cells and products from the area. Cobblestone formation is normal after the surgery. Regarding the reduced length of the uvula and the scarring on the palate, I would say, they are due to bad surgical technique. We carefully dissect the tonsil out of the pillars so that there is nil scarring of pillars and change to the uvula. We use a coblator for the purpose that minimizes bleeding and postoperative pain.

Q. What does abutment of the nerve root mean?

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?

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 -->

<s>[INST] 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? [/INST] 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 -->

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

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.

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

<s>[INST] 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. [/INST] Hi. For further doubts consult a sexologist online -->

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

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.

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 -->

<s>[INST] 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. [/INST] 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 -->

Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?

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.

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.

<s>[INST] 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. [/INST] 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.

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

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.

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

<s>[INST] 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. [/INST] Hi. For further doubts consult a sexologist online -->

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

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.

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

<s>[INST] 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. [/INST] Hi. For further doubts consult a sexologist online -->

Q. Despite negative pregnancy test, I did not get my periods. What to do?

Hi doctor, I had unprotected sex with my husband after five days of my last periods and took an i-pill immediately. I did not get my periods yet and my two home pregnancy tests were negative. My periods are always regular prior to this. I am under regular medication of Eltroxin 100 mcg. Please help me.

Hi. Revert back after a week to an obstetrician and gynaecologist online -->

<s>[INST] Hi doctor, I had unprotected sex with my husband after five days of my last periods and took an i-pill immediately. I did not get my periods yet and my two home pregnancy tests were negative. My periods are always regular prior to this. I am under regular medication of Eltroxin 100 mcg. Please help me. [/INST] Hi. Revert back after a week to an obstetrician and gynaecologist online -->

Q. After oil massage, my lower back is full of acne. Any suggestions?

Hello doctor, So I never had acne on the back, maybe one or two single, but after visiting this massage center, which I know was a big mistake, my lower back is full of acne. I tried a couple of ointments, did not work. Cortisone helped a little, but not really. I think I need oral back up, any suggestions?

Hello. Apply Adapalene and Benzoyl peroxide 2.5 % combination gel at bedtime over the back. Do not apply Cortisone cream (steroid). It can lead to worsening of the condition. Clinical photographs would have helped. For more information consult a dermatologist online -->

<s>[INST] Hello doctor, So I never had acne on the back, maybe one or two single, but after visiting this massage center, which I know was a big mistake, my lower back is full of acne. I tried a couple of ointments, did not work. Cortisone helped a little, but not really. I think I need oral back up, any suggestions? [/INST] Hello. Apply Adapalene and Benzoyl peroxide 2.5 % combination gel at bedtime over the back. Do not apply Cortisone cream (steroid). It can lead to worsening of the condition. Clinical photographs would have helped. For more information consult a dermatologist online -->

Q. A 10-year-old girl obsess spanking frequently. Is this due to Asperger's syndrome?

Hello doctor, I am afraid that my 10-year-old daughter might have Asperger's syndrome. She obsesses over spankings all day long. She watches videos of spankings all day long also, and she fantasizes of getting hit. She even spanks her brothers and sisters. I can tell it gives her some pleasure. She has no friends, and she wants to sit fantasizing about it if she does not have an iPad to look it up. She also obsesses a specific type of people. Does she have Asperger's? Is this a symptom of it or something?

Hello. Your daughter is into the screen most of the time, and hence, it will be her primary advisor. She is just modeling what she sees and is quite common at this age. Try to minimize her interaction with the screen. She requires more human interaction. Put her in extracurricular activities to the maximum. Spend time with the child talking to her, and she will like it. Do not punish her, as it will have a negative impact, and the behavior can increase because of scolding. She will slowly get out of it. You can review with me for further follow-up.

