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Description stringlengths 1 1.5k	Patient stringlengths 1 17.7k	Doctor stringlengths 2 11.4k	text stringlengths 77 18.8k
Q. I have burning irritation in the middle portion of the penis after masturbation. Please help.	Hi doctor, I am an 18-year-old male. For the past four years, I have burning irritation in the middle portion of my penis after masturbation. The irritation gets relieved to some extent after I urinate. Please help me.	Hi. Penile pain occurs due to infections or inflammation of the bladder or prostate. Trauma, persistent erection (priapism), cancers, and Peyronie's disease (the development of scar tissue within the penis) are the other causes. Sickle cell anemia may cause priapism due to blockage of small blood vessels in the penis. I suggest you consult a doctor for a physical investigation.	<s>[INST] Hi doctor, I am an 18-year-old male. For the past four years, I have burning irritation in the middle portion of my penis after masturbation. The irritation gets relieved to some extent after I urinate. Please help me. [/INST] Hi. Penile pain occurs due to infections or inflammation of the bladder or prostate. Trauma, persistent erection (priapism), cancers, and Peyronie's disease (the development of scar tissue within the penis) are the other causes. Sickle cell anemia may cause priapism due to blockage of small blood vessels in the penis. I suggest you consult a doctor for a physical investigation.
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. What is the life expectancy of a sickle cell disease patient?	Hello doctor, My fiance got sickle cell SD. He is 27 and does not suffer from anything else. He takes medication and changes blood every 4 to 6 months. My question is does it affect his life expectancy?	Hello. Usually, in sickle cell anemia, blood transfusion is not needed. The prognosis depends on the severity of sickle cell. Dehydration, infection is a usual precipitant for sickle cell anemia. So it is better to avoid them and whenever having such incident, consult a doctor immediately. Sickle cell anemia patient's median age can be considered between 50 to 60 years but still, the exact specific prognosis cannot be predicted.	<s>[INST] Hello doctor, My fiance got sickle cell SD. He is 27 and does not suffer from anything else. He takes medication and changes blood every 4 to 6 months. My question is does it affect his life expectancy? [/INST] Hello. Usually, in sickle cell anemia, blood transfusion is not needed. The prognosis depends on the severity of sickle cell. Dehydration, infection is a usual precipitant for sickle cell anemia. So it is better to avoid them and whenever having such incident, consult a doctor immediately. Sickle cell anemia patient's median age can be considered between 50 to 60 years but still, the exact specific prognosis cannot be predicted.
Q. What causes pain during dehydration in a sickle cell anemia patient?	Hello doctor, Sickle cell anemia is my problem. My age is 30 years, while dehydration time, I am getting pain. Is this issue dangerous?	Hello. Yes, sickle cell anemia is a disease where RBC shape changes while dehydration and oxygen level goes down in body. Usually red blood cell will be round and plate shape. During dehydration and less oxygen time the shape of the red blood cell becomes sickle shape. Now RBC will stick together and block the blood vessels and produce ischemia. So to reduce the obstruction, you need fluids more. If obstruction is in lung, spleen, kidney or any organ, it is dangerous and severe painful. So avoid dehydration conditions, do not do severe exercise, avoid going to hill stations where oxygen is less. Drink adequate water.	<s>[INST] Hello doctor, Sickle cell anemia is my problem. My age is 30 years, while dehydration time, I am getting pain. Is this issue dangerous? [/INST] Hello. Yes, sickle cell anemia is a disease where RBC shape changes while dehydration and oxygen level goes down in body. Usually red blood cell will be round and plate shape. During dehydration and less oxygen time the shape of the red blood cell becomes sickle shape. Now RBC will stick together and block the blood vessels and produce ischemia. So to reduce the obstruction, you need fluids more. If obstruction is in lung, spleen, kidney or any organ, it is dangerous and severe painful. So avoid dehydration conditions, do not do severe exercise, avoid going to hill stations where oxygen is less. Drink adequate water.
Q. Are my weakness and confusion due to low sugar or stroke?	Hello doctor,I am suddenly feeling faint, weak, shaking, confused, and as if moving in slow motion. It has been going on for nearly 24 hours. Is this low blood sugar or stroke?	Hello. For more information consult an internal medicine physician online -->	<s>[INST] Hello doctor,I am suddenly feeling faint, weak, shaking, confused, and as if moving in slow motion. It has been going on for nearly 24 hours. Is this low blood sugar or stroke? [/INST] Hello. For more information consult an internal medicine physician online -->
Q. My dad is in coma now. What will be the prognosis?	Hello doctor, My dad is suffering from JE and both his thalamus are infected. Now, he is in coma. What is the prognosis of his condition?	Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further doubts consult a neurologist online -->	<s>[INST] Hello doctor, My dad is suffering from JE and both his thalamus are infected. Now, he is in coma. What is the prognosis of his condition? [/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 doubts consult a neurologist online -->
Q. Is there any risk in giving DTwP booster dose to a baby diagnosed with seizure?	Hello doctor, At birth, my son was diagnosed with a seizure. Now he is 18 months old. I am fearing about DTwP booster dose side effect. Earlier three doses had reaction of muscle stiffness and fever.	Hi. I have read your question in detail and I know that you are very concerned about your child but do not worry. Muscle stiffness and fever can occur after a DPT vaccination and is not a contraindication for vaccination. Contraindication for DPT vaccination are seizures, inconsolable crying, and central nervous system infection or encephalitis after giving DPT vaccination. If you want to be on safer side then go for acellular vaccine instead of whole cell vaccine. You should give DTaP vaccine instead of DwPT vaccine. Take care.	<s>[INST] Hello doctor, At birth, my son was diagnosed with a seizure. Now he is 18 months old. I am fearing about DTwP booster dose side effect. Earlier three doses had reaction of muscle stiffness and fever. [/INST] Hi. I have read your question in detail and I know that you are very concerned about your child but do not worry. Muscle stiffness and fever can occur after a DPT vaccination and is not a contraindication for vaccination. Contraindication for DPT vaccination are seizures, inconsolable crying, and central nervous system infection or encephalitis after giving DPT vaccination. If you want to be on safer side then go for acellular vaccine instead of whole cell vaccine. You should give DTaP vaccine instead of DwPT vaccine. Take care.