<s>[INST] Hello doctor, I am afraid that my 10-year-old daughter might have Asperger's syndrome. She obsesses over spankings all day long. She watches videos of spankings all day long also, and she fantasizes of getting hit. She even spanks her brothers and sisters. I can tell it gives her some pleasure. She has no friends, and she wants to sit fantasizing about it if she does not have an iPad to look it up. She also obsesses a specific type of people. Does she have Asperger's? Is this a symptom of it or something? [/INST] Hello. Your daughter is into the screen most of the time, and hence, it will be her primary advisor. She is just modeling what she sees and is quite common at this age. Try to minimize her interaction with the screen. She requires more human interaction. Put her in extracurricular activities to the maximum. Spend time with the child talking to her, and she will like it. Do not punish her, as it will have a negative impact, and the behavior can increase because of scolding. She will slowly get out of it. You can review with me for further follow-up.

Q. We are trying to get pregnant but we lack high libido. Please help.

Hello doctor, Trying to get pregnant from last one year. All the tests for both of us are fine. The only problem is we are not very high on libido.

Hello. By saying that all tests were normal, I hope you mean 1. Blood sugars, thyroid profile, and prolactin hormone levels. 2. Husband's semen analysis. 3. Wife's scan of uterus and ovaries. 4. Fallopian tube patency tested with HSG (hysterosalpingography) or laparoscopy. Now for loss of libido, the following reasons are to be addressed. 1. Above mentioned blood tests. 2. Kindly seriously think of shedding few kgs. Your expected body weight is 52 to 57 kgs. 3. Try to reduce any physical or mental stress. Diabetes has to be ruled out with HbA1c. If all these are normal, there is no reason for you to worry, and you will surely get pregnant. I hope I have clarified your query, do write back if any more questions.

<s>[INST] Hello doctor, Trying to get pregnant from last one year. All the tests for both of us are fine. The only problem is we are not very high on libido. [/INST] Hello. By saying that all tests were normal, I hope you mean 1. Blood sugars, thyroid profile, and prolactin hormone levels. 2. Husband's semen analysis. 3. Wife's scan of uterus and ovaries. 4. Fallopian tube patency tested with HSG (hysterosalpingography) or laparoscopy. Now for loss of libido, the following reasons are to be addressed. 1. Above mentioned blood tests. 2. Kindly seriously think of shedding few kgs. Your expected body weight is 52 to 57 kgs. 3. Try to reduce any physical or mental stress. Diabetes has to be ruled out with HbA1c. If all these are normal, there is no reason for you to worry, and you will surely get pregnant. I hope I have clarified your query, do write back if any more questions.

Q. How to diagnose celiac disease from deamidated gliadin IgG level?

Hi doctor, My friend had his deamidated gliadin IgG antibody test done recently. The test result is 152. Does it mean that the person is having celiac disease?

Hi. Deamidated gliadin IgG antibody level of more than 30 is diagnostic of celiac disease. Since the number mentioned by you is 152, it indicates that the person is having celiac disease.

<s>[INST] Hi doctor, My friend had his deamidated gliadin IgG antibody test done recently. The test result is 152. Does it mean that the person is having celiac disease? [/INST] Hi. Deamidated gliadin IgG antibody level of more than 30 is diagnostic of celiac disease. Since the number mentioned by you is 152, it indicates that the person is having celiac disease.

Q. Can sound from a loudspeaker cause any effect on my eardrum?

Hi doctor, I went to a chant few days back. There the loudspeaker was very loud. The very next day I noticed that there is ringing in my left ear. Now, it has been four days, but it has not gone. Can you help me? I am very scared. Has it caused any effect on my eardrum? Please see to it. Thank you.

Hello. From your history of noise exposure and symptoms, it is suggestive of acoustic trauma. It occurs after a single exposure to very intense sound which cause damage to the organ of corti or damage the hair cells. Symptoms include ringing sensation in ear known as tinnitus and hearing loss. Treatment depends on severity of symptoms. If only tinnitus is present, protect the ear from further damage and also take some neuroprotective drugs. But, first you need to do a pure tone audiometry (PTA) to assess the severity. 1. PTA. 2. Tympanometry. Acoustic trauma. 1. Capsule Zincosule-4G (Multivitamin) once daily. 2. Tablet Defcort (Deflazacort) 12 mg once daily for seven days. Avoid loud sounds.

<s>[INST] Hi doctor, I went to a chant few days back. There the loudspeaker was very loud. The very next day I noticed that there is ringing in my left ear. Now, it has been four days, but it has not gone. Can you help me? I am very scared. Has it caused any effect on my eardrum? Please see to it. Thank you. [/INST] Hello. From your history of noise exposure and symptoms, it is suggestive of acoustic trauma. It occurs after a single exposure to very intense sound which cause damage to the organ of corti or damage the hair cells. Symptoms include ringing sensation in ear known as tinnitus and hearing loss. Treatment depends on severity of symptoms. If only tinnitus is present, protect the ear from further damage and also take some neuroprotective drugs. But, first you need to do a pure tone audiometry (PTA) to assess the severity. 1. PTA. 2. Tympanometry. Acoustic trauma. 1. Capsule Zincosule-4G (Multivitamin) once daily. 2. Tablet Defcort (Deflazacort) 12 mg once daily for seven days. Avoid loud sounds.

Q. I had unprotected sex during my infertile days. Can I be pregnant?

Hi doctor, I am 32 years old female. I had unprotected intercourse 14 days back with no ejaculation from his end. I took an I-pill the next day at 8 PM for precaution. Those were my infertile days as my last period occurred 36 days ago. It has been more than a month; still I have not got my periods. Could you suggest some ways to get back my periods? Thank you.

Hi. Please wait for a week for your period to start. If it does not start by then, you will have to do urine pregnancy test to rule out pregnancy. Period could have been delayed due to stress. Another rare possibility is that of pregnancy. Though you mentioned the days you had sex as your infertile days, sometimes occasionally ovulation could be delayed making the days fertile. Still you had taken emergency pill (though it is highly effective in preventing pregnancy, protection offered is not absolute). So, there can be little chance of pregnancy which you need to rule out first. If you want to rule out pregnancy earlier, you can do blood beta-hCG test, negative result of which will rule out pregnancy. Other option as I told is to wait for a week. If pregnancy test comes negative and still period does not start, you can induce period by taking tablet Medroxyprogesterone acetate 10 mg twice daily for five days. Period generally starts within a week of last dose of tablet. It will not induce period if you are pregnant.

<s>[INST] Hi doctor, I am 32 years old female. I had unprotected intercourse 14 days back with no ejaculation from his end. I took an I-pill the next day at 8 PM for precaution. Those were my infertile days as my last period occurred 36 days ago. It has been more than a month; still I have not got my periods. Could you suggest some ways to get back my periods? Thank you. [/INST] Hi. Please wait for a week for your period to start. If it does not start by then, you will have to do urine pregnancy test to rule out pregnancy. Period could have been delayed due to stress. Another rare possibility is that of pregnancy. Though you mentioned the days you had sex as your infertile days, sometimes occasionally ovulation could be delayed making the days fertile. Still you had taken emergency pill (though it is highly effective in preventing pregnancy, protection offered is not absolute). So, there can be little chance of pregnancy which you need to rule out first. If you want to rule out pregnancy earlier, you can do blood beta-hCG test, negative result of which will rule out pregnancy. Other option as I told is to wait for a week. If pregnancy test comes negative and still period does not start, you can induce period by taking tablet Medroxyprogesterone acetate 10 mg twice daily for five days. Period generally starts within a week of last dose of tablet. It will not induce period if you are pregnant.

Q. I am bleeding with clots after using MTP kit. Is this normal?

Hello doctor, I am 25 years old and had a pregnancy for five weeks. Four months back, I had used MTP kit. The problem is, even now I am having bleeding. Is this normal? How to sort this problem if it is not normal? Looking forward for your valuable feedback. Thank you.