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 am trying to conceive for the past one year with autoimmune hypothyroidism. Please help.	Hello doctor, I am not able to conceive after trying for almost one year. I was diagnosed with pituitary microadenoma and I am on medication. My prolactin levels have now reached normal levels after two months taking medication. I suffer from hypothyroidism and on medication. I have had this for five years now and it is well within the limits as per my endocrinologist now. This is due to an autoimmune disease where my TPO (thyroid peroxidase) antibodies were high during the diagnosis five years ago. My husband and I would like to know how should we best prepare for pregnancy and what to look out for. We would have preferred to visit the clinic. Unfortunately, I am not in a position to visit the doctor due to travel restrictions. It would be great to get in touch with a specialist. I am currently on Euthrox 100 mcg, Cabergoline 0.25 mg once a week, and Folic acid 450 mg daily.	Hello. I have gone through all your reports (attachment removed to protect patient identity) and your prolactin and thyroid levels are well in control. What is missing in the follicular monitoring profile of the dummy cycle and also your husband's semen analysis test? You have been following the correct protocol using LH kits for ovulation and post LH surge if a natural trial or timed intercourse did not work then husband's semen analysis becomes mandatory. Then when both male and female infertility causes are ruled out then comes mechanical causes where positions and version of uterus need to be considered and measures implemented. Anyways please send these two remaining reports before we can proceed further.	<s>[INST] Hello doctor, I am not able to conceive after trying for almost one year. I was diagnosed with pituitary microadenoma and I am on medication. My prolactin levels have now reached normal levels after two months taking medication. I suffer from hypothyroidism and on medication. I have had this for five years now and it is well within the limits as per my endocrinologist now. This is due to an autoimmune disease where my TPO (thyroid peroxidase) antibodies were high during the diagnosis five years ago. My husband and I would like to know how should we best prepare for pregnancy and what to look out for. We would have preferred to visit the clinic. Unfortunately, I am not in a position to visit the doctor due to travel restrictions. It would be great to get in touch with a specialist. I am currently on Euthrox 100 mcg, Cabergoline 0.25 mg once a week, and Folic acid 450 mg daily. [/INST] Hello. I have gone through all your reports (attachment removed to protect patient identity) and your prolactin and thyroid levels are well in control. What is missing in the follicular monitoring profile of the dummy cycle and also your husband's semen analysis test? You have been following the correct protocol using LH kits for ovulation and post LH surge if a natural trial or timed intercourse did not work then husband's semen analysis becomes mandatory. Then when both male and female infertility causes are ruled out then comes mechanical causes where positions and version of uterus need to be considered and measures implemented. Anyways please send these two remaining reports before we can proceed further.
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 reduce the anger of my son?	Hi doctor,My son is very aggressive, sensitive, short temper, get panic, hyper and angry quickly. He could not listen to any good suggestions or guidance. He does not have a mental resistance. However, he is very sincere about his studies. He has got 83% marks in his studies. Now, he is preparing for the board exam. He tries a lot to study but gets pressure. He was suffered from brain fever at the age of 2.5 years. I have tried to give him ayurveda brain tonics like Shankhapushpi, anjeer, etc. But after taking those, he became more violent. There is no problem about sleeping. He plays cricket very well. He has good knowledge about computer, mobile, etc. How to reduce anger and increase the mind resistance of my son? I request you to guide me properly and suggest any medicine to solve his problem. Thank you.	Hi. For further information consult a psychologist counsellor online -->	<s>[INST] Hi doctor,My son is very aggressive, sensitive, short temper, get panic, hyper and angry quickly. He could not listen to any good suggestions or guidance. He does not have a mental resistance. However, he is very sincere about his studies. He has got 83% marks in his studies. Now, he is preparing for the board exam. He tries a lot to study but gets pressure. He was suffered from brain fever at the age of 2.5 years. I have tried to give him ayurveda brain tonics like Shankhapushpi, anjeer, etc. But after taking those, he became more violent. There is no problem about sleeping. He plays cricket very well. He has good knowledge about computer, mobile, etc. How to reduce anger and increase the mind resistance of my son? I request you to guide me properly and suggest any medicine to solve his problem. Thank you. [/INST] Hi. For further information consult a psychologist counsellor online -->
Q. What causes eye swelling in the morning with itching?	Hello doctor, I have been getting a swollen eye once a week, usually in the mornings. I feel a slight irritation beforehand, itchiness. Then my eyelid swells to the size of a golfball. The eye is not red, I can see perfectly, there is no sign of cuts or scrapes. No discharge, maybe a little dryness beforehand. Please help.	Hello. You are describing an allergic reaction of the eye to some factor. If you are not also suffering from sneezing and dry cough at night then you can use antihistamine eye drops such as Pataday once daily or Patanol or Zyrtec twice daily for a period of 10 days. If you have started using any kind of new cream or make up around the eyes, change it into something hypoallergenic. Best of luck.	<s>[INST] Hello doctor, I have been getting a swollen eye once a week, usually in the mornings. I feel a slight irritation beforehand, itchiness. Then my eyelid swells to the size of a golfball. The eye is not red, I can see perfectly, there is no sign of cuts or scrapes. No discharge, maybe a little dryness beforehand. Please help. [/INST] Hello. You are describing an allergic reaction of the eye to some factor. If you are not also suffering from sneezing and dry cough at night then you can use antihistamine eye drops such as Pataday once daily or Patanol or Zyrtec twice daily for a period of 10 days. If you have started using any kind of new cream or make up around the eyes, change it into something hypoallergenic. Best of luck.