Hi. I understand your situation. This much of bleeding is considered unusual. Either the process of abortion has been incomplete, because of which the uterus is still trying to expel out the products of conception. Or you have some blood problem. Are you still passing clots? Or is it plain blood that is coming? Also, if you could tell me exactly how you proceeded to take the medicine it would give an idea of the cause of bleeding. For the time being, take tablet Tranexamic acid 500 mg, thrice a day. This will stop the bleeding, but not cure the problem. So, till the time we know exactly what is wrong, you can take this tablet. Incomplete abortion. Ultrasound pelvis for retained products of conception (RPOC) and CBC (complete blood count).

<s>[INST] Hello doctor, I am 25 years old and had a pregnancy for five weeks. Four months back, I had used MTP kit. The problem is, even now I am having bleeding. Is this normal? How to sort this problem if it is not normal? Looking forward for your valuable feedback. Thank you. [/INST] Hi. I understand your situation. This much of bleeding is considered unusual. Either the process of abortion has been incomplete, because of which the uterus is still trying to expel out the products of conception. Or you have some blood problem. Are you still passing clots? Or is it plain blood that is coming? Also, if you could tell me exactly how you proceeded to take the medicine it would give an idea of the cause of bleeding. For the time being, take tablet Tranexamic acid 500 mg, thrice a day. This will stop the bleeding, but not cure the problem. So, till the time we know exactly what is wrong, you can take this tablet. Incomplete abortion. Ultrasound pelvis for retained products of conception (RPOC) and CBC (complete blood count).

Q. How do I fade the acne marks without laser treatment?

Hello doctor, I have used Benzoyl peroxide gel for my acne and it has almost cleared. But, the acne left some red marks and blemishes on my cheek. I wanted to fade that redness on my skin. In the past, I used Epiduo gel. Please suggest me a product and guide me to remove that redness without laser treatment. Thank you.

Hi. There is redness and some pus filled acne too (attachment removed to protect patient identity).

<s>[INST] Hello doctor, I have used Benzoyl peroxide gel for my acne and it has almost cleared. But, the acne left some red marks and blemishes on my cheek. I wanted to fade that redness on my skin. In the past, I used Epiduo gel. Please suggest me a product and guide me to remove that redness without laser treatment. Thank you. [/INST] Hi. There is redness and some pus filled acne too (attachment removed to protect patient identity).

Q. I am 13 weeks pregnant. Kindly explain about subseptate uterus.

Hello doctor, I am 13 weeks pregnant. I have been diagnosed with subseptate uterus with the live fetus in the left horn. Baby is good, with heartbeat and growth. My doctor has advised me proper rest and some medicines. I want to know in detail about this subseptate uterus.

Hello. Let me start with a few basic facts and further clinical correlates and effects. Every lady has two uterine tubes, which fuse at birth, and over time, the wall between the two tubes disappear. Now the uterus is converted into a single cavity uterus. The upper ends of tubes remain separate as two fallopian tubes. Sometimes the fusion is complete, but the partition does not disappear. If the tubes do not touch others or do not fuse at all, then you get bicornuate uterus. But if only the wall is partially removed, it forms subseptate uterus. If the wall does not disappear at all, then the septate uterus is formed. Now in both the last two conditions, the main problem is that the space inside the uterus is compromised. The best option was to have a hysteroscopic resection of septa then get pregnant. Having rest makes no difference. At 14 to 16 the week, she can undergo an elective cervical cerclage. Due to septa, uterus loses its polarity, and she is prone to cervical insufficiency. As space inside the uterus is compromised, she can have preterm pains, preterm labor. Due to septate, the baby presentation may not be head down. I hope I have clarified your query, do write back if any more questions.

<s>[INST] Hello doctor, I am 13 weeks pregnant. I have been diagnosed with subseptate uterus with the live fetus in the left horn. Baby is good, with heartbeat and growth. My doctor has advised me proper rest and some medicines. I want to know in detail about this subseptate uterus. [/INST] Hello. Let me start with a few basic facts and further clinical correlates and effects. Every lady has two uterine tubes, which fuse at birth, and over time, the wall between the two tubes disappear. Now the uterus is converted into a single cavity uterus. The upper ends of tubes remain separate as two fallopian tubes. Sometimes the fusion is complete, but the partition does not disappear. If the tubes do not touch others or do not fuse at all, then you get bicornuate uterus. But if only the wall is partially removed, it forms subseptate uterus. If the wall does not disappear at all, then the septate uterus is formed. Now in both the last two conditions, the main problem is that the space inside the uterus is compromised. The best option was to have a hysteroscopic resection of septa then get pregnant. Having rest makes no difference. At 14 to 16 the week, she can undergo an elective cervical cerclage. Due to septa, uterus loses its polarity, and she is prone to cervical insufficiency. As space inside the uterus is compromised, she can have preterm pains, preterm labor. Due to septate, the baby presentation may not be head down. I hope I have clarified your query, do write back if any more questions.

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

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.

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 -->

<s>[INST] 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. [/INST] 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 -->

Q. What does abutment of the nerve root mean?

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?

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 -->

<s>[INST] 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? [/INST] 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 -->

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

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.

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

<s>[INST] 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. [/INST] Hi. For further doubts consult a sexologist online -->

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

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.

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 -->

<s>[INST] 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. [/INST] 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 -->

Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?

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.

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.

<s>[INST] 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. [/INST] 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.

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

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.

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

<s>[INST] 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. [/INST] Hi. For further doubts consult a sexologist online -->

Q. What causes respiratory problem in a 36-year-old?

Hello doctor, My mother is 36 years old, and she is suffering from the respiratory problem from last two days, her hemoglobin count is 9.6, can you please tell what causes this problem?

Hello. I have read through your question and would like to tell you that respiratory problems can be due to allergic or due to infection. Her Haemoglobin could be due to dietary deficiency. Give her iron-rich diet like dates, banana, and green leafy vegetables. If the respiratory problem is due to infection, then she may need an antibiotic course. For now, steam inhalation will help to relieve her. Steam inhalation with menthol twice daily. If her condition does not improve in two days, get her checked by a physician. If her Hemoglobin does not improve in one month, get a complete blood profile done to know the cause of anemia. I hope that answers your question. If you have any further questions, please feel free to write.

<s>[INST] Hello doctor, My mother is 36 years old, and she is suffering from the respiratory problem from last two days, her hemoglobin count is 9.6, can you please tell what causes this problem? [/INST] Hello. I have read through your question and would like to tell you that respiratory problems can be due to allergic or due to infection. Her Haemoglobin could be due to dietary deficiency. Give her iron-rich diet like dates, banana, and green leafy vegetables. If the respiratory problem is due to infection, then she may need an antibiotic course. For now, steam inhalation will help to relieve her. Steam inhalation with menthol twice daily. If her condition does not improve in two days, get her checked by a physician. If her Hemoglobin does not improve in one month, get a complete blood profile done to know the cause of anemia. I hope that answers your question. If you have any further questions, please feel free to write.

Q. During orthodontic treatment, when will they remove the blue fillings?

Hello doctor, Today is my fourth day of braces, so I was just wondering when my blue fillings will be removed. The blue fillings purpose is to prevent me from biting down on the braces, but when will they get removed? Also, when will I feel comfortable biting down on my fillings, since my teeth are sore and it hurts, or when will I get actually to chew since I can only swallow?

Hello. Blue fillings or bites are removed when your teeth are better aligned, and deep bite (if present) is improved or corrected enough to prevent interference of upper teeth to lower braces. It takes a while to get used to the blue bites, usually 7 to 14 days. However, chewing continues to be less effective for longer. It is advisable to eat soft foods and supplement with nutritious juices and smoothies.