Q. What is the reason for on and off toe swelling in a diabetic?	Hello doctor,My mother-in-law 72 years old. She gets swelling in her toe on and off for the past year. Recently there was pus inside, and she is having pain. After soaking the toe in hot water and betadine, discharge came out, but it is relapsing again. She had antibiotic too. She has diabetes but under control with medication.	Hello. She has an infection in the nail bed space. Need to focus on three things. 1. Her diabetics need better control. Better diet modification with medicines. HBA1c is too high. 2. The nail needs to be trimmed well regularly, and the area needs to be cared well daily. She may not have a proper sensation at the region due to diabetes. So regular inspection and care is mandatory. She should not walk barefoot, and slippers need to be correctly selected. 3. She needs control of infection. Visit a nearby surgeon (preferably podiatric) for the drainage of pus if present. Take an X-ray to rule out bone involvement and also need to check the blood supply to the region. I hope your queries have been cleared. Please review if any further questions.	<s>[INST] Hello doctor,My mother-in-law 72 years old. She gets swelling in her toe on and off for the past year. Recently there was pus inside, and she is having pain. After soaking the toe in hot water and betadine, discharge came out, but it is relapsing again. She had antibiotic too. She has diabetes but under control with medication. [/INST] Hello. She has an infection in the nail bed space. Need to focus on three things. 1. Her diabetics need better control. Better diet modification with medicines. HBA1c is too high. 2. The nail needs to be trimmed well regularly, and the area needs to be cared well daily. She may not have a proper sensation at the region due to diabetes. So regular inspection and care is mandatory. She should not walk barefoot, and slippers need to be correctly selected. 3. She needs control of infection. Visit a nearby surgeon (preferably podiatric) for the drainage of pus if present. Take an X-ray to rule out bone involvement and also need to check the blood supply to the region. I hope your queries have been cleared. Please review if any further questions.
Q. I am suffering from chest pain and I heard a sloshing in my chest. Why?	Hello doctor, I am an 18-year-old female, taking no medications, and I am 5'3" in height and 180 lbs weight. Since last night, I am having severe chest pains. I cannot sleep, and when I try to eat, my chest hurts more. It hurts all the time, but the severity comes and goes in spurts. I am not sure if this has anything to do with the chest pain, but just today, I was lying on my right side and moved to my left side, and I heard and felt a sloshing in my chest or upper abdomen area. What could it be?	Hello. Thanks for providing clear and consistent history about your current medical condition. I can reflect on what you mentioned that it is related to Excedrin as it can cause gastric upset by increasing the secretion of HCl (hydrochloric acid) in the stomach. I suggest that you stop taking Excedrin for the coming period (at least a month), take some dietary precautions including avoiding caffeine, spicy food, dark chocolate, mint, fizzy drinks mainly cola containing ones, deeply fired, chili and spicy food. Avoid NSAIDs (non-steroidal anti-inflammatory drugs) like Voltaren tablets and even injection and aspirin as well. Take the medication mentioned in the treatment part. In case, the condition continues, you need to visit your doctor (general physician or GIT specialist) for further evaluation. Gastritis, Peptic ulcer, and GERD(gastroesophageal reflux disease). Zantac (Ranitidine) 150 mg tablet one tablet two times a day for seven to ten days.	<s>[INST] Hello doctor, I am an 18-year-old female, taking no medications, and I am 5'3" in height and 180 lbs weight. Since last night, I am having severe chest pains. I cannot sleep, and when I try to eat, my chest hurts more. It hurts all the time, but the severity comes and goes in spurts. I am not sure if this has anything to do with the chest pain, but just today, I was lying on my right side and moved to my left side, and I heard and felt a sloshing in my chest or upper abdomen area. What could it be? [/INST] Hello. Thanks for providing clear and consistent history about your current medical condition. I can reflect on what you mentioned that it is related to Excedrin as it can cause gastric upset by increasing the secretion of HCl (hydrochloric acid) in the stomach. I suggest that you stop taking Excedrin for the coming period (at least a month), take some dietary precautions including avoiding caffeine, spicy food, dark chocolate, mint, fizzy drinks mainly cola containing ones, deeply fired, chili and spicy food. Avoid NSAIDs (non-steroidal anti-inflammatory drugs) like Voltaren tablets and even injection and aspirin as well. Take the medication mentioned in the treatment part. In case, the condition continues, you need to visit your doctor (general physician or GIT specialist) for further evaluation. Gastritis, Peptic ulcer, and GERD(gastroesophageal reflux disease). Zantac (Ranitidine) 150 mg tablet one tablet two times a day for seven to ten days.
Q. I am diagnosed with migraine. Kindly provide me second opinion.	Hello doctor,I am a 15-year-old male with a height of 148 cm and weight 44 kg. I am diagnosed with migraine, and I want a second opinion.	Hello. Migraine is a diagnosis based on symptoms given by the patients. The symptoms are a severe headache, dizziness, vomiting some patients also get migraine by a loud sound, acidity, and excessive heat or cold. If you are having other symptoms like pain in the neck or back or shoulder, excessive acidity or deteriorating eyesight, then maybe the diagnosis of migraine can be challenged. If not Fepanil (Paracetamol) is good medicine, use it as advised by your doctor. If you have any other questions, please feel free to ask.	<s>[INST] Hello doctor,I am a 15-year-old male with a height of 148 cm and weight 44 kg. I am diagnosed with migraine, and I want a second opinion. [/INST] Hello. Migraine is a diagnosis based on symptoms given by the patients. The symptoms are a severe headache, dizziness, vomiting some patients also get migraine by a loud sound, acidity, and excessive heat or cold. If you are having other symptoms like pain in the neck or back or shoulder, excessive acidity or deteriorating eyesight, then maybe the diagnosis of migraine can be challenged. If not Fepanil (Paracetamol) is good medicine, use it as advised by your doctor. If you have any other questions, please feel free to ask.
Q. I am 33 weeks pregnant and suffering from dental abscess. Kindly help.	Hello doctor,I have a dental abscess, and I am 33 weeks pregnant. It is so painful that I cannot eat, sleep, drink, or do anything. My dentist cannot do anything about it until next month. I was wondering if the emergency room can do something about it.	Hello. You could ask your dentist or go to the emergency room to prescribe Antibiotics like Augmentin 625 mg thrice a day for five days along with Tylenol (paracetamol). This will help in pain relief and then go to the dentist to get the tooth extracted. Do not delay, as the pain and infection will affect your baby's growth as you would be avoiding normal diet and infection would not allow nutrition to pass onto your baby. It is okay to take during pregnancy if so much infection and pain are there.	<s>[INST] Hello doctor,I have a dental abscess, and I am 33 weeks pregnant. It is so painful that I cannot eat, sleep, drink, or do anything. My dentist cannot do anything about it until next month. I was wondering if the emergency room can do something about it. [/INST] Hello. You could ask your dentist or go to the emergency room to prescribe Antibiotics like Augmentin 625 mg thrice a day for five days along with Tylenol (paracetamol). This will help in pain relief and then go to the dentist to get the tooth extracted. Do not delay, as the pain and infection will affect your baby's growth as you would be avoiding normal diet and infection would not allow nutrition to pass onto your baby. It is okay to take during pregnancy if so much infection and pain are there.
Q. I have sour burps and motions. Please help.	Hello doctor, I am suffering from sour burps and motions. Kindly help.	Hello, Welcome to the icliniq.com. Kindly answer the following questions to guide you further. 1. Do you have a fever, abdominal pain, nausea complaint? 2. What is the frequency of your motion? 3. Is there any blood in stool? 4. What is the duration of your symptoms? 5. Have you taken any treatment so far? You can revert with answers. Meanwhile, you can be prescribed antacid like Pantoprazole and Dimethicone (Polydimethylsiloxane) containing acid MPS syrup. I hope this will help you.	<s>[INST] Hello doctor, I am suffering from sour burps and motions. Kindly help. [/INST] Hello, Welcome to the icliniq.com. Kindly answer the following questions to guide you further. 1. Do you have a fever, abdominal pain, nausea complaint? 2. What is the frequency of your motion? 3. Is there any blood in stool? 4. What is the duration of your symptoms? 5. Have you taken any treatment so far? You can revert with answers. Meanwhile, you can be prescribed antacid like Pantoprazole and Dimethicone (Polydimethylsiloxane) containing acid MPS syrup. I hope this will help you.
Q. When should I dispose the gauze after a tooth have been pulled?	Hello doctor, How long should I keep gauze in after a tooth is pulled?	Hello. After a tooth is extracted, it is advisable to keep the gauze in the site for 30 minutes, in the same position. After 30 minutes, do not spit, take the gauze through your hand and discard. This is to arrest bleeding and help in clot formation by pressure method, and spitting will lead to dislodgement of the clot. So, be careful with splitting (do not do it forcefully) for at least one day. I hope you have got the other instructions from your dentist.	<s>[INST] Hello doctor, How long should I keep gauze in after a tooth is pulled? [/INST] Hello. After a tooth is extracted, it is advisable to keep the gauze in the site for 30 minutes, in the same position. After 30 minutes, do not spit, take the gauze through your hand and discard. This is to arrest bleeding and help in clot formation by pressure method, and spitting will lead to dislodgement of the clot. So, be careful with splitting (do not do it forcefully) for at least one day. I hope you have got the other instructions from your dentist.
Q. What causes TMJ disorder after wearing of braces?	Hello doctor,I got my braces a year ago, and before that, I did not have any problem in my jaw articulation. Since my orthodontist gave me elastics to put I have TMJ disorder, my left articulation crack every time I open my mouth or eat or speak (I have decided not to put the elastics so that it does not get worse) and I am a bit worried. What causes this? Can this be fixed?	Hello. Based on the given history, it can be due to the extra force you gave to open the mouth while on elastics. Based on your age, it can be due to an impacted wisdom tooth. Sometimes, this can be due to any muscle problem too (myofascial pain dysfunction syndrome), mostly due to physical stress in that area or emotional or mental stress. As for now, do not open your mouth very wide, like during yawning, etc. This is curable. Do not worry much. Do you have pain along with the click? I would suggest you talk to your orthodontist or general dentist or oral and maxillofacial surgeon to get a final diagnosis after a clinical examination done by them. If possible, send me your OPG (orthopantomogram) and lateral TMJ (open and closed mouth) X-rays to guide you further.	<s>[INST] Hello doctor,I got my braces a year ago, and before that, I did not have any problem in my jaw articulation. Since my orthodontist gave me elastics to put I have TMJ disorder, my left articulation crack every time I open my mouth or eat or speak (I have decided not to put the elastics so that it does not get worse) and I am a bit worried. What causes this? Can this be fixed? [/INST] Hello. Based on the given history, it can be due to the extra force you gave to open the mouth while on elastics. Based on your age, it can be due to an impacted wisdom tooth. Sometimes, this can be due to any muscle problem too (myofascial pain dysfunction syndrome), mostly due to physical stress in that area or emotional or mental stress. As for now, do not open your mouth very wide, like during yawning, etc. This is curable. Do not worry much. Do you have pain along with the click? I would suggest you talk to your orthodontist or general dentist or oral and maxillofacial surgeon to get a final diagnosis after a clinical examination done by them. If possible, send me your OPG (orthopantomogram) and lateral TMJ (open and closed mouth) X-rays to guide you further.