<s>[INST] Hello doctor, Today is my fourth day of braces, so I was just wondering when my blue fillings will be removed. The blue fillings purpose is to prevent me from biting down on the braces, but when will they get removed? Also, when will I feel comfortable biting down on my fillings, since my teeth are sore and it hurts, or when will I get actually to chew since I can only swallow? [/INST] Hello. Blue fillings or bites are removed when your teeth are better aligned, and deep bite (if present) is improved or corrected enough to prevent interference of upper teeth to lower braces. It takes a while to get used to the blue bites, usually 7 to 14 days. However, chewing continues to be less effective for longer. It is advisable to eat soft foods and supplement with nutritious juices and smoothies.

Q. Current dose of Synthyroid is 150 mg. What is the recommended dose to get normal thyroid level?

Hello doctor,My 24 years old daughter born without a thyroid and treated with Synthroid since birth has a TSH level of 23.980 uIU/mL and T4 Free of 1.57 mg/dl on the current dose of Synthroid 150 mcg. Her weight is 150 lbs and height 5' 4". Her endocrinologist increased her dose to 300 mcg, thinking her dose had been 250 mcg (incorrect). What is the correct dose to return to normal thyroid levels for this condition at her age and weight?

Hello. It is better to increase the dose by 25 mcg, i.e. 175 mcg if she was using 150 mcg till date escalating the dose or thyroid medication will be like 25 to 50 mcg at a time. Not double the dose causes severe sickness. As you mentioned, she was Synthroid (Levothyroxine). It is better to continue the medication to maintain a normal thyroid level for a long time. After using this medication 175 mcg, it is better to repeat the thyroid profile after six weeks to check for that thyroid level.

<s>[INST] Hello doctor,My 24 years old daughter born without a thyroid and treated with Synthroid since birth has a TSH level of 23.980 uIU/mL and T4 Free of 1.57 mg/dl on the current dose of Synthroid 150 mcg. Her weight is 150 lbs and height 5' 4". Her endocrinologist increased her dose to 300 mcg, thinking her dose had been 250 mcg (incorrect). What is the correct dose to return to normal thyroid levels for this condition at her age and weight? [/INST] Hello. It is better to increase the dose by 25 mcg, i.e. 175 mcg if she was using 150 mcg till date escalating the dose or thyroid medication will be like 25 to 50 mcg at a time. Not double the dose causes severe sickness. As you mentioned, she was Synthroid (Levothyroxine). It is better to continue the medication to maintain a normal thyroid level for a long time. After using this medication 175 mcg, it is better to repeat the thyroid profile after six weeks to check for that thyroid level.

Q. Is it too risky for me to marry someone with sickle cell trait if I have beta thalassemia trait?

Hi doctor, I have beta thalassemia plus trait (AT+) and want to marry a man with sickle trait (AS). Please see the attached file of my beta thalassemia DNA genetics. Please give me the possibilities of our baby. I know there is a 25 % chance that the baby might have sickle beta plus thalassemia (ST+). But, will the symptoms be severe or mild or that of a carrier with very slight symptoms, that he/she will not need blood transfusions at all. What is your recommendation doctor? We love each other and want to be sure about our baby in the future. I am looking forward to your reply

Hello. I have seen the reports (attachment removed to protect patient identity). Take care. Hope this will help you. For more information consult a hematologist online -->

<s>[INST] Hi doctor, I have beta thalassemia plus trait (AT+) and want to marry a man with sickle trait (AS). Please see the attached file of my beta thalassemia DNA genetics. Please give me the possibilities of our baby. I know there is a 25 % chance that the baby might have sickle beta plus thalassemia (ST+). But, will the symptoms be severe or mild or that of a carrier with very slight symptoms, that he/she will not need blood transfusions at all. What is your recommendation doctor? We love each other and want to be sure about our baby in the future. I am looking forward to your reply [/INST] Hello. I have seen the reports (attachment removed to protect patient identity). Take care. Hope this will help you. For more information consult a hematologist online -->