Q. I consume marijuana and I am 22 weeks preganent. How long will it stay in my system?	Hello doctor,I am 22 weeks pregnant. Due date is after three months. I smoked marijuana for the first few months to help with severe morning sickness. I stopped smoking probably last month. I went to a gynecologist this month, and they took a urine sample in which they tested for drugs and marijuana was the only one I tested positive for.After two weeks of my appointment, I smoked once to help with a bout of morning sickness and have not since then. And I have planned not to do ever again during my pregnancy. My next appointment is after one week. Will I be threatened with CPS because of my positive urine from last time? And will they test my urine at my next visit? I am only 18, and I am very nervous. I am concerned because before I got pregnant, I smoked marijuana every day since I was 15. How long will it stay in my system? How can I safely detox it from my body?	Hello. My advice to you that please stop taking marijuana, if you love your baby, then please stop it right now, because it affects your baby growth. And why you want your baby to suffer because of you, so please stop it and the other thing there is no safe antidote of marijuana. So better is to stop it, and yes, marijuana remains in your body system for up to three weeks. Please take medicine regularly and do USG (ultrasound) regularly and please for your child please stop to take marijuana.	<s>[INST] Hello doctor,I am 22 weeks pregnant. Due date is after three months. I smoked marijuana for the first few months to help with severe morning sickness. I stopped smoking probably last month. I went to a gynecologist this month, and they took a urine sample in which they tested for drugs and marijuana was the only one I tested positive for.After two weeks of my appointment, I smoked once to help with a bout of morning sickness and have not since then. And I have planned not to do ever again during my pregnancy. My next appointment is after one week. Will I be threatened with CPS because of my positive urine from last time? And will they test my urine at my next visit? I am only 18, and I am very nervous. I am concerned because before I got pregnant, I smoked marijuana every day since I was 15. How long will it stay in my system? How can I safely detox it from my body? [/INST] Hello. My advice to you that please stop taking marijuana, if you love your baby, then please stop it right now, because it affects your baby growth. And why you want your baby to suffer because of you, so please stop it and the other thing there is no safe antidote of marijuana. So better is to stop it, and yes, marijuana remains in your body system for up to three weeks. Please take medicine regularly and do USG (ultrasound) regularly and please for your child please stop to take marijuana.
Q. Could vomiting cause prominence of the vessels of sclera?	Hi doctor, I am a 21 year old female. I was bulimic for about a year. It happens once or twice a week. I never noticed any permanent changes in my eyes throughout my episodes. However, the last time I ever binged and purged three months ago, I vomited violently. A few weeks after this, I noticed that the vessels in my sclera are indefinitely more prominent than before. Did this happen because of the continuous pressure subjected to my eyes with vomiting? Or could it just be due to many hours of reading and laptop use? I have seen an ophthalmologist and he said that there is nothing wrong with my eyes and suspect a very mild case of blepharitis or bilateral dry eyes. I am using Optive comfort solution. I would like to know if my bulimic phase could have caused the prominent vessels in my eyes, as this has not been mentioned anywhere else online.	Hello. I can understand your concern regarding your complaints. Revert back with the answers to the above questions to an eye care ophthalmologist online -->	<s>[INST] Hi doctor, I am a 21 year old female. I was bulimic for about a year. It happens once or twice a week. I never noticed any permanent changes in my eyes throughout my episodes. However, the last time I ever binged and purged three months ago, I vomited violently. A few weeks after this, I noticed that the vessels in my sclera are indefinitely more prominent than before. Did this happen because of the continuous pressure subjected to my eyes with vomiting? Or could it just be due to many hours of reading and laptop use? I have seen an ophthalmologist and he said that there is nothing wrong with my eyes and suspect a very mild case of blepharitis or bilateral dry eyes. I am using Optive comfort solution. I would like to know if my bulimic phase could have caused the prominent vessels in my eyes, as this has not been mentioned anywhere else online. [/INST] Hello. I can understand your concern regarding your complaints. Revert back with the answers to the above questions to an eye care ophthalmologist 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. I am trying for conceive but I have adenomyosis and ovaries endometrioma. Please advice.	Hello doctor, I am a 38-year-old female. Trying for conception since eight years of marriage. Before three months I have been diagnosed with adenomyosis and both ovaries endometrioma I did laparoscopy and hysteroscopy for the same in the month of may and after that they put me on conjugated estrogen tablets and Decca peptide injection after 20 days of the operation but after a month of the operation during my periods I had severe pain and PMS. I had my BP raised severe palpitations along with severe bleeding and have painful periods like before operation I am concerned after operation why there are so many such problems. I asked my gynecologist about this, but he said show to your physician I went to my family physician he started bp medicines. He said it is a temporary increased. But I am concerned about my health now and wants to get rid of all this problem. My gynecologist said conception is the only remedy to solve adenomyosis and endometriosis. I want to have a normal life because I am on bed rest for three months. Please help.	Hello. Let me start by saying that, as your doctor said, pregnancy is the best solution for all these problems. I do not see any need for bed rest. If BP reading is regular, try to reduce and gradually stop the medicine. Reports of infertility workup are missingHave your periods day three or fourth FSH (follicle stimulating hormone) and AMH (antimullerian hormone), to find what is your ovarian reserve. I hope your husband's semen report is normal. If everything is fine, please go ahead with ovulation induction with hormone IUI (intrauterine device). This would increase pregnancy chance by four times, thereby resolving other complaints. Do not waste time on other treatments. Try to get pregnant before you lose the benefits of surgery. I cannot comment on pain, as details of findings before surgery and surgical procedure is missing. I hope I have clarified your query, do write back if any more questions and for your feedback.	<s>[INST] Hello doctor, I am a 38-year-old female. Trying for conception since eight years of marriage. Before three months I have been diagnosed with adenomyosis and both ovaries endometrioma I did laparoscopy and hysteroscopy for the same in the month of may and after that they put me on conjugated estrogen tablets and Decca peptide injection after 20 days of the operation but after a month of the operation during my periods I had severe pain and PMS. I had my BP raised severe palpitations along with severe bleeding and have painful periods like before operation I am concerned after operation why there are so many such problems. I asked my gynecologist about this, but he said show to your physician I went to my family physician he started bp medicines. He said it is a temporary increased. But I am concerned about my health now and wants to get rid of all this problem. My gynecologist said conception is the only remedy to solve adenomyosis and endometriosis. I want to have a normal life because I am on bed rest for three months. Please help. [/INST] Hello. Let me start by saying that, as your doctor said, pregnancy is the best solution for all these problems. I do not see any need for bed rest. If BP reading is regular, try to reduce and gradually stop the medicine. Reports of infertility workup are missingHave your periods day three or fourth FSH (follicle stimulating hormone) and AMH (antimullerian hormone), to find what is your ovarian reserve. I hope your husband's semen report is normal. If everything is fine, please go ahead with ovulation induction with hormone IUI (intrauterine device). This would increase pregnancy chance by four times, thereby resolving other complaints. Do not waste time on other treatments. Try to get pregnant before you lose the benefits of surgery. I cannot comment on pain, as details of findings before surgery and surgical procedure is missing. I hope I have clarified your query, do write back if any more questions and for your feedback.
Q. I had spotting on the next day of my unprotected sex. Is this a sign of pregnancy?	Hello doctor, I had unprotected sex on my infertile day, but I was quite scared, so I took post-pill a week later I had another unprotected sex this time in my fertile days but did not receive the post-pill immediately next day I saw a slight spotting which prompted me into taking the emergency pill. Now a week later, I have been bleeding for two days. I hope this is not a sign of pregnancy. Please help me understand it better.	Hello. Ideally, the emergency contraceptive pill is to be taken within 72 hours of last intercourse to be effective 99 %. It is of no importance if taken after a week. Nevertheless, the bleeding which you got mid cycle before you took the pill was likely to be an ovulation bleed as you had sex in your safe period, then you took the high dose progesterone emergency pill, which initiated a progesterone withdrawal after two days in the form of bleeding as expected. This rules out pregnancy as you had a withdrawal bleed, but it is always best in such cases to get a serum beta hCG test done to be conclusively sure.	<s>[INST] Hello doctor, I had unprotected sex on my infertile day, but I was quite scared, so I took post-pill a week later I had another unprotected sex this time in my fertile days but did not receive the post-pill immediately next day I saw a slight spotting which prompted me into taking the emergency pill. Now a week later, I have been bleeding for two days. I hope this is not a sign of pregnancy. Please help me understand it better. [/INST] Hello. Ideally, the emergency contraceptive pill is to be taken within 72 hours of last intercourse to be effective 99 %. It is of no importance if taken after a week. Nevertheless, the bleeding which you got mid cycle before you took the pill was likely to be an ovulation bleed as you had sex in your safe period, then you took the high dose progesterone emergency pill, which initiated a progesterone withdrawal after two days in the form of bleeding as expected. This rules out pregnancy as you had a withdrawal bleed, but it is always best in such cases to get a serum beta hCG test done to be conclusively sure.
Q. 3-year-old son has diarrhea for a week. Is this something serious?	Hello doctor, My 3-year-old son had diarrhea for a week. He has thrown up a couple of times throughout the week as well. He was eating and drinking normally and has appetite. There does not seem to be any blood in the stool. And his belly ache goes away after each diarrhea episode which he has many each day. He is usually drinking as well. His doctors seem to believe that it is a viral infection and will go away in time. We just started a bland diet for him. Should I be overly worried? He is active and wants to eat and drink. So is this something more serious than we think or am I too worried?	Hello. If there is no blood in stools, it is mostly viral. It usually gets settle in five days. Important here is maintaining hydration. Make sure you give him plenty of fluid, ORS (oral rehydration solution). If he is vomiting, you can ask your doctor to prescribe Ondansetron. Give him probiotics and keep a watch on urine output. If he is passing adequate urine, then there is no point of worry.	<s>[INST] Hello doctor, My 3-year-old son had diarrhea for a week. He has thrown up a couple of times throughout the week as well. He was eating and drinking normally and has appetite. There does not seem to be any blood in the stool. And his belly ache goes away after each diarrhea episode which he has many each day. He is usually drinking as well. His doctors seem to believe that it is a viral infection and will go away in time. We just started a bland diet for him. Should I be overly worried? He is active and wants to eat and drink. So is this something more serious than we think or am I too worried? [/INST] Hello. If there is no blood in stools, it is mostly viral. It usually gets settle in five days. Important here is maintaining hydration. Make sure you give him plenty of fluid, ORS (oral rehydration solution). If he is vomiting, you can ask your doctor to prescribe Ondansetron. Give him probiotics and keep a watch on urine output. If he is passing adequate urine, then there is no point of worry.
Q. Does my skin test indicate tuberculosis?	Hello doctor, Looking for an opinion on tuberculosis skin test. Please answer if you have experience with PPD skin tests. I am 34 years old, former cigarette smoker. My friend got diagnosed with tuberculosis due to strong arthritis medications, and I have had some contact with him. I have attached images of my skin test below.	Hi. Montoux test, PPD test is a very non-specific test and does not give you any confirmation for tuberculosis. It is used as an adjuvant test for diagnosis and never as sole test. It is read after 48 hours of injection. You have not mentioned the duration. You have to measure its diameter. It should be less then 10 x 10 mm. I cannot measure it online but apparently it is negative for tuberculosis (attachment removed to protect patient identity).	<s>[INST] Hello doctor, Looking for an opinion on tuberculosis skin test. Please answer if you have experience with PPD skin tests. I am 34 years old, former cigarette smoker. My friend got diagnosed with tuberculosis due to strong arthritis medications, and I have had some contact with him. I have attached images of my skin test below. [/INST] Hi. Montoux test, PPD test is a very non-specific test and does not give you any confirmation for tuberculosis. It is used as an adjuvant test for diagnosis and never as sole test. It is read after 48 hours of injection. You have not mentioned the duration. You have to measure its diameter. It should be less then 10 x 10 mm. I cannot measure it online but apparently it is negative for tuberculosis (attachment removed to protect patient identity).
Q. How can tight foreskin be managed?	Hello doctor, I am 18 years old, boy and I have a very tight foreskin and I have not even pulled it back. I tried to do it once using oil but it was of no use.	Hello. The mentioned history is suggestive of phimosis in which foreskin cannot be retracted back over glans. Topical steroid cream can be beneficial in mild case. But, in severe case like in your case, if foreskin cannot be retracted, then circumcision like day care minor surgery can be done. So, I suggest you consult Urologist for your examination and operation.	<s>[INST] Hello doctor, I am 18 years old, boy and I have a very tight foreskin and I have not even pulled it back. I tried to do it once using oil but it was of no use. [/INST] Hello. The mentioned history is suggestive of phimosis in which foreskin cannot be retracted back over glans. Topical steroid cream can be beneficial in mild case. But, in severe case like in your case, if foreskin cannot be retracted, then circumcision like day care minor surgery can be done. So, I suggest you consult Urologist for your examination and operation.
Q. What can be the reason for my erection problem?	Hi doctor, I have experienced a problem in erection since last three months. I am a smoker. The testosterone level in my last routine medical checkup was 134. Please help.	Hello. Revert back with the answers to the above questions to a sexologist online -->	<s>[INST] Hi doctor, I have experienced a problem in erection since last three months. I am a smoker. The testosterone level in my last routine medical checkup was 134. Please help. [/INST] Hello. Revert back with the answers to the above questions to a sexologist online -->
Q. What are the ways to stop sugar addiction?	Hello doctor, I am having sugar addiction. I always eat candy non-stop and chips and soda, but I am so addicted that I failed the 30-day sugar free challenge in the first three hours itself. I need help, how can I stop this addiction if all my ways are failing everytime I keep trying.	Hello. Sugar is not an illicit drug, but the brain acts in a similar manner to other substance abuse and addictions. Another reason you could be craving sugar regularly is due to how it makes you feel after consuming it. Generally, a sugary treat causes a rush of both glucose and endorphins in your blood. One of the best things you can do to fight your sugar addiction is to start by swapping sweet foods for healthy alternatives like vegetables. Yes, vegetables can be sweet, but the natural sugars you find in carrots, beets, sweet potatoes, and peas are so much lower than what you will find in treats such as gummies, cookies, or donuts. At the same time, they’ will satisfy your craving for sweetness and you can train yourself to eat these healthier choices over-addictive sugary desserts. The last small tip for fighting your sugar addiction is to generate a plan for how you will eat. You can write this plan out, post it somewhere, or simply keep a mental note of it, but a plan can help you to succeed in various situations. For example, keep carrot sticks cut up in your fridge so that after work, you can plan to snack on those instead of cookies. Or if you are going out to brunch, decide that your plan is to order an omelet with vegetables so that pancakes (basically, a maple syrup delivery device) is not an option. The idea here is to have a plan for how you will succeed in various scenarios that typically create problems for you.	<s>[INST] Hello doctor, I am having sugar addiction. I always eat candy non-stop and chips and soda, but I am so addicted that I failed the 30-day sugar free challenge in the first three hours itself. I need help, how can I stop this addiction if all my ways are failing everytime I keep trying. [/INST] Hello. Sugar is not an illicit drug, but the brain acts in a similar manner to other substance abuse and addictions. Another reason you could be craving sugar regularly is due to how it makes you feel after consuming it. Generally, a sugary treat causes a rush of both glucose and endorphins in your blood. One of the best things you can do to fight your sugar addiction is to start by swapping sweet foods for healthy alternatives like vegetables. Yes, vegetables can be sweet, but the natural sugars you find in carrots, beets, sweet potatoes, and peas are so much lower than what you will find in treats such as gummies, cookies, or donuts. At the same time, they’ will satisfy your craving for sweetness and you can train yourself to eat these healthier choices over-addictive sugary desserts. The last small tip for fighting your sugar addiction is to generate a plan for how you will eat. You can write this plan out, post it somewhere, or simply keep a mental note of it, but a plan can help you to succeed in various situations. For example, keep carrot sticks cut up in your fridge so that after work, you can plan to snack on those instead of cookies. Or if you are going out to brunch, decide that your plan is to order an omelet with vegetables so that pancakes (basically, a maple syrup delivery device) is not an option. The idea here is to have a plan for how you will succeed in various scenarios that typically create problems for you.
Q. What causes a soft spot in the middle of forehead in a baby?	Hello doctor, My daughter has a soft spot in the middle of her forehead for the past nine months but can only be noticed when she raises her eyebrows or if the lighting is right. When sliding a finger over it you cannot feel anything, the forehead feels normal even when she has her eyebrows raised. It looks like a soft slightly raised lump when you can notice it. I have taken her to the doctors but they could not see anything. I had to show them photos as sometimes it really stands out, other times you cannot see it. What should I do?	Hello. Small spot in center of forehead is seen in some pictures (attachment removed to protect patient identity). As you know skull is made up of 16 small bones, these bones are attached with cartilages and get ossified with times. Due to some gaping, this swelling is seen. Give your kid Calcirol sachet once a week for five weeks, dissolve in two spoon water. Syrup Ostebon (Calcium) one teaspoon full twice a day. Feris drops 1 ml once a day. Zincovit drops one ml once a day. Vitanova drops 0.5 ml once a day. All the above for six months.	<s>[INST] Hello doctor, My daughter has a soft spot in the middle of her forehead for the past nine months but can only be noticed when she raises her eyebrows or if the lighting is right. When sliding a finger over it you cannot feel anything, the forehead feels normal even when she has her eyebrows raised. It looks like a soft slightly raised lump when you can notice it. I have taken her to the doctors but they could not see anything. I had to show them photos as sometimes it really stands out, other times you cannot see it. What should I do? [/INST] Hello. Small spot in center of forehead is seen in some pictures (attachment removed to protect patient identity). As you know skull is made up of 16 small bones, these bones are attached with cartilages and get ossified with times. Due to some gaping, this swelling is seen. Give your kid Calcirol sachet once a week for five weeks, dissolve in two spoon water. Syrup Ostebon (Calcium) one teaspoon full twice a day. Feris drops 1 ml once a day. Zincovit drops one ml once a day. Vitanova drops 0.5 ml once a day. All the above for six months.
Q. Is it possible to have infertility due to low progesterone levels?	Hello doctor, I recently took a women's health test to test my hormones. I just got my results back and my Progesterone level is extremely low where as my Estradiol level is in the normal range. I have dealt with many irregular periods since I was young and have not been able to conceive a child with my husband and now I think I know why. I was wondering if my results can be looked at by a doctor to give me anymore information on what is going on with my test results. I am only 25.	Hello. The reports are fairly normal including the hormonal profile but the progesterone levels (attachment removed to protect patient identity). If these levels are from the proliferative phase then they can be considered normal, however, if from the luteal phase, then they are definitely low. Considering that LH was 11, this test may have been done around day 10 to 14 of your cycle, was it? In cases of progesterone deficiency, one tends to get anovulatory cycles and also shortened cycles with mid cycle bleeds and irregular shedding with often passage of clots, so if not so and if you are experiencing delayed irregular cycles then cause is likely PCOS and not progesterone per se. Also, important in any fertility evaluation is the the male fertility factor. It is important to learn if the semen analysis report of your partner is normal or not, whether the quality and quantity of his sperms are good or not, so please share his semen analysis report as well for review.	<s>[INST] Hello doctor, I recently took a women's health test to test my hormones. I just got my results back and my Progesterone level is extremely low where as my Estradiol level is in the normal range. I have dealt with many irregular periods since I was young and have not been able to conceive a child with my husband and now I think I know why. I was wondering if my results can be looked at by a doctor to give me anymore information on what is going on with my test results. I am only 25. [/INST] Hello. The reports are fairly normal including the hormonal profile but the progesterone levels (attachment removed to protect patient identity). If these levels are from the proliferative phase then they can be considered normal, however, if from the luteal phase, then they are definitely low. Considering that LH was 11, this test may have been done around day 10 to 14 of your cycle, was it? In cases of progesterone deficiency, one tends to get anovulatory cycles and also shortened cycles with mid cycle bleeds and irregular shedding with often passage of clots, so if not so and if you are experiencing delayed irregular cycles then cause is likely PCOS and not progesterone per se. Also, important in any fertility evaluation is the the male fertility factor. It is important to learn if the semen analysis report of your partner is normal or not, whether the quality and quantity of his sperms are good or not, so please share his semen analysis report as well for review.
Q. My intraocular pressure is getting high in the last six years. Why?	Hello doctor,Over the past six years or so, my intraocular pressure (both eyes) has risen to 16, to 19, and now to 21. Will it continue to increase still? Kindly help.	Hello. As you might have been informed, increased eye pressure is mainly associated with the disease called glaucoma. This chronic symptomless disease is very drastic to the optic nerve and might lead to irreversible damage, and in the end, cause blindness. However, this eye disease is never diagnosed or established based on eye pressure measurements and requires a detailed and comprehensive examination including many diagnostic tests like, visual fields, gonioscopy, OCT (optical coherence tomography), multiple measurements of eye pressure during at least three consecutive days and these tests might be repeated twice and even thrice in the first year and then every six months if the only suspicion remains. If you have not undergone these tests, please do, and if you require a second opinion, please upload the results of all these tests and I will gladly provide you with my opinion.	<s>[INST] Hello doctor,Over the past six years or so, my intraocular pressure (both eyes) has risen to 16, to 19, and now to 21. Will it continue to increase still? Kindly help. [/INST] Hello. As you might have been informed, increased eye pressure is mainly associated with the disease called glaucoma. This chronic symptomless disease is very drastic to the optic nerve and might lead to irreversible damage, and in the end, cause blindness. However, this eye disease is never diagnosed or established based on eye pressure measurements and requires a detailed and comprehensive examination including many diagnostic tests like, visual fields, gonioscopy, OCT (optical coherence tomography), multiple measurements of eye pressure during at least three consecutive days and these tests might be repeated twice and even thrice in the first year and then every six months if the only suspicion remains. If you have not undergone these tests, please do, and if you require a second opinion, please upload the results of all these tests and I will gladly provide you with my opinion.